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Breastfeeding Challenges and Tongue Tie

Updated: Feb 11

Breastfeeding is often hailed as the best source of nutrition for infants but for many mothers, it can come with a host of challenges. One common issue that can complicate breastfeeding is tongue tie, a condition where the thin piece of tissue under the tongue (the frenulum) is shorter than usual, restricting the tongue's movement. This can lead to difficulties in latching, pain during breastfeeding and even low milk supply. If you’re facing these challenges, understanding tongue tie and its solutions can be a game changer.


Close-up view of a breastfeeding mother with her baby

Understanding Tongue Tie


What is Tongue Tie?


Tongue tie, or ankyloglossia, occurs when the frenulum is too tight or short, limiting the tongue's range of motion. This can affect an infant's ability to latch onto the breast properly, leading to frustration for both mother and baby.


Signs of Tongue Tie


Identifying tongue tie can be tricky but there are several signs to look for:


  • Poor Latch: The baby may struggle to latch onto the breast effectively, leading to painful feeding sessions, frequent and/or very long feeds.

  • Clicking Sounds: You might hear clicking noises as the baby tries to latch, indicating they are not able to maintain a proper seal. They may also dribble and spill milk during feeds.

  • Nipple Damage: The baby may cause damage to the mother’s nipples due to an ineffective latch, such as sore and bruised nipples. Nipples can also be misshapen or discoloured after feeding.

  • Low Milk Supply: If the baby is not latching well, milk is not drained effectively and this can lead to decreased milk production.

  • Baby: May show signs of restricted tongue and jaw mobility, be restless and unsettled during feeds and may have difficulty achieving and sustaining a deep attachment to the breast or bottle. They can have excessive early weight loss, poor or slow weight again. Due to not being able to control milk flow well, babies may also experience colic, wind, hiccoughs or flatulence.



The Impact of Tongue Tie on Breastfeeding


Physical Challenges


Mothers with babies who have tongue tie often experience:


  • Nipple Pain: Due to improper latching, mothers may suffer from cracked or sore nipples.

  • Engorgement: If the baby is not effectively removing milk, mothers may experience engorgement, leading to discomfort and potential mastitis.

  • Emotional Stress: The frustration of feeding difficulties can lead to emotional distress for mothers, impacting their overall breastfeeding experience.



Solutions for Tongue Tie


Consulting a Professional


If you suspect your baby has tongue tie, the first step is to consult with a healthcare professional. A lactation consultant can assess the situation and recommend appropriate actions.


Treatment Options


  1. Lactation Support: A lactation consultant can provide techniques to improve latching and feeding practices, which may alleviate some challenges associated with tongue tie.


  2. Frenulotomy: This is a simple surgical procedure where the frenulum is snipped to free the tongue. It is usually quick and can be done in a simple setting. Most babies experience minimal discomfort and can breastfeed immediately afterward.



Supporting Your Breastfeeding Journey


Building a Support Network


Connecting with other mothers who have faced similar challenges can provide emotional support and practical advice. Consider joining local breastfeeding support groups or online forums.


Self-Care for Mothers


Breastfeeding can be physically and emotionally taxing. Make sure to prioritise self-care:


  • Rest: Take breaks when possible and ask for help from family and friends.

  • Nutrition: Maintain a balanced diet to support your energy levels and milk supply.

  • Mental Health: Seek professional help if you feel overwhelmed or anxious.


Conclusion


Breastfeeding challenges, particularly those related to tongue tie, can be daunting. However, with the right knowledge and support, you can navigate these hurdles effectively. Remember, you are not alone in this journey. Reach out for help, educate yourself and explore the available solutions. Your breastfeeding experience can improve, leading to a healthier and happier relationship with your baby.


Take the next step by consulting a healthcare professional if you suspect tongue tie is affecting your breastfeeding journey. Your well-being and your baby's health are worth it.

 
 
 

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