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Lactation Information and Discussion

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Subject:
From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 11 Jun 2004 10:39:39 -0400
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I too agree that frenula do not stretch.  The anterior tongue continues
developing, and hides the still restrictive frenulum a bit.  I have a
photo series to document this.

Alison and Brian both feel the same way about this issue.

I have personally had 2 clients in my practice over the past 13 years
who ripped their own frenulum.  One of them ripped it about a mm,
insignificant to assist his feeding.  He did learn to bf, but it took
quite some time and mom always needed to pump to help maintain her
supply.  The second infant was a newborn with a family history of tt,
and her parents report that she cried one day and there was a drop of
blood in her mouth and her frenulum had torn and she immediately bf and
fingerfed better.  I have not seen this baby yet to verify. (And at a
conference I spoke at this year, one participant reported a similar
case, of her own grandchild).

Contrast this with scores of women who have given up breastfeeding (due
to pain and inefficiency) when their infants were not given timely
frenotomies, over 50 women who had to pump to maintain supply for their
tonguetied infant and supplement with ebm or abm, and women who  managed
to bf exclusively but struggled with the excessive time their tt infants
took to feed.  And that's only in the three years that I've been keeping
track systematically!

I personally don't like the odds that breastfeeding is going to work
with an untreated tongue tie.
Catherine Watson Genna, IBCLC

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