https://www.beforeandafterbaby.com.au/blogs daily 0.75 2026-09-29 https://www.beforeandafterbaby.com.au/blogs/tongue-tie-release-aftercare-perth-what-to-expect monthly 0.5 2026-09-29 https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/3f51eefb-5280-4791-acff-b622b2c87ae4/Gemini_Generated_Image_2ixviy2ixviy2ixv.jfif Blogs - Tongue Tie Release & Aftercare: What to Expect After Your Baby’s Frenotomy - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/6b7606f5-c9bd-4c6a-89af-8bd39ca1bdfe/frenotomy.png Blogs - Tongue Tie Release & Aftercare: What to Expect After Your Baby’s Frenotomy - What is a frenotomy? A frenotomy is a procedure used to release a restrictive lingual frenulum — commonly referred to as a tongue tie. A restrictive frenulum can limit the tongue's ability to extend, elevate and move effectively. In some babies, this can contribute to breastfeeding difficulties such as a shallow or painful latch, difficulty maintaining suction or ineffective milk transfer. Importantly, not every baby with a visible tongue frenulum needs treatment. Current guidance emphasises that tongue tie should be considered in the context of function and feeding, rather than appearance alone. A comprehensive feeding assessment is an important part of deciding whether a release may be appropriate. When a frenotomy is recommended, it is generally a quick procedure performed by an appropriately trained medical or dental practitioner. https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/a4901015-8e8e-4c62-8b7e-4fe216fb7a16/Gentle+Infant+Oral+Care+Check.png Blogs - Tongue Tie Release & Aftercare: What to Expect After Your Baby’s Frenotomy - Does my baby need stretches after tongue tie release? This is an area where parents can receive very different advice. Some practitioners recommend specific postoperative oral movements or wound care, while others do not recommend manipulating the wound. There is currently no universal evidence-based postoperative stretching protocol for newborns following frenotomy. The 2024 American Academy of Pediatrics clinical report specifically advises against routine postoperative stretching exercises intended to prevent reattachment. For this reason, I don't recommend families follow a generic tongue-tie stretching schedule they have found online. Follow the postoperative instructions provided by the clinician who performed your baby's procedure. If you have been asked to perform an exercise or wound-care technique and you are unsure how to do it, ask the treating practitioner to demonstrate it again. If you have been given conflicting advice, it is reasonable to ask your baby's treating practitioner and your lactation professional to communicate with one another so that everyone is working from the same plan. https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/d6b1deed-2055-460c-902e-11f2733ecbdf/a+mother+holding+her+baby+during+breastfeeding%2C.jfif Blogs - Tongue Tie Release & Aftercare: What to Expect After Your Baby’s Frenotomy - What if feeding seems worse after the release? This can be frightening for parents. You've gone through the assessment, the procedure and all the anticipation of things improving — and then suddenly feeding seems different. Remember that different doesn't necessarily mean worse, and worse doesn't necessarily mean something has gone wrong. Your baby may be adjusting to a new way of moving their tongue. They may also be experiencing some temporary oral discomfort. However, ongoing feeding deterioration should not simply be dismissed as "normal adjustment." If your baby is struggling to feed, refusing feeds, becoming increasingly unsettled at the breast, transferring less milk or you are concerned about their hydration or weight, seek assessment. This is where a follow-up feeding assessment can be particularly helpful. https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/901594e2-a068-4d63-a259-5bce1b83a6dd/Tender+Mother+and+Baby+Embrace.png Blogs - Tongue Tie Release & Aftercare: What to Expect After Your Baby’s Frenotomy - What if the feeding problems don't disappear? This is an important conversation too. A tongue tie may be contributing to breastfeeding difficulties, but breastfeeding is complex. There can be many reasons a baby struggles with feeding, including positioning and attachment, milk supply, oral-motor coordination, prematurity, birth-related factors, neurological or muscular factors, pain, reflux-like symptoms and other medical or anatomical considerations. The American Academy of Pediatrics recommends a collaborative approach involving appropriate healthcare professionals and lactation support when managing infants with suspected symptomatic ankyloglossia. If feeding difficulties continue after a release, it doesn't mean you have failed — and it doesn't automatically mean the procedure "didn't work." It means your baby deserves another look at the whole feeding picture. https://www.beforeandafterbaby.com.au/blogs/tongue-tie-babies-perth monthly 0.5 2026-09-25 https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/a7f931e6-d54d-49e2-95db-3006847f7478/create+mother+and+baby+breastfeeding++feeding+support.png Blogs - What Is a Tongue Tie? