Infant Feeding Assessment & Tongue Tie Treatment for Breastfeeding & Bottle-feeding Babies.

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At the weekend Mrs Debra Abbas,  a registered senior midwife, IBCLC and certified tongue tie practitioner from Breastfeeding Solutions LTD London, joins us in Huddersfield.

For: Breast & bottle fed infants Specialising in difficult to resolve feeding problems, assessment treatment of tongue tie and follow up support as required. We are happy to assess babies who have had a tongue tie treated elsewhere, yet are still experiencing difficulties.

Now runs weekly at: tongue tie clinic west yorkshireSykes & Co 116 Fitzwilliam Street Huddersfield HD1 5PH

Assessment only: £70

During your session we start by taking a thorough history of pregnancy, labour & delivery and discuss what problems you are looking to resolve.  We then complete an oral assessment to establish what mobility the tongue has and what baby is doing with his mouth, lips and tongue during a feed and check for oral restrictions.   We observe a feed and as lactation consultants can help identify why baby is struggling to feed well and work with you to set appropriate plans if needed.   If you would like the option of treating a tie if identified/confirmed, please see the Assessment and treatment option below.

Assessment and frenulotomy (tongue tie treatment) total price: £200  (60 minutes)  Appropriate insurance held with the NMC, documents available upon request.

As above plus discussion of treatment and the small risks involved, what to expect in the coming days both in terms of the healing area and feeding.  We discuss signs you can use to identify the wound is healing without reattachment and the various current recommendations for after-care.  We support you with the feed immediately after and you are welcome to call, email or text as needed for ongoing support.

Please note – if you select this option and baby doesn’t have a tie or it isn’t treated, it reverts to an assessment as above and will be charged at assessment rate.

Follow up procedure check: FOC

If you have any concerns following the procedure, an appointment is available to check the wound/healing, this usually takes approximately 5 minutes.

Full follow up infant feeding appointment (including further treatment if necessary): £50 (30 mins)

Many parents we see don’t need a follow up appointment, however for those who continue to experience problems – you are welcome to come back for further support.   We discuss what has happened since treatment, reassess baby, observe a feed and offer general feeding support.

“It was recognised that breastfeeding is a complex  interaction between mother and child, and that many factors can affect the ability to feed. Skilled breastfeeding support is an integral part of the management of breastfeeding difficulties. “NICE Division of ankyloglossia (tongue-tie) 2.5.1

Sometimes there may be a tongue tie but it may not be what’s causing the problem, other times underlying issues may need resolving before treating the tie to improve outcome.

“Many tongue-ties are asymptomatic and cause no problems. Some babies with tongue-tie have breastfeeding difficulties. Conservative management includes breastfeeding advice, and careful assessment is important to determine whether the frenulum is interfering with feeding and whether its division is appropriate.” NICE Division of ankyloglossia (tongue-tie) 2.1.2 We assess function and also observe a feed (as per NHS best practice)  – you will be given the details of this assessment and we also give you a letter to notify your GP that the procedure has taken place.

Referrals : We are happy to accept referrals from health professionals, breastfeeding support workers and parents can also self refer.   A full functional assessment is always undertaken.

Appointment required: Yes

A selection of appointments can be found using the booking service below – however due to the nature of the different timings involved, we also add and adjust slots manually throughout the week.  If no slots are showing available please telephone, text or email and we can discuss more detailed availability.

The tongue tie assessment  & treatment slots are suitable whether you have a diagnosed tie, or suspect one and would like to have the option for treatment if appropriate, if not the session would just be charged as an assessment.

Please read the terms of booking as this provides as PDF with information you need regarding assessment and treatment.  Please note – no payment is taken at the time of booking, the card added to the secure payment system (Stripe) is linked only with the booking terms and conditions.  If you wish to make payment by card on the day, please bring it with you.

Bodywork – osteopath/chiropractor:  We work closely with several paediatric osteopaths, one of which is situated very close to our practice.  If you would like to book a session alongside your assessment/treatment, please contact us for details.

FAQ:

  • Do you treat upper lip tie?

No.  Our assessment includes checking for an abnormal upper labial frenum and we can discuss referral options those that are outside the range of typical. There are currently no NICE guidelines supporting the removal of the upper frenulum and thus no guidance as to best practice and whether anaelgesic is required (and if so what sort) or who is best placed to treat.  There are also no controlled studies exploring frenectomy and whether it is beneficial in terms of resolving feeding problems.  You can read more here and here.