Tongue-tied babies: Procedure to help infants breast feed may not be necessary, say some experts

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Tongue-tied babies: Procedure to help infants breast feed may not be necessary, say some experts
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Many parents across Canada struggle with breastfeeding, and in some cases, new mothers are being told to utilize a procedure to fix tongue issues in their infants -- a treatment that experts say can be unnecessary.

Many parents across Canada struggle with breastfeeding, and in some cases, new mothers are being told to utilize a laser procedure to fix tongue issues in their infants -- a treatment that experts say can be unnecessary.

Anterior -- or classic – tongue-ties are where this ribbon of skin near the front of the tongue is snipped, often in a doctor’s office. After the procedure, she was told to do exercises with her baby in order to exercise his tongue. But these proved painful for him, which added stress to the parents. Increasingly, this one rare procedure to cut under the tongue is now becoming big business in Canada.describes "runaway rates" of tongue-tie procedures due to the “absence of standardized criteria for the diagnosis of ankyloglossia.”

“There are many lay people in our communities who have some expertise in breastfeeding management, and they set themselves up as private practitioners and make unusual diagnoses and make unusual recommendations, way outside that scope of expertise,” Livingstone told CTV News.“If the cut is too big, then the muscles and the ligaments of the tongue get damaged, and they do not always heal the wound can become infected, and it can bleed,” she said.

“It was very overwhelming to hear all this information I mean, we're sleep deprived, we've got a new baby, it's a first baby,” Ladha said. She is also a pharmacist, so she has some health expertise, which helped her with her decision, she says. “But it really is true that some babies have restriction,” she said. “It really can be something that needs to go further and then we might need to look at a release of that tissue that is tethered.”

“If an association between significant tongue-tie and major breastfeeding problems is identified and surgical intervention is deemed to be necessary, frenotomy should be performed by a clinician experienced with the procedure, using appropriate analgesia,” the paper states. “We do know that many kids with tongue-ties can breastfeed successfully. That decision to get a tongue clipped should not be made in haste.”

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