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Tongue-tie assessment and division services

I offer frenulotomy privately to parents of babies with tongue-tie after completing training in Southampton in 2011. Parents can book online via the online booking system here.. I do not need a referral. Please note that I routinely treat babies up to 6 months old. For babies aged between 6-10 months I make a judgement based on the size and temperament of the baby and how many teeth they have.  I do not treat babies over 10 months of age.

Due to the high volume of clients I am only offering appointments in clinics. I am not doing home visits.

 

Tongue-tie is a condition which affects up to 1 in 10 babies and is more common in boys than girls. Most of us have a lingual frenulum (a membrane situated towards the base of the tongue which extends from the under surface of the tongue into the floor of the mouth) so the presence of a visible or palpable lingual frenulum is normal anatomy.  However, in some individuals this lingual frenulum may be short, tight and attached close to the tip of the tongue and/or on the gum and cause restrictions in tongue movement and function.  These restrictions may then cause feeding difficulties. These restricted lingual frenula are what we call a ‘tongue-tie’.

For more detailed information on tongue-tie see my Parents Guide to Tongue-tie 2021

Additional information can be found in my book 'Why Tongue-tie Matters'

Video of a tongue-tie assessment

Tongue-tie Assessment Tools:

Hazelbaker tool for Lingual Frenulum Function

Bristol Tongue Assessment Tool_v3

TABBY Tool
 

Frenotomy Decision Tool for Breastfeeding Dyads (Dobrich)

Lingual Frenulum Protocol for Infants (Martinelli)

Video of a tongue-tie division

Consultations

I offer clinic consultations in Cambridge,  Somersham (Huntingdon), and Bury St Edmunds. I also offer home visits for frenulotomy within 30 miles travelling distance of Ely when I have capacity. The area covered includes Cambridgeshire, West Suffolk (Newmarket/Mildenhall/Bury St Edmunds area)or West Norfolk  (Downham Market/King's Lynn/Swaffham area).

As an IBCLC (Lactation Consultant) I offer full breastfeeding assessment and support as an integral part of my tongue-tie service. Please read the information on this here.

 

What to Expect

  • You will be given an appointment for a home visit or clinic consultation.
  • You should avoid feeding baby for an hour before the appointment so he or she will be interested in feeding during the consultation.
  • If coming to a clinic bring your red book and a blanket to wrap baby in and if baby is having top ups or is bottle fed bring some expressed milk or if using formula a carton of the ready made formula you usually use. In the home you will need to provide a flat clean surface, such as a kitchen/dining table, clean changing mat, good lighting and blanket for swaddling.
  • I will take a detailed medical history for both mother and baby, birth history and feeding history from you and I may observe baby feeding.
  • I will assess tongue function and then discuss my findings with you.
  • We will go through strategies, which may be more appropriate than tongue-tie division, or which may be needed alongside division, to improve feeding such as positioning and attachment, boosting milk supply, suck training, etc.
  • If tongue-tie division is appropriate I will go through the potential outcomes and risks of the procedure with you so you can make an informed decision on whether to go ahead or not.
  • You will be asked to sign a consent form. There is no obligation to go ahead and I am quite happy for parents to go away and spend time researching and thinking more about the procedure if they wish to.
  • I will swaddle your baby in a towel or blanket and place them on the couch in the clinic room under a bright lamp or surgical lighting. In the home they will be placed on a changing mat on your table or other flat, clean surface.
  • If I have an assistant in clinic then they will hold your baby’s head (unless you prefer to). However, if I am working alone then a parent will need to hold baby’s head.
  • Using my index finger to lift the tongue I will visualise the frenulum (tongue-tie) and snip it using a pair of single use, sterile, curved, blunt tipped scissors.
  • Once the frenulum has been fully divided to form a diamond shaped wound I will place a piece of gauze under baby’s tongue and pass baby to mum to feed.  Babies usually latch on within a minute and bleeding is usually very light and stops quickly once baby is feeding. Most babies tolerate the procedure well with just a short cry before they feed.
  • I will observe baby feeding and provide support with this.
  • I will also go through some simple, gentle tongue exercises you can do with your baby and explain to you what to expect in terms of healing and recovery.
  • A feeding plan will be agreed with you to manage any ongoing feeding issues and get feeding back on track.
  • I will stay with you until any bleeding has settled.

I offer clinic consultations at

Bury St Edmunds - The Self Centre, 4 Kempson Way, Bury St Edmunds, IP32 7AR. Free parking outside clinic and on road.

Cambridge - The Beechwood Practice, 41 Hills Road, Cambridge, CB2 1NT. Free parking on the clinic car park behind the building.

Somersham (Huntingdon) - Harding Physiotherapy, 20 West Newlands, Somersham,  PE28 3EB. Free parking outside clinic and on the road.

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Book a clinic consultation >>

  • Clinic consultation for tongue-tie division (includes assessment and feeding support) £180 (£200 in the Cambridge clinic). Please be aware that there is a charge of £100 for assessment and feeding support which is still payable even if I do not do a division. 
  • Clinic follow up consultations £50

Your consultation fee includes free email and phone follow up.

Feedback

If you have used my tongue-tie division service I'd love to receive your feedback. Click here to take survey

Registered with and regulated by the Nursing and Midwifery Council.

Insured by Hiscox.

Member of Lactation Consultants of Great Britain, United States Lactation Consultant Association, The Association of Tongue-tie Practitioners and The Royal College of Nursing

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