26/02/2026
Tongue tie isn’t always obvious at birth.
In fact, many babies with a tongue tie go undetected during the midwife check / the NIPE and there are several reasons for this:
The biggest is that assessment for tongue tie requires a full oral functional assessment not a visual check❗️
Sadly a majority of healthcare professionals have had zero training in tongue tie and tongue tie assessment …
💜 Midwives, health visitors, and pediatricians do amazing work, but tongue tie assessment is not routinely included in their training.
💜 This means restriction may not be recognised nor may symptoms be recognised as clinically significant.
Babies with a tongue tie are incredibly adaptable, often developing subtle compensatory strategies to manage feeding despite their restriction. They may alter jaw, cheek, or lip movements to create a functional (often shallow) latch, swallow more frequently, or extend the duration of feeds to ensure they get enough milk. These adaptations can be remarkably effective, which is why a tongue tie may go unnoticed in the early weeks. However, while these compensations help in the short term, as feeding demands increase or developmental milestones change, the strain from these adaptations can lead to more noticeable difficulties such as
• Longer, tiring feeds or short / frequent feeds.
• Clicking or smacking noises while feeding
• Lip blisters
• Gassiness, reflux, or colic-like symptoms
• Poor weight gain or slow growth / changes to milk supply
• In older children, tongue ties may present as speech difficulties, oral hygiene challenges or sleep difficulties.
💜 Early recognition matters❗️
undiagnosed tongue ties can have cumulative effects.
Early assessment by specifically a Tongue tie specialist - not a practitioner who is unqualified in Tongue tie.
If your baby is experiencing any of the symptoms above, trust your gut and seek early support x