Shopping Cart
Your Cart is Empty
Quantity:
Subtotal
Taxes
Shipping
Total
There was an error with PayPalClick here to try again
CelebrateThank you for your business!You should be receiving an order confirmation from Paypal shortly.Exit Shopping Cart

Breastfeeding Specialist, 

Mobile Lactation Services

Help With Breastfeeding is Just a Phone Call Away!

I'm a paragraph. Click once to begin entering your own content. You can change my font, size, line height, color and more by highlighting part of me and selecting the options from the toolbar.

Blog

The Un-Cuttable Frenulum

Posted on December 2, 2012 at 4:47 PM
 
The Un-cut-able frenulum
 
A shortfrenulum or a tied tongue can present true challenges for a nursing mother;sore nipples, low milk supply, a fussy gassy baby and even mastitis. Somefrenulum’s can be so short that they are immediately noticeable almost at birth.The tongue never really comes out past the lips and it curves into a U or Vshape whenever the infant cries. For this family the answer is obvious, thedoctor says “this infant needs a frenotomy.” A very simple procedure where thefrenulum is clipped to give the tongue more mobility. Unfortunately, someinfants have a frenulum that is not so short that it needs to be cut, but notso long that it allows for comfortable breastfeeding. It is not just importanthow short the frenulum is but also where it attaches to the bottom of thetongue, close to the base of the tongue or closer to the tip.  The problem with this is that a doctor doesnot cut frenulums just because it hurts to breastfeed. Frenulums are cut toprevent speech & dental problems later in life. Therefore this family is ina difficult situation. Though this is not considered a medical emergency, itwill present special implications for breastfeeding. For some they end up pumpingonly, supplementing or they stop breastfeeding altogether.
 
The 1step is recognizing that the frenulum is a little short. A mother may not knowthat the frenulum is short and she believes that she is doing something wrong.Especially since the doctor may have already told her that the frenulum wasn‘tshort. It is usually a little later when these moms figure out something justisn’t right. All the pillows and positioning are still not working and their breastare still sore.  Nipple shields can helpbut are a temporary solution, they reduce milk transfer and for some mothers,it still hurts even with a nipple shield on. Once the determination is madethat the frenulum is a little short, she can turn her efforts to accommodatingit, instead of thinking it’s her fault or that the baby doesn’t want it. Thiscan reduce a lot of pressure on mom and point her in the right direction. Thedegree of breastfeeding difficulty maybe proportionate to the tightness of the frenulum.
 
 
 
It is commonto find that with a short frenulum one breast is sorer than the other. Thatbreastfeeding is more difficult on that one side. Positioning can be a key toolto finding comfort. Mom’s position as well as the infant’s position is really important.I find that the traditional cradle position and cross cradle positions are notalways the most comfortable for that sore side. Football, lying down, laid backbreastfeeding and a sitting up facing the breast position seemed to offer themost comfort. These infants work really hard to latch and often fall off thebreast frequently. Sucking is harder so they are more likely to nurse longer, fallasleep at the breast and wake still hungry. Therefore scheduling is really notrecommended.
 
It isimportant to target the middle of the tongue when latching, be very patient andremember,  touching the lips will promotethe rooting reflex which says open your mouth, but, to operate the sucklingreflex, the infant needs to have the nipple at least into the mouth about tothe middle of the tongue before he will suck. Think about it, if you put yourfinger in your mouth, you will have to stick it an inch or two in before you triggeryour brain to suck.  I also find that thetongue is often in the way instead of lying down, so remember to look for andwait for that target in the middle of the tongue. It is better to take the timeto get a good deep latch the first time instead of having to keep re-latching. Re-latchingfrustrates the infant and promotes nipple soreness. These infants also tend to bitedown a little on the nipple in an effort to hold on to it and not slide off thebreast. Again positioning, pillows, foot stools are all useful tools.
 
I wouldrecommend if breastfeeding is not going as well as planned for now pump to helpmaintain your supply. It is also important to help your breast heal. So continueto use your lanolin when needed. Expose the breast to fresh air to promote healing.When really sore a nipple shield can provide a barrier to reduce healing time.
 
The frenulummay give a little as the infant grows making breastfeeding more comfortable inthe later months.
 
 
 

Categories: Breastfeeding

Post a Comment

Oops!

