What are IBCLCs Afraid of? Episode 364

In this conversation, Lisa Paladino discusses her experiences, as an IBCLC and Certified Nurse Midwife, with 35 years of experience, and the fears that come with this career.. She talks about the responsibility of not missing any medical problems or lactation issues, the fear of not being trusted or taken seriously, and the concern of giving care plans that may not work for families. Lisa emphasizes the importance of developing a rapport with the families and providing education and resources to build trust. She also shares a case study of a baby with a tongue tie to illustrate the decision-making process and the art and science of being an IBCLC.

Takeaways:

• Being an IBCLC is a high-pressure job with a lot of responsibility.
• IBCLCs fear missing medical problems or lactation issues and not being trusted or taken seriously.
• Developing a rapport with families and providing education and resources is crucial for building trust.
• Care plans should be tailored to the individual needs and capabilities of the families.
• The decision-making process as an IBCLC involves a combination of science and art.

More From Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all of our offerings.

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

This week's episode is a replay of our response to an article in the NY Times regarding tongue tie treatment. The article featured my colleague, Dr. Scott Siegel.

In this episode, which was recorded as an Instagram Live event, you'll hear more of the story including:

- My letter to the editor of the NY Times, which can be found here: https://www.tonguetieexperts.net/blog

- The motivation of Dr. Siegel agreeing to open his office to reporters.

- How Dr. Siegel feels about how his practice was portrayed.

- The research, practices, and patient experiences shared with the reporters that wasn't included in their story.

Dr. Siegel's website for more information: https://www.drscottsiegel.com/

I'd love to hear your thoughts on this. Email me @ Lisa@LisaPaladino.net

Thanks so much for listening and for being a part of the Tongue Tie Experts community.

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Ways to connect with Lisa:

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Don’t miss our *new* Professional’s Guide to Tongue Tie in the Breastfeeding Infant

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More From Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

In this episode, Lisa Paladino CNM, IBCLC calls on her experience and current literature to discuss the procedure for frenotomy for breastfeeding infants, focusing on the tools used, the types of providers who perform the procedure, and the associated risks and precautions.

She emphasizes the importance of understanding these aspects for professionals who work with infants and breastfeeding. Lisa also highlights the differences between scissor releases and laser releases, explaining the benefits of using a CO2 laser. She advises choosing an experienced provider and following proper aftercare instructions. Additionally, she stresses the importance of working with a lactation consultant before and after the release procedure.

Reference: Garrocho-Rangel A, Herrera-Badillo D, Pérez-Alfaro I, Fierro-Serna V, Pozos-Guillén A. Treatment of ankyloglossia with dental laser in paediatric patients: Scoping review and a case report. Eur J Paediatr Dent. 2019 Jun;20(2):155-163. doi: 10.23804/ejpd.2019.20.02.15. PMID: 31246095.

More on Frenotomy:

https://www.tonguetieexperts.net/blog

More from Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all of our offerings.

In this episode, Lisa interviews Rebecca Hill, PhD, DNP, FNP-C, CNE, FAAN about the state of research on tongue tie and its associated effects on infant feeding. They discusses her personal journey, how she evolved her work into researching tongue tie. The conversation explores the importance of clinical experience and the need for evidence. Dr. Hill discuss the challenges of measuring the effectiveness of tongue tie treatment and the need for ancillary support from lactation consultants, speech-language pathologists, and occupational therapists.

Highlights

• There IS research on tongue tie, with the number of published studies increasing every year.
• Randomized controlled trials (RCTs) are challenging to conduct ethically in this population.
• Rigorous research methods and eliminating bias are crucial in studying tongue tie.
• Research is bringing credibility to the field of tongue tie and breastfeeding.
• Ancillary support from lactation consultants, speech-language pathologists, and occupational therapists is important in treating tongue tie.
• Clinical judgment plays a critical role in healthcare.
• Current research projects that Dr. Hill is supervising.

