A 28-year-old woman, 2 weeks postpartum, presents to the GP with difficulty breastfeeding. Her baby is not gaining weight adequately and the midwife h...

Question

A 28-year-old woman, 2 weeks postpartum, presents to the GP with difficulty breastfeeding. Her baby is not gaining weight adequately and the midwife has identified a tongue-tie (ankyloglossia). Which is the single most appropriate management?

Accepted Answer

Refer for tongue-tie division (frenulotomy) if breastfeeding is significantly affected

Answer

Advise switching to formula feeding

Answer

Prescribe a nipple shield

Answer

Tongue-ties do not affect breastfeeding

Answer

Advise pumping and bottle-feeding expressed breast milk

uk-drcog MCQ (SBA): Tongue-tie and Breastfeeding

A 28-year-old woman, 2 weeks postpartum, presents to the GP with difficulty breastfeeding. Her baby is not gaining weight adequately and the midwife has identified a tongue-tie (ankyloglossia). Which is the single most appropriate management?