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I think my baby might have a tongue tie?...

Anterior lingual frenulum

Tongue-tie (ankyloglossia) is a condition in which an unusually short, thick or tight band of tissue (lingual frenulum) tethers the bottom of the tongue's tip to the floor of the mouth. A tongue-tie can cause feeding and digestive challenges for infants and may lead to a range of issues as the individual grows older, including difficulties with weaning, textures, saliva management (dribbling) dental/oral hygiene, tension, headaches, challenges with speech. 

Research shows that around 10% of babies are born with a tongue-tie but only a small percentage will go on to show no feeding difficulties as the tongue function is not impacting on breast/chest or bottle feeding. 

 

However for the babies that their tongue function is impacting on feeding where necessary, tongue-tie can be treated with a surgical cut to release the frenulum.

The procedure to divide a baby's tongue tie is called a Frenulotomy. The membrane under the tongue is divided to enable optimum tongue movement and function enabling babies to feed more effectively. 


 

Problems which may be due to a tongue tie:

 

Mother:

Sore damaged nipples,

Misshapen/lipstick shape nipples after a feed 

Blanched appearance/vasospasm

Mastitis/recurrent mastitis 

Breast abscesses

Low milk supply

Excessive milk supply

Fast/strong let down

 

Baby breast/chest:

Restricted tongue movement

Shallow latch

Gagging

Pulling off breast/chest-arching

Chomping the breast

Lip blisters

Unsettled behaviour during feeds

Difficulty staying attached to the breast/chest or bottle

Frequent or very long feeds

Excessive early weight loss/poor weight gain/faltering growth

Clicking/smacking noises and /or dribbling during feeds

Colic, wind, hiccoughs

Reflux (vomiting after feeds)

Baby bottle feeding:

Choking/spluttering on the bottle

Shallow attachment to teat

Chomping the teat

Excessive milk dribbling during feeds

Excessive lip blisters

Unsettled/frustrated/fussy during feeds

Prolonged feeding sessions

Baby difficulties with solids:

Difficulty with chewing lumpy foods

Gagging on food

Food aversion/textures

 

Other common issues

Exhaustion from constant/frequent feeding 

Distress from failing to establish breastfeeding

Postnatal mental health concerns

Concerns over infant weight/health

Sadly not all NHS trusts offer a Tongue-tie service and due to current NHS pressures, and staff shortages within maternity services, parents are having to endure unacceptable wait times (dependent on area) of up to 4-6 weeks to be seen for a tongue-tie assessment.

Because of this, parents then feel that they have no option but to go on to make different choices around their feeding journey.

 

This is why I aim to be able to offer you an appointment for the same day or next day where possible. 

It is important if difficulties with feeding (breast or bottle) persist, that you seek support from a qualified specialist tongue-tie practitioner. 

SERVICES

Tongue-tie assessment and

treatment 

Following a booking email request, a home visit will be offered for a face to face consultation.

(Babies under 6 months old, 6-10 months based on an individual assessment) 

We will discuss any concerns that you have with breast feeding or bottle feeding. We will discuss any relevant medical history. The procedure and any potential risk factors associated. 

 

An assessment of the tongue function using the Hazelbaker tool whereby assessing babies ability to stick their tongue out (extension), observing movement of the tongue around their mouth (lateralisation) and the lift of their tongue (elevation).  Assessing their suck, palate and  shape of their tongue and finally the frenulum itself.

Division of the tongue-tie (if deemed clinically necessary) with aseptic technique. Post procedure feeding support will be provided. 

(1hr 30mins)

*Baby will be wrapped securely in a large muslin or a blanket

*One parent will be requested to steady the babies head

*I will lift babies tongue with index finger and a small incision through the frenulum with sterile scissors will be performed to release the restriction

*Small gause will be held to the would to stem any bleeding (usually a small smear), baby will be unwrapped and given back to the parent to feed which will help to compress the wound and to decrease any further risk of bleeding and provides your baby with comfort

AFTERCARE

Whilst current research does not support the use of wound massage/stretching post frenulotomy, there are some gentle exercises that can be performed as outlined on the Association of Tongue tie Practitioners (ATP) downloadable PDF Leaflet .

 

With clean finer and short nails:-

*Poke your tongue out - encourage family/friends to do the same. This will go onto strengthen good tongue extension

*Tug of war - allow your baby to suck on your finger and then play a little tug of war , pulling your finger out a little at a time and letting them suck it back it

*Around the gums - sweep your finger around their lower gum line to encourage them to follow your finger with their tongue aiding laterilisation 

Tongue-tie release is one part of a puzzle. During an oral assessment, an open discussion is had around utilising other health professionals for ongoing feeding support to aid the optimal outcome. Where there is a Tongue-tie, there would have been tension that had been created.

