Anna Branch
Tongue Tie & Feeding Specialist Midwife


Tongue Tie Practitioner & Feeding Specialist Midwife in Worcestershire and across the West Midlands, Warwickshire, and Oxfordshire.
Are you experiencing breastfeeding pain? Baby with reflux? Book a Tongue Tie assessment.
Same-day or next-day appointments in your home for assessment, frenulotomy and infant
feeding support.
"What is a Tongue tie?"


Please note I do not assess or divide lip ties.
Currently there is no published evidence supporting a link
between breastfeeding issues and a lip tie
Please review ATP position statement for Lip ties.
Tongue-tie (ankyloglossia) is a restriction of tongue of tongue movement caused by a tight or restrictive band of tissue (lingual frenulum). .
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.
A tongue-tie can cause restricted tongue function, feeding and digestive challenges for infants and may lead to a range of issues as baby grows older, including difficulties with weaning - managing textures of food, saliva management (dribbling) dental/oral hygiene, tension, headaches, challenges with speech.
Problems which may be due to a tongue tie:
Mother:
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Sore damaged nipples,
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Misshapen/lipstick shape nipples after a feed
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Blanched appearance/vasospasm
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Mastitis/recurrent mastitis
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Breast abscesses
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Low milk supply
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Excessive milk supply
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Fast/strong let down
Baby breast/chest:
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Restricted tongue movement
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Shallow latch
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Gagging
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Pulling off breast/chest-arching
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Chomping the breast
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Lip blisters
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Unsettled behaviour during feeds
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Difficulty staying attached to the breast/chest or bottle
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Frequent or very long feeds
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Excessive early weight loss/poor weight gain/faltering growth
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Clicking/smacking noises and /or dribbling during feeds
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Colic, wind, hiccoughs
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Reflux (vomiting after feeds) - Silent reflux

