Seeing a lactation consultant is vital for new mumsâit can help you through the overwhelming early days of feeding, bonding and understanding your baby. However, itâs just as important to get a second opinion, especially from someone trained in oral function. Not all IBCLCs are qualified to assess, diagnose and refer for oral ties. Without proper diagnosis, oral restriction can persist and worsen over time. A thorough evaluation should go beyond latch advice and look at underlying issues, especially when ties are suspected.
I first saw Eve when my daughter was one month old. She recommended pumping twice a day and bottle-feeding expressed milk to support weight gain and maintain supply. Despite me explaining I had painful vasospasms after each feed and pump, the plan didnât change. I spent months stuck inside, exhausted and emotionally drained. Eve noted my daughter had both a lip and tongue tie but felt her mouth had âenough flexibilityâ and told me to just improve her latch. So I kept going, using heat packs before every feed and pump, growing more isolated and low in mood.
Later, I went to iKids for a new assessmentânot knowing Eve was also their IBCLC. This time she said my daughter had a high palate, upper lip tie and tongue tie, but doubted a procedure would help. She said her latch might improve closer to four months as her mouth widened. It did, but only because my daughter compensated with her lips, which had become stronger due to limited tongue function. When I returned for further support, Eve offered emotional reassurance and firm advice about my obsessive tracking, but again pushed pumpingâeven though it added stress and was hard to manage with short wake windows and my husband back at work.
My gut kept telling me something was wrong. I kept researching while my daughter and I struggled with disrupted sleep and digestive discomfort. Several specialists said it was just colic and recommended gripe water. It helped a little but didnât resolve the real issue.
Now, at 14 months, Iâve finally learned enough about oral ties to spot misinformation. I found a trusted paediatric dentistânot affiliated with iKidsâand it was the best decision. Their IBCLC gave an in-depth assessment: what oral function should look like at this age, what my daughter could actually do, her latch and her body tension. Many findings matched my own research, but this consult connected the dots. She confirmed the high palate likely formed in utero due to oral restrictions, identified blanching on the gums, noted a rare lower lip tie and let me feel how tense her cheeks were from compensating for poor tongue mobility.
She showed me how limited my daughterâs tongue function really was. We're now doing oral exercises to prepare for a laser procedure. Itâs much more complex at this age and I wish sheâd been properly diagnosed as an infant.
I regret staying with Eve and not getting a second opinion sooner. An IBCLC trained in oral function couldâve saved my daughter months of pain and dysfunction. Thankfully, Iâve now found one who truly understands oral anatomy and I feel confident my next child will get far better support.
My advice: be cautious with IBCLC recommendations when ties are suspected. Join a support group and seek care from both a qualified oral function therapist and an experienced paediatric dentist. Ties are not just about flexibilityâthey affect the whole body and need proper treatment with both release and rehab. Thereâs no such thing as a âmildâ tie if it causes restriction. A solid oral assessment is critical.
Although Eve may offer general lactation support, she should not be consulting at iKids. Her limited training in oral function led to repeated misdiagnosis. I cannot rate her higher than...
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