Hi Ann, I am in now way an expert in frenulums - but they can be further  
back and that can impair the suck / swallow.  Catherine Watson Genna and Dr  
Elizabeth Coryllos are the area experts in frenulums.  It seems that these  types 
of frenulums are type 3 or 4.  I have seen a few recently - the  palate is 
very high - the tongue does not go up at all - so it doesn't do the  job - 
depending on the babies disposition they either get hysterical or they  fall alseep 
and lose weight. Have someone in your area check it out.   Hopefully you can 
find a ped surgeon or ent that will know the newest  information and is 
breastfeeding friendly.  I am so blessed to know Dr  Coryllos and extremely lucky to 
have "assisted" in quite a few frenotomys.   As far as the no nipple pain - my 
neighbor nursed twins for over a year with  type 2 frenulums - that were 
finally clipped at 4 yrs old  with no pain or  problems at all. It is the moms 
that have the problems that get the frenotomys  earlier - the ones that make it 
with no problems wind up having kids with speech  problems - of course not 
always. 
 
Another possibilty to look into is retained placenta - although rare I have  
seen two mothers in six months with it.  The same story - very low supply,  
the bleeding stops and then one day there is a gush of blood and clots and then  
the milk is flowing.  Both moms had sonograms and the last one the doctor  
said there never was a retained placenta.  OK -  then why after that  did her 
milk "decide" to come in?  PS both of these moms were c -sections  also.
 
Good luck - sometimes there is no real answer - which is so hard for us to  
deal with. 
 
Donna Kimick, IBCLC, RLC
Massapequa Park



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