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Cutting the Confusion: The Truth About Tongue-Tie Surgery

If you’re a new parent struggling with breastfeeding, you might have heard about “tongue-tie,” a condition where a baby’s tongue is tightly tethered to the floor of the mouth, making breastfeeding difficult and painful. The Canadian Paediatric Society (CPS) estimates that between 4.2 per cent and 10.7 per cent of infants are born with the condition.

Tongue-tie, also known as ankyloglossia, occurs when a baby is born with a short or tight band of tissue under the tongue, which can make it difficult for the baby to latch onto the nipple properly. This can cause pain for the mother and frustration for both. Doctors emphasize the importance of getting breastfeeding on track within the first few weeks, which leads many parents to seek quick fixes. However, in many cases, surgery may not be necessary.

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The number of diagnosed cases of tongue-tie in Canada has increased over time. For example, between 2002 and 2014, the number of diagnosed cases increased from 7 to 23 per 1,000 births.

For example, consulting a lactation expert can offer techniques and positions to improve breastfeeding without surgery. Working with your pediatrician can help evaluate the necessity of surgical intervention and if it’s worth waiting to see if the issue resolves on its own. Some therapies involve exercises to improve tongue movement and breastfeeding skills. It’s important to discuss all options, costs, and potential outcomes with your healthcare provider. 

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While surgery can be beneficial for some, it’s not always necessary. Exploring nonsurgical options and consulting with healthcare providers can help ensure the best outcome for both mother and baby. Remember, it’s always okay to seek a second opinion and gather as much information as possible before making a decision.

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