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flowersinsand 02-10-2013 05:19 PM

Oral Motor specialist and cutting frenulum
I'm going to an oral motor specialist on Tuesday to see of I can get my 3!week old off of a nipple shield and to help with his latch and sucking .
Has anyone ever been to one ? Are there questions i should ask?

Also has anyone ever asked their pediatrician about cutting a frenulum?

mibarra 02-10-2013 06:01 PM

Isn't that what they clip in the case of tongue tie??

kari331 02-10-2013 06:34 PM

Re: Oral Motor specialist and cutting frenulum
We had our son's frenulum cut due to tongue tie. It was a quick procedure that looked horrible. We waited about six weeks to do it because our pediatrician said he didn't think we needed it done, but the lactation consultant did. My only regret is not doing it sooner. Nursing was a ton easier.

birdinhand 02-10-2013 11:30 PM

Re: Oral Motor specialist and cutting frenulum
I haven't personally had my babies tongues clipped, but I have a friend who is a ped who does it all the time. It is a simple procedure thatoften doesn't even involve much blood, and baby can nurse right away -- moms can often tell a difference right then.

As far as the appointment goes, I would ask about different exercises you can do for suck-training. Have you looked up resources about weaning off the shields? Many moms find success getting skin-to-skin in the bathtub and letting baby try to latch. Biological or laid-back breastfeeding, where the baby self-latches while you are reclined, is also something women find helpful. Anecdotally, I know it's a far off age, but many women report success by 11 weeks, something about approaching that age and the baby can be ready to let go of the shield. There shouldn't be a rush to get off the shield, so don't feel pressure if it takes a while. There is no point where, if you aren't off the shield by x amount of time, it'stoo late or it's never going to happen, so try to relax and take your time with it.

Catherine Watson Genna is an expert in tongue-tie, try looking her up -- I don't have enough posts yet to link.

Spunkify 02-11-2013 08:04 AM

Re: Oral Motor specialist and cutting frenulum
I had two BF babies with tongue ties. One we didn't clip and one we did. Noah's was clipped the day we left the hospital. It was the best possible decision we could have made, after discussing it at length with the LC and doctor. Knowing what I know now, I would have clipped K's in a heartbeat had I of known she she had a tongue tie early on.

nettepoet 02-11-2013 08:56 AM

Re: Oral Motor specialist and cutting frenulum
my DS's frenulum was clipped the day he was born at home by our midwife when she observed the way he latched on and then saw his heart-shaped tongue.

she actually told me that old school midwives used to keep one long, sharp nail on their pinky finger just for the purpose of cutting a frenulum!

my son didnt even cry, and there was no blood at all, but it was definitely nerve-wracking for a couple of seconds! his latch improved instantly and he has a completely normal mouth now. if my next kiddo has this, i will have the procedure done right away as well. it can cause dysfunctional nursing, speech issues later, etc, etc.

birdinhand 02-11-2013 07:12 PM

Re: Oral Motor specialist and cutting frenulum
It is inherited, you can often find you or your partner or a grandparent who has a tight frenulum if your baby has one. And it isn't just the lingual (under the tongue) frenumlum that can cause a problem, babies can also have a tight labial (upper lip) frenumlum. If taken care of early enough, it doesn't cause much of an issue -- when the baby is older than 3ish months, it can be more of a surgical procedure.

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