Breastfeeding Your Child Having a Tongue-Tie

 

Newborns and Tongue Tie: the first few days of life

Video taken from the channel: Gene Liu, MD, MMM


 

Newborns and Lip Tie (labial frenulum, frenum) and breastfeeding. Frenulectomy. Frenectomy.

Video taken from the channel: Gene Liu, MD, MMM


 

Parents’ Guide to Tongue Tie

Video taken from the channel: Pathways


 

Tongue-Tie Symptoms

Video taken from the channel: All Health TV


 

Tongue-Tie in Babies

Video taken from the channel: All Health TV


 

Newborn Tongue Tie & Breastfeeding | Signs, Feeding & Treatment

Video taken from the channel: SJ Strum


 

Tongue-Tied: Helping Babies Breastfeed

Video taken from the channel: UFHealth


Breastfeeding Your Baby With a Tongue-Tie Breastfeeding and Ankyloglossia. A baby with a tongue tie may be able to breastfeed without any problems, or he may not Impact on Babies. A tongue-tie can have varied effects on babies. Breast refusal: Some babies will refuse the Impact on.

Breastfeeding A tongue-tie is a common disorder that affects almost five percent of newborns. A baby with tongue-tie has a short, thick, or tight frenulum. The frenulum is the tissue that connects the tongue to the bottom of the mouth.

Releasing a tongue-tie is a safe and simple procedure that may help with breastfeeding problems. If you’re experiencing issues with breastfeeding. Helping a baby with a tongue tie – information for parents and health professionals from the UNICEF UK Baby Friendly Initiative How Does an Upper Lip Tie Affect Breastfeeding? by Bobby Ghaheri, MD Tongue Ties and Lip Ties: Symptoms, Treatments and Aftercare – a podcast from the Boob Group featuring Catherine Watson Genna, BS, IBCLC.

If you suspect that your baby has a tongue tie, speak to your doctor and a certified lactation consultant right away. Discussing latching tips for breastfeeding with a lactation professional can help ensure your nursing technique is correct while ruling out any other issues that could be causing difficulties while breastfeeding. Tongue-ties interfere with breastfeeding because the baby needs to be able to move his tongue forward, over his bottom lip, to cup the breast and exert some pressure to extract the milk. When that motion is restricted, the baby’s attempts to get milk often lead to nipple damage and pain.

A baby with tongue tie may find it easier to latch on if your breast is soft, so breastfeed frequently to avoid engorgement. When your baby bobs his head and licks the nipple, he naturally makes it easier to latch on. Or you can use reverse pressure softening to move fluids away from the nipple area so your baby can latch on well. Painful breastfeeding may affect a mother who is breastfeeding a baby with a tongue tie, leading to: sore nipples nipples that crack or bleed decreasing milk supply. Tongue-tie is largely genetic.

It occurs when the lingual frenulum — a small stretch of tissue that connects the bottom of the tongue to the floor of the mouth — is too short and tight. This causes babies not to have enough tongue mobility and often makes breastfeeding harder. A baby with tongue tie may end up compressing mum’s breast tissue during feeding, which can lead to nipple soreness and damage.

This inability.

List of related literature:

Infants who can elevate the tongue tip to the palate with the mouth wide open are unlikely to have breastfeeding difficulties, but some who can bring the tongue tip to midmouth can breastfeed.

“Supporting Sucking Skills in Breastfeeding Infants” by Catherine Watson Genna
from Supporting Sucking Skills in Breastfeeding Infants
by Catherine Watson Genna
Jones & Bartlett Learning, 2012

A tongue-tie (when the baby is born with a membrane that runs from the tip of the tongue to the lower gum or the floor of the mouth) causes feeding difficulty, nipple pain, and infant crying, because the tongue can’t slip out over the lower gum and under the breast when the mouth is open wide, to latch on properly.

“The Discontented Little Baby Book” by Pamela Douglas
from The Discontented Little Baby Book
by Pamela Douglas
University of Queensland Press, 2014

These authors also described the action of the infant forming the nipple–areola into a teat and drawing it far back into the mouth, with the tongue playing a major part in the sucking process and the breast being soft and pliable enough to allow this activity.

