Anna Branch
Tongue Tie & Feeding Specialist Midwife
Worcestershire, Warwickshire, West Midlands & Oxfordshire
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 additional mileage fee calculated from B98 at £1 per mile outside of 1o miles
(Fee reduced to £150 if no procedure is required)
Second Twin +£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 additional mileage fee calculated from B98 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 between 10am - 12pm
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 .
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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)
During an oral assessment, I actively discuss the importance of collaborating with other health professionals to provide continuous support and achieve the best outcomes. release of a tongue-tie is just one part of the picture; sometimes, delaying in favour of body work, additional feeding support, or a referral your GP for any new clinical concerns may be the most effective approach.
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.