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TONGUE-TIE (short frenulum)
My mother thinks that our baby has tongue-tie. Could this interfere with nursing?
Tongue-tie means that the membrane (the frenulum) that attaches the tongue to the floor of the
mouth is shorter than usual. Some babies with tongue-tie breastfeed perfectly well; others have
difficulty. If the tongue-tie is interfering with breastfeeding, it's possible to clip the frenulum to
release the tongue. Signs that the tongue is tight enough to warrant clipping are:
Latch-on is painful to mother
Baby is not getting enough milk
The tip of the tongue doesn't protrude past the lower gum
The tongue curls under when baby cries, opens her mouth wide, or tries to suck (it should curl
upward and form a trough)
After clipping, mothers almost immediately notice that latch-on is more comfortable and baby is
able to nurse more effectively.
Clipping a frenulum is a quick and painless procedure that can be done in your doctor's office. In
the early weeks, the frenulum is so thin that it's easy to clip and usually yields only a few drops
of blood, or none at all. While baby's mouth is open (either normally open or when crying), the
doctor holds the tip of the tongue with a piece of gauze (sometimes if the mouth is open wide
enough, holding the tongue is not necessary) and uses scissors to clip the frenulum back to
where it joins the base of the tongue.
If your doctor or lactation consultant feels that you are having breastfeeding problems caused by
tongue-tie, get the baby's tongue clipped. Some doctors may be reluctant to do this procedure,
because most tight tongues loosen with time. However, these physicians are probably not aware
of how a baby must use his tongue to get milk out of the breast. Enlist the help of your lactation
consultant to persuade your baby's doctor to clip the short frenulum. The LC may also be able to
refer you to a physician who is willing to do this procedure, if your doctor is not.
AskDrSears.com is intended to help parents become better informed consumers
of health care. The information presented in this site gives general advice
on parenting and health care. Always consult your doctor for your individual
needs.