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Tongue-tie –myth or reality? - National Women's Hospital

Tongue-tie –myth or reality? - National Women's Hospital

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<strong>Tongue</strong> –Tie<br />

- diagnostic assessment<br />

• Physical examination<br />

• Rule out thrush, clefts, other defects incl. neuromuscular<br />

-range of motion and degree of extension of tongue beyond<br />

lower dental ridge and lip<br />

-elevation to palate with mouth wide open<br />

-transverse movement without twisting the tongue<br />

• Observation of breast feeding<br />

-adequacy of latch and milk transfer<br />

-test weigh<br />

-efficiency of bolus handling<br />

-fatigue and irritability during/after feeding<br />

-document degree of nipple pain and nipple skin erosion

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