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Old 01-21-2009, 05:50 PM   #1
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tongue tie question

hi mamas--need some advice please

dd2 is now 2 weeks old and she is my 3rd baby. my nipples are still killing me and i've noticed she doesn't take as much of the areola in as i'd like her too. (i have very very large areolas and i don't think she'd be able to get the whole thing in her mouth ever )

anyways, we went to the pedi on monday for a quick checkup and she made the comment that she thought dd might be "slightly tongue tied" . she said it wasn't severe and that it will probably stretch and not to worry. what i'm wondering is this "slight" tongue tie what is causing my nipples to hurt. and also she only nurses for like 5-10 mins max and then falls asleep. but will only sleep for like 45mins at time and wakes up hungry again. is this causing her to work too hard at the breast and fall asleep??? thanks for the advice. i will be checking with my midwife when she comes back next week to see what she thinks about it too.

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Old 01-21-2009, 05:54 PM   #2
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Re: tongue tie question

YES tongue-tie can cause wicked sore nipples!! It prohibits your LO from extending her tongue properly, so instead of massaging your breast tissue, she's getting the nipple which = major ouch.

It's a REALLY EASY thing to fix, but depending where you live, it can be tough to find a doctor/nurse/dentist to do the frenotomy (tiny clip of the frenulum) to do it. I had a facial plastic surgeon recommended to me who was totally awesome. He used a dab of lidocaine and did the little snip right in his office. There isn't even any blood. It used to be routine procedure in the US right after the cut the cord, from what I've read! They stopped doing it though with the rise of bottle feeding about 60 years ago.

HTH!
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Old 01-21-2009, 05:57 PM   #3
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Re: tongue tie question

I don't know about the latch issue, although I have heard that a tongue tie can affect that. DD was born pretty severely tongue tied (fork in the tongue).....but since she had NO nursing problems, whatsoever, we didn't correct it right away......assuming it would stretch some.....but at 18 months, when she wasn't really verbal yet, our ped suggested that we have it clipped. The day it was clipped, she started speaking....it was amazing.

I would definitely talk to the midwife again, or perhaps a nursing consultant....or even your ped. Get some more information before you decide what to do....and hang in there, even with a bad latch, the pain will subside eventually.
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Old 01-21-2009, 07:59 PM   #4
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Re: tongue tie question

My ds1 was born tongue tied. The lactation consultant at the hospital said to get it clipped so we did at a week old. My ds latched on w/o a problem and nursed for 18 mos. We had a dentist clip the frenulum.

See if your midwife or ped can refer you to an Ear Nose and Throat specialist. They can clip tongues and would be on your health insurance. The reason I say this is because we had to pay out of pocket for the dentist to clip ds tongue to the tune of $400.

When our twins were born 2 weeks ago, that was something I looked for and made sure the nurses looked for. I wanted to make sure we were referred to a ENT instead of a dentist so we wouldn't have to pay out of pocket. Thankfully neither one of the twins is tongue tied.
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Old 01-22-2009, 10:06 AM   #5
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Re: tongue tie question

any other suggestions or comments!!
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Old 01-22-2009, 08:10 PM   #6
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Re: tongue tie question

My DS was tongue-tied also. I had sore nipples along with mastitis, plugged ducts, and nipple blisters, because he clamped down on my nipple, but didn't empty the breast. He continued to thrive, but was very uneasy when he would nurse. He would fuss and smack my boobs and get very frustrated. We had him clipped at 3 months old by a pediatric surgeon. His latch improved immediately and my pain went away along with all the problems.
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Old 01-22-2009, 11:09 PM   #7
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Re: tongue tie question

A slight tongue tie could be the problem or perhaps you just need to work on latching techniques. My first was tongue tied and our peditrician snipped without even blinking. My second is not, but had similar latch to what you are describing. Can you find a lactation consultant near you?

Remember, don't center the nipple in her mouth, have it more towards the top so she is taking in more aerola underneath the nipple (about 2/3 to 1/3 top). This helped me a lot. And patience. Iw as surprised I had to learn how to nurse again with #2 and ended up right back at the LC.

Also, is there any chance you have a non-latch issue, like yeast? A peditrician could probably help with that. Check your babe's mouth for white on the tongue right before a feeding to see if you've both got thrush.

kellymom.com is great website... for help too.
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Old 01-23-2009, 01:21 PM   #8
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Re: tongue tie question

as for the falling asleep...tryu switch nursing - each breast 2 time per nursing session. Check that you are belly to belly chest to chest more chin than nose upon the breast.

Where i trained we "never" clipped tongues, the lc worked on stretching, "tongue PT"...but where i work now the lc and nurses want us to clip almost every tongue. there is probably a happy medium somewhere. if there is no yeast and your positions are good and the soreness persists, then maybe frenulotomy is the answer.
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Old 01-23-2009, 08:30 PM   #9
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Re: tongue tie question

Our dd was born severely tongue tied. The LC noticed it the day after she was born and luckily a specialist was coming in that day to do another surgery, so it was a 2 for 1 lol. After she was born, she was on the boob ALL DAY LONG. I was so sore and was starting to develop blisters. After they did the tongue clip, my boobs no longer hurt...it was AMAZING! My friend didn't find out that her son was tongue tied until he was 6 months old and he doesn't really babble at all...he snorts lol
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Old 01-24-2009, 01:31 AM   #10
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Re: tongue tie question

DS was diagnosed with slight tongue tie, but we didn't do anything about it. I was using nipple shields to start with, and he was able to transfer enough, so we decided just to wait and see. Now at 21mo, he can stick his tongue out quite far, so I think it's stretched on it's own.

However, if you're having pain nursing, I'd definitely look into getting it clipped - I've heard it's a very simple procedure, and often has drastic results.

Good luck - hope your midwife can give you some answers too!
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