Guest guest Posted March 31, 2012 Report Share Posted March 31, 2012 Towards the first few months of last year, I found a high number of tongue tiedness in newborns within my workload (about 6 IN 3 months) . After discussing with some colleagues across our PCT, I deduced that it was becoming a fashion. Fortunately this did not last for long. At that stage, depending on which hospital the baby was delivered in, there was different approaches as there was no clear protocol. Some hospitals decided to operate immediately while some decided to take the "wait and and see" approach. Also depending on postcode for some. Occurred across all classes. A few of my middleclass parents felt that they had to pay for the operation privately as they cannot cope with their hungry crying babies. I did not think this was a fair or equitable service. Because of the associated difficulties with feeding, the decision was to refer most of the babies to the person who specialised in breastfeeding. Eventually this was resolved. Most babies were referred to the Royal Free Hospital for the simple operations which resolved most of the issues. Lin Chappell From: terry.mcginn@...Date: Sat, 31 Mar 2012 19:11:49 +0000Subject: Tounge-tie Has anyone else noticed an outbreak of tongue–tiedness or is it just up our way? For decades I never came across a child who had surgery for tongue-tie and those that did have the condition were assured that they'd be fine. Now it seems to be all the rage. Does anyone have figures for this surgery over the last three years or so? Can anyone map the incidence? What is the social class profile of the parents of these infants? Happy Easter to all the academics who have already started their hols. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 1, 2012 Report Share Posted April 1, 2012 How interesting, thanks for raising this Terry and responding Lin. On 31 Mar 2012, at 23:05, Lin Hv wrote: Towards the first few months of last year, I found a high number of tongue tiedness in newborns within my workload (about 6 IN 3 months) . After discussing with some colleagues across our PCT, I deduced that it was becoming a fashion. Fortunately this did not last for long. At that stage, depending on which hospital the baby was delivered in, there was different approaches as there was no clear protocol. Some hospitals decided to operate immediately while some decided to take the "wait and and see" approach. Also depending on postcode for some. Occurred across all classes. A few of my middleclass parents felt that they had to pay for the operation privately as they cannot cope with their hungry crying babies. I did not think this was a fair or equitable service. Because of the associated difficulties with feeding, the decision was to refer most of the babies to the person who specialised in breastfeeding. Eventually this was resolved. Most babies were referred to the Royal Free Hospital for the simple operations which resolved most of the issues. Lin Chappell From: terry.mcginn@...Date: Sat, 31 Mar 2012 19:11:49 +0000Subject: Tounge-tie Has anyone else noticed an outbreak of tongue–tiedness or is it just up our way? For decades I never came across a child who had surgery for tongue-tie and those that did have the condition were assured that they'd be fine. Now it seems to be all the rage. Does anyone have figures for this surgery over the last three years or so? Can anyone map the incidence? What is the social class profile of the parents of these infants? Happy Easter to all the academics who have already started their hols. Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 1, 2012 Report Share Posted April 1, 2012 I am also thinking it is fashion because of such a high number of babies who have had their tongue ties 'separated' before my first visit. It doesn't seem to always make a difference to struggles settling breast feeding into a pleasurable experience. I have lost count of years, but say about five years ago, I had a mother desperate to breast feed whose baby seemed tongue tied. At the time the only person to refer to was the local oral maxillary surgeon (Bath) who after a conversation agreed to do it between out patient appointments. In no time at all (years even?!) emails were buzzing around about a breast feeding specialist nurse mothers could travel to see in Bristol. Now we have one of our own and she is loved for giving sensible reassuring breast feeding advice after the snip. I think this is like all fashions/trends where quick fix solutions are quickly used for all the reasons one could guess. I suppose if it is a low cost low risk solution to a problem people think they have (constructed by who?) along with good breast feeding support and mothers successfully feed, it can be supported in an imperfect world? But I agree there are questions hanging over tongue tie in our area too. I will climb up and search for an 80s article that keeps coming into my head lately about a historical critique of how health visitors (and others presumably) can interfere with mothering and provoke trends (Wilkinson/Chisholm?? et someone) Influenced me greatly at the time.Robyn From: Cowley <sarahcowley183@...> Sent: Sunday, 1 April 2012, 9:08 Subject: Re: Tounge-tie How interesting, thanks for raising this Terry and responding Lin. On 31 Mar 2012, at 23:05, Lin Hv wrote: Towards the first few months of last year, I found a high number of tongue tiedness in newborns within my workload (about 6 IN 3 months) . After discussing with some colleagues across our PCT, I deduced that it was becoming a fashion. Fortunately this did not last for long. At that stage, depending on which hospital the baby was delivered in, there was different approaches as there was no clear protocol. Some hospitals decided to operate immediately while some decided to take the "wait and and see" approach. Also depending on postcode for some. Occurred across all classes. A few of my middleclass parents felt that they had to pay for the operation privately as they cannot cope with their hungry crying babies. I did not think this was a fair or equitable service. Because of the associated difficulties with feeding, the decision was to refer most of the babies to the person who specialised in breastfeeding. Eventually this was resolved. Most babies were referred to the Royal Free Hospital for the simple operations which resolved most of the issues. Lin Chappell From: terry.mcginn@...Date: Sat, 31 Mar 2012 19:11:49 +0000Subject: Tounge-tie Has anyone else noticed an outbreak of tongue–tiedness or is it just up our way? For decades I never came across a child who had surgery for tongue-tie and those that did have the condition were assured that they'd be fine. Now it seems to be all the rage. Does anyone have figures for this surgery over the last three years or so? Can anyone map the incidence? What is the social class profile of the parents of these infants? Happy Easter to all the academics who have already started their hols. Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 1, 2012 Report Share Posted April 1, 2012 As well as being a part time student HV, I also work part time as a community staff nurse within a specialist Breastfeeding Team. We see many tongue tied babies, some with very obvious anterior ties and others with the more difficult to diagnose posterior ties. We have a wonderful paediatric consultant who is always very happy to assess these babies within the NHS, when and only when, there are continued difficulties with Breastfeeding. Often following release of the tie mothers report an improvement in breastfeeding within 24 - 48 hours. Having seen the improvement that this brings I am a great believer in having a TT released, especially when it means continuation of breastfeeding. There is some wonderful research on tongue ties.I believe I have been given the task of doing a presentation within my practice on this very subject! It should make for a lively debate. Interestingly I am currently reading Dream Babies by Hardyment, who suggests in the era between 1750-1820, '.....those babies who had difficulty in sucking, the midwife would nick through the filament of skin beneath the tongue with a fingernail kept long and sharp for the purpose'. Regards Garance Lawrence Student HV. