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A WARNING has been issued to new parents about the practice of tongue snipping in newborn babies.

Parents are outraged after Dr Thomas Lyons, of Eagleby Medical Centre,  said the tongue tie procedure, frenotomy, was painful to babies and “ also unnecessary and costly to parents.”

The news comes after Jimmy Rees, aka Jimmy Giggles, withdrew from ‘Dancing With The Stars’ to spend time with his family after his baby son’s recent health scare following a tongue tie procedure.

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“All the research that doctors have done show that very few babies have benefited from it.”

Dr Lyons said parents were getting it done at day two or three of life when they did not even know if there was a problem.

“I’m recommending they don’t listen to their lactation consultant – that they get a second opinion from their GP who will monitor the baby’s weight,” he said.

Lismore paediatrician Dr Chris Ingall said tongue tie “was the new black” and he was concerned by the increasing number of babies being treated for it.

“It’s an operation performed on something that heals itself over time,” Dr Ingall said. “Mothers are being told their children will not be able to speak properly and that their jaws won’t grow properly, so there is a fear campaign operating out there and it is being driven by dentists and lactation consultants and osteopaths referring to each other. They’ve turned nothing into something.”

Dr Deborah Bailey said: “I’ve been a paediatric surgeon for 30 years and I would have done maybe half a dozen a year in older children, now babies are being done at about 30 a day.”

Dr Thomas Lyons claimed lactation consultants and midwives were “creating an industry”.

“I’m shocked that it is now a common practice,” he said.

In 2010-11 there were 739 babies treated for tongue tie in NSW but by 2014-15 this figure had leapt to 2178.

Worldwide tongue tie surgery rates are rising. In one Australian study, tongue tie surgery rates rose by 3,710%. Canada recorded an 89% increase, the USA a 300% increase.

Dr Lyons said if the baby was not gaining weight, looked sick and was malnourished they can easily be feed from the bottle with no problems to growth at all, but breast feeding may not be possible.

“What I’m saying is that there is no rush, that parents should wait a couple weeks and get a second opinion,” he said.

“They’re recommending the tongue snip without discussing the alternatives that their baby may grow up well on just the bottle.”

Mum of three Laura Mazza has previously shared her battle to get support with a tongue tie diagnosis. Read her story here.

And another Mum shared her experience of tongue tie after her newborn’s dramatic weight loss – read more here.

Symptoms of tongue-tie

The symptoms of tongue-tie can include that:

•the tongue can’t poke out past the lips
•the tongue tip can’t touch the roof of the mouth
•the tongue can’t be moved sideways to the corners of the mouth
•the tongue tip may look flat or square, instead of pointy when extended
•the tongue tip may look notched or heart-shaped
•A baby with tongue-tie may have difficulties breastfeeding or bottle-feeding
•The front teeth in the lower jaw may have a gap between them.

Causes of tongue-tie
There are two main causes of tongue-tie. Either the frenum is too short and tight, or it failed to move back down the tongue during development and is still attached to the tongue tip. In the second case, a heart-shaped tongue tip is one of the obvious symptoms. It is not clear whether or not tongue-tie is inherited.

Tongue-tie in toddlers seems to be less common than in babies, which suggests that a short frenum can normalise itself as the child grows. In persistent cases of tongue-tie, the child may have certain speech problems.

Difficulties can include creating sounds that need the tongue or tongue tip to:

•touch the roof of the mouth, to pronounce sounds such as ‘t, d, n, l, s, z’
•arch off the floor of the mouth, to pronounce sounds such as ‘r’.

The Australian Breastfeeding Assoc says some babies with tongue-tie are able to attach to the breast and suck well. However, many have breastfeeding problems, such as nipple damage, poor milk transfer and low weight gains in the baby, and recurrent blocked ducts or mastitis due to ineffective milk removal.

A baby needs to be able to cup the breast with his tongue to be able to remove milk from the breast well. If the tongue is anchored to the floor of the mouth, the baby cannot do this as well. The baby may not be able to open his mouth wide enough to take in a full mouthful of breast tissue. This can result in ‘nipple-feeding’ because the nipple is not drawn far enough back in the baby’s mouth and constantly rubs against the baby’s hard palate as he feeds. As a result, the mother is likely to suffer nipple trauma.

There are many signs that a baby’s tongue-tie may be causing problems with breastfeeding, but you don’t have to have all of them:
•nipple pain and damage
•the nipple looks flattened after breastfeeding
•you can see a compression/stripe mark on the nipple at the end of a breastfeed
•the baby keeps losing suction while feeding and sucks in air
•the baby makes a clicking sound when feeding
•the baby fails to gain weight well
•the tip of his tongue may be notched or heart-shaped when he cries
•he may readily gag

It is important to note that all of the above signs can be related to other breastfeeding problems and are not necessarily related to tongue-tie. If you experience any of the signs above, you may wish to consult an expert.