Oops, you forgot something.

Oops!

The words you entered did not match the given text. Please try again.

447 Comments

Reply dissertation help
3:08 AM on December 4, 2012 
Breast feeding are still best for babies. Thank you, this is really a great news hope to see more videos and photos on the next post.
Reply CreativeBioscience.com
11:58 AM on February 11, 2013 
Adjusting the bottom vent will help you adjust the temperature of the grill close them when the temperature gets too high, open them when it gets too low. You want to keep the temperature between 225 to 250 degrees F. Place a stemmed grill thermometer in the top vent to monitor the temperature. Thanks.
Reply breast milk
11:41 AM on February 14, 2013 
I was busy with my work and when I am back, it’s quite exciting to find such a nice write up as I used to enjoy earlier. Thank you, for helping us to improve our knowledge and to bring out new topics that are interesting and worth reading.
Reply cash advance
4:25 PM on February 14, 2013 
Awesome post and I am so glad that I have found it. I will definitely bookmark this page and come here again in the future. Kind regards!
Reply Pharmacy Services
4:59 AM on February 16, 2013 
I like your post. It is very helpful and informative. Thank you so much for writing such a good post.
Reply brian ross toronto lawyer
9:54 AM on February 18, 2013 
This means your milk supply will grow, he will get more satisfied, he won’t be gassy and you can get some rest.
Reply personal statement writing service
7:32 AM on February 21, 2013 
One type of essay that is frequently assigned to students is the personal perspective paper. These papers give students an opportunity to voice opinions and feelings about certain topics or events, and they give teachers an opportunity to see how well students communicate and to get to know their students better. Thanks a lot.
Reply cash advance
6:34 PM on February 23, 2013 
Cool post! Personally I like your site. Which I am searching that have in your content. I am so impressed to read your content. I am looking forward for the next valuable and informative concept in your blog. Overall outstanding post.
Reply www.weightlosspunch.com
5:27 AM on February 26, 2013 
It also increases the levels the hormone prolactin that help with weight loss. Breast-feeding is also virtually cost-free and eco-friendly, which is important for many families. See the Resources section for links. Thanks.
Reply Saint Paul cash advance online
8:22 AM on March 3, 2013 
I have been through the whole content of this blog which is very informative and knowledgeable stuff, So i would like to visit again.
Reply viagra witze
7:36 PM on March 3, 2013 
Really great post nice work i love your work and its really helped me in my research.Thanks
Reply elm327
3:17 AM on March 4, 2013 
XP-STAR(Auto-Link Blue STAR) realizes all the functions of official factory BENZ Star2000: reading out and erasing trouble code; reading the real-time data of sensor and actuator; coding and programming. It applies the latest high-tech central gateway system of car model 221/211 and 203 with software version updated to October of 2006, can enter all the Benz cars, such as autobus truck, saloon car, sports car, smart car and so on.feng
Reply viagra säljes
12:29 PM on March 4, 2013 
I’m really impressed with your article, such great information you mentioned here, thanks for your sharing and waiting to see your future posts.
Reply www.duilawyercost.us
4:12 PM on March 8, 2013 
Really liking the information on this website. I am truly happy to post my comment on your website.
Reply webhostingsegment.com
11:21 AM on March 13, 2013 
I enjoyed your article; visiting your website was fun and I Learned Few Things from your informative post. Thanks for sharing it. webhostingsegment.com
Reply asd
11:04 AM on March 15, 2013 
asdasd
Reply How to copy a CD/DVD
11:06 AM on March 15, 2013 
Great article, thanks for sharing! Kids are cute!
Reply Roger Vivier Shoes
7:48 AM on March 16, 2013 
Great and nice post thank you.
Reply http://www.criminal-lawyer-in-toronto.ca/toronto_domestic_assault_lawyer
8:09 AM on March 21, 2013 
The problem with this is that a doctor doesnot cut frenulums just because it hurts to breastfeed. Frenulums are cut toprevent speech & dental problems later in life. Therefore this family is ina difficult situation. Though this is not considered a medical emergency, itwill present special implications.
Reply www.ournewhome.ca
8:10 AM on March 21, 2013 
It applies the latest high-tech central gateway system of car model 221/211 and 203 with software version updated to October of 2006, can enter all the Benz cars, such as autobus truck.