When Oliver was checked by the pediatrician in the hospital, all was apparently normal. Yet from the start I had incredible pain with breastfeeding, causing a lot of crying, toe-crinkling, anda significant amount of screaming. There was blood and permanent damp scabs (bearing in mind that babies nurse every couple hours and newborns take 45-60 minutes each time!), yet every breastfeeding pro I talked to said it must be a latch problem. This included a doula, a couple nurses, and a volunteer from the La Leche League. On Day 4, the community health nurse came to do a routine check, and the first thing she said was "oh, I see he's tongue-tied". That phrase went off like a buzzer in my head - I knew that tongue-tie could cause problems with breastfeeding, because the tongue can't get in the right position. So on day 8, Oliver went through a minor frenotomy - the lactation consultant snipped his frenulum by a couple millimeters - as far as she felt was blood-vessel free. There was a drop of blood and he immediately nursed a little bit better.
By this point I was using a nipple shield (a piece of silicone vaguely shaped like a nipple - it decreases the pain, and allowed my scabs to heal), and for a few days after the snip, I tried to get him weaned off of it. He would fuss and cry, and I would fuss and cry, and in the end we ended up continuing to use the shield. Showing the lactation consultant how much he fussed without it convinced her to set us up with an appointment with a pediatric plastic surgeon. But the appointment wasn't until Oliver was 6 weeks old! I know that 6 weeks is an extremely short period of time, but when you're in the middle of it with an extremely slow nurser and crappy sleeper, it seems like an eternity!
To top it off, when I went to the pediatrician, he gave me heck for getting the frenulum snipped, because apparently the Canadian Pediatric Society has just decided that tongue-tie doesn't affect breastfeeding! Yeah right. And to prove it, Oliver got his final snipping last Thursday. And now he nurses perfectly WITHOUT the shield. The poor guy had to deal with a mouthful of blood and the occasional re-opening of the wound, but overall, he did great, and we are MUCH happier now! Instead of taking 30-40 minutes, he takes less than 10 minutes to finish a feeding.
Remind me to tell my pediatrician that the Canadian Pediatric Society really needs to do some further research before telling mothers that tongue-tie isn't important, and especially that it doesn't affect breastfeeding! It makes me wonder how many women have given up on breastfeeding their baby because of undiagnosed tongue-tie.
