BEFORE THE PROCEDURE
It is ideal that you do not feed your baby for up to 1 hour before your appointment since we want your baby to feed immediately after the procedure for pressure on the wound and for analgesia. If your baby becomes very distressed due to hunger, give him/her a small amount of milk in order to settle them, but not a full feed.
Please arrive on time as appoint times are limited. Leave time for parking - there is paid parking services at UCHG across from the clinic.
The tongue-tie can be separated in a quick procedure called a frenotomy. An assessment of the oral cavity is done using a torch and gloved finger.
Dr Vanessa Stitt will go through the findings on exam with you.
A numbing gel is applied to the area.
The procedure involves cutting through the fold of skin using scissors. The baby should be able to feed straight after having the procedure. Sometimes there are a few drops of blood. The whole procedure only takes a few minutes.
An assistant will stabilise your baby's head during the procedure. You will not be asked to hold your baby during the procedure.
You may stay or wait outside in the waiting room- this is up to you.
AFTER THE PROCEDURE
Immediately after the procedure its ideal to try and feed your baby. Feeding immediately after the procedure is important since it provides comfort and pain relief, but also reduces bleeding by applying pressure to the wound and protects against the small risk of infection.
Immediately following the procedure some mothers report a significant improvement in breastfeeding. For some mothers this improvement will take several feeds and indeed weeks, with the baby having to adjust their feeding technique with a more mobile tongue. This is often the case in babies with low tongue tone, older babies, or babies with significant cranial nerve dysfunction or autonomic dysregulation. Unfortunately, for a small proportion of mothers there may be no improvement in feeding. This is often when there are other factors affecting the infant's ability to feed effectively.
A small white/yellow spot often appears beneath the tongue within 24 hours of the procedure. This is part of the normal healing process, and will disappear in a few days to weeks.
Your baby’s normal routine should be followed, with regular feeds (every 2-3 hours on demand), and we strongly recommend that you seek support from your local breastfeeding support groups and from a lactation consultant if you are breastfeeding.
There is no evidence for wound massage but i do recommend suck retraining for older babies and will discuss this with you at your appointment.