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/bc08eb6c-969d-4243-9221-7e3052f4cd62/midwife+or+IBCLC+supporting+a+breastfeeding+mother++.png Blogs - What Is a Tongue Tie? https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/8e6a56a9-c316-4b3f-862b-73eb07c26e3f/baby+feeding+from+a+bottle.png Blogs - What Is a Tongue Tie? - What does the tongue need to do during feeding? The tongue plays an incredibly important role in infant feeding. During breastfeeding, the baby's tongue needs to coordinate with the lips, jaw, cheeks and palate to create an effective seal and generate the suction and compression needed to remove milk. The tongue also needs to move in a coordinated way to help bring milk toward the back of the mouth for swallowing. When tongue movement is restricted, some babies may compensate by using other structures more heavily — for example, increasing jaw movement or relying more on the lips. Not every baby with a tongue restriction will have feeding difficulties. But when the restriction is functionally significant, it may contribute to difficulties with feeding. https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/c4dfbdea-4335-49c2-a415-6755ecbac87d/baby+feeding+from+a+bottle.png Blogs - What Is a Tongue Tie? - What about bottle feeding? Tongue tie isn't only relevant to breastfeeding. Babies who are bottle-fed, expressed-milk-fed or combination-fed also rely on coordinated oral movements to feed effectively. A baby with restricted tongue movement may potentially experience difficulties such as: Difficulty maintaining a seal around the teat Milk leaking from the mouth Clicking or smacking sounds Frequent breaks during feeds Coughing or spluttering during feeds Very long feeds Fatigue during feeding Difficulty coordinating sucking, swallowing and breathing Difficulty managing milk flow Frustration during feeds However, these signs are not specific to tongue tie. There are many reasons a baby may struggle with bottle feeding, including teat flow, positioning, oral-motor coordination, prematurity, respiratory issues, neurological factors and other anatomical or functional differences. This is why a feeding assessment is much more useful than simply looking underneath the tongue. https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/1789547505483-OV5ZI3XNKWDW6VC5LQNX/Gemini_Generated_Image_rmo058rmo058rmo0.png Blogs - What Is a Tongue Tie? https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/1789547717952-A3YHCJX83UWZCYJJNV5L/posterior+tongue+tie.png Blogs - What Is a Tongue Tie? https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/5a270a19-16fa-4da6-bcd9-9adb86711c75/midwife+or+IBCLC+supporting+a+breastfeeding+mother++.png Blogs - What Is a Tongue Tie? - Why watching a feed is so important A baby's tongue can look restricted but function beautifully. Another baby may have a less obvious restriction but experience significant functional difficulties. This is why a photograph or quick oral examination cannot tell the whole story. Watching a feed allows the clinician to ask: What is actually happening? Is the baby attaching deeply? Can they maintain their seal? Are they transferring milk? Can we hear and see effective swallowing? Is mum comfortable? Is the baby becoming fatigued? Is the baby gaining weight appropriately? Could something else be contributing to the feeding difficulty? These questions are much more useful than simply asking: "Does my baby have a frenulum?" https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/81ef0c0c-5122-41c4-a7bf-7552e720d3e7/gentle+professional+infant+assessment.jfif Blogs - What Is a Tongue Tie? - Scissors or laser? You may also hear parents discussing whether a tongue tie should be released using scissors or laser. Both approaches are used by clinicians. However, there is not good evidence demonstrating that one method is universally superior for infants with tongue tie. The Academy of Breastfeeding Medicine notes that scissors remain a long-established method and that other instruments, including lasers, are also used, but published comparative studies between the different instruments are lacking. The most important considerations are the clinician's training and experience, appropriate assessment, informed consent, safe technique and appropriate