Moving forward with the frenectomy **Updated Page 3**

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fireflies11's picture
Joined: 03/26/11
Posts: 613
Moving forward with the frenectomy **Updated Page 3**

Jonah will be 4-weeks on Friday and we are not resolving the feeding issues. He's still so small and we don't think he is gaining weight like he could be (barely 7lbs). Also, I am having so much pain while feeding, I dread it each time! We think it is because of his short frenulum (tongue tie). I can get him latched but then he slips off and ends up right on the nipple. I've been pumping after he feeds to supplement and I get almost 4 oz! Poor guy gets so tired when he feeds from all the multiple times I have to relatch him. If this was my first baby, I would have quit breast feeding because it's been so painful and difficult. But since I had such a great feeding experience with DS1, I really want to try & work through this.

Dh & I have been really researching it and praying about it. We also have been trying everything (multiple visits with the lactation consultant, $50 nursing pillow, read several books) and it keeps coming down to this.

So Thursday we have an appointment with an ENT. If the ENT agrees that clipping it will help, then he will do it in the office that day.

I'm just so worried about the recovery and I don't want my baby to be in pain. From what I've read, it's a simple & low pain procedure and most babies can start feeding within a few hours. But some babies take a few weeks to get used to their new tongues. I struggled enough with the circumcision that I don't want him to go through any more cutting Sad But if it means he will be able to breast feed better and gain more weight , then it's worth it.

.hilary.'s picture
Joined: 01/31/10
Posts: 1505

Aww that does sound like it would be so hard Sad but I think you are making the right decision! Ive heard too that It's just a quick thing and babies are just fine with it. Hopefully this will help him and he will gain lots of weight Smile

Panonim's picture
Joined: 11/11/05
Posts: 439

Amy, maybe this will make you feel better. My Liam had a tongue tie which was clipped on December 9 - he was about 3.5 weeks old. It was SO quick. We had it done by an LC who is reputably the best tongue tie clipper in our city. From the time they took him from me to the time they passed him back to me was literally less than 15 seconds. Laid him on the table, held his lips and tongue back with extra-long q-tips, LC made one quick snip with the scissors, and they put him right back in my arms. He cried of course, but no agonizing screaming or anything. I have heard him scream bloody murder during a diaper change or if he wants to be picked up, and this crying was nowhere near that. I nursed him immediately (they want you to nurse right away to stretch the leftover frenulum and to comfort the baby). There was a little bit of blood immediately after the clipping, but not very much. After he finished nursing there was no blood left. He did not seem to be in pain after the procedure. He had no trouble nursing. He moved his tongue and mouth normally. He acted normally. From what I can tell, he did not seem traumatized by what had happened. I am glad we did it! I personally would not compare it to a circumcision, as you are not actually removing any body part, and I'm told the frenulum has very few nerves if any, and very little blood supply.

It sounds like it's the best choice for your LO. Rest assured you've done as much as you can do to avoid it. I think he'll be fine! And remember how much easier it will be for both of you.

Jenn0113's picture
Joined: 03/09/07
Posts: 5335

I don't have any advice really. When DS was a baby my BFF (who works for a dentist) said that DS may need the same thing. She acted like it was a small procedure - not that I can say it would be easy for any parent to see their child go through.

gaidinsgirl's picture
Joined: 08/28/06
Posts: 2004

((hugs)) that would be hard, but you are making the right decision. The benefits of continuing to bf him will outweigh the temporary pain.
I totally agree with you about how if this was your first you would have given up. I really think I would have this time too. It has been hard. That feeding/pumping/feeding cycle is hard. Luke has the same latch on, latch off, latch on, latch off thing going on. It is getting better, but it is hard and he gets so tired that sometimes he just falls back to sleep without latching good and then I can't get him latched at all. I totally understand why you want to have this done.

fireflies11's picture
Joined: 03/26/11
Posts: 613

Thanks Nicole, that does help!! I don't know anyone who has had it done, nice to hear it's not that big of a deal. His pediatrician acted like it was no big deal to just switch him to formula rather than clip it. Not that I am against formula, I just think there is more to breastfeeding than just producing a fat baby!

Angie, how are you working through Luke's issues? Do you know what's causing it?

gaidinsgirl's picture
Joined: 08/28/06
Posts: 2004

The only thing I know of that is causing his issues is that he started off on bottles at the hospital ( low blood sugar so they were giving him formula and then having me pump so they measure what he was getting ( if I didn't do that, they gave him formula after I nursed). He got used to the faster flow and smaller nipple. That combined with him being early really messed us up. A book I just read said that babies born between 36 and 39 weeks can have trouble nursing. They have trouble coordinating sucking/swallowing/breathing. They have jerky and inconsistent rooting and sucking reflexes. They have low muscle tone and not enough fat in their cheeks to latch on well and actually eat. Luke didn't root at all until he was about 3 weeks old. He is just now at 5 weeks really getting it. All I have done is be more stubborn than him. Blum 3

ShylahEQ's picture
Joined: 12/08/07
Posts: 1003

*lurker*

For what it's worth, we had our first son's tongue clipped. It took a whole 20 seconds and there was like no bleeding. He fed just fine at the next feeding and didn't seem to be in any pain otherwise. It did wonders for his latch and my pain.

They can reattach too, so just make sure you keep an eye on it after. Good luck!

JuneorJulyBaby?'s picture
Joined: 10/20/08
Posts: 2479

It sounds like you have thought long and hard about the decision. Mother's intuition is almost always right. Good luck with the procedure.