“Breastfeeding Management for the Clinician” by Marsha Walker
from Breastfeeding Management for the Clinician
by Marsha Walker
Jones & Bartlett Learning, 2016

This may occur in the newborn with tongue-tie or with an unusually strong sucking pressure, or result from deliberate action, as in the older child experimenting with biting during nursing (McClellan et al., 2015).

“Breastfeeding and Human Lactation” by Karen Wambach, Becky Spencer
from Breastfeeding and Human Lactation
by Karen Wambach, Becky Spencer
Jones & Bartlett Learning, 2019

Tongue-tie is discussed in greater detail in the Low Intake in the Breastfed Infant chapter.

“Breastfeeding and Human Lactation” by Karen Wambach, Jan Riordan
from Breastfeeding and Human Lactation
by Karen Wambach, Jan Riordan
Jones & Bartlett Learning, 2016

Infants with tongue tie may be unable to extend the tongue during breastfeeding, which can be noted by a clicking sound indicating that the infant is continuously breaking the suction (Kotlow, 2011).

“Pediatric Skills for Occupational Therapy Assistants E-Book” by Jean W. Solomon, Jane Clifford O'Brien
from Pediatric Skills for Occupational Therapy Assistants E-Book
by Jean W. Solomon, Jane Clifford O’Brien
Elsevier Health Sciences, 2020

However, from 4 to 6 months, infants begin to display separation of tongue and jaw movements, and transition from a suckle (one-dimensional, backward/horizontal tongue stripping movements) to a suck (two-dimensional, backward-andupward/horizontal-and-vertical tongue movements) pattern while feeding.

“Dysphagia E-Book: Clinical Management in Adults and Children” by Michael E. Groher, Michael A. Crary
from Dysphagia E-Book: Clinical Management in Adults and Children
by Michael E. Groher, Michael A. Crary
Elsevier Health Sciences, 2020

Tongue-tie If the baby cannot extend the tongue over the lower gum he or she is unlikely to be able to draw the breast deeply into the mouth, which is necessary for effective feeding.

“Survival Guide to Midwifery E-Book” by Diane M. Fraser, Margaret A. Cooper
from Survival Guide to Midwifery E-Book
by Diane M. Fraser, Margaret A. Cooper
Elsevier Health Sciences, 2012

Breastfeeding mothers with a tongue-tied baby frequently experience breast pain and nipple damage due to difficulty latching the baby effectively onto the breast, which, subsequently, can resultin reduced milk supply in the mother and poor weight gain in the baby (Messneretal.

“Fundamentals of Midwifery: A Textbook for Students” by Louise Lewis
from Fundamentals of Midwifery: A Textbook for Students
by Louise Lewis
Wiley, 2015

Without full normal tongue mobility, breastfeeding and eating (and other activities involving movement of the tongue) are compromised.

“Comprehensive Lactation Consultant Exam Review” by Smith
from Comprehensive Lactation Consultant Exam Review
by Smith
Jones & Bartlett Learning, 2016

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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27 comments

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  • Our baby’s tongue tie was clipped when he was over a week old and before it got clipped feeding was not too bad and then right after the clip he fed very well but then the next feed was worse and next feed after that even worse then he just refused my breast all together and for a few days we had to feed him with a syringe and and then he started taking the bottle but not my breasts and I’ve been trying and trying to get him to take my breast but I just cannot get him to latch on he just sticks his tongue up and then it’s almost impossible to get him to latch on but with a bottle I can look when he lowers his tongue and quickly stick in the bottle. I want to breastfeed him so badly and I tried all day today but by the end of the day he was starving and so I had to pump again and feed him with bottle. It makes me very emotional that I can’t have that connection with him I really want to breastfeed but just cannot get him to latch on. Any ideas what I could do? I’m desperate

  • Great vid! So informative! I’m based in London too, could you please reccomended some private specialists to visit please. Thank you ��

  • Hi there. I know this video is old. I have been looking for help with how to latch my 5 week old boy back onto the breast. He had his tie cut almost 3 weeks ago now but he’s still clicking/slipping off the breast and his latch is shallow

  • Great video, my daughter and i watched as her newborn seems to have both, but the Dr has minimized its impact on breastfeeding and general well being. Trying to determine what its impact on Adeline.