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2012 Report Share Posted April 2, 2012 I had a son who had a very tight tongue-tie and 11 years ago the practice was to do nothing about tongue ties, despite our breastfeeding problems. It was eventually the family dentist who referred him to the local hospital max fax department for tongue tie release at the age of three as he informed me that due to the tongue tie one is unable to clean the top teeth after eating a meal which leads to high levels of top jaw dental caries. The tongue tie had become very thick over the years and the procedure was performed under general anaesthetic which my son reacted very badly to. There remains significant scarring under the tongue. I naturally feel very strongly that as it is such a simple procedure in the early days then all tongue-ties (never mind which method of feeding) should be released. best wishes Aisling Donnelly BSc (hons) RN RHV PG Dip Health Visitor - Berkshire Road Clinic, Camberley Monday to Friday 9am-5pm From: [ ] On Behalf Of Robyn Pound [robyn_pound@...] Sent: 01 April 2012 10:07 Subject: Re: Tounge-tie I am also thinking it is fashion because of such a high number of babies who have had their tongue ties 'separated' before my first visit. It doesn't seem to always make a difference to struggles settling breast feeding into a pleasurable experience. I have lost count of years, but say about five years ago, I had a mother desperate to breast feed whose baby seemed tongue tied. At the time the only person to refer to was the local oral maxillary surgeon (Bath) who after a conversation agreed to do it between out patient appointments. In no time at all (years even?!) emails were buzzing around about a breast feeding specialist nurse mothers could travel to see in Bristol. Now we have one of our own and she is loved for giving sensible reassuring breast feeding advice after the snip. I think this is like all fashions/trends where quick fix solutions are quickly used for all the reasons one could guess. I suppose if it is a low cost low risk solution to a problem people think they have (constructed by who?) along with good breast feeding support and mothers successfully feed, it can be supported in an imperfect world? But I agree there are questions hanging over tongue tie in our area too. I will climb up and search for an 80s article that keeps coming into my head lately about a historical critique of how health visitors (and others presumably) can interfere with mothering and provoke trends (Wilkinson/Chisholm?? et someone) Influenced me greatly at the time. Robyn From: Cowley <sarahcowley183@...> Sent: Sunday, 1 April 2012, 9:08 Subject: Re: Tounge-tie How interesting, thanks for raising this Terry and responding Lin. On 31 Mar 2012, at 23:05, Lin Hv wrote: Towards the first few months of last year, I found a high number of tongue tiedness in newborns within my workload (about 6 IN 3 months) . After discussing with some colleagues across our PCT, I deduced that it was becoming a fashion. Fortunately this did not last for long. At that stage, depending on which hospital the baby was delivered in, there was different approaches as there was no clear protocol. Some hospitals decided to operate immediately while some decided to take the " wait and and see " approach. Also depending on postcode for some. Occurred across all classes. A few of my middleclass parents felt that they had to pay for the operation privately as they cannot cope with their hungry crying babies. I did not think this was a fair or equitable service. Because of the associated difficulties with feeding, the decision was to refer most of the babies to the person who specialised in breastfeeding. Eventually this was resolved. Most babies were referred to the Royal Free Hospital for the simple operations which resolved most of the issues. Lin Chappell From: terry.mcginn@... Date: Sat, 31 Mar 2012 19:11:49 +0000 Subject: Tounge-tie Has anyone else noticed an outbreak of tongue–tiedness or is it just up our way? For decades I never came across a child who had surgery for tongue-tie and those that did have the condition were assured that they'd be fine. Now it seems to be all the rage. Does anyone have figures for this surgery over the last three years or so? Can anyone map the incidence? What is the social class profile of the parents of these infants? Happy Easter to all the academics who have already started their hols. Cowley sarahcowley183@... http://myprofile.cos.com/S124021COn ******************************************************************************************************************** This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. Thank you for your co-operation. NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere For more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail ******************************************************************************************************************** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2012 Report Share Posted April 2, 2012 I had a son who had a very tight tongue-tie and 11 years ago the practice was to do nothing about tongue ties, despite our breastfeeding problems. It was eventually the family dentist who referred him to the local hospital max fax department for tongue tie release at the age of three as he informed me that due to the tongue tie one is unable to clean the top teeth after eating a meal which leads to high levels of top jaw dental caries. The tongue tie had become very thick over the years and the procedure was performed under general anaesthetic which my son reacted very badly to. There remains significant scarring under the tongue. I naturally feel very strongly that as it is such a simple procedure in the early days then all tongue-ties (never mind which method of feeding) should be released. best wishes Aisling Donnelly BSc (hons) RN RHV PG Dip Health Visitor - Berkshire Road Clinic, Camberley Monday to Friday 9am-5pm From: [ ] On Behalf Of Robyn Pound [robyn_pound@...] Sent: 01 April 2012 10:07 Subject: Re: Tounge-tie I am also thinking it is fashion because of such a high number of babies who have had their tongue ties 'separated' before my first visit. It doesn't seem to always make a difference to struggles settling breast feeding into a pleasurable experience. I have lost count of years, but say about five years ago, I had a mother desperate to breast feed whose baby seemed tongue tied. At the time the only person to refer to was the local oral maxillary surgeon (Bath) who after a conversation agreed to do it between out patient appointments. In no time at all (years even?!) emails were buzzing around about a breast feeding specialist nurse mothers could travel to see in Bristol. Now we have one of our own and she is loved for giving sensible reassuring breast feeding advice after the snip. I think this is like all fashions/trends where quick fix solutions are quickly used for all the reasons one could guess. I suppose if it is a low cost low risk solution to a problem people think they have (constructed by who?) along with good breast feeding support and mothers successfully feed, it can be supported in an imperfect world? But I agree there are questions hanging over tongue tie in our area too. I will climb up and search for an 80s article that keeps coming into my head lately about a historical critique of how health visitors (and others presumably) can interfere with mothering and provoke trends (Wilkinson/Chisholm?? et someone) Influenced me greatly at the time. Robyn From: Cowley <sarahcowley183@...