When we left off last time, Cricket and I were nursing better, but something still wasn’t working quite right.
The IBCLC I had been working with, was puzzled. What we were seeing mimicked a tongue tie: the slower growth, the loss of suction, the odd shaping of my nipple after a feed… But Cricket could very clearly stick her tongue out. What was going on?
She referred me to the director of breastfeeding medicine at one of our local hospitals: a pediatrician and an IBCLC all rolled into one. unfortunately, she wouldn’t be able to get me in for another two weeks. If there was a tongue tie, I needed to get it corrected immediately.
I called her pediatrician back. Her regular pediatrician was in Africa providing medical care to orphans. His partner, who happened to also be a lactation specialist, could see us that day.
Again, poor Cricket had to deal with people poking around in her mouth. And again, we were told that there was no tongue tie.
That night, on my twitter feed, I happened to see some tweets regarding tongue tie that were a part of an #LCchat. One in particular stood out to me:
This was what was going on! I tweeted back to @NurturedChild and she sent me this link with pictures of the much more difficult to diagnose posterior tongue tie. This, especially the cupped tongue when she cried, really helped solidify my belief that we were dealing with a tongue tie. I just had to find a medical professional who would really listen and take my concerns seriously.
I called my IBCLC back and explained the situation. She told me that she had previously encountered one other really difficult case like this. She had referred this case to the breastfeeding medicine doctor who, in turn, referred them to an oral therapist who then referred them to a surgeon to get the tie clipped.
What if we skipped the middle man and went straight to the oral specialist?
That’s exactly what we did. She was able to see us the very next day, which was a Saturday.
This is what she saw:
She very quickly agreed that the tongue was certainly tied. The posterior tie meant that she couldn’t lift the back of her tongue to squeeze milk out of the breast. Instead of using her entire tongue to nurse, she was using the front of her tongue and her gums to scrape the milk out.
That explains the pain! It also explains why she was breaking suction. She couldn’t lift her tongue to maintain suction. She was having to break suction in order to swallow the milk and control the flow.
But there was more:
The ties on the lips were also interfering with nursing.
When a baby nurses correctly, her lips should be flared out in almost a trumpet shape. Cricket couldn’t flare her lips out because of the ties. This added to the chewing action that she was having to use to get milk.
No wonder I was in pain! No wonder she was struggling to latch and nurse properly!
So what do we do now?
We get the tongue ties clipped, that’s what.