Breastfeeding a Baby with Tongue Tie | Breastfeeding Tips - Dr. Sukhpreet Kaur | Doctors' Circle

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So, tongue tie is a band of fascia that extends from the alveolar ridge to the base of the tongue. Depending on where the upper margin is located and where the lower margin is located, it can be of many types. As per the types, it can create problems in breastfeeding also. How to know that the tongue tie is giving problems in breastfeeding? Around 25 to 40% of the cases can cause problems, but not all cases of tongue tie will have a breastfeeding problem. So, how to know? If there is choking in those cases, good latch or attachment won’t be there because enough vacuum won’t be created. The baby will not be getting adequate feeding, so the baby will be fussy and irritable in such cases. Along with that, there will be drooling of saliva and drooling of milk from the corners of the mouth, because again, the seal is not properly maintained. In the case of the mother, there will be nipple pain and trauma, ultimately leading to the cessation of breastfeeding in such cases. In these cases, we can try various positions like laid-back position or cross-cradle position. We can use all these positions, and also we can use a nipple shield in such cases. Now the question is whether to treat and when to treat. Definitely, if it is causing severe problems in breastfeeding, we can go for the treatment part. There are two types of things we can do: frenotomy and frenuloplasty. Generally, from 2 weeks to 6 weeks, we can go for this kind of surgery if required in severe breastfeeding problems. Some studies say that we can wait from 6 weeks to 6 months, because in some cases, or in fact in most cases, self-release of this fascia can occur. So, in a nutshell, if there is severe breastfeeding problem in a baby less than 6 months old, we can go for surgery.
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