Joined: 10/05/09
Posts: 672

Amy if that what it takes I would consider doing it too. It sounds like others have had good experiences with it. It is so hard when they don't eat well and it is really all-consuming. I can SO relate to the nursing/feeding/pumping cycle - it's hell! And the baby doesn't get much rest in between either which is no good. We are back to that too because even though breastfeeding is going slightly better Ryan isn't getting enough food and actually lost a little weight over the last few days :-(.

Angie, I was told the same by the lactation consultant and the doctors at the hospital. The biggest issue with 36 to 37 weekers is the feeding - their cheeks aren't strong enough. Add to that some jaundice and sleepy baby and you've got a problem. I really think things will get better. Until then we nurse and top up with bottles of breast milk.

Amy, good luck with the procedure. I bet in a few weeks you won't even look back and he'll be nursing like a champ!! :bigarmhug:

Panonim's picture
Joined: 11/11/05
Posts: 439

"fireflies11" wrote:

Thanks Nicole, that does help!! I don't know anyone who has had it done, nice to hear it's not that big of a deal. His pediatrician acted like it was no big deal to just switch him to formula rather than clip it. Not that I am against formula, I just think there is more to breastfeeding than just producing a fat baby!

Angie, how are you working through Luke's issues? Do you know what's causing it?

No problem. Smile Another point to make you feel better - it's not just a BFing vs. formula thing. A tongue tie can affect speech later on. My LC said she has known kids who've been in speech therapy for months or years, when all along the problem was an undiagnosed tongue tie. So even if you were bottle-feeding, he's probably still better off getting it clipped now rather than winding up with speech problems later on.

sugspop's picture
Joined: 02/22/07
Posts: 1418

I don't have any advice for you but it sounds like you are making the right decision. I hope it all works out for you and I'm sending you my best thoughts!!!!

CamelNoodle's picture
Joined: 07/28/04
Posts: 908

:lurk: Two of my sons were tongue-tied and it's like the people said -- quick, no crying for mine, and nursing right away. There might have been a drop of blood, but that's it. We actually had to do our second son's a second time (probably because they didn't do it enough the first time) and that was a little more hectic, but he was crying because I was holding him down, not because of the snip.

Nursing was instantly better.

fireflies11's picture
Joined: 03/26/11
Posts: 613

"CamelNoodle" wrote:

Nursing was instantly better.

This is my hope!! Gawd my boobs hurt!!!

Starryblue702's picture
Joined: 04/06/11
Posts: 5454

Amy, my son Maximus had to have this done and I didn't give it a second thought, as I know it would help him out greatly with feedings. Yes it's pitiful to have to have it done, but it was so much better afterwards!

fireflies11's picture
Joined: 03/26/11
Posts: 613

Well we did it today.
He has nursed twice. I have noticed only a slight difference on my right boob, which was the worst boob pain wise. I still think we have latch problems. I was able to get him latched okay on that side with no pain. I think we have 4-weeks of relearning to do!

Starryblue702's picture
Joined: 04/06/11
Posts: 5454

Don't worry Amy, he'll get better at it! He'll catch on very quickly, as sucking is just a natural reflex all babies are born with!! I think now that he's not tongue tied anymore he'll do much better!

_Jessicah_'s picture
Joined: 04/21/11
Posts: 1973

"fireflies11" wrote:

Well we did it today.
He has nursed twice. I have noticed only a slight difference on my right boob, which was the worst boob pain wise. I still think we have latch problems. I was able to get him latched okay on that side with no pain. I think we have 4-weeks of relearning to do!

I am glad to hear that it went well and you see a difference! I hope that BF'ing will now be a better experience for both of you!

.hilary.'s picture
Joined: 01/31/10
Posts: 1505

I'm glad to hear it went well. I think he will catch on to a better latch quickly!!

JuneorJulyBaby?'s picture
Joined: 10/20/08
Posts: 2479

I am glad everything went smoothly! I hope that his latch improves soon.

AshnBill's picture
Joined: 11/06/06
Posts: 5333

I think you did the right thing. How is nursing going now that it's been a few days?

fireflies11's picture
Joined: 03/26/11
Posts: 613

Update:

Frenectomy done last Thursday (December 22) no change after that. I was a wreck & still in pain! Also we were leaving for a week to visit my parents 3-hours away and I was stressing about how I was going to feed him in a strange place ect! I called & made an appointment with the lactation consultant for Christmas Eve, hours before we left. What a relief! She encouraged me that since he was tongue tied for 4-weeks, it would take a while for him to work the tongue muscle right. She showed me new positions to help. Also, she weighed him and he was up to 7lb 6oz, gained 13oz in 10-days!! She also gave me these gel pads for my nipples (ahhhh).

All week we worked on his latched (lots of re-latching per feeding). Also, when my nipples got really sore, I pumped and fed him a bottle. That helped!

Now we are two days with very little pain...woohoo!! We still struggle at night with the latch because we are both tired I think, but I just pump in the mornings to give myself a break.

He is really gaining weight too. Not sure what he weighs but he is filling out his newborn clothes and can even fit in some 0-3 months outfits!

I am SO GLAD I stuck it out! I think if this was my first, I would have quit BFing. Thanks for all your support ladies Smile

PAmom2boys's picture
Joined: 04/29/09
Posts: 1494

Yay! This is great to hear. I'm glad it's working out for both!

I'm_a_pepper's picture
Joined: 10/25/05
Posts: 606

Oh that's great Amy!! I'm so glad everything is going better. So proud of you for sticking it out.

.hilary.'s picture
Joined: 01/31/10
Posts: 1505

Great news!!! Smile

JuneorJulyBaby?'s picture
Joined: 10/20/08
Posts: 2479

Amy I am so happy that things are getting better for you! Those gel pads work wonders too Smile I don't know what I would have done without them the first week.