Pat writes:

"another  factor among the drop  outs - what long term sequelae?? More  
illness?  Speeech difficulties?? Mom's nipples fell    off?  Mom's self image 
wrecked?? Any one look at that?  of course  not! "
~~~ Interesting thread. One thing that seems pretty common with babies with 
 tongue restriction issues is reflux. Limited tongue movement, even when  
breastfeeding might (or might not) become functional weeks later without  
frenotomy, often seems to be correlated with clinically significant reflux. 
Even  without overt speech issues, I've met parents of babies with tongue  
restrictions, who seem to have their own, who have many other subtle issues(  
especially people whose voices are their livelihood, people who sing  
professionally, people who do oral presentations a lot at work.) I'm not sure if  
the "tongue tie resolves" as much as growth, development, and bodywork, can 
help  a baby grow into someone whose tongue can work more functionally over 
time.  This is an important question, because asking a mom to wait almost two 
months,  assuring her that if she just pumps as much as would be needed, 
bottlefeeds her  baby( when she planned a breastfeeding relationship) is asking 
a lot. IF we knew  that if she "just" did that, it would work, is still 
asking a lot.  I have  seen babies whose tongue restrictions were not noticed 
until I saw them at 3 or  4 months, and those babies were not breastfeeding 
well or comfortably and often  had other issues I consider related as well. 
Whether they needed a surgical  release, or the release that can come from 
bodywork, or both,  they still needed something.  And sometimes, rarely, all 
that is  done and they still don't breastfeed normally. It's a very humbling 
topic, one  of many that reminds me daily how much I  still don't know...
 
Peace,
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
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