  • I wish I saw your video 2 years back, my daughter is 2and half year n I found she had tongue tied and before we had lots of problem of breast feeding so my wife always bumping all the time. Doctor are just checked everything and they didn’t find out any problem, my daughter is still can’t talk properly it’s all because of tongue tied. When I think about those doctors I really want kick there ass.

  • I have an 11 day old angel with tongue tie more midline than frontal. She does tire very easily after eating and struggles to latch on my right breast with a flat nipple. She has the signs, clicking when eating, painful breast feeding (like toe curling), lipstick nipples, feeding too long. We see the ENT doctor in the morning to get it revised she we can start recovery and therapy right away.

  • We are taking my little girl tomorrow for her to have hers done. ( NHS ) she’s 8 weeks old and I was so worried until I watch this… ( hope it’s not sore for her ) I was told when I had her that she had TT but wasn’t bad then the midwife advised me to get it done. Xx

  • Such a great video, my newborn has a tongue tie and I’ve been trying to feed him for a week. Its really painful and traumatic. I really appreciate this video and hearing your experience. Xx

  • Thank you so much…. Everything you described here as far as tongue tie symptoms I have been going through with my newborn… If it wasn’t for google and you I’d be lost. Doctors and lactation specialists I’ve been seeing have left me lost.

  • Thank you for sharing your story! ������������ My baby boy is 5 days old and our breastfeeding experience was like yours…painful �� I had to spoon feed colostrum the first 2-3 days and now I’m pumping every 2 hours to make sure he’s eating enough. His first peds appt is tomorrow and I will bring this up to her to get it resolved!

  • I’ve been planning on doing a video on our experience with this too, as I think it’s crazy how common it is but you never really hear about it!! There’s so much great information in this which will help so many people:) well done for spotting it so early with Evelina xx

  • My 4week old has had trouble with latching right from the start.. they only bottles he’ll really takes to is MAN he struggles with tommee tippee but If i take him to the ENT I’m worried they’ll say ‘well If he’s feeding then that’s fine’ although I’m determined to ebf xx

  • Hi my baby has tongue tie,he has 4 days old, at the hospital chelsea whestminester they didn’t check him well, until the midwife when she came to home and checked, she said he has this problem, really I’m suffering with my nippon, which became all red, and my baby lost weight, on just 3 days he lost 260 grammes the breast feeding specialist said we have to wait 04 weeks, I’m not sleeping, he can’t sock well, I’m very stress, who can help,

  • That’s really interesting, i struggled for a week trying to breastfeed Jude, but it was so painful (Also had bleeding nipples) and he made that clicking noise when feeding. I’ve never been told he has this? Could it be a problem with his speech do you think.. he’s 3 now but talks like a 2 year old. Xx

  • Bro this video is ridiculous. Show me large studies that have proven what you say is true in this video about lip ties. That’s right there are none. You shouldn’t advocate surgery with no proven studies. Stop trying to make money off a normal variance in people.

  • Love this video SJ! James thankfully didnt have tongue tie but I do and it was never diagnosed as a baby so I still currently have it. Luckily it didnt seem to affect my feeding (that I know of) or my speech but it is very noticable in the fact that I pretty much cant poke my tongue out. My mum is filipino and could hardly speak english when she had me though and I was her first so if she did have feeding problems I dont think she wouldve seeked help so unsure on that

  • Love this video SJ! James thankfully didnt have tongue tie but I do and it was never diagnosed as a baby so I still currently have it. Luckily it didnt seem to affect my feeding (that I know of) or my speech but it is very noticable in the fact that I pretty much cant poke my tongue out. My mum is filipino and could hardly speak english when she had me though and I was her first so if she did have feeding problems I dont think she wouldve seeked help so unsure on that

  • My goodness I wish I knew about this sooner! I went thru the exactly the same thing. The prolonged feeding, the cracked and bleeding nipple made me really sad. I cried and didn’t know what to do. A nurse at the breast feeding clinic who has tongue tied herself noticed 6 days after and actually refers us to a dentist. Baby girl has severe tongue tie. We are now doing the tongue exercise the dentist told us to and hopefully she will improve. Thanks for sharing!

