One of the problems with discussing tongue-tie is "what is a mild tongue tie?". We need to have agreed definitions so we know what we're talking about. I use Alison Hazelbaker's tool to assess frenula: this gives you a number score. On Friday, I saw a woman with a 2 year old whose frenulum I had released as a small baby. She now has a new baby, and she said the tongue tie was not as bad, but as her nipples tended to be flat and difficult to grasp she was using a nipple shield, and wanted to see if I thought it was worth releasing the baby's frenulum. Anyway, with Alison's sheet we could see that the new baby scored higher on one item only, so it was less severe than her previous baby, but still worth releasing according to the score. There was no bleeding and hardly a whimper from the baby, and it was done. Does anyone know if Alison has published the findings from her thesis? (I have bought her thesis - but this is not easily accessible to the medical community) Is she planning to? I am a great believer in publishing. Research is not finished until it is published. (this was also discussed in the recent BMJ). Lisa Amir MBBS, MMed, IBCLC in Melbourne, Australia - currently with 4 articles in the pipeline with different colleagues! *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html