What I have learned to be some of the reasons that most clinicians do not recommend frenotomies is because their text books state this and there is no money in doing this procedure. Slowly there is more information being published on why a tight frenulum can be a problem for infant feeding, later speech and even much later dental. Along with the literature more and more clinicians are learning how to do this procedure and insurance is covering it. Even if the tight frenulum does not cause a breastfeeding problem I think the parents should know all the information of the normal function of the tongue and what might happen because the tongue is now limited in it's use. When I was at the conference given by Robin Glass and Lynn Wolf. Lynn said that tight frenulums was a problem for breastfeeding but not bottle feeding and therefore she did not recommend clipping unless the mother was breastfeeding. When I went to talk to her about this she was not aware of Dr. Palmer's work. She said she knew of one adult who sought out to have his tongue tie clipped because he wanted to be able to stick out his tongue. And I said "what is wrong with wanting to be able to use the tongue in it's normal function?" Those of us on this list can help with the continued education of the public and health care field. KEEP UP THE GOOD WORK! Ann Perry RN, IBCLC Boston, MA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html