  • I got a Newborn great nephew that has this going on he was born last Thursday. My Neice In law had put on her Facebook today that he will be going on Tuesday. She says that he hasn’t really hadn’t really been feeling any pain. I’ve been kinda worried though since I heard

  • Thank you! My 10 week old has just been diagnosed with posterior tongue tie and it explains why the feeding has been so difficult! He’s done amazingly well and is managing to thrive, but I hope feeding will be much easier when it’s fixed. There was a 10 week wait for the NHS clinic (!) so I’m having it done privately by a lactation consultant trained in TT correction. He may need some cranial osteopathy as well. Hopefully things are about to get much easier! Thanks again for sharing:)

  • Fantastic video! so so many babies have this. Sebastian had a posterior TT and a pediatrician,2 midwives st hospital told me he didn’t have one but I didn’t believe them or just felt they were wrong. Eventually a lactation consultant midwife came down on day 2 and finally they snipped it there and then. we also syringe colostrum until it was snipped and it took a week for the pain to go. Second time with Albert I knew how to latch a baby on and though everything was fine..but he then developed silent reflux and also fed alot. he had severe digestive issues and we suspected CMPI. He did nothing by cry and I spent a fortune on cranial osteopathy which helped and also private referal to an allergy specialist. Someone on a cmpi support group said get him checked for tt. I did have some pain but nothing mega or nothing I couldn’t handle. finally at 8 weeks I did a self referral to the hospital TT clinic and he had it snipped and he turned into a totally different baby! seriously they need to train all midwives and practitioners in this because it’s such a huge issue. That is so nice you of her to come out on Xmas eve though. so sorry you had to go through all this xx

  • So glad that you chose to cover this topic as I found hardly any information when my little one was diagnosed with this. My baby boy had a tongue tie diagnosed during his newborn check up that was referred to as being mild, and no intervention was required. I had problems with breastfeeding,poor latches and cringed every time I needed to feed as it felt like sandpaper had been taken to my nipples!! I suffered for 10 weeks before pushing to be referredonly to be told that the tongue was severe and did require the procedure after all. I was so anxious about putting my baby through it but it was over with in a second, and I cried more than the baby did. It really is nothing to worry about �� breastfeeding improved immediately!

  • So glad that you shared your experience with us; I am a Mum/Carer/Nursery Nurse and I am always having Parents ask me about ‘Tongue Tie’ when Baby Clinic is happening at my local doctor’s surgery…Doctor’s and Health Professionals alike, do not explain ‘clearly’ What to expect or what is really ‘going on’ before and after the diagnosis is made.
    Leaving parents feeling very ‘Confused’ and anxious (even very tearful)…

  • Dr. I have a baby who had tongue tie and lip tie. His ENT doctor released them by laser 4 days ago and from that time the baby keep crying. Is the surgery painful that much?? Even with Acetaminophen!! He is two months old

  • My baby had a tongue and lip tie. Breastfeeding was a nightmare for months. We had no idea what was wrong. Eventually a new lactation consultant said she had severe tongue and lip tie. We got the membranes clipped and the difference was immediate. Such a relief.

  • The lip tie has nothing to do with breastfeeding so it should never be cut in the first place. Tongue tie is a different situation. Don’t believe the hype. Talk to a lactation DR! Not a dentist.

  • I’ve also read that tongue tie can affect you as an adult or affect you with headaches back aches and low appetite for certain textures. Have you heard of this?