Dr. Cara graduated from Arizona State University of with Doctor of Nursing Practice degree. She is a board certified Family Nurse Practitioner in addition to having her IBCLC certification. Dr. Cara is also a diplomate of the American Board of Laser Surgery, specializing in “Oral Surgery in Infants, Toddler, and Adults. Dr Cara describes her career as a diversifying adventure: research, teaching, nursing, and now breastfeeding medicine specialist. She strives to provide meaningful, evidence-based care to mother-baby dyads. Her mission is to support mothers where they are at and help them journey into the breastfeeding relationship they desire. She strives to make sure that each patient is able to reach their desired goal and have an amazing breastfeeding relationship.
The thought of a second release has become sort of taboo in the tongue tie community. Unfortunately, second releases are not entirely uncommon. Reattachment is not solely the result of the actions by family or patient nor is it the results of actions by the release provider. Causes of reattachment range for lack of team approach (including the IBCLC/SLP and bodyworker), lack of proper aftercare, and incorrect timing of release. Assessment and care provided by the IBCLC/SLP, bodyworker, and release provider are imperative to positive outcomes for families. This presentation addresses the multitude of causes for reattachment, considerations for initial and secondary release, importance of team approach, and collegial dialogue to advance patient care. Case studies are presented from the perspective of the IBCLC and release provider.
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