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1. Post operative stretches
Whether cut by scissors, scalpel or laser, post operative stretches need to be performed to ensure that the wound remains open once healed & to minimise the chance of your baby needing further surgery.
Each surgeon has their own preference as to how & when the stretches are performed - before or after feeds, with or without oil (such as coconut oil or vitamin E oil).
2. Post operative myofunctional work
The upper lip and/or tongue ties have been present since fetal life & influence tongue muscle & jaw patterning.
That is, tongue muscle & jaw function is driven by it's restriction.
Often the tongue will spontaneously retract & the jaw & neck will tighten.
Your baby's mouth needs to be retrained to work properly in order for feeding, swallowing and speech to develop normally.
A speech therapist whom specialises in infant feeding can help with this
and it is important that it commences as soon as possible after surgery
3. Infant feeding/Breastfeeding Review
International Board Certified Lactation Consultant whom specialises in lip & tongue tie surgery or Speech Therapist specialising in infant feeding will need to review you following surgery.
This is to ensure that you & your baby get onto the right track
4. Pain Relief for baby
All babies are different- some need pain relief, some don't.
It is important to discuss your baby's pain relief needs with your GP or Paediatrician.
Engaging with a paediatric qualified & certified bodyworker such as a Physiotherapist, Osteopath, Chiropractor or Myotherapist is imperative for babies who have tongue or lip ties.
Lip ties and tongue ties don't affect just the mouth - they affect the whole body. The following symptoms are common for those affected:
One cannot underestimate the importance of the bodyworker for your baby, speak to any parent with the experience and they will tell you that it makes the world of a difference.
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Kellie Eason RN, RM, IBCLC
Nurse, Midwife, IBCLC, Infant Feeding Therapist, Birth & Parenting Educator, Baby Sleep & Settling Consultant