Anna Branch
Tongue Tie & Feeding Specialist Midwife
Tongue Tie Service & Fees
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"If feeding feels painful, stressful or overwhelming you are not alone. Many families contact me feeling exhausted and worried about their baby's feeding. I provide calm, professional tongue tie assessment and feeding support in your own home or sessional clinic helping parents feel informed, reassured and supported every step of the way"
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.
https://www.tongue-tie.org.uk/position-statements
HOME VISIT - TONGUE TIE ASSESSMENT, DIVISION & FEEDING SUPPORT
Whats included:
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Full feeding assessment
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Comprehensive oral assessment
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Frenulotomy if clinically indicated
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Immediate feeding support & advice
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Assessment of pump/flange size fit
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Next day follow-up
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Two weeks of advice and support
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Babies seen up to 10months of age.
£220 plus mileage fee calculated at £1 per mile outside of 1o miles
(Fee reduced to £150 if no procedure is required)
Twins +£100
HOME VISIT - ASSESSMENT of REFORMATION (Previously seen families only)
2-4% occurrence rate within 2-4 weeks..
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Re-assessment + division if clinically required . Post 4-6 weeks of healing time from original procedure
£100 plus mileage fee calculated at £1 per mile outside of 1o miles
(Fee reduced to £70 if no procedure is required)
Email to discuss concerns
SESSIONAL TONGUE TIE CLINIC COTSWOLD HOLISTIC HEALTH CHIPPING NORTON
TONGUE TIE ASSESSMENT, DIVISION & FEEDING SUPPORT
Thursday 18th June - 10:00am 11:00am
Unit 6A Essex House
Cromwell Business Park
Banbury Road
Chipping Norton
OX7 5SR
£230 (Fee reduced to £160 if no procedure is required)
To book please email .
What is a Tongue tie?
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, challenges with speech.
Symptoms for breastfeeding mothers:
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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
Some babies may show symptoms related to a tongue tie:
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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)
Tongue-tie release is just one piece of the puzzle. During an oral assessment, there’s an open conversation about involving other health professionals to provide ongoing feeding support for the best results. A tongue-tie often causes tension from compensatory feeding habits, and both pregnancy and birth can also contribute to overall 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/
*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.