Dr. Yvonne LeFort has been a family physician for over 25 years and is based in Auckland New Zealand. She is a graduate of Dalhousie Medical School and University of Calgary Family Medicine in Canada. She is a Fellow of the Academy of Breastfeeding Medicine since 2013.
She has been involved in helping breastfeeding mothers and babies for 18 years. Her specific interest in tongue tie and its management was nurtured through her association with Dr. Evelyn Jain who was a true pioneer in the recognition of the importance of breastfeeding and the impact that untreated ankyloglossia can cause on the breastfeeding experience.
Dr. LeFort has established a private Breastfeeding Clinic in Auckland New Zealand providing comprehensive lactation care for mothers and their infants. Her service includes the management of tongue tie and involves a lactation consultant for parallel breastfeeding support.
Great interest has resulted from discussions and blogs concerning tongue-tie which have not always appeared to be mindful the research and evidence of the past 20 years. Much of the basic clinical management of the tongue tied breastfeeding infant and mother has evaporated from these discussions quite inappropriately. I would like to bring us back to the basics of this issue and remind us of what evidence does and does not exist.
The management of any breastfeeding issue remains the realm of the lactation consultant and tongue tie is no exception. Unlike a true stand alone surgical condition, the management of tongue tie requires pre-operative assessment and post-operative strategies to primarily protect the breastfeeding relationship thereby optimizing outcomes. The key guiding factor must be “primum non nocere” – first do no harm – to the breastfeeding relationship. Case studies will be shared that demonstrate the approach taken by the clinician and lactation consultant. Appropriate management and outcomes will be discussed.
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