01/07/2024
Sorry, this is long. For those of you who don't already know, I am a lactation consultant and LLL leader.
There was a recent NY Times article about tongue ties. This article made it sound like lactation consultants and ENT/Dentists who provide this procedure are somehow cashing in on a trend and not necessarily meeting a need for babies and breastfeeding mothers. While they may have found one such pair of medical "professionals", I felt that this article felt a bit like a smear on my profession. As a lactation consultant I have a couple things to say in response:
1. Tongue ties and other oral ties are a real thing. Releasing them can make a big difference in a baby's ability to breastfeed, speak and eat properly.
2. They can be, and sometimes are, over diagnosed. This article was a good reminder to me to be conservative on recommending a tie be looked at. Sometimes what looks like it could be caused by ties is just a baby that is learning how to nurse.
3. A mom's pain and breast damage is not something to take lightly. Many moms are all too willing to suffer in order to breastfeed. If a tongue tie is present and causing real pain, it should be addressed quickly. A mom's suffering should not take second place.
4. I do not, nor have I ever, gotten any financial gain from any referral to any professional. I would say that most lactation consultants can say the same. We are in this profession to help families meet their feeding goals, not to cash in on procedures that don't need to be performed.
5. Even though the revision of ties is a fast procedure, it does cause pain for babies for some time as it heals. This can be somewhat traumatizing for them, especially if followup stretches are not done carefully. We should be very aware that even though they are small, they are very sensitive and should be handled with care.
Anyone in any medical profession who knowingly takes advantage of a new family to perform any medical procedures that are not necessary or otherwise cause harm should think carefully about why they are in the "business" that they are in.
Our job is to do our best to serve others.