Some research on tongue tie here if it helps http://fn.bmj.com/content/100/4/F344
https://www.ncbi.nlm.nih.gov/m/pubmed/24249695/
Best wishes
Jenny
Sent from my iPhone
On 17 Jul 2017, at 01:08, Jenny Parratt <[log in to unmask]<mailto:[log in to unmask]>> wrote:
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]<mailto:[log in to unmask]>>
To: [log in to unmask]<mailto:[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]<mailto:[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]<mailto:[log in to unmask]>
http://works.bepress.com/jennifer_parratt/
BU is a Disability Confident Employer and has signed up to the Mindful Employer charter. Information about the accessibility of University buildings can be found on the BU DisabledGo webpages. This email is intended only for the person to whom it is addressed and may contain confidential information. If you have received this email in error, please notify the sender and delete this email, which must not be copied, distributed or disclosed to any other person. Any views or opinions presented are solely those of the author and do not necessarily represent those of Bournemouth University or its subsidiary companies. Nor can any contract be formed on behalf of the University or its subsidiary companies via email.
|