Hi! I wanted to post a question asking if anyone has had any issues with physicians regarding diagnosing a tight frenulum? It seems that this issue has "reared its ugly head a few times" on our floor at the hospital. Here's what has happened: A mother is reported to have severely damaged nipples and baby is at the breast "all the time". So, as a good hospital LC, you check latch, check the oral anatomy, and find that the baby has a tight frenulum and can't maintain a latch, nor milk the breast. You explain the problem to the mother. The mother asks what can be done? What is your response? We have now all been told that we are not to discuss with the parents anything about having a frenotomy done, nor even tell them the problem until the pediatrician has been consulted. We were told that we cannot "diagnose" this since we are not doctors. I am curious as to how other LCs have handled a similar situation? Is telling a mother this may cause a feeding problem, "diagnosing"? Just curious. Connie Chiavario, IBCLC Rush Copley Medical Center Aurora, IL *********************************************** 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