 

*Craniosacral Therapy (body work) to help release tension due to overworked muscles that have been used to compensate for poor tongue function

    *Breastfeeding support with an IBCLC, NHS community breastfeeding counsellors, drop-in cafes. Post tongue-tie division baby now has to re learn to use their new tongue function so it it key to utilise as much support as possible. 

Please note -  If  I feel the division is deemed clinically unnecessary or an oral anomaly is found, meaning that I feel division is unsafe or outside of my expertise then the below fees will be reduced to £130. The appointment time will be spent identifying the cause of your feeding issues and working with you to resolve these and formulating a plan together.

*Mileage is included in the pricing for home visits within 10 miles of Redditch.

For home visits further afield £1 per mile

PAYMENT  VIA  BACS

Image by Chris Anderson

Option 1 - £200

  • TONGUE TIE ASSESSMENT AND FRENULOTOMY

  • (Twins + £100)

  • POST PROCEDURE BREASTFEEDING GUIDANCE/SUPPORT

  • FOLLOW UP VIA TEXT 1-2 WEEK POST PROCEDURE. PHONE CONTACT FOR  ANY  ADVICE OR SUPPORT

Image by Juan Encalada

Option 2- £100

  • Reformation follow up.

       (Re-assessment + procedure if required from 4 weeks post 1st procedure)

        2-4% occurance rate. 

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Available online

Tongue-tie assessment & Division

1 hr 30 min • £200

Tuesday, May 9

Eastern Daylight Time (EDT)

Book your next session

Anna Branch Tongue-tie specialist

About me...

My name is Anna Branch, a mother to 3 children. I am a registered midwife with extensive experience within all areas of the NHS.

I qualified with a 1st BSc Hons in Midwifery at Worcester University.  

I have mostly worked as a community midwife providing antenatal, intrapartum and postnatal care to women and families of Worcestershire and Warwickshire. 

I have always had a keen interest in supporting infant feeding even prior to becoming a midwife. I trained with the  Breastfeeding Network as a peer supporter, volunteering within NHS on the postnatal wards. 

My current NHS job role is as an infant feeding Midwife. I completed my training with Wolverhampton University as a Tongue-tie specialist providing tongue tie assessments and divisions within NHS clinics. I am keen to ensure that all parents receive timely infant feeding support and appropriate Tongue-tie assessments by a qualified practitioner .

  • I am registered with the NMC & RCM

  • The Association of Tongue-tie Practitioners (ATP)

  • I am CQC registered and insured via Private Midwives 

Opening Hours:

Mon - Fri
Appointments on request. 

HOME VISITS ONLY: Redditch & surrounding areas of Worcestershire & Warwickshire.

Shropshire & Oxfordshire based on an individual assessment. 

Sleeping Like a Baby
Proud Parents

"BIRMINGHAM"

Anna was absolutely incredible! Professional, Kind and So So Patience! Anna carried out a tongue tie assessment on my nearly 4 weeks old daughter, she was very thorough and took her time which made me feel better as it turns out she did need the release and also has a high palate which I was not made aware of until Anna did the assessment! She did the division and I fed my daughter straight after and even then I could feel a difference in feeding all in the comfort of my own home! I love the fact she follows up after the procedure and offers more breastfeeding guidance and advice to help continue our journey! Thank you Anna, I highly recommend

"OXFORDSHIRE"

Anna was recommended by a friend after I struggled with feeding our 5 weeks baby. It was so convenient that she came to our home. She explained everything thoroughly. She was very kind and she listened everything we had to say, any observation on our baby. After assessment she recommended the procedure with our consent, so if you have any doubts just ask more questions. After division she helped and watched me feeding little one, and checked his tongue for any issues. I'm so glad we haven't wait for this longer as the feeding improvement was very quick, I would say two days max. She did stay in touch after the procedure to make sure everything is going well. Thank you for your help!

"REDDITCH"

Anna is amazing! I can’t say enough or thank her enough for what she did for our baby. After months of being ignored she finally confirmed our baby was tongue tied and was able to correct it. Our baby is thriving now, something we were beginning to think we would not see. The difference is unreal. We would definitely recommend Anna to anyone is our position. Like I say, we really can’t thank her enough.
Mother and Baby
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