Tongue-tie Lecture Pack
Dr. Hazelbaker has 30 years of experience specializing in cross-disciplinary treatments using specialized training in several modalities to best assist her clients. She is a certified Craniosacral Therapist, a Lymph Drainage Therapy practitioner, and an International Board Certified Lactation Consultant. Earning her Master’s Degree in Human Development specializing in Human Lactation from Pacific Oaks College, Dr. Hazelbaker received her doctorate in Psychology from The Union Institute and University. Her original research on tongue-tie, in 1993, has changed clinical practice both in the USA and abroad. She authored the Assessment Tool for Lingual Frenulum Function (ATLFF) which remains the only research-based tongue-tie screening process in infants under 6 months. Recently, Dr. Hazelbaker revised her Master’s thesis on tongue-tie into a comprehensive book on the condition titled: Tongue-tie: Morphogenesis, Impact, Assessment and Treatment published by Aidan and Eva Press. More information can be found at www.aidanandevapress.com.
Topic: The Faux Tie: When is a "Tongue-tie" NOT a Tongue-tie? - [View Abstract]
Topic: The Hazelbaker Assessment Tool for Lingual Frenulum Function - [View Abstract]
Topic: The Impact of Bodywork on Infant Breastfeeding - [View Abstract]
Topic: The Impact of Infant Trauma on Breastfeeding - [View Abstract]
Topic: What Does Torticollis Have to do with Breastfeeding? - [View Abstract]
Discuss the events that can cause a tongue to appear tied
List the differences between tongue-tie and faux tie
Describe an assessment process to make a differential diagnosis
Has the incidence of tongue-tie increased or are we seeing more cases of "tongue-tie" because of poor differential diagnosis? In this presentation, Dr. Hazelbaker describes the differences between actual tongue-tie and sucking issues that can appear to be tongue-tie due to structural restrictions that pull the tongue back in the throat. She provides the conceptual framework for such an occurrence and shows both pictures and video that help the participant grasp the differences between the two thereby distinguishing a true tie from a faux tie in his or her clinical setting.
Edith Kernerman is an International Board Certified Lactation Consultant and clinician in Toronto, seeing over 2000 breastfeeding families each year. She is co-founder and President of the International Breastfeeding Centre (IBC), co-founder and Clinic Director of the Newman Breastfeeding Clinic, (NBC), senior faculty at IBC’s Centre for Breastfeeding Studies, and an IBLCE mentor. She is the creator and founder of the International Meeting of the Minds, co-creator of Dr. Jack Newman’s Visual Guide to Breastfeeding, the L-Eat Latch and Transfer Tool; author of GamePlan for Protecting and Supporting Breastfeeding in the First 24 hours of Life and Beyond, and creator of the Pain Algorithm for Sore Nipples and Breasts. Her recent focus has been 1] not yet latching baby, 2] identifying and treating tongue and lip tie, 3] Mammary Constriction Syndrome. Kernerman is also co-founder and President of the Ontario Lactation Consultants Association. Edith Kernerman has 3 wonderful breastfed children.
1. Identify criteria for assessing tongue tie 2. Differentiate between objective assessment and expert opinion 3. Understand ways to apply assessment criteria to everyday practice
The International Breastfeeding Centre has been in need of a validated TT assessment tool that works for newborn and babies of any age, is very quick and easy to administer by a practitioner who has not been trained on the tool, has as few criteria as necessary, captures both anterior and posterior, as well as submucosal ties, is applicable to both breastfeeding and non-breastfeeding babies. Because of this need, IBC created such a tool and proceeded to have it validated. To this end IBC's goal was to achieve: 1. Criterion-related validity (compared to HATLFF); 2. Criterion-related validity (compared to physician's assessment); 3. Face validity (>4 Experts); and 4. Inter-rator reliability.
This talk discusses the applications of the IBC TT Assessment Tool, whether or not validation was achieved and the process to achieving it, and how the tool has been put into practice.
Melissa Cole, IBCLC, RLC is a board certified lactation consultant and neonatal oral-motor assessment professional in private practice. Melissa has been passionate about providing comprehensive, holistic lactation care and education to parents and healthcare professionals for over a decade. She is an adjunct professor at Birthingway College of Midwifery in Portland, OR where she teaches advanced clinical lactation skills. She is active with several lactation and health care professional associations. Melissa lives and works in the beautiful Pacific Northwest.
