Hi Carolyn. I respectfully disagree and guard againstsuch bold claims
without clinical evidence. I am an IBCLC, but currently practice as a
Nurse's Aid at 2 different hospitals, so my patients are adults and I
always look for tongue ties. It is far more common than not. I often ask if
they even know what it is, many do not. Some respond that their children
have it as well. I believe we know more about breastfeeding than ever
before, which is why it has become a concern in our field. Anatomical
barriers to breastfeeding are often the most challenging, as we all know.
Best of luck to all.

Stephanie Badillo IBCLC

On Thu, Jun 24, 2021, 1:21 PM Carolyn Honea, IBCLC, CLC <
[log in to unmask]> wrote:

> Heather, this is the million dollar question - why are oral restrictions
> so prevalent? My thought is that there is some kind of unavoidable
> environmental pollutant that has changed the way fetuses develop in-utero.
> At this point its just a theory and I’m sure in reality there are multiple
> factors occurring. However, we also have to be honest that the number of
> “forever chemicals" in our bodies seem to be increasing. Do a google or
> pubmed search for “PFAS” and you’ll see what I mean.
>
> > On Jun 24, 2021, at 12:00 AM, LACTNET automatic digest system <
> [log in to unmask]> wrote:
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> > There is 1 message totaling 59 lines in this issue.
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> > Topics of the day:
> >
> >  1. Increase in lip and tongue ties?
> >
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> > Date:    Wed, 23 Jun 2021 22:07:42 -0300
> > From:    Heather Neville <[log in to unmask]>
> > Subject: Increase in lip and tongue ties?
> >
> > Hi Everyone,
> > Would appreciate some feedback as to whether or not you have noticed a
> > larger number of tongue and or tongue and lip ties that are causing
> > significant breastfeeding issues in your practices. I practice in a small
> > city in Canada, and I am the only IBCLC- where a few years ago there
> were 3
> > that worked in our area.  I have been certified for almost 10 years (re-
> > writing in the fall) though only working fully as an IBCLC at our Mother
> > Baby clinic for 5 years.  The first year or two in this role, I was only
> > really good at picking up on the really obvious ties, however I feel the
> > last 3 years or so have really refined my skills at assessing for ties. I
> > do not do this ‘routinely’ for dyads that are doing well- only for those
> > that are struggling. The only problem is, I feel like the vast majority
> of
> > the dyads I see struggling beyond the first 2 weeks or so all seem to
> have
> > ties, either just tongue or tongue and lips. Which seems like just too
> > large a number. While we do try conservative management for a reasonable
> > amount of time prior to seeking out options for release, and in almost
> all
> > cases, feedings improve with releases, it does seem statistically almost
> > impossible that this could affect such a large number of dyads. So it has
> > me concerned that:
> >
> > 1) I have become ‘lazy’ with assessments, and rely on what seems to be a
> > ‘quick and easy fix’. Though, if ties were not the issue- then it seems
> > logical that releases would be of no benefit...
> >
> > 2) That due to the very large percent of both medical and non- medical
> > supplementation that occurs in our facility- most often with bottle and
> > nipples despite our best efforts to educate parents and staff otherwise,
> > that babies are developing really un-coordinated and dysfunctional
> suckling
> > techniques, and releases just kind of help ‘reset’ their patterns...
> >
> > Thoughts?
> >
> > Thanks!
> > Heather Neville, RN IBCLC
> >
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