Following an online booking request, a home visit (dependent on location) will be confirmed for a face to face consultation.

(Babies 0-10 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. 

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

*A parent or family/friend present 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 piece of gauze 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

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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 a clean finger and short nails:-

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

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*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.

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

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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 due to compensatory methods of feeding.

In addition, pregnancy and birth can also add towards bodily tension. 

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

​It is a gentle, hands-on method of evaluating and enhancing the functioning of a physiological body system called the craniosacral system - comprised of the membranes and cerebrospinal fluid that surround and protect the brain and spinal cord.

https://www.greenchildmagazine.com/craniosacral-therapy-for-babies/

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    *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. 

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​​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 £150 assessment fee.

           The appointment time will be spent supporting feeding issues and working with you within the appointment to resolve these and formulating a plan together.

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

*For home visits outside of 10 miles, a rate of £1 per mile is charged* ​​​​

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