Topic: Infant Gut Health: Common Concerns and Useful Support Strategies - [View Abstract]
Topic: Lactation After Loss - [View Abstract]
Topic: New Thoughts on Infant Pre and Post-Frenotomy Care - [View Abstract]
Topic: Placenta Medicine as a Galactogogue: Tradition or Trend? - [View Abstract]
Topic: Will it hurt? Frenotomy aftercare strategies to optimize healing outcomes for the newborn - [View Abstract]
1. Describe ways to support an infant pre-frenotomy 2. Describe ways to support an infant post frenotomy 3. Identify issues that complicate pre and post frenotomy healing
A hotly debated topic among tongue tie professionals is pre and post-frenotomy care. Infants may have varying degrees of suck dysfunction and lip/ tongue mobility issues before and even after release. In addition, wound care of the incision sites, structural support, emotional support for the dyad and optimal feeding care plan formation is vital. Melissa Cole, IBCLC, RLC will present some pre and post-frenotomy case studies and care basics from her own clinical practice that have proven to improve frenotomy healing outcomes. Parents are often exhausted from the physical and emotional roller coaster that feeding a tongue/lip tied infant presents and sensitive care for the whole family is needed. Melissa also recognizes that pre and post-frenotomy care ‘best practice’ is still in its infancy and she proposes a call to research this subject matter further
Renee is a board certified lactation consultant in private practice. She has been working in the field of lactation since the birth of her first child in 1990--as a La Leche League Leader, postpartum doula and IBCLC. She draws from her background in education and child development every time she works with a breastfeeding dyad. Since becoming certified in 1997, Renee has supported moms through home, hospital and clinic visits, drop-in groups in the Seattle area and phone and skype consultations internationally. She has the great fortune to work closely with several local Drs. who do excellent revisions. Renee is thankful to live breastfeeding-friendly Seattle, close to her 2 grown daughters
Topic: In the middle: When your advice differs from the Dr's - [View Abstract]
1. Learner will name 3 ways to gain trust of parents. 2. Learner will name 2 possible cultural challenges inherent in tongue tie release. 3. Learner will name 2 ways to help parents with conflicting information.
The diagnosis of tongue tie can send parents reeling. Especially true when they receive conflicting information from the pediatrician, various lactation consultants, nurses and other parents. In this age of instant information and social marketing, everyone seems to be an expert. What is a parent to do? Who does a mother trust? What is the right course of action? Using case studies from over 20 years in the field, Renee takes us through the tongue tie journey from the evaluation through the myriad possible steps to successful breastfeeding. Assessment, revision, body work, maintaining milk supply and keeping mothers “in the game” until baby can breastfeed all present challenges to the practitioner. This is especially true since each dyad needs it's own individualized plan that may morph frequently as treatment progresses. Join Renee as she takes you through the process of identification through resolution from the experience of her clients. She will also explore some cultural/regional differences and the challenges working with families through the tongue tie roller coaster.
Dr. Ghaheri’s clinical interest is helping babies with breastfeeding difficulties. This desire stems from personal experiences, where both of his daughters had significant problems breastfeeding. He is one of the only ENT surgeons in the US who uses an in-office laser treatment for assisting babies to latch on to the breast, in addition to treating older children and adults for certain dental and speech issues.
Topic: Diagnosis and Management of Tongue Tie and Lip Tie in Breastfeeding - [View Abstract]
1.Demonstrate appropriate techniques for diagnosing tongue or lip tie 2.Understand the techniques for addressing tongue-tie or lip tie 3.Understand the classification systems for lip tie and tongue tie
While most breastfeeding problems can be managed effectively by a lactation consultant, situations arise where conservative interventions are ineffective in improving symptoms of a poor latch. Infant symptoms (aerophagia, poor weight gain, falling asleep prematurely, or frustration at the breast) or mother's symptoms (pain, engorgement, nipple damage) can often be explained by tongue-tie or lip-tie. I will explain effective diagnostic strategies and surgical interventions (scissors vs laser) in addressing these problems.
James G. Murphy, MD, is a private practice pediatrician specializing in Breastfeeding Medicine. He was formerly an Assistant Professor of Pediatrics at the F. Edward Hérbert School of Medicine, Uniformed Services University of the Health Sciences. He served 25 years active duty as a physician with the US Navy, 12 years as a contract pediatrician with the US Navy and 6 years as a Government Service Medical Officer at the Naval Medical Center in San Diego, CA. He is a Fellow of the American Academy of Pediatrics, a Fellow of the Academy of Breastfeeding Medicine, Vice President of the San Diego County Breastfeeding Coalition, a member of ILCA and, since 2009, an IBCLC. Dr Murphy began performing lingual frenulotomies in Oct 2003 and has performed over 2800 of these procedures to date including posterior sub-mucosal fibrous bands and 300 Upper Lip Tie releases.
1.Recognize the various forms of presentation of Tongue Tie 2. How I Identify a Lingual Frenulum as Causing a Functional Impairment of Tongue Movement 3. Discuss shared experiences of Clinical Experts regarding Outcomes of Missed Treatment Encounters
The concept of Tongue Tie has changed as expertise in the recognition and management of this entity has expanded. Also the consequences of not recognizing and effectively managing this entity and the “Faux Ties” which mimic it are many and expanding as data is collected to document the relationship. Breastfeeding is the most obvious and most severely affected function in infancy. Additional problems become apparent as the infant grows and develops into an ever more complicated organism. This presentation will discuss the many variations of tongue anatomy which present as a Tongue Tie, how to recognize each of these and the consequences of not managing this problem effectively in early infancy.
This program has been approved for 6.0 CERPs (5 L-CERPs, 1 R-CERP). GOLD Learning is an approved Long Term Provider of CERPs by the International Board of Lactation Consultant Examiners (IBLCE). Approval #CLT114-07.
Viewing Time: 4 Weeks
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