If a nursing mom is doing everything right and still has sore nipples, and yeast is ruled out, have a health practitioner check the baby for tongue-tie. The little piece of skin under the skin, called the frenulum, is tight, making it impossible for the baby to stick his tongue out far enough to suckle correctly. If the baby's tongue is heart shaped, it is a good indication that he may be tongue-tied. It is fairly common and seems to run in families. The frenulum can be clipped by a doctor, dentist or nurse practitioner. It takes a matter of seconds and only bleeds a drop or two.
-Pamela K. Wiggins, IBCLC in Breastfeeding: A Mother's Gift, L.A. Pub. Co., 1996
Reprinted from Midwifery Today E-News (Vol 1 Issue 39, Sep 24, 1999)
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