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Subject:	Re: Tongue tie not a problem
From:	"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Reply To:	Lactation Information and Discussion <[log in to unmask]>
Date:	Sun, 10 Jan 2010 14:56:24 -0500
Content-Type:	text/plain
Parts/Attachments:	text/plain (25 lines)

I see moms both in my practice and over the years in my LLL group. I've 
seen some kids with TT bf just fine, but most of the time there's a 
decrease in feeding efficiency which mom compensates for with more 
frequent/longer feedings. If mom has good supply and elastic, everted 
nipples, the baby seems to do better, if a tt baby has a mom with flat 
nipples, it can be very difficult.

So there are dyadic considerations as well.

Dr. Elizabeth Coryllos often says that about half of tongue-ties are 
symptomatic and require treatment, the rest might not.

Catherine Watson Genna, BS, IBCLC  NYC

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