The practice of medicine and nursing is detailed in each of the individual US states.  Here in Indiana, a frenectomy would clearly fall into the scope of medicine, as even diagnosing pain is considered the practice of medicine.  A nurse or any other individual would be charged for the illegal practice of medicine and could face potential jail time if s/he were to perform this procedure.  
   
  This would not be unlike an unlicensed midwife performing an episiotomy.  We simply need to encourage our Nurse Midwives and/or Advance Practice Nurses with lactation specialties to incorporate this into their practice, of course along with educating physicians of its appropriate usefulness.
   
  Respectfully,


Penny Lane RN, IBCLC
Maternal & Child Health: Lactation Consulting
Believe - Birth & Breastfeeding Resources
 		
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