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Infant & Mother

Immediate Problems for Infant & Mother

When an infant is suffering due to a tongue tie, the infant will have difficulty latching, this results in difficulties for both the infant and the mother:



Unable to develop/sustain a suction

Difficulty or inability to breastfeed

Unable to stay on breast;gradual sliding off breast

Painful compression of nipples

Crying with tongue flat in mouth

Cracked/bleeding nipples

Compromised maternal milk supply

Mastitis, engorgement, thrush

Extended nursing episodes

Plugged ducts

Falling asleep on the breast

Untimely weaning

Slow weight gain/weight loss

Low milk supply

Shallow latch

White stripe at end of nipple

Gas or reflux

"Lipstick nipple" when baby unlatches

Dribbling milk



Irritability or colic

Chews or bites on nipple

Sucking blister on top lip

Fussy/arches away from breast

Breast refusal (if aspiration occurs!)

Unable to deal with fast milk ejection

Ineffective milk transfer

High palate

Spilling milk during feed

Coughing, choking, or gulping when feeding

Jaw quivering after or between feeds

Frustration, disappointment with breastfeeding

"Lipstick nipple" when baby unlatches

Recurring thrush

Frustration, disappointment with breastfeeding

Untimely weaning




Today, the best treatment for resolving the issue of tongue-tie is the laser. Our office prides itself on being one of very few that uses the laser (ER: YAG). It has been found that the parents preferred method to revise the tongue-tie, is with the laser. The laser allows the procedure to be quick and easy, with little to no bleeding. Also, infants do not need anesthesia either! Prior to the introduction of laser, knives and scissors were used, causing more bleeding and pain, and required sutures to finish the procedure. That day and age is now behind us, with laser technology we can take care of your infant as quickly and painlessly as possible with a much quicker recovery time, and with no anesthesia or sutures required, as is usually needed if using knives or scissors.



Post Procedure 

After a frenotomy, a tongue-tie procedure, it is important for an infant to relearn how to breastfeed properly. Some of the ways to do this is by shaping the breast and holding the teat in the baby’s mouth during the breastfeed. This could take a few days, depending on how much relearning the baby needs. Also, being proactive is an excellent way to ensure accurate positioning and latch so that the baby learns correctly. Finally it is recommended, although not required, the infant is without nourishment for at least 90 minutes before the surgery. As soon as the surgery is completed, the mother can then nurse the infant, and it is more likely the infant will go to the breast quickly.



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