In a message dated 5/4/2005 11:58:55 PM Eastern Daylight Time,  
[log in to unmask] writes:

Recently  a lot of the tongue-tied babies that I have worked with
have had difficulty  getting breastfeeding right even after the frenotomy.
Moms seem to get  frustrated, thinking the frenotomy is a magic bullet and
wonder why baby  still has trouble.  



As has been said, by Linda and Debbie, part of the issue is that the  
frenotomy may free up the tongue movement, but since it has been limited it will  be 
weak or uncoordinated in its new range of motion. The other piece which  
Debbie mentioned, I will flip around: instead of overprotrusion of the upper  jaw, 
the baby may have underdevelopment/recessed jaw of the lower jaw. According  
to Wolf's Law, the bones will form a certain way based on muscle pull effects,  
and this baby's tongue muscle had not been able to exert normal pressures, 
and  still may not be able to for a while. The sooner after birth the clipping 
is  done, usually means a faster move to more normal motion and power,  but the 
 jaw structure will respond even more slowly than the tongue muscle. Cathy G, 
 jump in here, if needed.
 
Judy  

Judy LeVan  Fram, PT, IBCLC, Brooklyn, USA


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