Urgent Alert: Tongue Tie in Infants—What Parents Must Know NOW

UPDATE: Parents across Ireland are urged to be vigilant about the signs of tongue tie, known medically as ankyloglossia, as recent findings highlight its impact on infant feeding. The Royal College of Physicians of Ireland (RCPI) and Health Service Executive (HSE) have released a report emphasizing the importance of early detection and management of this condition, which affects an estimated up to 10% of newborns.

JUST ANNOUNCED: Tongue tie occurs when the tissue connecting the tongue to the floor of the mouth—the lingual frenulum—is shorter or tighter than normal, limiting tongue mobility. This can lead to significant feeding challenges, especially for breastfeeding mothers. Symptoms may include difficulty attaching to the breast or bottle, making clicking noises while feeding, or persistent fussiness post-feeding.

Parents should look for crucial signs, such as the tongue failing to lift or move side to side, or appearing heart-shaped when extended. According to Dr. Justin Roche, medical director at the National Tongue Tie Centre in Co Tipperary, these issues can escalate, causing babies to struggle with feeding, leading to further complications like inadequate weight gain or emotional distress for both the baby and the parents.

The RCPI/HSE report indicates that while many infants with tongue tie can breastfeed successfully, those who experience feeding difficulties should seek immediate assessment from a certified lactation consultant. It’s vital for both the baby and mother to be evaluated, as breastfeeding challenges can stem from various factors.

In Ireland, all newborns are clinically examined within 48 hours of birth to identify potential tongue tie. However, the report stresses the need for comprehensive assessments using internationally recognized scoring systems to ensure accurate diagnosis and intervention.

If lactation support does not resolve feeding challenges, a procedure known as a frenotomy may be recommended. This procedure, which involves releasing the frenulum, can alleviate pain and improve breastfeeding success. However, experts caution that this should not be seen as a “quick fix.” Kate Roche of the National Tongue Tie Centre emphasizes that the complexities of tongue tie often require thorough pre- and post-operative management to achieve successful outcomes.

Concerns over the procedure’s safety and efficacy have been raised, with potential complications including hemorrhage, airway obstruction, and suboptimal healing. The HSE reports that while frenotomy is generally safe, it is critical to have it performed by qualified healthcare professionals, including pediatricians and oral surgeons.

Parents are increasingly aware of tongue tie, as highlighted by recent trends in diagnosis and intervention. Many families are seeking private assessments, often incurring significant expenses, sometimes exceeding €350 for evaluations. The Whiteford family, who recently managed their third son’s tongue tie issues, reported spending thousands on private care, underscoring the emotional and financial toll of this condition.

The urgency of addressing tongue tie cannot be overstated. If you notice any symptoms in your infant or are struggling with breastfeeding, immediate consultation with a healthcare professional is crucial. By taking action now, parents can ensure their infants receive the help they need to thrive.

This ongoing conversation around tongue tie is vital for improving awareness and outcomes for families. Ensure your baby is assessed promptly to avoid complications and support their feeding journey effectively.