I have found many times that when the frenulum is clipped sometime
after the first couple days, the baby may have already been
"programmed" to nurse without fully extending the tongue.  Then,
when it is clipped later, baby doesn't realize that there is now
more freedom of movement.  It is as if the original urge to extend
the tongue has been extinguished.  "Since it won't work, it's not
worth trying."  If mom doesn't feel relief in the first few feedings
after the clipping, she may need to do a little tongue training.  I
suggest she have baby suck on her finger with the pad toward the
tongue.  She presses the tongue forward with her finger (not
constant) until she feels baby maintaining the tongue over the
gumline.  Then she quickly transfers baby to breast.  It may take
several sessions before baby "gets it".  Because of these
experiences (it seems some babies get programmed quicker than
others), I am reluctant to take the "wait and see if it's a problem"
approach when I find a tight frenulum.
Winnie Mading IBCLC

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