Hi all,
My partner, a GP, performs about 160 tongue tie procedures a year (total
number well over 2000).
The criteria he applies for doing the procedure is that the baby has a
clearly identifiable tongue tie that is interfering with breastfeeding
due to poor attachment and/or nipple pain. Usually the babies are
referred by a midwife or lactation consultant. The degree of tongue tie
varies; around 25% of the babies have posterior tongue ties.
Anecdotally he has noted that for most tongue ties there is about a
90-95% improvement in breastfeeding following the procedure, often
immediate. To date no baby has been reported to have any complications
other than one baby about 5 years ago who required simple analgesia 24
hours post procedure. Exercises are not recommended and there have been
no reported 'recurrences'.
The majority of the babies who have the procedure are neonates, usually
under 2 weeks old. Interestingly he has performed tongue tie releases
on 5 sets of twins and also 4 siblings from one family.
Warm regards,
Jenny Parratt
------ Original Message ------
From: "Jane" <[log in to unmask]>
To: [log in to unmask]
Sent: Friday, 14 Jul, 2017 At 8:04 PM
Subject: Re: Tongue tie
I m a midwife at hull and we have quite a few midwives on the postnatal
ward that are frenotomy practitioners. We use scissors up to 28 days .
We went through a training package to do this . I don't do them but my
friend does . Good success rate , we only do them after proper
assessment of tongue and only to facilitate effective feeding .
Sent from Janes iPhone
> On 14 Jul 2017, at 09:35, Pam <[log in to unmask]> wrote:
>
> Hi,
>
> I wondered if anyone was doing or had done some robust research into
> the evidence for diagnosis and treatments for tongue ties in the
> neonate.
>
> I feel there are a number of aspects to this subject:
> Surgical versus conservative treatment
> Long term significance of treatment
> Immediate impact of surgical treatment on the neonate does the neonate
> suffer pain due to ulcerated mouth? Does the aggressive surgical
> treatment impact on the neonate's feeding habits.
>
> I have observed babies aggressively refuse to breastfeed following
> surgical treatment whether it be by the midwife's hand or dental
> specialist with laser. They have also refused to have a teat in their
> mouths.
>
> Warm regards
> Pam Harnden
>
> Sent from my iPhone
____________________________________________________________
Dr Jenny Parratt RM PhD FACM
Sub-editor of Women and Birth Journal
Adjunct Associate Professor
Southern Cross University
P.O.Box Mandurang Vic 3551 Australia
+61 409 393073
[log in to unmask]
http://works.bepress.com/jennifer_parratt/
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