This discussion makes me feel very lucky.  At our Kaiser hospital, we have
the pedis and ENTs on board.  We can just make a referral to Head and Neck
Clinic and they will shedule an appointment.  We say something like:  "Baby with
poor tongue range of motion, mother with very sore nipples, baby unable to
maintain a latch.  Please evaluate."   Notice this is not a "diagnosis", but a
nursing assessment.  I have never known them to refuse to clip a frenulum.  It
used to be even better, when Head and Neck surgery was in the hospital.  We could
just take the baby downstairs and they would do it before discharge.  Now the
parents have to go to the clinic for an outpatient appointment.

Just today I got a request from one of the neonatologists to assess a NICU
baby's ability to breastfeed because she had noticed a short frenulum.  Now if
everything at the hospital were this good!   Miriam Levitt RN, IBCLC

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