I personally have no desire to ever consider performing a frenotomy.  I am 
in total agreement there is a need for them, but I do not want the 
responsibility for a surgical procedure-that is why the M.D carries a 
different level of malpractice insurance than I need to.  I do remember 
years ago being told by a speech pathologist that if a baby was NOT 
breastfeeding, it was best to wait on clipping, as many will outgrow a 
tight frenulum (it will often stretch out over time).  When I asked why 
wait, I was told they had seen cases where the frenulum had been clipped 
too far back and speech problems had occurred later in life.  
Catherine Katz,RN,IBCLC,RLC

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