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. Recently, the American Academy of Pediatrics (AAP) raised concerns that tongue-tie might be overdiagnosed and that too many infants are undergoing unnecessary surgery.
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.
According to the AAP, an increasing number of infants–around 100,000 per year–in the U.S. are being treated for tongue-tie with procedures involving scissors or lasers. The new AAP report suggests that less than half of the infants diagnosed with tongue-tie actually have significant breastfeeding difficulties. The report also notes that while some procedures might solve breastfeeding issues, they can cause pain and soreness, which might deter babies from breastfeeding altogether. Instead of rushing to surgery, the AAP encourages healthcare providers to consider nonsurgical solutions first.
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.
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.
