Tongue tie and newborn feeding care

Tongue tie

 

Tongue tie is a relatively common occurrence in babies and adults.  It is often a family thing with either mum or dad having a tongue tie also.

 

After a long time where health practitioners didn’t really give much thought or credence to tongue tie and some of the challenges it can provide, we are thankfully knowing more about it and also taking action to help those for whom it causes discomfort.

 

Very broadly there are 2 types of tongue tie-

Anterior tie-  can see tight frenulum ( bit of skin in the centre underneath the tongue ) under tongue – often has a heart shaped tip.

Posterior tie- not so easy to identify – back of tongue is bunched or elevated.  When baby cries  tongue tip is up. Usually baby can’t extend tongue over bottom lip.

What to do with a tongue tie??

Anterior tie- can get it snipped by someone skilled in this . It is a simple procedure that takes a few seconds. In some cases the frenulum is embedded in the tongue making it difficult to snip.  This makes it a much more complicated intervention than a simple snip.
Posterior tie- there is nothing to snip.

 
We don’t always automatically snip a tongue tie.  We generally only snip a tongue tie in the case of breastfeeding when it causes poor latch for the baby and pain and damage to the nipple for the mother.  When a baby is bottle fed, there is not usually a problem with feeding and certainly no discomfort, so usually it does not become an issue.  Sometimes even with breastfeeding, the tie may look significant however if there is no discomfort and the baby is satisfied, there is no indication for snipping the tie.

 
Typically what happens is that the mother will breastfeed reasonably comfortably for the first 3-7 days. After this time as the baby’s feeding requirements increase and the baby also gets more co-ordinated and strong with their feeding, we see mothers in extreme discomfort -pain, with very damaged nipples.  It is at this point that many women stop breastfeeding – understandably.  Some women  at this point find help from a lactation consultant to work out what to do and why this is happening.

[caption id="attachment_2270" align="alignleft" width="150"] tongue _tie_in Newborn_baby[/caption]

 

[caption id="attachment_2271" align="alignleft" width="150"] frenulum_under_tongue_in_newborn[/caption]