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 or for clinic appointments an online booking system is available. 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.
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:
Video of a tongue-tie division
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.
- 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.
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