1. Is it a problem to perform a Tongue Tie release in close proximity to the date of the brit milah?
No, the sooner a Tongue Tie is treated, the better. The procedure is very small and is usually very well tolerated, the younger the baby, the easier it is. The wound heals very quickly and the baby is possibly a little unsettled for one day. Sometimes the Tongue Tie has to be released around the time of the Circumcision and there are no extra risks by doing so.
2. The baby is only a few days old, is it too early for a Tongue Tie Division?
No, the sooner the Tongue Tie gets revised, the better. As soon as there are feeding difficulties it is advisable to do a full assessment of latch and attchment, tongue and motility. if there is a Tongue Tie present it should be divided
3. My baby has no feeding difficulties but has a Tongue Tie, should we go ahead with the procedure?
After a thorough assessment of the feeding situation and the mouth/tongue and there are really no feeding issues it is really up to the parents to decide. There are no conclusive data on how many children with Tongue Tie will end up having problems with weaning the baby, orthodontic issues (such as overcrowding) and speech and language problems (such as unclear speech or a lisp). According to the NICE guidelines only babies should be treated that experience problems with breastfeeding but I am able to go ahead with the procedure, should this be the parents wish.
4.Will my baby be unsetted after the procedure?
In my experience the younger the baby the better they tolerate the procedure. Overall all babies I have seen have had a quick recovery. Occasionally they are a little unsettled during the first night after the procedure. Very rarely we see babies guarding their tongue for the first few days and some babies experience muscle fatigue, which can occasionally make feeding a little difficult temporarily.
5. My baby will have his/her jabs around the same time
Ideally we would leave a space of 2/3 days between the procedure and the jabs.
6. What do I need to bring to the appointment?
Please bring your red book, a big clean muslin/swaddling blanket and if baby has top ups or feeds from the bottle please bring baby's feed. Please also bring nipple shields, should baby be using them. You might also bring a change of clothes fo baby. You might want to bring your partner, family member or friend to the appointment.
7. Will the procedure hurt the baby
The procedure is usually well tolerated, babies usually cry for a few seconds and will usually settle within minutes. Baby will be fed straight after the procedure, ideally from the breast. I will help with latching and positioning of the baby. It is rare that babies are not able to feed after the procedure, very occasionally it might take a few days for baby to readjust to the new tongue mobility.