> Sent: Sunday, 1 April 2012, 9:08 Subject: Re: Tounge-tie How interesting, thanks for raising this Terry and responding Lin. On 31 Mar 2012, at 23:05, Lin Hv wrote: Towards the first few months of last year, I found a high number of tongue tiedness in newborns within my workload (about 6 IN 3 months) . After discussing with some colleagues across our PCT, I deduced that it was becoming a fashion. Fortunately this did not last for long. At that stage, depending on which hospital the baby was delivered in, there was different approaches as there was no clear protocol. Some hospitals decided to operate immediately while some decided to take the " wait and and see " approach. Also depending on postcode for some. Occurred across all classes. A few of my middleclass parents felt that they had to pay for the operation privately as they cannot cope with their hungry crying babies. I did not think this was a fair or equitable service. Because of the associated difficulties with feeding, the decision was to refer most of the babies to the person who specialised in breastfeeding. Eventually this was resolved. Most babies were referred to the Royal Free Hospital for the simple operations which resolved most of the issues. Lin Chappell From: terry.mcginn@... Date: Sat, 31 Mar 2012 19:11:49 +0000 Subject: Tounge-tie Has anyone else noticed an outbreak of tongue–tiedness or is it just up our way? For decades I never came across a child who had surgery for tongue-tie and those that did have the condition were assured that they'd be fine. Now it seems to be all the rage. Does anyone have figures for this surgery over the last three years or so? Can anyone map the incidence? What is the social class profile of the parents of these infants? Happy Easter to all the academics who have already started their hols. Cowley sarahcowley183@... http://myprofile.cos.com/S124021COn ******************************************************************************************************************** This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. Thank you for your co-operation. NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere For more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail ******************************************************************************************************************** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2012 Report Share Posted April 3, 2012 I have been really interested to read the comments about tongue tie. Our daughter had a baby at the end of December and he has a tongue tie which was identified following her third bout of mastitis. We also visited a friend yesterday whose daughter has a baby of a similar age who apparently has a lip tie. Our grandson has had his tie cut, theirs is awaiting an appointment with the paediatrician. Interestingly, both maternal grandfathers also have tongue tie which has never been addressed and seemingly gives them no problems (they might of course have had some difficulties perhaps when they were small). Both these families are ‘middle class’. I have to say that never in all my nearly 30 years of health visiting practice do I remember any child having a significant problems as a result of tongue tie. This may be because more mothers were bottle feeding, or because it was not the ‘fashion’ for them to be a concern, or because we dismissed them. Who knows. But it would be an interesting subject to research more fully in light of the promotion of breast feeding and the professional time required to deal with its effects/ anxieties raised. Griffiths From: [mailto: ] On Behalf Of Donnelly Aisling (SURREY PCT)Sent: 02 April 2012 12:27 Subject: RE: Tounge-tie I had a son who had a very tight tongue-tie and 11 years ago the practice was to do nothing about tongue ties, despite our breastfeeding problems. It was eventually the family dentist who referred him to the local hospital max fax department for tongue tie release at the age of three as he informed me that due to the tongue tie one is unable to clean the top teeth after eating a meal which leads to high levels of top jaw dental caries. The tongue tie had become very thick over the years and the procedure was performed under general anaesthetic which my son reacted very badly to. There remains significant scarring under the tongue. I naturally feel very strongly that as it is such a simple procedure in the early days then all tongue-ties (never mind which method of feeding) should be released. best wishesAisling Donnelly BSc (hons) RN RHV PG DipHealth Visitor - Berkshire Road Clinic, CamberleyMonday to Friday 9am-5pm From: [ ] On Behalf Of Robyn Pound [robyn_pound@...]Sent: 01 April 2012 10:07 Subject: Re: Tounge-tie I am also thinking it is fashion because of such a high number of babies who have had their tongue ties 'separated' before my first visit. It doesn't seem to always make a difference to struggles settling breast feeding into a pleasurable experience. I have lost count of years, but say about five years ago, I had a mother desperate to breast feed whose baby seemed tongue tied. At the time the only person to refer to was the local oral maxillary surgeon (Bath) who after a conversation agreed to do it between out patient appointments. In no time at all (years even?!) emails were buzzing around about a breast feeding specialist nurse mothers could travel to see in Bristol. Now we have one of our own and she is loved for giving sensible reassuring breast feeding advice after the snip. I think this is like all fashions/trends where quick fix solutions are quickly used for all the reasons one could guess. I suppose if it is a low cost low risk solution to a problem people think they have (constructed by who?) along with good breast feeding support and mothers successfully feed, it can be supported in an imperfect world? But I agree there are questions hanging over tongue tie in our area too. I will climb up and search for an 80s article that keeps coming into my head lately about a historical critique of how health visitors (and others presumably) can interfere with mothering and provoke trends (Wilkinson/Chisholm?? et someone) Influenced me greatly at the time. Robyn From: Cowley <sarahcowley183@...> Sent: Sunday, 1 April 2012, 9:08Subject: Re: Tounge-tie How interesting, thanks for raising this Terry and responding Lin. On 31 Mar 2012, at 23:05, Lin Hv wrote: Towards the first few months of last year, I found a high number of tongue tiedness in newborns within my workload (about 6 IN 3 months) . After discussing with some colleagues across our PCT, I deduced that it was becoming a fashion. Fortunately this did not last for long. At that stage, depending on which hospital the baby was delivered in, there was different approaches as there was no clear protocol. Some hospitals decided to operate immediately while some decided to take the " wait and and see " approach. Also depending on postcode for some. Occurred across all classes. A few of my middleclass parents felt that they had to pay for the operation privately as they cannot cope with their hungry crying babies. I did not think this was a fair or equitable service. Because of the associated difficulties with feeding, the decision was to refer most of the babies to the person who specialised in breastfeeding. Eventually this was resolved. Most babies were referred to the Royal Free Hospital for the simple operations which resolved most of the issues. Lin Chappell From: terry.mcginn@...Date: Sat, 31 Mar 2012 19:11:49 +0000Subject: Tounge-tie Has anyone else noticed an outbreak of tongue–tiedness or is it just up our way?For decades I never came across a child who had surgery for tongue-tie and those that did have the condition were assured that they'd be fine. Now it seems to be all the rage.Does anyone have figures for this surgery over the last three years or so?Can anyone map the incidence?What is the social class profile of the parents of these infants?Happy Easter to all the academics who have already started their hols. Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn ********************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail******************************************************************************************************************** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2012 Report Share Posted April 3, 2012 I have been really interested to read the comments about tongue tie. Our daughter had a baby at the end of December and he has a tongue tie which was identified following her third bout of mastitis. We also visited a friend yesterday whose daughter has a baby of a similar age who apparently has a lip tie. Our grandson has had his tie cut, theirs is awaiting an appointment with the paediatrician. Interestingly, both maternal grandfathers also have tongue tie which has never been addressed and seemingly gives them no problems (they might of course have had some difficulties perhaps when they were small). Both these families are ‘middle class’. I have to say that never in all my nearly 30 years of health visiting practice do I remember any child having a significant problems as a result of tongue tie. This may be because more mothers were bottle feeding, or because it was not the ‘fashion’ for them to be a concern, or because we dismissed them. Who knows. But it would be an interesting subject to research more fully in light of the promotion of breast feeding and the professional time required to deal with its effects/ anxieties raised. Griffiths From: [mailto: ] On Behalf Of Donnelly Aisling (SURREY PCT)Sent: 02 April 2012 12:27 Subject: RE: Tounge-tie I had a son who had a very tight tongue-tie and 11 years ago the practice was to do nothing about tongue ties, despite our breastfeeding problems. It was eventually the family dentist who referred him to the local hospital max fax department for tongue tie release at the age of three as he informed me that due to the tongue tie one is unable to clean the top teeth after eating a meal which leads to high levels of top jaw dental caries. The tongue tie had become very thick over the years and the procedure was performed under general anaesthetic which my son reacted very badly to. There remains significant scarring under the tongue. I naturally feel very strongly that as it is such a simple procedure in the early days then all tongue-ties (never mind which method of feeding) should be released. best wishesAisling Donnelly BSc (hons) RN RHV PG DipHealth Visitor - Berkshire Road Clinic, CamberleyMonday to Friday 9am-5pm From: [ ] On Behalf Of Robyn Pound [robyn_pound@...]Sent: 01 April 2012 10:07 Subject: Re: Tounge-tie I am also thinking it is fashion because of such a high number of babies who have had their tongue ties 'separated' before my first visit. It doesn't seem to always make a difference to struggles settling breast feeding into a pleasurable experience. I have lost count of years, but say about five years ago, I had a mother desperate to breast feed whose baby seemed tongue tied. At the time the only person to refer to was the local oral maxillary surgeon (Bath) who after a conversation agreed to do it between out patient appointments. In no time at all (years even?!) emails were buzzing around about a breast feeding specialist nurse mothers could travel to see in Bristol. Now we have one of our own and she is loved for giving sensible reassuring breast feeding advice after the snip. I think this is like all fashions/trends where quick fix solutions are quickly used for all the reasons one could guess. I suppose if it is a low cost low risk solution to a problem people think they have (constructed by who?) along with good breast feeding support and mothers successfully feed, it can be supported in an imperfect world? But I agree there are questions hanging over tongue tie in our area too. I will climb up and search for an 80s article that keeps coming into my head lately about a historical critique of how health visitors (and others presumably) can interfere with mothering and provoke trends (Wilkinson/Chisholm?? et someone) Influenced me greatly at the time. Robyn From: Cowley <sarahcowley183@...> Sent: Sunday, 1 April 2012, 9:08Subject: Re: Tounge-tie How interesting, thanks for raising this Terry and responding Lin. On 31 Mar 2012, at 23:05, Lin Hv wrote: Towards the first few months of last year, I found a high number of tongue tiedness in newborns within my workload (about 6 IN 3 months) . After discussing with some colleagues across our PCT, I deduced that it was becoming a fashion. Fortunately this did not last for long. At that stage, depending on which hospital the baby was delivered in, there was different approaches as there was no clear protocol. Some hospitals decided to operate immediately while some decided to take the " wait and and see " approach. Also depending on postcode for some. Occurred across all classes. A few of my middleclass parents felt that they had to pay for the operation privately as they cannot cope with their hungry crying babies. I did not think this was a fair or equitable service. Because of the associated difficulties with feeding, the decision was to refer most of the babies to the person who specialised in breastfeeding. Eventually this was resolved. Most babies were referred to the Royal Free Hospital for the simple operations which resolved most of the issues. Lin Chappell From: terry.mcginn@...Date: Sat, 31 Mar 2012 19:11:49 +0000Subject: Tounge-tie Has anyone else noticed an outbreak of tongue–tiedness or is it just up our way?For decades I never came across a child who had surgery for tongue-tie and those that did have the condition were assured that they'd be fine. Now it seems to be all the rage.Does anyone have figures for this surgery over the last three years or so?Can anyone map the incidence?What is the social class profile of the parents of these infants?Happy Easter to all the academics who have already started their hols. Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn ********************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail******************************************************************************************************************** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2012 Report Share Posted April 3, 2012 I se TT's across all social classes, from the very poor to the very wealthy, so I am not convinced social class has anything to do with the incidence of TT. What may make a difference is that those in deprivation may be less inclined to seek advice. I'm really interested in this too. Working within the Breastfeeding Team we see babies very early, certainly within their first week of life. If we see/suspect TT we make a full breastfeeding assessment ( as with every baby/ mother) and then review on day 5 and again as necessary. Some babies have glaringly obvious anterior TT's but if there is no impact on breastfeeding we just monitor the situation. It is very much assessed on an individual basis. The parents are aware that they can be referred at anytime should they start to experience difficulties. Reflecting as a student HV, I don't see families until the new birth visit (14 - 16 days). I work within in a different trust who do not have a B/F'ding team. I am seeing babies, who are being formula fed because of the mothers disastrous experience of breastfeeding. Some of these babies have very obvious TT's & it completely disheartens me. I say nothing to the parents. Quite often the mothers are overwhelmed and feel they have 'failed', no mother should ever have that feeling. I am exasperated that a simple referral may have ensured a continuation of breastfeeding. Interestingly both trusts share the same University hospital & consultant. Feeling this may have to be part of my research module! Garance lawrence ( French name, no French connections just mad parents who thought it maybe trendy to give their daughter a bizzare name in the 70's, most wonder if I am a Mr! ) Student HV Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2012 Report Share Posted April 3, 2012 I se TT's across all social classes, from the very poor to the very wealthy, so I am not convinced social class has anything to do with the incidence of TT. What may make a difference is that those in deprivation may be less inclined to seek advice. I'm really interested in this too. Working within the Breastfeeding Team we see babies very early, certainly within their first week of life. If we see/suspect TT we make a full breastfeeding assessment ( as with every baby/ mother) and then review on day 5 and again as necessary. Some babies have glaringly obvious anterior TT's but if there is no impact on breastfeeding we just monitor the situation. It is very much assessed on an individual basis. The parents are aware that they can be referred at anytime should they start to experience difficulties. Reflecting as a student HV, I don't see families until the new birth visit (14 - 16 days). I work within in a different trust who do not have a B/F'ding team. I am seeing babies, who are being formula fed because of the mothers disastrous experience of breastfeeding. Some of these babies have very obvious TT's & it completely disheartens me. I say nothing to the parents. Quite often the mothers are overwhelmed and feel they have 'failed', no mother should ever have that feeling. I am exasperated that a simple referral may have ensured a continuation of breastfeeding. Interestingly both trusts share the same University hospital & consultant. Feeling this may have to be part of my research module! Garance lawrence ( French name, no French connections just mad parents who thought it maybe trendy to give their daughter a bizzare name in the 70's, most wonder if I am a Mr! ) Student HV Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2012 Report Share Posted April 3, 2012 It's a lovely name. Were they watching Les Enfants du Paradis, in which Garance is the lead female character?Sent from my iPhoneOn 3 Apr 2012, at 14:39, " Garance " <ga.rance@...