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)

• Private home breastfeeding support session - £190, additional fee of £30 for weekend visits (follow up visits £160): Support with positioning, attachment, assessing milk transfer, oral assessments for tongue ties and providing intraoral tension release, assistance with pumping, supplementation, feeding plans, and baby weighing... and much more! This also includes a copy of your feeding plan, with handouts, useful links and videos tailored to your situation.

• Face to Face prenatal counselling and breastfeeding workshop £130:  Prenatal counselling is a chance for you to discuss specific concerns you may have eg;  preparing to feed multiples, previous breast surgeries, milk supply issues or feeding affected by tongie ties with previous children etc. Workshops are an interactive class designed to get feeding off to the best start, This includes colostrum harvesting, feeding expectations and latching a newborn. Also includes issue of our 'Pea's breastfeeding bible' for home reading.

• Video prenatal counselling and workshop - £90: See above- counselling sessions and workshops can both be done online for those out of area or not requiring a face to face visit (Pea's breastfeeding bible sent by post).

• Video breastfeeding support and advice - £90: Perfect for women out of area, for follow ups, providing second opinions, or for less complex issues.

Qualifications

  BSc with Honors in Midwifery and Nursing

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International Board Certified Lactation Consultant (IBCLC)

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Baby Friendly trained

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Neonatal intensive care nursing 

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NMC regulated

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Tongue tie Academy

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.

Our precautions

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:

• Frequent hand washing, please provide clean hand towel for our use
• Wearing of PPE, including goggles, mask and gloves
• We are both having lateral flow tests twice weekly as part of our jobs as healthcare professionals. 

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.