Tongue Tie/ Breast feeding Support with lactation Consultant

What is a tongue tie?

The term actually refers to a condition where the tongue remains more anchored to the bottom of the mouth than it should be, restricting movement. Babies and children with this condition have a short lingual frenulum (the piece of skin that joins the tongue to the floor of the mouth) and it may or may not cause problems with breast feeding.
It may have been picked up by your midwife or health visitor or you may have noticed it yourself. You may have noticed it when your baby is crying or may have difficulty latching the baby onto your breast.Babies are often unsettled, windy and frequent feeders.

Treatment

In my role as a Lactation Consultant I can assess your baby for tongue tie and if deemed a problem we can discuss division .If the tie is a visible thin membrane we can divide this at your appointment If the tie is thought to be complex or sub mucousal I will refer you to Southampton General Hospital for division .

Not all tongue ties are a problem and can be left alone. If you are having difficulty with breast feeding it may help to have the tongue tie divided (cut).
As a lactation consultant I will do a full breast feeding assessment, if I feel you and your baby would benefit from the tongue tie being cut I can do it for you in your home. I will always try and divide the tongue tie within 24hrs of notification.

Breast feeding support can be done in the comfort of your own home or here at the hub. A full assessment will be carried out and feeding plan put into place if required. I am a member of the Lactation Consultants of Great Britain 

Upper lip tie 

Babies with upper lip tie and  who flange the top lip are doing so because they are compensating for a shallow latch due to poor positioning or a tongue tie. They are using the top lip to hang onto and compress the breast. Obviously if the top lip is tied the baby will find it harder to employ the lip to compensate for the tongue tie. However, if the tongue-tie is divided the need to flange the lip will be eliminated and the presence of a lip tie will become irrelevant. Currently there is no published research to support that lip ties are associated with feeding issues.Currently there is no published evidence supporting a link between breastfeeding issues and lip tie. NICE have not issued any guidance on this issue, and therefore, training is not available in the UK in lip tie division for practitioners.The idea that upper lips ties are significant and need to be treated seems to originate largely from the United States where dentists perform many of the tongue-tie divisions and increasingly divide upper lip ties at the same time. Dentists initially appear to have developed an interest in upper lip tie because it can predispose breastfed babies to dental decay if they continue to breastfeed through the night once teeth come in. The tie can act as a pocket where milk can pool and cause decay. (E. Kernerman IBCLC, Live Tongue-tie Webinar, 3/4/14).The strongest indications for treating a lip tie seem to be to prevent dental decay or gaps in the front teeth when adult teeth come through. Some dentists in the UK are starting to refer older children for treatment before orthodontic work. Please speak to your dentist for more info

Prices at the hub 

A mother and baby breast feeding consultation , advice and support at the hub  £50 . 

If a tongue tie is diagnosed and divided at hub  it will be a further £40 .Total £90

Referral to NHS Hospital £10 if complex or very deep

Follow up visit £50 including re division of tongue tie


Prices in your home 

A mother and baby breast feeding consultation in your home £75  

£45 extra if tongue tie divided.  £120 Total (Portsmouth )

Referral to NHS Hospital £10  if complex or very deep

Follow up visit £50 including re division of tongue tie


Bank holidays, weekends or consultations after 7 pm will incur a further £25

Ante natal breast feeding discussion in your home 1.5 hrs £65


Full professional Liability Insurance with

Image result for hiscox insurance

Payments conditions.

I would be grateful if Individual home and group visits are paid for at the end of each session.