GOLD Learning Speakers


Alys Brown, Midwife, IBCLC, RLC

  • Speaker Type: GOLD Midwifery 2015
  • Country: Australia

My name is Alys Brown, I am married with 5 children most of whom were born at home. (3 of whom were tongue tied)- I breastfed for 12 years and have 15+ nieces and nephews that were also tongue tied. I am a direct entry trained New Zealand midwife- 2003 qualified and Lactation Consultant- qualified 2009 and I have been assessing and treating tongue ties for the past 7 years. I am a member of the IATP- International Affiliation of tongue tied Professionals, and have been fortunate enough to attend the last 2 global conferences in Florida and Montreal at which I spoke on a panel about how to ‘counteract global resistance’ and bring about changes. Here in New Zealand, Waikato DHB through the lactation service were the first to set up a training course for midwives to become credentialed to assess, diagnose and treat and follow up tongue ties. We have also conducted 4 years worth of clinical audits around our tongue tie service and were involved with treatments of tongue ties in our NICU (Neonatal Intensive care unit) and a clinical audit undertaken there too. I have been involved in a National Midwifery Council sub committee looking at our scope of practise and the development of tongue tie policies and guidelines regionally and nationally. We have a tool we are using that helps in the assessment of tongue ties pulling together Alison Hazelbakker’s tool and also signs and symptoms of mother and baby and a thorough breastfeeding assessment. I have been the BFHI co-ordinator at our tertiary hospital, am passionate about antenatal education, smoke free pregnancies where I am doing training for the Innov8 national smoke free team, Safe sleep education and work around Pepi Pods and wahakura and of course Breastfeeding and the impact Teethered Oral Tissue can have on Breastfeeding and for a lifetime.

CE Library Presentation(s) Available Online:
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Note: Currently only available through a bundled series of lectures
Tongue-Tie: Is it or isn’t it? What it’s like to have a Tongue tied baby- from a Mother’s perspective
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.
Accreditation, Main Category, Product Type
Presentations: 10  |  Hours / CE Credits: 10.25  |  Viewing Time: 8 Weeks
Hours / CE Credits: 1 (details)  |  Categories: Midwifery