Enhancing your feeding journey and tongue-tie assessment/division
Proudly Helping Parents in North West England and Wales
A tongue tie occurs when the piece of skin which connects the floor of the mouth to the base of the tongue causes restriction. This piece of skin is called a lingual frenulum. It can be attached to the tip of the tongue or further back under the tongue.
Difficulties with breastfeeding/bottle-feeding often present in the following ways:
Difficulty Latching on and/ or Staying Attached to the Breast
Almost Continuous Feeding with Short Breaks
An Unsettled Baby Who Appears to Be Hungry, Fussy, or May Be on Medication for Reflux or Colic
Poor Weight Gain
Reduced Milk Supply
Feeds Taking a Long Time
Only Small Amounts Taken at Each Feed
Changing of Teat or Bottle Does Not Seem to Help
Unsettled Baby Who May Be on Medication for Reflux/ Colic
These difficulties in feeding are often attributed to a tongue tie, but this may not be the primary cause. Not all tongue ties need to be divided as infant feeding problems can be resolved with the right help and support. During the consultation we will mutually decide whether a tongue tie division is necessary.
Following a discussion on the risks and benefits, a written consent is obtained. Your baby will be swaddled in a blanket which you will provide. I wear latex-free gloves and use sterile, single-use, blunt-ended scissors.
I will show you how to hold your baby’s head securely during the procedure. A bright light will be adjusted over your baby’s mouth to allow enhanced visibility when examining under your baby’s tongue. I will place my finger under the tongue and your baby may cry a little at this point
Following the division, I place a small piece of gauze onto the floor of the mouth to stem any bleeding. Usually, there is only a small amount of bleeding and most babies will stop crying at this point. I will then support you with either breast or bottle feeding. Occasionally after the procedure a baby may only wish a cuddle.
At the end of the consultation I will check to ensure that the bleeding has stopped, answer any further questions, and provide you with an aftercare sheet.