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How Do We Measure A Complete Release?

by BreAnne Marcucci, ARNP, FNP-C, IBCLC by Jennifer Millich, MSN, BSN, RN, IBCLC
  • Duration: 60 Mins
  • Credits: 1 CERP, 1 L-CERP, 1 CME, 1 Dietetic CEU
  • Handout: No
Abstract:

What is a complete tongue tie release? What is the benchmark for a successful procedure? These are questions that are not often asked or clarified when discussing oral restrictions like lip and tongue tie. In their absence, the benchmark becomes how the wound site appears visually (how large the diamond is) when really, what needs to be discussed is the outcome related to the initial indication for the procedure as well as the actual function of the released structure. As lactation and breastfeeding professionals, this means the outcome related to breastfeeding and the real function of the tongue. For some this might mean more maternal comfort with latch, improved infant milk transfer at breast, reduction of reflux symptoms after feedings, increased maternal milk supply and more. In this lecture we will discuss our clinical experience in the evaluation, treatment and care of infants receiving frenotomy and frenectomy procedure as it relates to breastfeeding specific outcomes. Our clinic specializes in breastfeeding medicine and infant oral restriction and provides scissor and laser release in office. Our lecture reviews an audit of our services and outcomes and includes photos of types 1 through 4 tongue tie, videos of releases for differing indications and outcomes related to maternal pain pre and post infant procedure, infant pain post procedure and LATCH score. We also review use of CST in office as well as other manual therapies to improve infant feeding. The goal of the lecture is to better establish what constitutes a successful procedure and a full release.

Learning Objectives:

1. Recognize indications for frenotomy
2. List components of exam related to oral restriction
3. List benchmarks for successful procedure

Categories:
Presentations: 10  |  Hours / CE Credits: 10  |  Viewing Time: 8 Weeks