WHAT IS A TONGUE TIE?
Tongue-tie, medically known as Ankyloglossia, is a condition where the strip of skin (the frenulum) connecting the baby's tongue to the floor of their mouth is shorter or tighter than usual. This may limit tongue movement and can affect a baby's ability to breastfeed effectively.
When this membrane attaches near or at the tip of the tongue, it can give the tongue a blunt, forked, or heart-shaped appearance. However, when the attachment point is farther back, the tongue may appear normal.
Research indicates that approximately 1 in 10 infants may be born with some form of restrictive membrane beneath the tongue. However, only about half of these babies exhibit significantly reduced tongue function, which can make breastfeeding or bottle-feeding challenging. For these infants, treatment to release the restriction of the lingual frenulum can be beneficial, enabling effective feeding. Tongue ties are often identified during early feeding assessments.
HOW DOES A TONGUE TIE IMPACT BREASTFEEDING?
Babies with tongue-tie may struggle to latch correctly, which can cause issues such as:
Poor milk transfer leading to inadequate weight gain.
Sore or damaged nipples for the mother.
Short, frequent, or painful feeds.
Not all babies with tongue-tie experience problems, but for those who do, it may be significant.
WHAT ARE THE SIGNS AND SYMPTOMS OF TONGUE TIE?
The key signs for the mother include:
Sore or damaged nipples.
Nipples that appear misshapen or blanched after feeding.
Persistent breastfeeding pain.
Episodes of mastitis.
Low milk supply or overly fast let-down.
Fatigue from frequent or constant feeding.
Emotional distress due to difficulty in establishing breastfeeding.
The key signs for the baby include:
Difficulty latching or staying latched during breastfeeding or a bottle.
Clicking sounds during feeds or dribbling (indicating air intake due to an improper seal).
Significant early weight loss, poor weight gain, or faltering growth.
Persistent breastfeeding pain or sore nipples for the mother.
The baby’s tongue may not lift, extend, or move freely in their mouth.
Small gape, leading to biting or grinding during feeds.
Unsettled or fussy behaviour while feeding.
Very frequent or prolonged feeding sessions.
Symptoms of colic, wind, or frequent hiccups.
Reflux or vomiting after feeding.
DIAGNOSIS OF A TONGUE TIE
As a qualified lactation consultant, I offer comprehensive breastfeeding support, which includes tongue-tie assessments as part of routine consultations. If you suspect your baby may have tongue-tie or you are experiencing any breastfeeding challenges, I can help.
During our breastfeeding consultation, I will:
Assess your baby’s feeding behaviour and observe their latch.
Check for physical signs of tongue-tie that may be affecting breastfeeding.
Provide personalised guidance on breastfeeding techniques, including latch and positioning adjustments that may help overcome difficulties caused by tongue-tie.
Next Steps
If the tongue-tie is significantly affecting breastfeeding and further intervention is required, I can signpost you to resources where you can Find a Tongue-Tie Practitioner who can perform a frenulotomy (tongue-tie division).
When Tongue-Tie Does Not Require Treatment
Not all cases of tongue-tie require treatment, especially if the baby is feeding well and the mother is comfortable. Sometimes adjustments in positioning or latch can resolve the issue without the need for surgical intervention.
Impact on Long-Term Breastfeeding
With the right support and treatment (if necessary), most babies with tongue-tie can go on to breastfeed successfully. Early identification and prompt intervention are key to preventing breastfeeding difficulties.
Ongoing Support
Breastfeeding support doesn’t stop after assessment. I can work with you both before and after any procedure to ensure that breastfeeding is comfortable and effective for you and your baby.
For more information or to book a tongue-tie assessment and breastfeeding consultation, feel free to contact me.