On my intake form I often receive a comment such as: "My midwife said my baby has a slight tongue tie” or “the pediatrician said there is small tongue tie but it nothing to worry about.” 
Let's explore why tongue tie is more than just a visual examination of the tongue and why it requires proper attention.
What do we mean when we say Tongue Tie? This is where the tissue connecting the tongue to the floor of the mouth (lingual frenulum) is shorter or tighter than usual. This can restrict the movement of the tongue, potentially causing difficulties with breastfeeding and other oral functions. It can restrict motion in more than one direction - not just out. 
Some babies may have a tongue tie where the frenulum restricts the tongue's movement significantly and it is very obvious visually. Others may have a tongue tie where the restriction is less pronounced. This is likely why people say “slight tongue tie.”
When it comes to breastfeeding we need to do a functional assessment. While a visual examination of the tongue can provide some initial insights, it's not the sole determining factor. The impact of tongue tie on breastfeeding can vary from baby to baby, and it's essential to consider other factors such as latch, milk transfer, and maternal comfort. 

If you suspect that your baby's tongue tie is affecting breastfeeding, it's crucial to seek guidance from a lactation consultant experienced in assessing and treating tongue tie. They will evaluate your baby's feeding patterns, observe the latch, and consider other factors to determine the best course of action.
The goal of an assessment is to identify concerns that are presenting and/or being created. From there a plan to improve those aspects of breastfeeding and ensure both mom and baby are comfortable and thriving can be created.  This plan can range from actions to improve intake and heal any trauma the breast/nipple has sustained and treatment. Not doing so results in babies who are not growing as expected, low milk supply and maternal pain amongst other concerns. 
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If you've been told that your baby is "just a little tongue tied," it means that there may be some degree of restriction in tongue movement, but it may not be severe enough to cause significant breastfeeding challenges or it may not be presenting concerns YET. However, it's always worth seeking professional guidance to ensure optimal breastfeeding success. This also helps to understand why I say no concerns YET. Breastfeeding changes so much in the early days & weeks that it is not uncommon to see a tongue tie that was not causing any issues at 2 days does cause issues at 2 weeks. 

Tongue ties undoubtably have an impact on breastfeeding and it is important to seek proper evaluation and support. By doing so you can be empowered to navigate breastfeeding with confidence. 

Something I hear often is: Breastfeeding is natural. I don’t understand why people struggle so much. If it was hard, the human race would have failed to exist”.  

​It's a natural process that has been practiced for thousands of years, and yet, it can be incredibly challenging for many new moms. Let's explore why this is the case and why it's important to approach this topic with compassion and understanding. Breastfeeding is undoubtedly a beautiful and intimate way to nourish and bond with our little ones. It provides numerous health benefits for both mom and baby, and it's a journey that can be incredibly rewarding. However, it's essential to acknowledge that it's not always a smooth sailing experience for everyone.
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Throughout history, women have faced various obstacles when it comes to breastfeeding. From latch issues and low milk supply to painful nursing sessions, these challenges have always existed. In the past, when breastfeeding didn't work, babies sadly suffered, and infant mortality rates were higher. Thankfully, with advancements in medical knowledge and support systems, we have been able to decrease these rates significantly. This is a dark part of history we do not acknowledge. 

So, why is breastfeeding so hard if it's a natural process? Well, there are several factors at play. Firstly, every mother and baby dyad is unique, and what works for one may not work for another. It takes time for both mom and baby to learn and adjust to this new experience. Patience and support are crucial during this period. 
Additionally, societal pressures and unrealistic expectations can add to the difficulties. The pressure to exclusively breastfeed can be overwhelming, leading to feelings of guilt and inadequacy when faced with challenges. It's important to remember that every mother's journey is different, and there is no one-size-fits-all approach. What matters most is the well-being of both mom and baby. Did you know a large percentage of my clients are supplementing but many fear admitting this to me. 

Let's approach this topic with compassion and understanding. Instead of judging or shaming, let's offer support and empathy to those who may be struggling. 
To all the moms out there who have faced or are currently facing breastfeeding challenges, please know that you are not alone. Reach out for help, seek guidance from lactation consultants, and surround yourself with a supportive community. Remember, what matters most is the love and care you provide to your little one, regardless of how they are nourished.

Let's continue to educate ourselves and others about the realities of breastfeeding, celebrating the successes and supporting each other through the challenges. Together, we can create a more compassionate and understanding world for all moms and babies. 💗🤱