Guest guest Posted July 9, 2012 Report Share Posted July 9, 2012 Genna says that if there's a labial - there is probably/high likelihood of lingual also. maybe submucosal. > > PTP. I had a consult today that was rushed because I had to be to work at ths hospital tonight but I could tell mom was very anxious and wanted the consult right away. Infant had been crying and acting hungry all the time and then today at 4 days old acted sleepy and wouldn't eat much. Infant latched easily and seemed to be feeding well. Lots of swallows heard. How ever after a 20 min feed pre and post weights showed only a 1/2 oz increase. I then observed infants oral cavity (didn't due before hand because she was ready to eat). Noted a the tight labial frenulum and infant having difficulty flipping lip out. Did not see any sign of TT. Suggested nipple shield (I know it helps infant's with tt remove more milk) and infant gained 1.5 oz in 15 min from other side using shield. Mom was not succssful breastfeeding first infant reports decreased milk supply and trouble latching infant. Mom has a medela pump n style but has not been able to let down much milk only about 1/2 oz. Mom has good breast tissue and no underlying medical issues. She is already taking mother's love more milk plus. I plan to see this mom again for tomorrow for a weight check and I sent her this link. http://thefunnyshapedwoman.blogspot.com/2011/03/introducing-maxillary-labial-fre\ nulum.html It just seems there is not a lot of info out there on the effects of tight labial frenulums but this is the only thing I could find that was maybe effecting milk removal. Wondered if you all had seen this also and if you were able to find a ENT who would clip it. > > Thanks in advance for you help. > > Karman Romero IBCLC > Babysbreaststart@... > www.babysbreaststart.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2012 Report Share Posted July 9, 2012 http://www.kiddsteeth.com/maxillaryfrenum_and_nursingfinal.pdf Dana Schmidt, BS, RN, IBCLCCradlehold Breastfeeding Education & Supportwww.cradlehold.netPlease follow us on Facebook at www.facebook.com/CradleholdBreastfeedingEducationSupport No information submitted electronically through the Website or email to us will be treated as privileged, confidential, sensitive or personal health information unless we have previously entered into a written agreement with you to protect such information. Any person submitting confidential or sensitive information to us without first entering a prior written agreement with us to protect such information waives all rights to confidential protection or doctor-patient privilege. We assume no responsibility for the loss or disclosure of any information that you transmit to us via the Internet. Please call or visit www.cradlehold.net for an evaluation. To: Sent: Monday, July 9, 2012 11:04 AM Subject: Re: tight labial frenulum Genna says that if there's a labial - there is probably/high likelihood of lingual also. maybe submucosal. > > PTP. I had a consult today that was rushed because I had to be to work at ths hospital tonight but I could tell mom was very anxious and wanted the consult right away. Infant had been crying and acting hungry all the time and then today at 4 days old acted sleepy and wouldn't eat much. Infant latched easily and seemed to be feeding well. Lots of swallows heard. How ever after a 20 min feed pre and post weights showed only a 1/2 oz increase. I then observed infants oral cavity (didn't due before hand because she was ready to eat). Noted a the tight labial frenulum and infant having difficulty flipping lip out. Did not see any sign of TT. Suggested nipple shield (I know it helps infant's with tt remove more milk) and infant gained 1.5 oz in 15 min from other side using shield. Mom was not succssful breastfeeding first infant reports decreased milk supply and trouble latching infant. Mom has a medela pump n style but has not been able to let down much milk only about 1/2 oz. Mom has good breast tissue and no underlying medical issues. She is already taking mother's love more milk plus. I plan to see this mom again for tomorrow for a weight check and I sent her this link. http://thefunnyshapedwoman.blogspot.com/2011/03/introducing-maxillary-labial-frenulum.html It just seems there is not a lot of info out there on the effects of tight labial frenulums but this is the only thing I could find that was maybe effecting milk removal. Wondered if you all had seen this also and if you were able to find a ENT who would clip it. > > Thanks in advance for you help. > > Karman Romero IBCLC > Babysbreaststart@... > www.babysbreaststart.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2012 Report Share Posted July 10, 2012 While there often is a tight lingual frenum with a tight labial frenulum, that is NOT always the case. I just saw a baby with a very tight labial frenum and the palate was excellent as was the lingual frenulum - and it was NOT a submucosal. This baby STILL had great difficulty removing milk. There are great variations in oral anatomy and sometimes we see the unexpected. Fortunately, here in New York City we have a great ENT who evaluates oral anatomy and is particularly good at spotting tight labial frenums. Best regards, E. Burger, MHS, PhD, IBCLC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2012 Report Share Posted July 26, 2012 This is good to know. I just came from my sisters house Her baby will be two weeks on Friday. She was able to pump 4 oz so a good milk supply but after an hour of feeding infant only transfered about 0.5 ounces. She is pincing the nipple bad despite our efforts to latch her correctly. My sister is an experienced breastfeeder and a NICU nurse and she's been complaining of her dd not eating well falling asleep a lot at the breast. I saw the tight labail frenulum about a week ago and noted she had a hard time flipping it out. I told my sister at the time to get it clipped but dd had started to gain weight and looked to be doing well. Now she is losing and isn't going to meet her birth weight by the two week mark. Can't see a linguinal maybe there is a submucousal she definitely doesn't extend her tongue like she should. It maid me want to cry to tell my sister to pump but what else can I do until she is seen by the ENT? I mentioned CST not sure which we should do first. Thank you ladies for your vast knowledge. Karman Romero IBCLC > > While there often is a tight lingual frenum with a tight labial frenulum, that is NOT always the case. I just saw a baby with a very tight labial frenum and the palate was excellent as was the lingual frenulum - and it was NOT a submucosal. This baby STILL had great difficulty removing milk. There are great variations in oral anatomy and sometimes we see the unexpected. Fortunately, here in New York City we have a great ENT who evaluates oral anatomy and is particularly good at spotting tight labial frenums. > > Best regards, > E. Burger, MHS, PhD, IBCLC > Quote Link to comment Share on other sites More sharing options...
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