purcahsed baby at boob

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 6-9 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.

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 detailed information on tongue-tie download my parents guide to tongue-tie.

Consultations

I offer clinic consultations in Stapleford (Cambridge), Bury St Edmunds and Hethersett (Norwich). 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).

Cost for home visits £200.00 for assessment and feeding support with frenulotomy. £125.00 for assessment and feeding support only. To book phone 07729629190 or email sarah@nursingnurture.co.uk

Cost for clinic consultations £150.00 for assessment and feeding support with frenulotomy or £90.00 for assessment and feeding support only.

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 the centre or on the road behind.  http://www.the-self-centre.co.uk/

Stapleford (Cambridge) - The Jade Pathway Clinic, 2B Dolphin Way, Stapleford, CB22 5DW.  Free parking in front of clinic and on the road. https://jadepathway.com/

Hethersett (Norwich) - Rowan House Centre, 28 Queens Road, Hethersett, NR9 3DB Free parking on site and on road. https://www.rowanhousecentre.co.uk/

I also offer consultations in the home (for clients within 30 miles travelling distance of Ely) when I have capacity. The area covered includes Cambridgeshire, West Suffolk (Newmarket/Mildenhall/Bury St Edmunds area), West Norfolk (Downham Market, Kings Lynn, Swaffham area).

Book a clinic consultation >>

  • Clinic consultation for assessment and feeding support £90
  • Clinic consultation for tongue-tie division (includes assessment and feeding support) £150
  • Clinic follow up consultations £50

To book home consultations please phone 07729629190 or email sarah@nursingnurture.co.uk

  • Home visits £125 for assessment and feeding support
  • Home visits for tongue-tie division (includes assessment and feeding support) £200
  • Home follow up £75

Your consultation fee includes free email and phone follow up. You are also welcome to access one of my free group in Ely for further face to face support.

Feedback

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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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