Posterior Tongue Tie and Breastfeeding

Baby_with_bottlePosterior tongue tied babies cannot breastfeed correctly. To breastfeed effectively, a baby needs to have a full motion of the tongue – must be able to create a seal with his lips and tongue to form a vacuum. The language has to hollow out the chest and also be able to rise, not only for correct suckling / swallowing (without excessive intake of air), but also to curl in a shot.

Before performing frenulectomy can take other measures to optimize the grip of the baby to the breast for breastfeeding is effective.

Here are 4 tips that may help with breastfeeding a posterior tongue tied baby:

  • One is the position to horse : place the child astride the thigh of the mother, to avoid biting the nipple with the lower jaw. The nipple will address the baby’s upper lip, opening the mouth as possible, while compressing the chest to facilitate milking the breast.
  • You can also use liners to reduce cracks and breast pumps to prevent mastitis excess milk production.
  • However if it is hard for the baby to suck properly then the other alternative is that the mother pumps her milk and uses a bottle to feed.
  • If all else fails and you can’t help your baby to suckle properly then you may have to talk to your doctor about getting the simple procedure down to cut the tongue tie.

Not all tongue-tied babies require treatment and this could resolve spontaneously in due time. In some cases all the baby needs is support from the mother to latch on to the nipple.

It can be very frustrating for the baby and mother if he or she cannot suckle properly but you will be able to notice this quite quickly if the baby is fussing or falling off the breast when you try to breastfeed him or her. But this is a common problem and about 1 in 7 babies have a tongue tie. It can be rectified quite easily if needed.

How Infants Breastfeed

To breastfeed, infants should cling to the nipple of the mother through the upper ridge of the gums, of Bichat fat balls and tongue. Suckling begins with the advancement of the jaw and tongue. The language provides a better seal of the feeding, but plays a minimal role.

The previous peak of the tongue thins and bulges to begin a peristaltic ripple towards the throat. The lower jaw simultaneously extract milk from the milk ducts. [18] Clearly, the tongue movements must be extremely hampered to harm the feeding and swallowing. [2] It also appears that the breasts, nipples or Some of the mothers milk ejection have special characteristics that enable them to breastfeed a baby with a problem ankyloglossia

Normal time mobility is an important factor is speech development. However, in a newborn. It is also essential for breast-feeding. However, it is not uncommon that a child is born with the mucosal flap under the targeted causing relative mobility leading to breast-feeding difficulties.

Breastfeeding A Posterior Tongue Tied Baby

Babies with tongue-ties may not be able to open their little mouths wide enough to grip onto the mother’s breast to drink their milk. Because they cannot get to the milk then they then can slide off the breast and cannot suck the nipple well which makes the mother become sore and the baby tends not to gain much weight. Breastfeeding a tongue tied baby is quite hard if the baby is becoming upset when it feeds.

The baby needs to be able to suck onto the breast and the nipple and if you have a baby that is finding this hard to do then you should check to see if he or she has a tongue tie. Obviously if your baby can breastfeed well even with a tongue tie then there is no problem. It is only when the baby can’t feed properly and doesn’t gain much weight that it becomes a problem.

Ankyloglossia and breastfeeding problems

Several studies have examined the association of ankyloglossia to breastfeeding problems. One study compared the rate of ankyloglossia in infants attending an outpatient clinic on breastfeeding issues to the general population of newborns healthy term and concluded a higher incidence of infant ankyloglossia having breastfeeding problems (12.8% versus 3.2%). [8]

Another study involved a cohort of 201 newborns with ankyloglossia and reported a high incidence of feeding disorders (44%), but has not established a link between gravity and ankyloglossia breastfeeding problems. Thisstudy also showed that 56% of infants with tongue-tie can feed properly. [6]

A prospective trial revealed a higher incidence of breast hold disorders (19% versus 0%) and breastfeeding problems (25% vs. 3%) in a group of 36 newborns with ankyloglossia compared to a control group of infants without ankyloglossia.

Thirty of the 36 infants with posterior tongue-tie (83%) were breastfed without problems during the study period, compared with 33 of the 36 control infants (92%) (P = 0.29). The duration of breastfeeding was similar in both groups. [9] Furthermore, this study has revealed no significant difference in the degree of tongue-tie (moderate or mild) or the thickness of the brake in infants with breastfeeding problems. [9]

Failure to Breastfeed

The success of breastfeeding is largely determined by the fact that the baby massage the nipple mother tongue, stimulating the release of milk. Some babies with posterior tongue-tied tongue instead bitten nipple. It hurts the mother and does not stimulate lactation. These children quickly get tired and fall asleep while feeding. However, not sated, they wake up early, demanding of breastfeeding. Some eat almost continuously, while tiring themselves and tiring mother. Artificial feeding last bridle in children with prune Ankyloglossia midwife at birth, since already at that time it was known that it interferes with breastfeeding. Bottle feeding is often for children with tongue-tied, as they can bite the nipple. Therefore, some babies donated pathology being translated in breast to artificial feeding.

Lactation Consultants

Tongue tie may potentially cause latch problems for breastfed babies. Because an improper latch could have a negative impact on a baby’s nutrition and result in possible weight loss, a visit from a lactation consultant would be advisable.

Other commom issues that nursing mothers may experiene from breastfeeding a posterior tongue tied baby with an improper latch include mastitis, nipple trauma and plugged ducts. A lactation consultant is well trained in how to effecively breastfeed a tongue tied baby and will help mothers achieve an appropriate latch technique to work around the issue.

Surgery to Correct Posterior Tongue Tie

 In some infants, there may be an association between tongue-tie and some breastfeeding problems. This subgroup of infants may benefit from frenotomy (surgical division of the lingual frenulum). When a marked association between severe tongue-tie and breastfeeding problems is clearly established and that surgery is deemed necessary, a frequent clinician at the frenotomy must perform the procedure and use appropriate analgesia. To make more definitive recommendations on the management of ankyloglossia in infants, it will be clear diagnostic criteria and well-designed clinical trials.

The decision to cut the posterior tongue-tie, often depends on whether the doctor thinks that affect breastfeeding. Currently, doctors are divided on the belief that the tie may affect breastfeeding, which can be confusing for parents.

Physicians should base your decision on how ankyloglossia affect breastfeeding (ie, do you get the baby enough milk?), Whether or not the mother nipple pain and after evaluation of the baby’s mouth. If breastfeeding is painful, milk transfer is poor and the sublingual frenulum is usually necessary to significantly cut short. However, not all babies with very short frenulum have problems and some with an apparently normal sublingual frenulum (but it really is a little short) may have problems with breastfeeding (both maternal and artificial).