At the ABM conference in Poland last March I heard Dr. Mexi Bourna MD, Greece, speak about TT. She explained that when clipping is postponed, even only a couple of weeks, the child can have built up muscle memory already and still use the wrong techniques after clipping. This may pesist for quie some time and may need additional therapy.
Warmly,
Gonneke, IBCLC in PP, LClecturer in southern Netherlands
--- On Wed, 5/26/10, Jennifer Tow, IBCLC <[log in to unmask]> wrote:
From: Jennifer Tow, IBCLC <[log in to unmask]>
Subject: [LACTNET] Post frenectomy: still chomping and little transfer
To: [log in to unmask]
Date: Wednesday, May 26, 2010, 12:30 PM
My guess, of course is that there needs to be a reclippng. But, if not (and even if) please get this kid referred for structural work, which IMO should be done in every single case of TT. Clipping does not repair the compensations. And is mom doing tongue exercises?
Jennifer Tow, IBCLC, CT, USA
Intuitive Parenting Network, LLC
Date: Tue, 25 May 2010 21:33:12 -0600
From: Erika Lance <[log in to unmask]>
Subject: Post frenectomy: still chomping and little transfer
I have an interesting case. Permission to post. At 2 weeks the baby was not
transferring milk and losing weight. When I went to see her this mom was
supplementing with formula to gain the weight. Mom has dream nipples. Baby
would pop off and on at breast. When this little one did suck a few times
there was obvious signs of not being able to suck, swallow and breathe.
Bottle feeding was the messiest as about 1/3 was not swallowed and spit out.
I noticed a pretty obvious tongue tie where it appeared to have two
frenelums crissed-crossed. Does that make any sense? Mom went to get
clipped. I have not seen mom and baby for two weeks now and mom reports
there is no difference with baby's reaction to breastfeeding. Pops off and
on, chomps, no transfer. Mom did not go to my regular surgeon so there is a
possibility that this baby is still tied. If I see that the tongue was
clipped well what other reasons for this behavior? Thank you so much!
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