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 contact me directly to make an appointment. I do not need a referral. Please note that I routinely treat babies up to 6 months old. For babies aged between 6-9 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 9 months of age.

All private consultations for frenulotomy include a full feeding assessment, tongue function assessment, observation of a feed after the procedure, help and support with re-establishing breastfeeding and information on how to resolve any other ongoing feeding problems. Free phone and email follow up is included for up to 6 weeks after your private consultation and families are welcome to access further free face to face help in one of my groups (see support groups page).

Home visits Frenulotomy can be performed in your own home if you live in Cambridgeshire, West Suffolk (Newmarket/Mildenhall/Bury St Edmunds area)or West Norfolk  (Downham Market/King’s Lynn/Swaffham area) or in my clinics in Cambridge and Bury St Edmunds. Please note that due to the current high demand for appointments and the large area I cover I am currently requesting clients attend a clinic if at all possible to avoid unnecessary delays in support and treatment and to ensure I do not have to turn families away. Home visits will always be considered within a 30 mile travelling distance of Ely whenever it is possible for me to fit them in. 

Cost for home visits £200.00 for assessment and feeding support with frenulotomy. £115.00 or assessment and feeding support only. 

Clinic appointments for frenulotomy are also available in Cambridge, St Ives and Bury St Edmunds.

Cost for clinic appointments  £150.00  for assessment and feeding support with frenulotomy, or £85.00 for assessment and feeding support only.

 

What to expect

Home visits I will come to your house at an agreed time and will ask you to have your baby hungry for the visit. I will take a detailed medical history on 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. 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 spend time researching and thinking more about the procedure if they wish to. For the procedure I will need a table or similar flat surface with good lighting to place your baby on. A soft blanket or changing mat placed on the table will make it more comfortable for your baby and I will need a towel or blanket to swaddle your baby to help to keep them still. An adult (usually a parent) will need to hold baby’s head still whilst I divide the tongue-tie. Using a headlamp and 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 stay with you and 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 not leave until I am happy that any bleeding has settled. Most home visits take around 1.5 hours.

Clinic appointments You will be given a one hour appointment to attend either the Cambridge or Bury St Edmunds clinic. You should bring your baby to the clinic hungry.  I will take a detailed medical history on 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. 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 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. 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. You will stay in the clinic until any bleeding has settled.

Follow up. 

Your consultation fee includes free email and phone follow up. You are also welcome to access one of my free groups in Ely or Bury St Edmunds for further face to face support. However, these groups are busy and I will not usually be able to give more than 10 minutes of my time to each family so where your concerns are complex a private follow up consultation is more appropriate. A follow up home visit from me is £75.00 or clinic consultation is £50.00. 

 

Clinic addresses

Cambridge – The Coach House Clinic, Anstey Hall, Maris Lane, Cambridge, CB2 9LG . Free parking outside clinic.  http://www.coachhouseclinic.com/

Bury St Edmunds – The Self Centre, 4 Kempson Way, Bury St Edmunds, IP32 7AR. Free parking outside the centre or on the road behind.  http://www.the-self-centre.co.uk/

St Ives – Old Exchange Surgery, East Street, St Ives, PE27 5PB. No parking on site. Parking on  pay and display car park on corner of West Street and Broad Leas http://www.huntingdonshire.gov.uk/media/1549/st_ives_map_jan_12.pdf

 

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