Hi Morgan 

Just a slight clarification the laser is used by a paediatric dentist - the
paediatric surgeon uses the normal procedure.   

Here in Perth, Western Australia we continue to battle the ignorance amongst
paediatricians about tongue tie and its effects on breastfeeding.
Paediatricians seem to continue to believe that a frenulotomy is unnecessary
even when there is a severe tongue tie that is affecting baby's attachment
and milk transfer. Their statement is 'no surgery without medical reason'
should be done (not sure what a starving baby would be if artificial baby
milk wasn't so readily available!) and imply that it is 'child abuse'.  When
I hear of mothers' experiences like the one that has contacted you Morgan I
just grow more and more angry and frustrated.   It just isn't good enough.

Glad to hear that this mother is getting some excellent support now. 

Shaughn
(Ashamed that Perth the home of such fantastic breastfeeding research is
also home to such ignorance)


-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Morgan Gallagher
Sent: Friday, 6 July 2007 7:15 AM
To: [log in to unmask]
Subject: Update on Perth mother

Just to thank you all for the help and contacts that flooded in.  Mother 
phoned ABA and left a message - I've not heard back on how that 
tracked.  She got much better results from her breasts for switching to 
hand expression in hot showers, and has managed some direct nursing in 
the past 24 hours.  Subsequently, she is feeling more confident, less of 
a failure, and is now researching the clipping issues prior to seeing 
her paed. on Monday.

I should say that I didn't make a statement very clear in my post - and 
apologies for that.  When I said the mother was violently opposed to 
formula, I wasn't suggesting she was withholding formula.  She was 
giving the top ups as directed, but was heartbroken to do so, and felt 
she had failed utterly as a mother.  This was also why I questioned the 
domperidone at 4 days - for how can anyone know if a mother has low 
supply at four days, when she has a tongue tied baby and is not 
responding well to an electric pump?  The message this mother had 
received (regardless of what was given her) is that she had no to low 
supply, and therefore her subsequent feelings of complete failure.  She 
complied with the formula - but cried every time.  My immediate concern 
was the threat to her supply from lack of proper stimulation from either 
baby _or_ pump.

Mother was very well informed, had taken baby back to birth centre when 
nappy count had dropped, and baby had only slight signs of dehydration 
when assessed by paed and formula top up advice was given.  Again, 
apologies for those who read it that she was not giving the top ups.

And interestingly, it turns out a surgeon in Perth is using a laser to 
release tongue tie.  Perhaps we should compile a laser list!

I've asked the mother to review the first ten hours post partum, and to 
look at all staff interaction she had, to see if she had been given 
breastfeeding support but had someone missed the cue or dismissed the 
staff member out of hand.  I've also stated that if she genuinely had no 
breastfeeding support in the first hour, never mind the first ten hours, 
she needs to talk to some at the unit about this when she feels able to 
do so. 

Morgan Gallagher
Online Lactaneer
Just nursed her 30 month old through a week long bout of rota virus and 
needs considerably more sleep than she's had for said week.  And no, I 
didn't think it was possible for projectile poo to have that sort of 
stench.... or for that amount of it to explode out of such a tiny bottom 
for quite such a long time.  Whoop whoop for Mama's milk 'tho... no 
hospital admission... but Mama could do with a week in bed.

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