Tongue Tied Kiddo: An Interview

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Henley, age 5

This is my daughter Henley. She is six years old. She loves Barbies, her pink scooter, and dresses with leggings. She was also born with a class 1 tongue tie, which means her tongue was heart shaped. It couldn’t move past her gum line, or lift at all from the bottom of her mouth. She clicked constantly when she was breastfeeding. We had it scissor clipped by an ENT when she was three days old. She was then able to nurse, but couldn’t handle my milk flow, never comfort nursed, and was addicted to pacifiers. She weaned at 21 months.  She has always had trouble with balance (didn’t walk until 16 months), swallowing solids without choking, saying certain consonant sounds, and had recently developed a stutter. I knew her tongue was tied, and that it needed to be revised before it caused lasting orthodontia issues or speech pathology. We decided to take her to a pediatric dentist to have her tongue released via laser this time. Here is the interview I conducted with her after the procedure. 

Me: So, tell me about your tongue.

Her: My tongue was tied, which meant I couldn’t touch my teeth with my tongue. The string under my tongue was too tight and it hurt when I chewed or talked a lot. [It should be said she said nothing about pain to me until she was in the parking lot of the dentist’s office and I told her what to expect. She said, “Mommy, will this help the string on my tongue not hurt so bad?”]

Me: So what happened at the dentist’s office?

Her: They let me watch Rio 2, and put special lipstick [chapstick] on my mouth so it wouldn’t dry out, and I wore cool shades.

Me: Did it hurt?

Her: It wasn’t ouchy because they gave me stuff to breathe that made me feel funny, then poked my tongue and it went to sleep.

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Laughing gas and shades

Me: Did you see what they cut your tongue with?

Her: The laser looked like a TINY pen with a light on the end. Like a flashlight for a mouse.

Me: Were you scared?

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Tongue Tie, before and after

Her: No. The dentist was nice, and covered me with a comfy blanky, and you were there the whole time watching.

Me: What was your recovery like?

Her: My tongue was weird all day, and then that night it hurt. Then, I got ice cream to lick and Popsicles, and grape medicine [Children’s Advil] that made it go away.

Me: You know, I work with babies who are too little to take medicine for the pain, what would you say to them about your tongue and the procedure you had done?

Her: To not be afraid, and to stay close to your mommy all day so she can give you milk to make you feel better. Oh, and don’t ask to watch Frozen because it doesn’t work on their TV.

By the next day, her stutter was gone. She is still lazy about saying some of her letter sounds, but I have no doubt that will remedy itself with time and as her tongue heals. She likes to show everyone all the things she can now do without her tongue tie. She can stick it out, move it from side to side, and say Ls! 

Weaning or Nursing Strike?

“My baby ‘self weaned’ at 6 months, 9 months, a year old.'” In fact, my mom told me the story about how I self weaned at 6 months old. I just simply didn’t want the breast any more, apparently. However, I remember clearly the last time I had a pacifier, and it wasn’t pretty, so it wasn’t like I didn’t want to suck on SOMETHING. Many times, what looks like weaning may actually be a nursing strike. A nursing strike is a sudden refusal of the breast, brought on by teeth, illness, growth, or introduction of solids.

Let’s look at the difference.

1. Babies rarely wean before a year of age. After all, if solids are fun until age one, what exactly are they eating at such quantities that they don’t need breastmilk anymore at such a young age? Usually, this means too many solids have been introduced, a bottle preference has been established, or a nursing strike due to teeth or some other developmental milestone.

2. Weaning is slow and steady, and takes months to complete. Weaning of course, starts as soon as something other than the breast (or bottle if exclusively pumping) is introduced. This is recommended as starting the middle of the first year, around 6 months of age. Look for signs of readiness to make sure your baby is ready for solids. If your baby suddenly refuses the breast, you may have a nursing strike on your hands.

3. Look for reasons your baby is refusing the breast. Do they have a cold? Getting teeth? Have an ear ache? Eating too many solids? Learning something new? Some babies simply just get distracted by the world around them (usually around 4, 6, and 10 months old) and can’t be bothered by  snack stops.

4. Remember that as babies get a bit older, they get more efficient at the breast. So, just because they are nursing for short spurts every few hours, it doesn’t mean they aren’t getting enough. Keep an eye on output and weight, but don’t expect a 10 month old to continue taking 20 minutes at the breast!

When faced with a nursing strike, look to your goals. If your goals are to nurse for a year and beyond, keep going! Keep offering! Use medication or ice to help sore gums, see a doctor if you suspect an ear infection or cold. Go to a dark room to nurse so your baby can calm down and nurse peacefully. Cut down on solids a bit, and offer before each meal. Be patient, this strike could last for anywhere from a couple days, to a week or two. I encourage you to stick with it.

Likewise, if your goal is to wean at an early age, take advantage of this strike, keeping in mind to replace nursing sessions with a bottle or sippy cup of formula or expressed breastmilk, as your baby still needs the nutrients and calories from either formula or breastmilk until age one.

Weaning Whines

I live in a very breastfeeding friendly, nearly stringent, bubble. Having worked with La Leche League as a leader for the past five years, I have seen breastfeeding babies from ages newborn all the way to five years old. Nothing tickles me more (internally of course, because I am a lady!) than a first time pregnant mom who comes to a meeting and sees a gigantic toddler latched on and sprawled out on his mother’s lap.  The fear in her eyes say, “That baby has TEETH, and a pretty hefty vocabulary!” In fact, because of this bubble of breastfeeding, I saw a toddler nurse FAR before I ever witnessed a newborn doing the same.

I’ve seen women hell bent on nursing through pregnancy, tandem nursing, and nursing until the baby self weans, as if each goal will earn them a merit badge. I have seen the same women feel extremely guilty when they realize they can’t stand the feeling of nursing anymore during a rough pregnancy, or when they need sleep more than they need to respond immediately to every peep from both their first and second born kid with a breast and a smile. I have seen women worry that weaning their 2 year old will mean ostracizing from their friend group, that they will be pariahs for admitting that they are done with nursing before their baby. On the other hand, I have seen women force their baby to the breast, because they aren’t ready for their toddler to wean yet.

It is great to nurse babies until they are done, don’t get me wrong. However, there might be reasons that a mom wants to wean before the baby is absolutely done. This is okay. There might also come a time when the baby is done, and the mother isn’t. Breastfeeding is a relationship, one that involves two people. To ignore the feelings of one of the people in that relationship can be a major mistake.

I am here to say, it is okay to wean. It is okay if that happens before you wanted it to. It is okay to set goals, but it is also okay when those goals change. Over the next couple of weeks, I will explore this taboo topic, and how to wean in a way that is gentle, safe, and loving to both parties in the relationship.