Sare asks:
"Or is it that it fell out of favour as ABM
feeding took hold and less mothers chose to bf?"

EXACTLY!

As I understand it, in the past it was routinely done because it was
believed to automatically mean speech problems.  Noone said. "Let's
wait and see if the child has a speech problem and if so we'll do it
then."   Then somewhere along the line it was noted that it didn't
always cause speech problems.  However, since it had been done on
virtually every infant where tongue-tie was noted, noone ever has
reason to note it's effect on breastfeeding.  About the same time,
and apparantly totally unrelated, breastfeeding rates were at their
lowest and those that did breastfeed either stopped at the least
difficulty or nursed no matter what.
Now nursing is coming back into favor and with many of us have
learned more about how it works (breastfeeding doesn't change-what
does change is our level of understanding about it and how it
works).  The connection between tongue-tie and bf problems is
therefore "new" info and hard for some to accept.  They see it as
"new" approaches and wonder why it was never a problem before.
Re the docs who refuse to refer a baby needing a clipping let alone
do it themselves.  If the doc didn't believe in doing circs and
refused to refer parents to one who does when the parents choose to
have it done, he/she would be severely ostracized-not so much for
his belief about circs, but because he was denying the parents
access to a doc with a different viewpoint!

Winnie

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