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Tongue-Tie: Is it or isn’t it? What it’s like to have a Tongue tied baby- from a Mother’s perspective

by Alys Brown, Midwife, IBCLC, RLC
  • Duration: 1439 Mins
  • Credits: 1 CERP, 1 L-CERP
  • Learning Format: Webinar
  • Handout: Yes
  • Origin: Midwifery 2015
Abstract:

Tongue Tie..Is it? Isn’t it?...These questions we have faced the past 5 years in our practice here at Waikato Hospital. Secondary, Tertiary hospital area servicing 5,000 birthing women, their babies and families.We have had a 6% referral,treatment rate in 2011-12, 8% in 2012-13 and over 10% in 2013-2014 The incidence globally ranges from 4-13% of newborn babies are found to have this anomally. The theory of regression states that the lingual frenulum should regress while the baby develops in utero. However we challenge this theory and believe that environmentally this phenomenom is increasing, we are also getting better at spotting these tongue ties and active treatment is making a difference to initiation of breastfeeding and duration anecdotally from women within our Waikato population. We have undertaken audits around women’s satisfaction with the service and whether or not frenotomy does make a difference to the Women’s breastfeeding experience. I would like to share some of these experiences women and their babies have had- often these women do not have a voice and some Health professionals are very quick to discredit how a woman is feeling feeding a tongue tied and or lip tied baby. I wish to discuss these issues. We have also been approved to run a New Zealand Midwifery council approved course for midwives to recognise, treat and follow up tongue ties. I wish to discuss how this programme has helped more women access treatment through their own LMC’s- Lead maternity Carers.

Learning Objectives:

Objective 1: Viewers will be able to assess, diagnose and grade different types of tongue ties, lip ties and other oral tethered tissue
Objective 2: Viewers will learn how to use the tool to diagnose and assess tongue ties, and be able to identify referral and treatment options/pathways, and learn how various treatments impact women’s experiences of breastfeeding- women’s stories and case studies.
Objective 3: Viewers will be able to apply learnings from the results of our audits over the past 4 years; and learn how to incorporate into their own practices ways to improve women's experiences.