Lactation Services:
Prenatal Planning Consultation
Personalized 1:1 prenatal appointment to teach you everything you need to know about breastfeeding and/or pumping. These appointments are essential to setting you up for breastfeeding success.
PostPartum Lactation Consultations
- Initial consultations occuring 24-48 hours after discharge/delivery
- Pumping consultations for flange fittings/general pumping support
- Milk supply concerns/challenges
- Mastitis/recurrent clogged milk ducts
- Starting Solids
- Weaning
Urgent Lactation Support
We guarantee that we will be able to see patients for an urgent virtual appointment within 24 hours of contact.
Tethered oral tissues (TOTs)
Tethered oral tissues (TOTs), most commonly known as tongue ties, can include ties of the tongue, lip, and buccal tissues. A tie is diagnosed not only by visually assessing the nature of tissue itself, but by considering the signs and symptoms impacting one's feeding abilities. When the connective tissue (the frenulum) is thick, tight, restrictive AND feeding is impacted then a tie is considered.
Signs and Symptoms
Babies/Infants:
- Pain while breastfeeding
- Shallow latch/ frequent unlatching
- Clicking noises when feeding
- Leakage when breast or bottle feeding
- Colic symptoms/excessive crying
- Reflux symptoms
- Gagging/choking/coughing while eating
- Difficulty gaining weight
- Frustration with the breast or bottle
Infants/Children:
- Difficulty transitioning to solid foods
- Difficulty trying/chewing new textures (especially meat)
- Grazes on food/no big meals
- Frequent gagging
- Spitting out food
- Hesitant to try most new foods
- Reflux
- Open mouth position/mouth breathing
- Sleeps with mouth open
- Moves a lot during sleep/wakes up tired
- Grinds teeth
- Snoring
Treatment
How do we treat TOTs? If it is determined that your child has TOTs we will provide you with the necessary information to present to your pediatrician. Your pediatrician can then make a referral to a specialist to discuss the procedure known as a frenectomy.
Why Treat?
If left untreated TOTs can negatively impact your child's oral motor/feeding skills, facial structure, breathing, sleeping, and possibly even their speech/language development. Treatment can significantly improve the outcomes of breastfeeding, bottle feeding, and solid food feeding.