Is Your Baby Having Trouble Latching? How to Overcome Tongue Tie Challenges for Successful Breastfeeding
- jaimiezaki
- Feb 1
- 4 min read
Updated: May 9
Breastfeeding is a special bonding time between you and your baby, but what if your little one struggles to latch? One common issue that can make breastfeeding difficult is tongue tie. This condition can affect how well your baby feeds and even impact your breastfeeding experience. In this post, we will explore what tongue tie is, how to recognize it, and practical strategies for overcoming the challenges it can create.
What is Tongue Tie?
Tongue tie, or ankyloglossia, is a condition present at birth where the tissue connecting the bottom of the tongue to the floor of the mouth (the frenulum) is shorter or thicker than usual. This limitation can limit the tongue's movement and your baby’s ability to latch onto the breast effectively.
Tongue tie can vary in severity. Some babies may not have obvious issues, but others might struggle to breastfeed properly, leading to added stress for both parent and child.
Signs Your Baby May Have Tongue Tie
Identifying the signs of tongue tie early on is key to resolving any potential feeding issues. Watch for these common indicators that may suggest your baby has difficulties latching due to tongue tie:
Gumming or sucking without effective milk transfer
Producing a clicking sound during nursing
Not being able to extend their tongue past the gums
Experiencing a shallow latch or causing nipple pain for the mother
Showing poor weight gain—about 10-12% weight loss in the first week post-birth is concerning, or not gaining on a growth curve
If you see any of these signs, consulting with a lactation consultant for a detailed feeding evaluation is a wise step.
Understanding the Impact of Tongue Tie on Breastfeeding
Tongue tie can lead to multiple breastfeeding challenges that may discourage mothers. Here are some common problems:
Inadequate Milk Intake: A baby with tongue tie often struggles to create the suction required for effective milk extraction, which can lead to insufficient intake and dissatisfaction during feeding.
Nipple Pain: Mothers may experience sore or cracked nipples due to improper latching. Approximately 70% of breastfeeding mothers report nipple pain, which can impact their decision to continue nursing.
Milk Supply Issues: If your baby is not adequately removing milk, your supply may decrease. Studies show that insufficient supply is a leading cause of early breastfeeding cessation.
Identifying these issues quickly allows you to seek proper assistance and potential solutions.
Solutions to Overcome Tongue Tie Challenges
Addressing tongue tie is vital for a successful breastfeeding experience. Here are several strategies to consider:
Consult a Lactation Specialist
Connecting with a lactation consultant is one of the most effective steps you can take. We can evaluate your baby’s latch, oral function, and provide tailored advice to improve feeding, even if tongue tie is present. They may also offer comfort measures, positioning tips, and specialized tools to facilitate easier breastfeeding.
Tongue Tie Release
If your Lactation Consultant identifies oral dysfunction consistent with oral ties, she may refer you to a dentist or ENT who performs a procedure called a "frenotomy", which surgically releases the tight tissue. This is a quick and simple procedure, however should only happen when the baby is ready for release. A release without readiness can have negative outcomes making feeding harder. Ensuring your IBCLC and release provider are communicating closely is important.
Implement Different Feeding Positions
Trying various nursing positions can help your baby latch better despite tongue tie. Positions like the side-lying or Koala hold may offer you more control over the feeding angle. This adjustment can ease discomfort and improve your baby's ability to suckle effectively.
Be Patient and Persistent
Breastfeeding can present challenges, especially with added hurdles like tongue tie. But the good news is you don't just have to sit around wondering why you're "broken" or feeling helpless - there is help available, and there are answers available!
The Emotional Toll of Tongue Tie
Navigating the complexities of tongue tie can impact your emotional well-being. Many mothers feel frustration or guilt when breastfeeding does not go as planned. It's vital to recognize these feelings and understand that you are not alone.
Connecting with other mothers can help alleviate feelings of isolation. Sharing experiences and gaining advice from those who have faced similar struggles can offer both comfort and effective strategies.
Final Thoughts
Recognizing and addressing tongue tie can greatly influence your breastfeeding journey. While you may face challenges, many strategies are available to help. A collaborative effort with healthcare providers and lactation specialists can create a supportive environment for successful breastfeeding.
Breastfeeding is a unique experience, and overcoming tongue tie challenges can result in a rewarding bond between you and your child. Stay informed, cultivate patience, and utilize available resources to navigate this journey.
To learn more about working with your baby to get a great latch, using nipple shileds, healing cracked nipples, and checking for and navigating tongue tie, check out my library of breastfeeding guides here
Jaimie Zaki is an International Board Certified Lactation Consultant (IBCLC) and mom of 5! Jaimie has volunteered as a La Leche League Leader, worked as a nurse, doula, and birth photographer, and is the host of the Breastfeeding With Confidence Podcast and founder of the Confident MamaBear Society. Jaimie provides holistic breastfeeding advice for pregnant & new moms, helping them overcome unexpected latching trouble and milk supply issues. She empowers mothers to make informed decisions from a place of confidence and intuition.
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