Remember that sticking the tongue out past the lower lip is the LEAST
reliable sign that there's no tongue tie. Many children with posterior
tongue tie can do this, as long as their mouth is not wide open, but you
can see tongue retraction as they open wider, as they need to do with
breastfeeding. ELEVATION is the most important thing to assess for
breastfeeding. Watch the baby cry, if the tongue lifts all the way up
and blocks the entire mouth with the mouth wide open, there is likely
not a tongue tie.
Catherine Watson Genna, IBCLC NYC
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