> wrote: I se TT's across all social classes, from the very poor to the very wealthy, so I am not convinced social class has anything to do with the incidence of TT. What may make a difference is that those in deprivation may be less inclined to seek advice.I'm really interested in this too. Working within the Breastfeeding Team we see babies very early, certainly within their first week of life. If we see/suspect TT we make a full breastfeeding assessment ( as with every baby/ mother) and then review on day 5and again as necessary. Some babies have glaringly obvious anterior TT's but if there is no impact on breastfeeding we just monitor the situation. It is very much assessed on an individual basis. The parents are aware that they can be referred at anytime shouldthey start to experience difficulties.Reflecting as a student HV, I don't see families until the new birth visit (14 - 16 days). I work within in a different trust who do not have a B/F'ding team. I am seeing babies, who are being formula fed because of the mothers disastrous experience of breastfeeding.Some of these babies have very obvious TT's & it completely disheartens me. I say nothing to the parents. Quite often the mothers are overwhelmed and feel they have 'failed', no mother should ever have that feeling. I am exasperated that a simple referralmay have ensured a continuation of breastfeeding. Interestingly both trusts share the same University hospital & consultant.Feeling this may have to be part of my research module!Garance lawrence ( French name, no French connections just mad parents who thought it maybe trendy to give their daughter a bizzare name in the 70's, most wonder if I am a Mr! )Student HVUniversity of Greenwich, a charity and company limited by guarantee,registered in England (reg. no. 986729). Registered office:Old Royal Naval College, Park Row, Greenwich, London SE10 9LS. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2012 Report Share Posted April 3, 2012 It's a lovely name. Were they watching Les Enfants du Paradis, in which Garance is the lead female character?Sent from my iPhoneOn 3 Apr 2012, at 14:39, " Garance " <ga.rance@...> wrote: I se TT's across all social classes, from the very poor to the very wealthy, so I am not convinced social class has anything to do with the incidence of TT. What may make a difference is that those in deprivation may be less inclined to seek advice.I'm really interested in this too. Working within the Breastfeeding Team we see babies very early, certainly within their first week of life. If we see/suspect TT we make a full breastfeeding assessment ( as with every baby/ mother) and then review on day 5and again as necessary. Some babies have glaringly obvious anterior TT's but if there is no impact on breastfeeding we just monitor the situation. It is very much assessed on an individual basis. The parents are aware that they can be referred at anytime shouldthey start to experience difficulties.Reflecting as a student HV, I don't see families until the new birth visit (14 - 16 days). I work within in a different trust who do not have a B/F'ding team. I am seeing babies, who are being formula fed because of the mothers disastrous experience of breastfeeding.Some of these babies have very obvious TT's & it completely disheartens me. I say nothing to the parents. Quite often the mothers are overwhelmed and feel they have 'failed', no mother should ever have that feeling. I am exasperated that a simple referralmay have ensured a continuation of breastfeeding. Interestingly both trusts share the same University hospital & consultant.Feeling this may have to be part of my research module!Garance lawrence ( French name, no French connections just mad parents who thought it maybe trendy to give their daughter a bizzare name in the 70's, most wonder if I am a Mr! )Student HVUniversity of Greenwich, a charity and company limited by guarantee,registered in England (reg. no. 986729). Registered office:Old Royal Naval College, Park Row, Greenwich, London SE10 9LS. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2012 Report Share Posted April 3, 2012 When in practice, I was always interested to hear why parents chose particular names for a child, as there is often a story (although, of course it is also alright to just say 'we liked the name!)On 3 Apr 2012, at 14:58, Meerabeau wrote: It's a lovely name. Were they watching Les Enfants du Paradis, in which Garance is the lead female character? Sent from my iPhone On 3 Apr 2012, at 14:39, "Garance" <ga.rance@...> wrote: I se TT's across all social classes, from the very poor to the very wealthy, so I am not convinced social class has anything to do with the incidence of TT. What may make a difference is that those in deprivation may be less inclined to seek advice. I'm really interested in this too. Working within the Breastfeeding Team we see babies very early, certainly within their first week of life. If we see/suspect TT we make a full breastfeeding assessment ( as with every baby/ mother) and then review on day 5 and again as necessary. Some babies have glaringly obvious anterior TT's but if there is no impact on breastfeeding we just monitor the situation. It is very much assessed on an individual basis. The parents are aware that they can be referred at anytime should they start to experience difficulties. Reflecting as a student HV, I don't see families until the new birth visit (14 - 16 days). I work within in a different trust who do not have a B/F'ding team. I am seeing babies, who are being formula fed because of the mothers disastrous experience of breastfeeding. Some of these babies have very obvious TT's & it completely disheartens me. I say nothing to the parents. Quite often the mothers are overwhelmed and feel they have 'failed', no mother should ever have that feeling. I am exasperated that a simple referral may have ensured a continuation of breastfeeding. Interestingly both trusts share the same University hospital & consultant. Feeling this may have to be part of my research module! Garance lawrence ( French name, no French connections just mad parents who thought it maybe trendy to give their daughter a bizzare name in the 70's, most wonder if I am a Mr! ) Student HV University of Greenwich, a charity and company limited by guarantee, registered in England (reg. no. 986729). Registered office: Old Royal Naval College, Park Row, Greenwich, London SE10 9LS. Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2012 Report Share Posted April 3, 2012 When in practice, I was always interested to hear why parents chose particular names for a child, as there is often a story (although, of course it is also alright to just say 'we liked the name!)On 3 Apr 2012, at 14:58, Meerabeau wrote: It's a lovely name. Were they watching Les Enfants du Paradis, in which Garance is the lead female character? Sent from my iPhone On 3 Apr 2012, at 14:39, "Garance" <ga.rance@...