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off

About Dr. Rebecca Hill

Dr. Rebecca Hill holds a BSN, MSN, post-master’s certificate in nursing education, DNP, and PhD in Nursing. She is a family nurse practitioner, certified nurse educator, and lactation counselor. Her current titles include Associate Dean for Academic Affairs and associate professor at the MGH Institute of Health Professions School of Nursing in Boston, MA, and she maintains a clinical practice.

Professional Course Waiting List - ENHANCED pro course coming in August! https://www.tonguetieexperts.net/waiting-list

In this conversation, Lisa Paladino covers the team approach to tongue tie treatment, emphasizing the importance of a comprehensive and collaborative approach involving various professionals. It discusses the assessment, referral, and post-procedure care for infants with tongue tie, highlighting the role of lactation consultants, body workers, speech language pathologists, and medical providers.

Highlights:

• The team approach to tongue tie treatment involves a collaborative effort of various professionals to address all aspects of feeding and health.
• Assessment, referral, and post-procedure care are essential components of the team approach, focusing on the well-being of both the infant and the parents.
• The emotional and mental health of the parent is an important consideration and sometimes referrals to mental health professionals are warranted.
• The role of lactation consultants, body workers, speech language pathologists, and medical providers is crucial in the comprehensive care of infants with tongue tie.

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

On this episode, Lisa chats with Dr. Chelsea Pinto, introducing a different paradigm for treatment of families whose infants have oral restrictions.

Topics Discussed:

• Importance of a feminine approach in infant care.
• Empowering parents in caring for their infants.
• Creating a supportive and comfortable environment for mothers.
• Addressing the emotional and mental aspects of the post partum time.
• Collaborating with other professionals for comprehensive care.
• Avoiding unnecessary procedures and over-treatment.
• Focus on individualized and evidence-based care.
• Dr. Pinto's personal and professional growth journey and its impact on her care approach.

More from Tongue Tie Experts:

To learn about oral restrictions, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all of our offerings.

Dr. Chelsea Pinto is an educator and dentist based in Woodland Hills/Los Angeles, solely dedicated to infant-toddler tongue and lip ties. She has successfully treated thousands of babies with oral restrictions and provides families with the knowledge to support their child's oral motor skills, including appropriate therapeutic and feeding support referrals for a comprehensive approach. For more information, visit Infant Frenectomy Protocol.

Thanks to this week's sponsor, SpotPal:

Visit SpotPal.com and use the coupon code LISA10 for $10!

Follow SpotPal on Instagram

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

Tongue tie treatment is so much more than "clipping a frenum". In this episode, Lisa shares some of what she included in assessment and treatment of dyads suffering with breastfeeding (or bottle feeding) dysfunction.

Important links mentioned: Understanding Milk Supply for Medical and Birth Professionals

Use code PODCAST15 for 15% off

Professional Course Waiting List - NEW course coming this summer! https://www.tonguetieexperts.net/waiting-list

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Key Takeaways:

• Holistic tongue tie management should involve a comprehensive evaluation and treatment for both the mother and the baby
• Emotional and psychological support for mothers during the postpartum period is crucial for successful breastfeeding outcomes.
• Addressing breastfeeding challenges requires consideration of maternal well-being, milk supply, as well as infant feeding behaviors.

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

Lisa Paladino discusses the challenges professionals face when assessing and treating infants with tongue or lip tie. include determining the right time for release, the importance of proper lactation support, educating families, and addressing previous misinformation. Lisa emphasizes individualized care and functional evaluation by a lactation consultant before treatment. She also announces the launch of an updated course for healthcare providers. You can join the waiting list (professionals only, please): CLICK HERE

• Timing for releasing tongue or lip tie requires balancing immediate intervention with time for preparation.
• Proper lactation support and functional evaluation by a lactation consultant are crucial before treatment of breastfeeding infants.
• Educating families about tongue or lip tie can be difficult, especially if they've encountered previous misinformation.
• Addressing misinformation involves empathy, validating concerns, and providing evidence-based information.
• Posterior tongue tie is challenging to assess and may need additional interventions.
• Comprehensive preparation and addressing other feeding issues are important before considering release.
• Lisa announces an updated professional course on tongue or lip tie management.

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links Use code PODCAST15 for 15% off all of our offerings.

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A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.