Chiltern Breatfeeding Partnership Breastfeeding support in the Chilterns area

"Working with you to support your breastfeeding needs"

Tel 07795 366251

Tongue-tie Support and Information

Provided by Luci Lishman RGN RM IBCLC

Tongue-tie quick links

Tongue-tie support

Free tongue-tie assessment and follow up
Wednesdays (9.30 - 14.30) Find us

Within our free infant feeding clinic your baby can be assessed for tongue-tie and other biomechanical issues that may be affecting feeding. You will be able to find out more about the options that are available to you. This clinic is also for those who would like follow up after the tongue-tie division procedure but would only be available for those who have had a tongue-tie division carried out by myself.

For those who need support following a tongue-tie division carried out by another practitioner a private consultation would be offered.

This clinic is run in a group setting so, although you will be given a time to attend, you don't need to rush away and there are usually a few people there at the same time. For more complex feeding issues you may want to book a session in one of the private clinics where you will be given more time and a one to one session.

Please contact Luci on 07795366251 if you would like to attend and she will advise you of the available times.

Please note that this is not a drop in session and you need to book in advance.

Private tongue-tie and breastfeeding support clinics,
Tuesdays and Fridays (1 - 1½ hour session) Find us Prices

The private clinics are at Lincoln House, in Princes Risborough, where there are purpose built consultation rooms.

Luci is able to assess and divide tongue-ties in these clinics. This will involve taking a medical and breastfeeding history and assessing your baby's tongue function. If your baby has a tongue-tie you will be fully informed about the procedure, the benefits and the potential risks. If you consent then your baby's tongue-tie will be divided and breastfeeding support will be given afterwards where appropriate. If the decision is made not to have the procedure done you will be offered support with other strategies to help resolve your feeding difficulties. This clinic is also available for those who just want breastfeeding support and follow up.

Please contact Luci to book a time. Please bring your red book, muslin, blanket and a feed for your baby if you are not breastfeeding. Please try to time for your baby to be hungry for about 30 minutes after the appointment time.

Tongue-tie division in the comfort of your home
(1½ to 2 hour session) Prices
Luci is able to assess and divide tongue-ties in your home depending on her availability and where you live. This may suit you if you have had a caesarean section or prefer not to travel.

Please read through the following information and useful links.

Photo of a baby with a tongue tie. Baby with a tongue tie. What is tongue-tie?
Tongue-tie is a condition where there is a short or tight membrane underneath the tongue. This can be attached at the tongue tip or further back and as a result the tongue-tip can appear heart-shaped, forked or blunt. Movements to lift, move from side to side and protrude the tongue can be restricted which may affect the way the baby feeds. From a study in the Southampton area 10% of babies were found to be tongue-tied with half having associated feeding difficulties. It was also found that there was a family history of tongue-tie in half the babies seen.

What problems can it cause?
The mother may experience painful feeding, damaged nipples, mastitis and difficulty establishing an adequate milk supply with resulting exhaustion and distress.
The baby may have difficulty sustaining feeds and may need to feed frequently and for prolonged periods of time to be satisfied. There may also be weight problems, noisy feeding, dribbling and increased windy behaviour.
Long term problems may include tooth decay as there can be difficulty in removing food debris from the back teeth. Although controversial, there may be an increased risk of speech problems but this is difficult to tell at this point.

How can a tongue-tie be treated / managed?
Some babies can feed perfectly well despite having a tongue-tie and adjustments to positioning and attachment may be all that is needed if there are problems with feeding. It is advisable to seek specialist breastfeeding support.

If problems continue despite this support then tongue-tie division or frenulotomy is an option. You may be able to get an NHS referral from your local breastfeeding clinic or GP. See the link to The Association of Tongue-tie Practitioners website for a list of some of the hospitals that provide the procedure and a list of private practitioners.

Luci, who is a trained Lactation Consultant andTongue-tie Practitioner, can provide specialist feeding support and tongue-tie division in our clinic or in the comfort of your home.

What does the procedure involve?
The procedure is very simple and takes a few seconds. Your baby is swaddled and held gently to keep the head still. The tongue-tie is snipped using sterile, sharp, round ended scissors without the need for an anaesthetic. Babies may feel a small amount of pain, if any, and usually settle quickly and are able to feed. (Some babies actually sleep through the procedure). There is usually very little bleeding and any oozing is controlled by applying pressure to the area with sterile gauze and encouraging feeding as soon as possible. You will be given support afterwards and an agreed plan will be discussed with you to help you with your ongoing breastfeeding experience.

Where can I find more information?
If you would like more information please contact us or have a look at the following links,

The Association of Tongue-tie Practitioners
NICE guidelines on Tongue-tie division
Leaflet on Tongue-ties produced by Association of Tongue-tie Practitioners
Midirs article on Tongue-tie.