what is tongue tie in babies
Breastfeeding Newborns & Infants

Understanding Tongue-Tie: Its Effects on Breastfeeding

Breastfeeding is a natural and essential part of the early bonding between mothers and their babies. It provides numerous health benefits for both the mother and the child. However, certain conditions, such as tongue-tie, can pose challenges to successful breastfeeding. In this comprehensive guide, we will delve into the concept of tongue-tie, how it affects breastfeeding, and provide solutions and insights for new parents.

What Is Tongue Tie In Babies?

Tongue-tie, clinically known as ankyloglossia, is a congenital condition in which the strip of skin beneath the baby’s tongue (frenulum) is shorter than usual. This condition restricts the range of motion of the tongue, impacting its ability to perform various functions effectively.

Types of Tongue-Tie

Tongue-tie is not a one-size-fits-all condition. It presents in different forms, including:

  • Anterior Tongue-Tie: In this type, the frenulum attaches at the tip of the tongue, often easily visible.
  • Posterior Tongue-Tie: The attachment of the frenulum is farther back under the tongue, making it less visible but sometimes more restrictive.

The Impact of Tongue-Tie on Breastfeeding

Breastfeeding relies on a proper latch, where the baby attaches to the breast effectively to draw milk. However, tongue-tie can hinder this process and lead to several challenges.

Challenges with Latching

  • Inefficient Milk Transfer: Babies with tongue-tie may struggle to draw enough milk during feeds, resulting in inadequate nutrition.
  • Nipple Pain and Damage: A shallow latch can cause pain, damage, or cracking of the mother’s nipples.
  • Extended Feeds: Babies with tongue-tie often take longer to feed due to their inability to latch effectively, leading to fatigue and frustration.
  • Insufficient Milk Supply: In some cases, tongue-tie can contribute to low milk supply as babies struggle to stimulate milk production.

Recognizing Tongue-Tie

Recognizing tongue-tie early is essential for addressing breastfeeding issues effectively.

Signs and Symptoms

If you suspect your baby has tongue-tie, look for these signs and symptoms:

  1. Difficulty latching onto the breast.
  2. Shallow latch with frequent slipping on and off the breast.
  3. Extended feeds with no visible swallowing.
  4. Nipple pain, damage, or mastitis (a breast infection).
  5. Fussiness and frustration during feeds.
  6. Inadequate weight gain in the baby.

Seeking Professional Evaluation

If you notice any of these signs, it’s crucial to consult a healthcare professional, such as a lactation consultant or pediatrician, for a proper evaluation. Early detection and intervention can make a significant difference in improving the breastfeeding experience.

Treatment Options


Frenotomy is a common treatment for tongue-tie. In this quick and straightforward procedure, a healthcare provider clips the frenulum, releasing the restriction and allowing the tongue greater mobility. Frenotomy is often performed in the healthcare provider’s office without the need for anesthesia.

Aftercare and Feeding Support

Following the frenotomy, mothers often experience immediate relief from breastfeeding pain, and babies may latch more effectively. However, ongoing support and guidance from a lactation consultant are crucial to ensure that breastfeeding improves and that both mother and baby are comfortable.




Q 1: How common is tongue-tie in newborns?

Ans 1: Tongue-tie is relatively common and affects approximately 4-11% of newborns.

Q 2: Can tongue-tie affect a baby’s speech development?

Ans 2: Untreated tongue-tie can, in some cases, lead to speech difficulties as the child grows. Early intervention can help prevent speech issues.

Q 3: Can adults have tongue-tie?

Ans 3: Yes, tongue-tie can persist into adulthood, and some adults may choose to have the frenulum released to improve tongue mobility.

Q 4: What should I do if I suspect my baby has tongue-tie?

Ans 4: If you suspect tongue-tie, consult a healthcare professional for an evaluation. They can provide guidance on treatment options and support for breastfeeding.

Q 5: Can I breastfeed after my baby’s tongue-tie is treated?

Ans 5: Yes, many mothers find that breastfeeding becomes more comfortable and effective after their baby’s tongue-tie is treated. Working with a lactation consultant can help optimize the breastfeeding experience.


Understanding tongue-tie and its potential impact on breastfeeding is crucial for new parents. If you suspect that your baby has tongue-tie and is experiencing breastfeeding challenges, seek professional evaluation and guidance. Early intervention and treatment can significantly improve the breastfeeding experience and ensure your baby receives the nourishment they need.

Remember, you are not alone in this journey. Many resources and healthcare professionals are available to support you in your breastfeeding and parenting endeavors. For more information on parenting and child development, visit Parentology.

Breastfeeding is a beautiful and nurturing experience, and with the right support, you can overcome challenges and provide your baby with the best start in life.


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