> wrote: I se TT's across all social classes, from the very poor to the very wealthy, so I am not convinced social class has anything to do with the incidence of TT. What may make a difference is that those in deprivation may be less inclined to seek advice. I'm really interested in this too. Working within the Breastfeeding Team we see babies very early, certainly within their first week of life. If we see/suspect TT we make a full breastfeeding assessment ( as with every baby/ mother) and then review on day 5 and again as necessary. Some babies have glaringly obvious anterior TT's but if there is no impact on breastfeeding we just monitor the situation. It is very much assessed on an individual basis. The parents are aware that they can be referred at anytime should they start to experience difficulties. Reflecting as a student HV, I don't see families until the new birth visit (14 - 16 days). I work within in a different trust who do not have a B/F'ding team. I am seeing babies, who are being formula fed because of the mothers disastrous experience of breastfeeding. Some of these babies have very obvious TT's & it completely disheartens me. I say nothing to the parents. Quite often the mothers are overwhelmed and feel they have 'failed', no mother should ever have that feeling. I am exasperated that a simple referral may have ensured a continuation of breastfeeding. Interestingly both trusts share the same University hospital & consultant. Feeling this may have to be part of my research module! Garance lawrence ( French name, no French connections just mad parents who thought it maybe trendy to give their daughter a bizzare name in the 70's, most wonder if I am a Mr! ) Student HV University of Greenwich, a charity and company limited by guarantee, registered in England (reg. no. 986729). Registered office: Old Royal Naval College, Park Row, Greenwich, London SE10 9LS. Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2012 Report Share Posted April 3, 2012 Many thanks Garance, yes I think it would be great if you would follow this up as part of your research module. It does appear on 'NHS Choices' website, see http://www.nhs.uk/conditions/tongue-tie/Pages/Introduction.aspxIt seems that NICE carried out a rapid review of tongue-tie and breast feeding difficulty in 2005 and found very little good evidence one way or another, although they went to recommend the procedure, see http://guidance.nice.org.uk/IPG149/Guidance/pdf/English. There is also information on the Unicef/baby friendly website, see http://www.unicef.org.uk/BabyFriendly/Parents/Problems/Tongue-Tie/ and an interesting article (I think it is open access) by Hall and Renfrew, who also clearly got up in a debate about it in 2005, see http://adc.bmj.com/content/90/12/1211.1.fullHaving limited their search, the NICE rapid review found nothing about the possible long-term harm of untreated tongue-tie, such as the dental decay proposed by Aisling's dentist, or any link to later speech difficulties, which are also mentioned in other websites, such as http://www.tonguetie.net/ which lists a series of issues that might arise without giving any clear evidence.What an interesting discussion, thanks to all. On 3 Apr 2012, at 14:38, Garance wrote: I se TT's across all social classes, from the very poor to the very wealthy, so I am not convinced social class has anything to do with the incidence of TT. What may make a difference is that those in deprivation may be less inclined to seek advice. I'm really interested in this too. Working within the Breastfeeding Team we see babies very early, certainly within their first week of life. If we see/suspect TT we make a full breastfeeding assessment ( as with every baby/ mother) and then review on day 5 and again as necessary. Some babies have glaringly obvious anterior TT's but if there is no impact on breastfeeding we just monitor the situation. It is very much assessed on an individual basis. The parents are aware that they can be referred at anytime should they start to experience difficulties. Reflecting as a student HV, I don't see families until the new birth visit (14 - 16 days). I work within in a different trust who do not have a B/F'ding team. I am seeing babies, who are being formula fed because of the mothers disastrous experience of breastfeeding. Some of these babies have very obvious TT's & it completely disheartens me. I say nothing to the parents. Quite often the mothers are overwhelmed and feel they have 'failed', no mother should ever have that feeling. I am exasperated that a simple referral may have ensured a continuation of breastfeeding. Interestingly both trusts share the same University hospital & consultant. Feeling this may have to be part of my research module! Garance lawrence ( French name, no French connections just mad parents who thought it maybe trendy to give their daughter a bizzare name in the 70's, most wonder if I am a Mr! ) Student HV Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2012 Report Share Posted April 3, 2012 Many thanks Garance, yes I think it would be great if you would follow this up as part of your research module. It does appear on 'NHS Choices' website, see http://www.nhs.uk/conditions/tongue-tie/Pages/Introduction.aspxIt seems that NICE carried out a rapid review of tongue-tie and breast feeding difficulty in 2005 and found very little good evidence one way or another, although they went to recommend the procedure, see http://guidance.nice.org.uk/IPG149/Guidance/pdf/English. There is also information on the Unicef/baby friendly website, see http://www.unicef.org.uk/BabyFriendly/Parents/Problems/Tongue-Tie/ and an interesting article (I think it is open access) by Hall and Renfrew, who also clearly got up in a debate about it in 2005, see http://adc.bmj.com/content/90/12/1211.1.fullHaving limited their search, the NICE rapid review found nothing about the possible long-term harm of untreated tongue-tie, such as the dental decay proposed by Aisling's dentist, or any link to later speech difficulties, which are also mentioned in other websites, such as http://www.tonguetie.net/ which lists a series of issues that might arise without giving any clear evidence.What an interesting discussion, thanks to all. On 3 Apr 2012, at 14:38, Garance wrote: I se TT's across all social classes, from the very poor to the very wealthy, so I am not convinced social class has anything to do with the incidence of TT. What may make a difference is that those in deprivation may be less inclined to seek advice. I'm really interested in this too. Working within the Breastfeeding Team we see babies very early, certainly within their first week of life. If we see/suspect TT we make a full breastfeeding assessment ( as with every baby/ mother) and then review on day 5 and again as necessary. Some babies have glaringly obvious anterior TT's but if there is no impact on breastfeeding we just monitor the situation. It is very much assessed on an individual basis. The parents are aware that they can be referred at anytime should they start to experience difficulties. Reflecting as a student HV, I don't see families until the new birth visit (14 - 16 days). I work within in a different trust who do not have a B/F'ding team. I am seeing babies, who are being formula fed because of the mothers disastrous experience of breastfeeding. Some of these babies have very obvious TT's & it completely disheartens me. I say nothing to the parents. Quite often the mothers are overwhelmed and feel they have 'failed', no mother should ever have that feeling. I am exasperated that a simple referral may have ensured a continuation of breastfeeding. Interestingly both trusts share the same University hospital & consultant. Feeling this may have to be part of my research module! Garance lawrence ( French name, no French connections just mad parents who thought it maybe trendy to give their daughter a bizzare name in the 70's, most wonder if I am a Mr! ) Student HV Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2012 Report Share Posted April 3, 2012 Thank you! I heard all about Les Enfants du Paradis from a former patients daughter! Needless to say I left blushing!!!! I keep meaning to buy the