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:
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> 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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