10/25/2017
Wonderful article!
The Tongue is the Motor for Normal Breastfeeding
After years of giving conferences, explaining to practitioners via email, and teaching people in person the nature of how tongue tie impacts breastfeeding, I have come to conclusion that the fundamental misunderstanding of how tongue tie negatively impacts breastfeeding is that people do not understand that the tongue is what drives normal milk extraction. For the tongue to appropriately remove milk from the breast, it must have contact with the breast. If, for whatever reason, the baby has a very shallow latch, then the tongue is not touching the breast at all. This is the fundamental part of tongue tie that most people do not understand.
If the tongue does not touch the breast, then any vacuum generation is done using compensatory muscles that are typically used during chewing. This results in a baby who will bite and gum rather than suck appropriately. If the tongue cannot hold the seal on the breast, then the lips will, and that can force the shallow latch.
What happens? If the muscles of facial movement and chewing (mastication) are responsible for holding the seal and generating a vacuum, dominos start to fall - the baby fatigues, mom feel discomfort, the breast doesn’t get emptied, etc etc.
Does every baby with a shallow latch have a tongue tie? Absolutely not. Does every baby with a shallow latch use muscular compensations to extract milk? Most definitely yes. If the lactation consultant cannot use positioning and different latch techniques with success to improve latch depth, it behooves us as medical professionals to try and figure out why instead of slapping a bandaid on the problem.
Here’s a profound statement for you all: If your baby has a congenital anatomical problem that is limiting their ability to breastfeed normally, it is not a stretch to expect the baby to have problems later, whether it’s with solid foods, speech, or craniofacial development. Let’s start focusing on the problem earlier to fix breastfeeding problems now.