DVD. > > > > I se TT's across all social classes, from the very poor to the very wealthy, so I am not convinced social class has anything to do with the incidence of TT. What may make a difference is that those in deprivation may be less inclined to seek advice. > > I'm really interested in this too. Working within the Breastfeeding Team we see babies very early, certainly within their first week of life. If we see/suspect TT we make a full breastfeeding assessment ( as with every baby/ mother) and then review on day 5 and again as necessary. Some babies have glaringly obvious anterior TT's but if there is no impact on breastfeeding we just monitor the situation. It is very much assessed on an individual basis. The parents are aware that they can be referred at anytime should they start to experience difficulties. > > Reflecting as a student HV, I don't see families until the new birth visit (14 - 16 days). I work within in a different trust who do not have a B/F'ding team. I am seeing babies, who are being formula fed because of the mothers disastrous experience of breastfeeding. Some of these babies have very obvious TT's & it completely disheartens me. I say nothing to the parents. Quite often the mothers are overwhelmed and feel they have 'failed', no mother should ever have that feeling. I am exasperated that a simple referral may have ensured a continuation of breastfeeding. Interestingly both trusts share the same University hospital & consultant. > > Feeling this may have to be part of my research module! > > Garance lawrence ( French name, no French connections just mad parents who thought it maybe trendy to give their daughter a bizzare name in the 70's, most wonder if I am a Mr! ) > Student HV > > > > > ________________________________ > University of Greenwich, a charity and company limited by guarantee, > registered in England (reg. no. 986729). Registered office: > Old Royal Naval College, Park Row, Greenwich, London SE10 9LS. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2012 Report Share Posted April 3, 2012 Hello Garance,I think it’s a lovely name too. The tongue-tie research idea sounds great. I am just out of Practice, as a CPT, and am now lecturing on your course Like you I found it incredibly frustrating the misery experienced by mothers due to the “hit and miss” attitude of max/fac surgeons towards releasing tongue-tie. Unfortunately this resulted in a lot of failed breast-feeding, and possibly even some low mood as a result. Come and talk to me re: your research ideas when you are back in. I will be really interested to discuss further.Best wishes, Pam Schultz, Lecturer Community Nursing, UCS, Suffolk From: [mailto: ] On Behalf Of GaranceSent: 03 April 2012 16:57 Subject: Re: Tounge-tie Thank you! I heard all about Les Enfants du Paradis from a former patients daughter! Needless to say I left blushing!!!! I keep meaning to buy the DVD. > > > > I se TT's across all social classes, from the very poor to the very wealthy, so I am not convinced social class has anything to do with the incidence of TT. What may make a difference is that those in deprivation may be less inclined to seek advice.> > I'm really interested in this too. Working within the Breastfeeding Team we see babies very early, certainly within their first week of life. If we see/suspect TT we make a full breastfeeding assessment ( as with every baby/ mother) and then review on day 5 and again as necessary. Some babies have glaringly obvious anterior TT's but if there is no impact on breastfeeding we just monitor the situation. It is very much assessed on an individual basis. The parents are aware that they can be referred at anytime should they start to experience difficulties.> > Reflecting as a student HV, I don't see families until the new birth visit (14 - 16 days). I work within in a different trust who do not have a B/F'ding team. I am seeing babies, who are being formula fed because of the mothers disastrous experience of breastfeeding. Some of these babies have very obvious TT's & it completely disheartens me. I say nothing to the parents. Quite often the mothers are overwhelmed and feel they have 'failed', no mother should ever have that feeling. I am exasperated that a simple referral may have ensured a continuation of breastfeeding. Interestingly both trusts share the same University hospital & consultant.> > Feeling this may have to be part of my research module!> > Garance lawrence ( French name, no French connections just mad parents who thought it maybe trendy to give their daughter a bizzare name in the 70's, most wonder if I am a Mr! )> Student HV> > > > > ________________________________> University of Greenwich, a charity and company limited by guarantee,> registered in England (reg. no. 986729). Registered office:> Old Royal Naval College, Park Row, Greenwich, London SE10 9LS.> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2012 Report Share Posted April 3, 2012 Hi PamCongratulations on your new post, it is always good to get people people fresh from practice into lecturingOn 3 Apr 2012, at 18:07, Pam Schultz wrote: Hello Garance,I think it’s a lovely name too. The tongue-tie research idea sounds great. I am just out of Practice, as a CPT, and am now lecturing on your course Like you I found it incredibly frustrating the misery experienced by mothers due to the “hit and miss” attitude of max/fac surgeons towards releasing tongue-tie. Unfortunately this resulted in a lot of failed breast-feeding, and possibly even some low mood as a result. Come and talk to me re: your research ideas when you are back in. I will be really interested to discuss further.Best wishes, Pam Schultz, Lecturer Community Nursing, UCS, Suffolk From: [mailto: ] On Behalf Of GaranceSent: 03 April 2012 16:57 Subject: Re: Tounge-tie Thank you! I heard all about Les Enfants du Paradis from a former patients daughter! Needless to say I left blushing!!!! I keep meaning to buy the DVD. > > > > I se TT's across all social classes, from the very poor to the very wealthy, so I am not convinced social class has anything to do with the incidence of TT. What may make a difference is that those in deprivation may be less inclined to seek advice.> > I'm really interested in this too. Working within the Breastfeeding Team we see babies very early, certainly within their first week of life. If we see/suspect TT we make a full breastfeeding assessment ( as with every baby/ mother) and then review on day 5 and again as necessary. Some babies have glaringly obvious anterior TT's but if there is no impact on breastfeeding we just monitor the situation. It is very much assessed on an individual basis. The parents are aware that they can be referred at anytime should they start to experience difficulties.> > Reflecting as a student HV, I don't see families until the new birth visit (14 - 16 days). I work within in a different trust who do not have a B/F'ding team. I am seeing babies, who are being formula fed because of the mothers disastrous experience of breastfeeding. Some of these babies have very obvious TT's & it completely disheartens me. I say nothing to the parents. Quite often the mothers are overwhelmed and feel they have 'failed', no mother should ever have that feeling. I am exasperated that a simple referral may have ensured a continuation of breastfeeding. Interestingly both trusts share the same University hospital & consultant.> > Feeling this may have to be part of my research module!> > Garance lawrence ( French name, no French connections just mad parents who thought it maybe trendy to give their daughter a bizzare name in the 70's, most wonder if I am a Mr! )> Student HV> > > > > ________________________________> University of Greenwich, a charity and company limited by guarantee,> registered in England (reg. no. 986729). Registered office:> Old Royal Naval College, Park Row, Greenwich, London SE10 9LS.> Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2012 Report Share Posted April 3, 2012 Hi All, I am a CPT having returned to practice from lecturing on the HV course. TT is a huge debate here in Cambridgeshire, we have been struggling to get a community clinic running alongside one of our NHS community breastfeeding clinics (held in a health centre) We have staff trained to snip but so far no permission to start. One of my student health visitors 3 years ago did her dissertation on exactly this. Her title was " To snip or not to snip " . We have a private clinic here where mothers who search the internet can find their way to the service but thats if they have £100 or £150 for a second follow up. Yet another example of health inequalities. Some mothers here can access NHS hospital consultants, but only with a GP referral (which they don't all agree with) and waiting lists can be up to 8 weeks. Even after an 8 week wait, there is no guarantee that their baby will get the procedure.Many mothers give up before this stage, or will be refereed out of county (Bedford or even Southampton) which again, incurs a cost. The picture is really muddled, from " a fashion " a " quick fix " or " try it and see " to a quick and easy solution to breastfeeding difficulties. An annual audit of a community breastfeeding clinic that I have carried out over a number of years shows this as a growing reason for attendance. It doesn't of course answer the question of whether it is more prevalent, or just that more mothers are starting breastfeeding and midwives are more aware of how a baby feeds so are diagnosing this as a reason for problems. I suspect, like a lot of things, it is multifaceted. Its just in our NHS I am very unhappy that all mothers are not given the same opportunity and support if this really is the reason for their difficulties Bridget Halnan HV/CPT and was Breastfeeding Co-ordinator for NHSC ________________________________________ From: [ ] On Behalf Of Pam Schultz [pam.schultz@...] Sent: 03 April 2012 18:07 Subject: RE: Re: Tounge-tie Hello Garance, I think it’s a lovely name too. The tongue-tie research idea sounds great. I am just out of Practice, as a CPT, and am now lecturing on your course Like you I found it incredibly frustrating the misery experienced by mothers due to the “hit and miss” attitude of max/fac surgeons towards releasing tongue-tie. Unfortunately this resulted in a lot of failed breast-feeding, and possibly even some low mood as a result. Come and talk to me re: your research ideas when you are back in. I will be really interested to discuss further. Best wishes, Pam Schultz, Lecturer Community Nursing, UCS, Suffolk From: [mailto: ] On Behalf Of Garance Sent: 03 April 2012 16:57 Subject: Re: Tounge-tie< /span> Thank you! I heard all about Les Enfants du Paradis from a former patients daughter! Needless to say I left blushing!!!! I keep meaning to buy the DVD. > > > > I se TT's across all social classes, from the very poor to the very wealthy, so I am not convinced social class has anything to do with the incidence of TT. What may make a difference is that those in depri vation may be less inclined to seek advice. > > I'm really interested in this too. Working within the Breastfeeding Team we see babies very early, certainly within their first week of life. If we see/suspect TT we make a full breastfeeding assessment ( as with every baby/ mother) and then review on day 5 and again as necessary. Some babies have glaringly obvious anterior TT's but if there is no impact on breastfeeding we just monitor the situation. It is very much assessed on an individual basis. The parents are aware that they can be referred at anytime should they start to experience difficulties. > > Reflecting as a student HV, I don't see families until the new birth visit (14 - 16 days). I work within in a different trust who do not have a B/F'ding team. I am seeing babies, who are being formula fed because of the mothers disastrous experience of breastfeeding. Some of these babies have very obvious TT's & it completely disheartens me. I sa y nothing to the parents. Quite often the mothers are overwhelmed and feel they have 'failed', no mother should ever have that feeling. I am exasperated that a simple referral may have ensured a continuation of breastfeeding. Interestingly both trusts share the same University hospital & consultant. > > Feeling this may have to be part of my research module! > > Garance lawrence ( French name, no French connections just mad parents who thought it maybe trendy to give their daughter a bizzare name in the 70's, most wonder if I am a Mr! ) > Student HV > > > > > ________________________________ > University of Greenwich, a charity and company limited by guarantee, > registered in England (reg. no. 986729). Registered office: > Old Royal Naval College, Park Row, Greenwich, London SE10 9LS. > ********************************************************************************\ ************************************ This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. 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Guest guest Posted April 4, 2012 Report Share Posted April 4, 2012 Hi Bridget Just wanted to say hallo! Would love to hear what you're up to. My private e mail address is ann@...! Regards to you and anyone else there who knows me! Ann Ann Girling CPCC, ACC The Fulfilment Coach, inspirational speaker & expert on post-natal depression Author of “Journey to Chocolate” Tel: For coaching & other enquiries: 01244 300391/ 07787 568699 Postnatal depression advice line: 09064 006223 (Calls to advice line £1.50/min from a BT Landline: calls from mobiles & other networks may vary) Web: www.onthethreshold.co.uk Re: Tounge-tie< /span> Thank you! I heard all about Les Enfants du Paradis from a former patients daughter! Needless to say I left blushing!!!! I keep meaning to buy the DVD. > > > > I se TT's across all social classes, from the very poor to the very wealthy, so I am not convinced social class has anything to do with the incidence of TT. What may make a difference is that those in depri vation may be less inclined to seek advice. > > I'm really interested in this too. Working within the Breastfeeding Team we see babies very early, certainly within their first week of life. If we see/suspect TT we make a full breastfeeding assessment ( as with every baby/ mother) and then review on day 5 and again as necessary. Some babies have glaringly obvious anterior TT's but if there is no impact on breastfeeding we just monitor the situation. It is very much assessed on an individual basis. The parents are aware that they can be referred at anytime should they start to experience difficulties. > > Reflecting as a student HV, I don't see families until the new birth visit (14 - 16 days). I work within in a different trust who do not have a B/F'ding team. I am seeing babies, who are being formula fed because of the mothers disastrous experience of breastfeeding. Some of these babies have very obvious TT's & it completely disheartens me. I sa y nothing to the parents. Quite often the mothers are overwhelmed and feel they have 'failed', no mother should ever have that feeling. I am exasperated that a simple referral may have ensured a continuation of breastfeeding. Interestingly both trusts share the same University hospital & consultant. > > Feeling this may have to be part of my research module! > > Garance lawrence ( French name, no French connections just mad parents > who thought it maybe trendy to give their daughter a bizzare name in > the 70's, most wonder if I am a Mr! ) Student HV > > > > > ________________________________ > University of Greenwich, a charity and company limited by guarantee, > registered in England (reg. no. 986729). Registered office: > Old Royal Naval College, Park Row, Greenwich, London SE10 9LS. > **************************************************************************** **************************************** This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. Thank you for your co-operation. NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere For more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail **************************************************************************** **************************************** ------------------------------------ Quote Link to comment Share on other sites More sharing options...
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