I concur with Jennifer. Your daughter's abundant milk supply may allow the
baby to thrive without an effective latch/suck -- it's called "drinking at
the fountain" :- )   In the first three months after birth, prolactin
levels are insuring adequate milk, but at the three month mark the
prolactin levels typically drop to virtually nil, and milk supply will
require nipple stimulation and effective emptying of the breast, which baby
might not be able to do with tongue and/or lip ties. I suggest you/daughter
read Dr Ghaheri's blog to find out more about how ties affect the
breastfeeding relationship: DrGhaheri.com
Congratulations on a new family member, and best wishes!
Melinda Harris-Moulton, ARNP, FNP, IBCLC
Olympia, WA

On Sun, Mar 13, 2016 at 9:49 PM, Jennifer Tow, IBCLC <
[log in to unmask]> wrote:

> Ruth,
> What it sounds like you are describing is a mother and baby managing
> through compensations (abundant milk supply, perhaps others less obvious as
> well) in spite if what sounds like a potentially poor seal. Usually, these
> issues just amplify over time as compensations become more difficult to
> maintain. Compensations usually do not result in the development of an
> optimal airway either.
> Jennifer
>
>
> Jennifer Tow, BFA, MA, IBCLC, RLC, OMT Intuitive Parenting Network, LLC
>
>
>
> Date: Sun, 13 Mar 2016 18:21:33 -0400
> From: Ruth Vishniavsky <[log in to unmask]>
> Subject: Ignore or intervene with tongue tie?
>
> I am with my daughter and her lovely children including the newest 12 day
> old girl #6. We noticed that her lingual frenum is attached close to the
> tip of her tongue creating a mild heart shape when she gapes. Tongue
> extends over alveolar ridge but has middle depression. She seems to be
> thriving on mother's abundant supply nursing regularly and enough stooling,
> but is sometimes in discomfort from air intake. If bf is is going
> relatively well ignore or intervene? 4% loss at 4 days but not weighed
> since. Mom not in discomfort. Labia frenum attached low too.
>
> Ruth Vishniavsky
> Newton, MA
>
>
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