Dear Rachel
I understand your angst .
In most cases it is not expecting the DR to do a "clipping"  but rather
write a  referral to someone who can properly evaluate the frenulum ,
advise and counsel the parents, and clip if needed and follow-up if needed..
Just make the referral.
Puleeeese
Beadie Cambardella RN IBCLC
-----Original Message-----
From: Rachel Pfab <[log in to unmask]>
Date: Monday, July 29, 2002 3:03 PM
Subject: mild tongue tie


>I'm amazed at the fact that MDs hem and haw about a clipping of a tongue
>tie but they don't think twice about a circumcision.  Circs are very
>painful.  They strap the baby in the circ board and away they cut.  The
>poor little guys scream bloody murder!  Most people have the circ done for
>looks.  A tongue tie, if left intact, can cause several permanent
>problems.  First, you've got the breast feeding issue and the chance that
>there won't be good milk transfer then you've created the vicious cycle of
>milk problems and the chance that Mom quits.  Both Mom and baby loose if
>this is the case.
>  Second, structure follows function.  One of the many benefits of being a
>breast fed baby is that you'll grow up good looking!  The facial
>development is influenced greatly by how a child sucks.  If there is a
>tongue tie then the child may not be sucking correctly.  He may  have to
>compensate for the tongue tie and adjust his suck as best as he can to get
>his nutrition and comfort. When a child is breast fed the face develops
>the way nature intended it to.  Hopefully, the child has a wide mouth with
>ample room for teeth so that he won't need braces in the future and if he
>does it is a mild case just to straighten things a tad.
>  Another problem that results from a tongue tie is a speech problem.  The
>child can't move his tongue correctly to speak properly.  Now, the child
>and parents are faced with many hours of speech lessons which may or may
>not help.
>  NOW, with just these three reasons, why are MDs so hesitent to perform a
>virtually PAINLESS procedure?  The most upsetting part about the procedure
>to the baby is probably being mummified  in order to immobilize him so
>that they can snip without worring about  a moving target.
>
>Rachel Pfab RN, IBCLC
>
>I too, have had my fair share of MDs who think it isn't necessary!
>
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