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8LittleAustralians

Tongue tie & Breast feeding

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8LittleAustralians

My baby is 6 weeks old, despite breastfeeding 5 other children without much issue, I'm having all kinds of problems with baby #8.

 

Had weight gain issues, but have fixed them with EBM and formula top ups. She clicks when she feeds both on the breast and bottle (I have the bottles that are 'breast like'), I have a fair amount of pain from feeding her, breast feeds take a long time and she is very windy, but it doesn't bother her. I'm on domperidone to keep supply up. She has a very strong suck despite this and drinks a bottle very fast, she can latch on well, but just can't seem to sustain it. One side is far worse than the other also.

 

She saw her Peadiatrician who mentioned she has a very small tongue tie which didn't seem to be affecting her ability to move her tongue. She stated she could snip it if we wanted, but didn't think it was needed. Mentioned something about there being limited evidence of it being helpful in that circumstance and suggested a lactation consultant would be a better option. Was quiet clear to see someone who wouldn't go straight to cutting tongue ties as the first option.

 

Has anyone been in this situation and either had it snipped or not had it snipped? Did it resolve the problem?

 

I'd happily get the tongue tie snipped if it will help, but I don't want to do anything if it's really not going to help.

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ipsee

I had this with one of mine. She was v hard to latch on, but once she did she was fine - she would not let go for anything.

 

We had no weight issues, just the slowness of feeds and multiple attempts to latch.

 

But - by the time I did see a specialist about it, he advised not to cut it. It seems the trend now is not to cut them.

 

But he also said it is more serious to cut it after a certain time as blood vessels have grown (6-8 weeks?).

 

So you may need to decide pretty quickly.

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gigihopeful2016

My baby had similar clicking and would get tired quickly from trying to stay attached

Have you tried a shield?

Lactation consultant felt in her mouth and diagnosed a moderate tongue tie, this was when she was 2-3 weeks old

I persisted with feeding on demand and would play on my phone to distract myself from the discomfort

The consultant said she didn’t think it was significant enough of a tie to have to release and baby was very eager to feed but needed breaks to rest between so feeds were very frequent in the early days

Had a few more weeks of discomfort, some use of lanolin as needed, gave one bottle of formula a day to give my n!pples a break between 4pm- 10pm

Then when she was 2-3 months it all got easier, she was bigger and better at feeding

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lucky 2

What state are you in?

A gp who is also a LC is an excellent person to see for an assessment.

Otherwise see a LC, they might be able to advise you on how to help your baby fill her mouth better, with the breast (and the bottle.

They might help baby reduce the clicking which is indicating a loss of vacuum during bfing.

If the LC isn't able to eliminate clicking and you still have issues with feeding and supply, they it's likely the tongue is the issue.

Btw, does your baby have a high arched hard palate?

Sometimes this can be an issue for babies that can't stay deeply latched.

An LC is a good start.

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rowd

I have been through this with my second, with clicking and pain while feeding, and saw a LC who said there was a moderate tongue tie. She was able to provide enough advice to enable us to overcome the shallow latch and from then we had further issues.

 

My first was a prem, medically complex and under paed care. From from beginning we were told she would be unlikely to feed orally, and she had a very severe tongue tie. The paed was quite against cutting it, saying there is very little evidence it works, and again, with LC support (and nipple shields) she went on to feed very successfully.

 

I really think good lactation consultants are incredible and can make a world of difference.

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Chamomile

My DS recently went through this. (I had a thread on here called breastfeeding woes, which was very helpful).

We had the tongue tie released. It instantly made breastfeeding not painful for me. But it didn’t improve the time to feed or his weight gain.

 

He had to have extensive ‘suck training’ to learn how to feed effectively. Then he was ok.

So I can see why they might say that releasing the tongue tie doesn’t solve the problem alone.

 

Does she have a high palate? A nipple shield might help, without needing the TT release.

 

Also, to complicate matters there are different extents of TT release. A paed will usually only release a little, whereas a surgeon will go further, as there’s a chance the baby might need a stitch if it bleeds, which the surgeon can then do.

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