Share your comments below.

 

Image via Getty

  • As parents we are only doing what we think is best for our babies.

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  • We were told our daughter had a minor tongue tie as a baby – yes breastfeeding hurt but it got easier. Im glad i didnt go ahead because she’s absolutely fine now

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  • I am so glad their baby will be ok, it must have been terrifying fort them to go through that. I think so many people are advised by lactation consultants to get their baby checked for ties when it’s not necessary to jump straight to that conclusion. It was suggested my son had one but we just waited a while and nothing ended up being wrong. Im glad we waited

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  • Oh god.. I can only imagine their heart ache.

    Meanwhile..
    About this doctor.. maybe he has something there..

    Some babies definitly need the surgery with extreme cases. But for alot.. i think there is too much pressure on mums to breast feed

    I was bawling on night two with my bub in hospital
    5am after not sleeping for 48 hours my bub was crying and crying all night. I continuously called the nurses who just said keep trying to breast feed. But I didnt have enough colostrum. Finally after struggling all night. My nipples bleeding and baby upset and tired the nurse finally said ok maybe we will try some formula. My baby took 50 mils over the next two feeds. 50!! She was starved!

    If you cant breast feed for any reason it should be considered fine good and normal to feed with a bottle. I take milk producing tablets at the moment and exclusivly breast feed now but i had to mix feed for weeks as it took quite a while for my milk to come and it was fine. I almost gave up but didnt as i felt guilty knowing some women dream to feed their baby and cant so i felt if i could i should so i would persevere.

    Im going back to mix feeding again for 1 bottle a day to make weening easier later. But we need to use the phrase more *fed is best* not breast is best.

    Bottle fed seems to be a dirty word these days. So maybe mums feel pressured to get the surgery done as they are pressured to breast feed. I hope not. Imagine putting their poor bodies through surgery when you dont need to.

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  • Most people would be speaking to their pediatrician not just getting it done. My son had a severe tie and didn’t cry at all getting it cut which was done super quickly at a day old but it still took a long time and lots of exercises to get his tongue and jaw to operate how I was told they should.

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  • Parent should only try to do the best for their kids, it is horrible to watch your child fight for its life, I feel for them.

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  • So terrible to hear such a thing.

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  • My midwife suggested my baby was tongue tied and he wasn’t

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  • sounds scary

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  • My 2nd son was tongue tied and yes it was hard feeding him as he also would have nothing to do with a bottle or any other object besides his fingers and my breast in his mouth. The only time I had to express milk when my baby is a day old due to my nipples cracking. I did nothing about and he had to at six months be forced to drink from a sippy cup. I was kidding myself feeding him before going to see the Baby nurse so it looked like he was putting on weight. I have no idea how the nurses feed my son for the first few days but they did. His daughter was tongue tied too not as bad as he was.
    I am hoping that all goes well for Jimmy and his family.

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  • While I do agree that having the ties cut has become a fad in a way (getting it done to “cure” non eating or speech dev issues, e.g fixing crying baby in car trips), but I also believe it is important to assist where needed for proper breastfeeding.
    Although, If there is a tie, the more you delay, the more problems establishing a good supply for adequate feeding.
    So yes it is a bit of a fad, but it is necessary for some, maybe just a bit overdone when not necessary as far as feeding or potential speech problems.

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  • I can definetly see how it’s become a “fad” for numerous reasons….

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  • Poor Jimmy and his wife. Its awful watching doctors work on your baby in resus. Hope bubs gets better quickly.

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  • This is scary, I wouldn’t let my kids have any sor of surgery unless it was to save their lives!

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  • Is this the new circumcision? Unless its medically necessary, then no my kids wont have a procedure.

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  • The tongue where it is attached can be tight but may not necessarily need surgery. Occasionally a quick pull may be enough to loosen the tightness. My brother’s was corrected that way. He screamed when it was done but there was no risk of excess bleeding or infection

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  • tongue tied it seems is been diagnosed and treated when may not be neccesary is a no no in my mind after reading this article.Seek other professional help and look into it before having it done as baby.. Wait and see would be my answer, My older son whe two could not say six, it was thix Isat with him once each day and got him to to put tongue between his teeth and say words it stopped either by my working on it or time. Sometime surgery not neccesary..Check it out before doing anything drastic

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  • I think unless needed and told by a professional that it really is required then I would never put my kids through this procedure.

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  • Poor little baby. Jimmy and his wife must have been so distraught.

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  • Wow that’s shocking you trust your doctor to give you the facts not the fads

    Reply

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