Step 2 : Creating a Plan

Once we complete the assessment process, the next step is to create a plan. The 3 step approach works best, so we will continue to use it.

Step 1 – Bodywork

The structural assessment allows parents to understand why their infant behaves the way they do and why they may feel uncomfortable. We never provide information without also having strategies in place. Bodywork (the release of tension in the body) is a key factor to supporting an infant who has a tongue tie, especially an infant who will be having a tongue tie release. We tailor our list of bodywork providers specifically to each parents’ preferences and comfort level. 

Step 2 – Feeding

We want to ensure that parents feel comfortable feeding their baby by the end of the consult. Whether this is by breastfeeding or bottle feeding, our priority is that baby is getting fed and that parents feel good about the method. We focus on providing tips and strategies for breastfeeding and bottle feeding infants, ensuring we protect the airway and optimize milk transfer. Milk supply must be protected as families often are not able to exclusively breastfeed in cases of tongue ties. We discuss strategies that will support the milk supply, including pumping. Our team creates a plan tailored to each individual family. 

Step 3 – Tongue Tie Release

If our assessment results in a likely tongue tie and/or lip tie and surrounding symptoms are significant, our team has a discussion with parents about the option of a tongue tie release. We share information regarding our recommendations, past experiences with previous clients, and answer the many questions parents have. We discuss what to expect during a release and the healing timeline in the weeks after the release. As IBCLCs, we pride ourselves on assisting parents in making an informed decision. We understand that the decision to have a tongue tie release should not be made lightly and should be made with both risks and benefits known to parents.