
Miss I’s tongue-tie assessment post-release.
The moment I laid eyes on my daughter, I was filled with a joy so powerful it took my breath away. Having had three miscarriages before my “rainbow” baby, I was overcome with love, relief and joy – absolute joy. Her routine newborn check was performed and everything looked good. There was no tongue-tie diagnosis.
My desire to breastfeed her was so strong I saw my first lactation consultant when she was just 48 hours old. I knew that early support and assistance is crucial in establishing successful breastfeeding. Already I had blistered nipples and poor attachment, but I was told my technique was fine and there was nothing wrong. But issues persisted.
We persevered, but my baby never drained my boobs. She would arch her back, pull off and on, lose suction, and she was grizzly and unsettled almost all of the time. I asked my MCHN to check her for tongue-ties, as she exhibited many of the symptoms. She gave the all clear.
Breastfeeding problems
When my baby was two months old we were in a bad place. She struggled to feed for more than a minute at a time. She lost suction and pulled off in distress. I saw a second LC. Again, I was told there was nothing wrong and to go and “enjoy” my baby. But I knew something was wrong and my baby was impossible to enjoy when she was so upset. Feeds ended with both of us in tears.
As with everything in parenting, advice was abundant and conflicting. Did my baby have reflux, a dairy intolerance, tongue-tie, or there was something wrong with my supply or flow? I saw a paediatrician. After a cursory assessment (which did not involve an oral examination) and a few brief questions (none of which related to breastfeeding or oral function) my pediatrician told me she most likely had silent reflux and sent me away with a script for Zantac.
While it’s true my baby presented symptoms of reflux, I couldn’t shake the feeling that there was more to it. My gut told me it was related to my baby’s oral function.

Tongue-ties can significantly impact breastfeeding. We had troubles from the get-go!
Seeking a diagnosis
I saw a third IBLC when she was four months old. She observed a feed and suspected a low supply. I didn’t think supply was the issue, but experts know best, right? So I went to my GP, got some Motilium, expressed around the clock and ate lactation cookies like the Cookie Monster in a bid to boost my supply. But the problems continued. Well-meaning friends and family suggested I switch to formula, but I desperately wanted to breastfeed. The niggling suspicion that she had a tongue-tie persisted, despite being told by numerous health professionals that she did not have one.
I sought the opinion of a fourth IBLC – my last hope. By now we were one feed away from giving up. She gave my baby a thorough assessment and concluded she had an upper lip-tie and a posterior tongue-tie. No wonder my poor baby couldn’t feed effectively. I wept when I left – tears of relief for the answers I finally had, and of frustration it had taken so long to get them.
What is tongue-tie?
Tongue-tie occurs when the thin piece of skin under the baby’s tongue (the lingual frenulum) restricts the movement of the tongue. Some babies who have tongue-tie don’t seem to be bothered by it. In others, it can restrict the tongue’s movement, making it hard to attach properly to the breast. Tongue-tie is sometimes diagnosed during the routine newborn check, but not always. Posterior tongue-ties are harder to diagnose.
How it affects breastfeeding
To breastfeed successfully, the baby needs to latch on to both the breast tissue and nipple, and their tongue needs to cover the lower gum so the nipple is protected from damage.
Babies with tongue-tie aren’t able to open their mouths wide enough to latch properly. There are many symptoms of tongue-tie, so I will highlight a few of the common ones.
They may:
- Have difficulty attaching to the breast or staying attached for a full feed,
- Be tense and unable to relax when feeding – displaying clenched fists, tension in head/neck, etc.
- Be unsettled and seem to be hungry all the time,
- Not gain weight as quickly as they should,
- Make a “clicking” sound as they feed with poor milk transfer,
- Lose suction and come off many times during the feed.

Miss I with her dada, about to have her tongue-ties revised.
Treatment for tongue-tie
If tongue-tie is interfering with breastfeeding, then release of the tight frenulum can help. Snipping a tight frenulum in young babies is a simple procedure that takes only a second or two. But if it is missed (as in my case) then your baby may need a surgical procedure called a frenectomy. The technique differs according to the age of the person.
Our baby had a frenectomy performed by laser. With the help of a wonderful paediatric chiropractor, and the IBLC who helped diagnose the tongue-tie, we are in a much happier place. Feeding is improving and although it is not perfect, she is now having five feeds a day at the breast and only one bottle.
My beautiful rainbow baby is well and thriving.
You can also follow NASD on Facebook, Twitter or Instagram.
*First published on Babyology
My first had a tongue tie and it was actually diagnosed by a friend of my Mum’s {a speech pathologist} after my Mum pointed it out to her. We didn’t have it cut until 6 weeks and it thankfully didn’t impact our breast feeding journey too much. As soon as my second and third were born, it was the first thing I checked before they latched. My second didn’t, but my third did and we actually had it cut that very morning. In Canberra, we had to see a specialist to have it done, so it was nice that they could do it straight away in the hospital in Sydney.
Oh that’s so good that you were informed and could demand it be checked at birth. I think the earlier it is picked up, the better. I was frustrated at the length of time it took for us to get a diagnosis. So many health professionals are not trained sufficiently, and unfortunately, some don’t really believe in tongue-ties. I’m glad I trusted my instincts and found someone who could help us. x
You poor thing! Good on you for listening to your gut and getting so many opinions. My 2nd had a tongue tie but luckily it didn’t seem to bother him too much. I did notice though from the minute we found out about the tongue tie we received contradictory advice! The ped diagnosed it at birth and recommended not cutting it unless it causes issues. As soon as he left the room our midwife said I’d get it cut as it can cause speech issues. I couldn’t believe how quickly the contradictory advice started to flow! I’m so glad your little one is feeding better!
Thanks so much, Kirsty. I think that many medical professionals are divided when it comes to tongue ties. Some believe they are over-diagnosed and some are simply not trained to look properly. It really frustrated me that it took us so long to get a diagnosis. It has had a ripple effect and caused issues with sleeping and settling. At least we are heading in the right direction now. Thanks for sharing your experience x
http://www.magonlinelibrary.com/doi/abs/10.12968/bjom.2017.25.9.579
You might be interested in this!