Lie &Tongue Tie in the Breast-feeding Mother
This past weekend I went to a seminar about Lip and Tongue tied babies. I want to share the knowledge with you so we can help moms be more successful with nursing.
Here are a few of the problems that may evolve as the newborn infant grows. Some of these are not identified immediately. Nutritional problems, Colic or excessive gas, GI problems or Reflux, Drooling, gagging, Sleep Apnea (SIDS), changes in sleep patterns, speech problems, Jaw growth and development, tooth decay.
The mother may have complaints such as sore, bleeding, cracked, bruised, infected or blistered nipples; severe pain with latch; flattened, blanched, or creased nipples after a feed as if the baby is chewing on them; reoccurring mastitis (breast infections); reoccurring thrush is often misdiagnosed. Another complaint may be clogged ducts that are not easily resolved or incomplete drainage with nursing.
More infant factors to consider: no latch, unsatisfied latch, unsatisfied after a prolonged feeding period, falls asleep on the breast, gumming or chewing on the nipple, clicking sounds while latched, swallowing lots of air, bloated buddha belly, colic, poor weight gain or failure to thrive, unable to hold a pacifier.
A few of the common things we may see in a newborn that can be caused from a tie are pediatric reflux. Usually beginning in the first week of life. Many of these babies are misdiagnosed and placed on drugs when all else fails. If you have a baby with chronic reflux and vomiting be sure to get them looked at by a professional who knows how to diagnosis this. Many parents are ignored by the medical professionals simply because the medical people don’t know. Some are told it is better to wait till the child is older to correct it, which again is false information. The sooner it gets fixed the less problems there will be in the future.
Pediatric Reflux according to Dr. Kotlow in New York is when “the tongue is held down in the center of the tongue causing the posterior tongue to hump up. The baby can not extend the tongue to remove it from the back of the mouth there for causing gaging. This appears to be reflux. Release of the tongue may lead to elimination of gagging and thus eliminate reflux. In infants when the frenum has not been released, suggested medical treatment may be to put the baby on medication. After a lingual fenectomy is completed the reflux often goes away immediately, especially with the “posterior tongue ties.” If we wait until after the frenum is revised to treat the infant using medication, the physician may not have to place the infant on drugs.”
Resolving the issue:
Don’t wait another day to get your baby looked at if you or your baby are having any of these issues. If you are seeing the Chiropractors at Life Time Family Wellness Center ask Dr. Haggerton or Dr. Kyska to take a look at your baby this week. I am also willing to look and see if it is something that needs to have a specialist fix. Dr. Cole in Fort Worth does the laser therapy to open the area on lip or tongue tied babies. The procedure is quick and easy and they don’t put the baby under General Anesthesia as many hospital based doctors still do. The laser is a much better way to get it fixed properly since it can reach back much further then using instruments to cut it. So rather then having to have it done twice you may want to skip having it cut by someone who doesn’t have the laser technology. You will see immediately results once it is fixed. Check out Dr. Cole’s website at www.svcole.com. Dr. Kotlow in New York is the specialist who educated the health care providers in the Dallas Forth Worth area this weekend. There were lots of midwives, Dentists, Chiropractors and lactation specialist who came. Check out Dr. Kotlow’s web site too for more information: http://www.kiddsteeth.com/articles/breastfeedingdrkotlowtx.pdf, http://thelogicallady.blogspot.com/p/posterior-tongue-tie-information.html.
Thank you all so much for reading this and I hope it helps you or someone you know to have a better more successful Breast feeding journey. No one should have to suffer for lack or knowledge. It is my goal to become more informed so that I can do a better job of informing others.
Sarah Jones, CPM, LM Serving women and babies in the Dallas Forth Worth area as a midwife and educator.
Pelvic Floor Exercises
A few tips every woman needs to know in regard to keeping her pelvic floor strong.
1. Don’t hold a sneeze in. The pressure you place on your Pelvic floor muscle is damaging to your tone.
2. Women should not do Crunches or sit ups. It is better to work on abdominal muscles from the bottom up, such as leg lifts. Lay on your back and pull your knees up till you are in a sitting position. You can place your hands on your thighs and put counter pressure. This will work on your abs while also protecting your pelvic floor form further weakening.
3. Don’t hold your bladder for long periods of times or force yourself to go just because you see a bathroom. When you have to use the toilet go right away and don’t try to hold it for long periods. Years of holding the bladder or forcing it to release when you don’t have the urge can damage bladder control.
4. Avoid straining when having a Bowel Movement. Forceful pushing when using the toilet is detrimental to the pelvic floor muscles. You may want to use a stepping stool for your feet to get you into more of a squat therefore reducing the strain on your pelvic floor.
Keeping up with bladder control.
Start with the four rules above. As soon as you have the urge to go and you dont think you are going to make it on time start with 5 quick kegels and then get to the toilet quickly. (Quick Kegels are contract and release as quick as 1 and 1) To increase your quick muscle response for bladder control you need to do quick kegels for 60 seconds after you have already emptied the bladder. It just takes 1 min extra of your time on the toilet after every bathroom break to build the bladder control back. This needs to be as important as washing your hands after using the restroom. This will keep you from having to wear depends one day.
Keeping up with good muscle tone for life.
Some of you may want to know why is it so important to do your Kegels on a regular basis. I am not only here to tell you why it is important but also teach you the proper way to do them so you are not further weakening the muscle.
Common complaints:Painful intercourse Cyctocele (This is where the bladder muscle is so weak it bulges in the vaginal opening when any downward pressure is given.) Rectocele (This is where the rectal wall is so weak it bulges in to the vaginal opening when any downward pressure is given.) Constant pressure in the pelvic floor area after having a baby.
Prolapsed Cervix or Uterus.
Proper way to do KegelsStart off slowly to work on slow response and gently build your muscle back up. Don’t over do your kegel exercises or you may further fatigue the muscle. For example after one of my clients has a baby I will tell her to start off with doing 10 kegels every time she sits down to nurse, holding it for 2-4 seconds and relaxing it for just as long as she holds it. It is important to always relax it as long as you hold it to avoid tiring it out. Some women are ready to start at 5 seconds and begin building up to 10 slowly over the course of several months, but most women after just having had a baby will start at a 2 sec time and build every other month to get to 10 sec. I tell my clients to never do more then the 10 in a sitting, thus giving the muscle a chance to slowly recover.
Some women are going to have to see a professional muscle therapist if they have severe scar tissue or muscle weakness. Talk to your midwife or care provider if you want to see where to start on the proper work out plan for you. Pamela Jones in Fort Worth Texas is a great Physical Therapist if you need more then just the basic care for recovery from pelvic floor issues. Her number is 817-247-1130.