The lactation consultant and the pediatrician both said the same thing, that Marin had a bit of a tight lingual frenulum. They said it can cause some problems nursing, and bad ones can cause speech problems later, but it didn't seem too bad so we should probably just wait and see before we considered whether to do anything about it.
Here's our research in a nutshell: The lingual frenulum is the thin strip of tissue that holds the middle section of your tongue to the bottom of your mouth. Sometimes it is too thick, too "short" (tight to the bottom of the mouth), and/or extends too far toward the tip of the tongue. This is called
ankyloglossia, or "tongue tie". Then it kind of overdoes its job, preventing the tip of the tongue from raising up enough to do the stuff it's supposed to do, like grabbing hold of a nipple, making certain consonant sounds like "l" and "d", and reaching out past the lips to lick an ice cream cone, for example. Really bad cases can cause teeth to grow in crooked and make dental hygiene more difficult to maintain.
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This isn't Marin, but her tongue looked a lot like this baby's. |
Marin was able to nurse reasonably well at the hospital. She was no prodigy, but I understood that it would be painful at first until she learned to latch properly, so we just went with the flow. We went home when she was 2 days old, and she did great that first night, still taking into consideration that I thought nursing was usually "pretty painful" at first. The lactation consultant kept referring to it as "toe-curling" so I figured excruciating was par for the course. Then my milk came in. I am... ahem... well-endowed, so the difference between colostrum and milk didn't seem all that noticeable to me, but apparently it was the threshold for how well Marin's tongue could allow her to latch on. Her attempts were even more painful than before, which I didn't think was possible. She stopped nursing and started screaming. And kept screaming. All night. It was torturous to try to guess what might be wrong and feel so helpless! Finally we decided to try using the pump we rented from the hospital and giving her a bottle of breastmilk. Let me tell you how golden that slurpy relative silence felt at 4:00 AM! In the morning, we called the lactation department at the hospital and made an emergency appointment.