Email us to book our private services- See below for more information on Tongue tie services
(Combinations of services or repeat visits may be offered at discounted prices)
Having been trained by an industry leader in tongue function and holistic assessment, we will take the time to assess your baby holistically, looking at symptoms regarding feeding, sleep, behaviour and oral function as well as just tongue appearance.
Everyone has a frenulum, which is composed of oral mucosa and sometimes also floor of the mouth fascia or genioglossus muscles (Mills et al 2021). Presence of a frenulum alone cannot diagnose a tongue tie, and the frenulum must be restricting the tongues mobility to be a genuine tie
Diagnosis of tongue tie (ankyloglossia) is a functional diagnosis, which means that no specific one tool exists as the sole means of confirming a tongue tie. Such a decision can only be made in conjunction with a skilled clinical functional assessment (Schlatter et al.)
We have been trained to use the Hazel Baker ATLFF tool, the only tool proven to give valid inter-rater reliability between practitioners when interpreting tongue function. However, we will also use clinical judgement based on experience as well as time to listen to any concerns regarding the symptoms and observation of the effectiveness of conservative management.
We incorporate soft tissue release/myofunctional therapy into our practice to ensure the eight surrounding tongue muscles are treated along side any potential tie. Compensatory mechanisms often mean that when oral dysfunction is present tension can then spread to baby's surrounding anatomy. Sometimes soft tissue release can be enough to treat an oral restriction without the need for a division. It can also prepare baby to improve their tongue function to ensure they are ready to receive a division if one is necessary and therefore improve healing.
Scar tissue - Scar tissue contracture can impede tongue function more than the original tie. Soft tissue release can improve the formation and elasticity of scar tissue while the tongue heals (this is not disruptive wound massage). If your baby has previously had a tongue tie division which has not improved their symptoms fully (or even worsened them) soft tissue release on surrounding muscles and scar tissue remodelling can help improve function and enable better assessment of the wound.
Both of us are able to assess tongue tie and perform soft tissue release. Jenn is a Tongue Tie Practitioner and therefore competent do perform the frenulotomy procedure.
Initial consultations can take place in your own home. At present, if a division is needed we will then invite you into the Tongue Tie Centre in Balham to have the procedure done for a smaller follow up fee. We have found the procedure safer with two practitioners (which can often be facilitated in the clinic) and that parents tend to feel more comfortable having a surgical procedure done in a clinical environment.
Although this may seem an unnecessary delay we will ensure the situation is sustainable, have a plan for its continued improvement in the meanwhile and agree with you when is most comfortable to return for the procedure. We often see a vast improvement alone from continued soft tissue release done by parents prior to being seen again in clinic.
Click the image below for the Tongue Tie Centre's details:
After a long and difficult labour, I struggled to get baby to latch. Two days later and we were still having issues and feeding was painful and stressful. Jenn came to our house and taught me how to get baby to latch properly and it made a huge difference. She was very understanding and I felt completely comfortable.
The midwives at our hospital were good but they were very pushed for time and we found them reluctant to touch me and help guide baby onto the breast properly. We really benefitted from a couple of hours of one-on-one time with someone in the comfort of our own home. Jenn also taught me how to hand express, settle baby, and give baby her first bath. We ended up breastfeeding for 14 months thanks to the help we received.
I used Peas in a Pod Breastfeeding because I was recommended them by a friend, and I am SO glad for the recommendation! Without their guidance & support I would not still be breast feeding now 6 weeks in.
I had a really difficult start to breastfeeding with a small baby suffering from jaundice, which lead to her not feeding much and my breasts becoming engorged. By the time Rachel visited me I was in a complete state, but her calm and supportive manor reassured me, and she showed me how to address the issues and get my baby to latch. Then during my stay in hospital I was able to text Rachel if I hit further stumbling blocks. I know if I have any issues going forward Peas will be able to help me overcome them!
I have already recommended them to a few friends & would highly recommend to anyone needing breastfeeding support!
Expecting our first child in a pandemic has meant that we have needed even more support. I knew I wanted to breastfeed but also knew it would be impossible to attend classes as normal. However, I needn't have worried. The Peas ran a workshop for me and my partner which was full of clear, practical advice. We came away feeling as though we had just spent the afternoon in breastfeeding school!
The workshop provided us with loads of great tips to help my partner support me and feel involved with feeding, whilst also explaining the biology which meant we both understood the importance of getting feeding right and feeling confident that we could do it! I am so pleased we took part and it has got our breastfeeding journey off to a great start!
As our services are dynamic and flexible, please email us to discuss which services are best for you.
We are based in South London and cover London and surrounding areas.
Typically same day reply!
The decision to meet face to face is an individual and joint decision between us and families. By booking a home visit with peas you are agreeing to the fact that there is a risk of exposure to covid-19 or other illness
We offer video calls for up to 1 hr for advice if you prefer to not have hands on help at this time (£45). We can also give an antenatal breastfeeding class virtually and will post the information leaflet to you. This antenatal class virtually will not include first aid (£100).
We will have the following measures in place:
If anyone in your home has symptoms of Covid-19 please let us know as soon as possible and we will ensure that we come up with a plan to keep us and yourselves safe.
The benefits of breastfeeding outweigh any potential risks of transmission of the virus through breast milk or by being in close contact (PHE, March 2020)
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Peas in a Pod Breastfeeding Ltd.
Company Number: 13126297
Peas in a Pod Breastfeeding Tongue Tie ltd
Company number: 15320401