follow-up. https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/a9c60b4d-0f8a-4e99-859e-f3c7122accd4/clinician+observing+mother+and+baby.jfif Blogs - What Is a Tongue Tie? - Where does an IBCLC fit into tongue-tie care? An IBCLC can play an important role in assessing the feeding relationship before and after a tongue tie diagnosis. This may include assessing: Breastfeeding history Bottle feeding where relevant Latch Positioning Sucking pattern Milk transfer Maternal comfort Milk supply Infant weight and growth Oral function Feeding efficiency The impact of any suspected tongue restriction An IBCLC does not replace the medical or dental practitioner who diagnoses and performs a frenotomy. Instead, good care is collaborative. The IBCLC can assess feeding and lactation, while the appropriately qualified medical or dental practitioner can assess the anatomical restriction and discuss procedural options. https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/b0cacf71-48a9-4411-ba45-11e256ab11ef/calm+parent+%2B+newborn+image.jfif Blogs - What Is a Tongue Tie? - You have options If your baby has been diagnosed with tongue tie, it is completely understandable to feel overwhelmed. You may hear one person say: "It definitely needs to be released." Another may say: "I wouldn't touch it." And suddenly you're left wondering who is right. The answer isn't always black and white. There are different approaches, and the right decision depends on your baby's individual anatomy, function, feeding difficulties, growth, your goals and the advice of appropriately qualified healthcare professionals. You deserve clear information, evidence-informed care and the opportunity to make an informed decision without pressure. If your baby is struggling with breastfeeding or bottle feeding and you're wondering whether tongue tie may be contributing, a comprehensive feeding assessment is a good place to start. Sometimes the answer is tongue tie. Sometimes it isn't. And sometimes the answer is a combination of several things. Either way, you don't have to work it out alone. https://www.beforeandafterbaby.com.au/blogs/private-midwife-premature-birth-nicu-support-perth monthly 0.5 2026-08-25 https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/929d3563-a8ac-4518-8ee7-9774f0ac2661/Private+midwife+supporting+mother+with+premature+baby+in+NICU Blogs - When Birth Happens Earlier Than Expected: How Private Midwifery Care Can Support You Through Premature Birth Pregnancy doesn't always go according to plan. Sometimes, despite a healthy pregnancy and the best intentions, a baby needs to arrive much earlier than expected. A premature birth can be overwhelming. Instead of preparing for the birth you imagined, you may suddenly find yourself meeting a neonatal team, learning unfamiliar medical terminology, navigating procedures and spending time in a Neonatal Intensive Care Unit (NICU) or Special Care Nursery (SCN). In those moments, having a midwife you already know and trust can provide an important layer of continuity, reassurance and support. Private midwifery care isn't about guaranteeing a particular birth outcome. It is about ensuring that you continue to have someone in your corner when circumstances change. https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/bc14993f-d967-4ddc-b18d-47572ef9de9f/A+midwife+sitting+beside+a+mother+in+hospital%2C+talking+and+providing+emotional+support. Blogs - When Birth Happens Earlier Than Expected: How Private Midwifery Care Can Support You Through Premature Birth The value of having a midwife you already know One of the greatest benefits of private midwifery care is continuity. Throughout your pregnancy, your midwife has had time to get to know you. https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/68ef8027-430f-4f11-9b0b-18e689170393/Private+midwife+supporting+breastfeeding+and+expressing+after+premature+birth.jfif Blogs - When Birth Happens Earlier Than Expected: How Private Midwifery Care Can Support You Through Premature Birth - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/fbd0af16-3035-4f41-a1b4-b1c05e1c39dc/Mother+providing+skin+to+skin+contact+with+premature+baby Blogs - When Birth Happens Earlier Than Expected: How Private Midwifery Care Can Support You Through Premature Birth - Skin-to-skin can still be part of your journey Premature babies often spend time in an incubator or other specialised environment. That can leave parents feeling as though they are somehow separated from their baby. But even when your baby requires intensive medical care, there may be opportunities for you to participate in their care. https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/b9711a03-fd77-4720-98bc-606d6d865904/Mother+and+baby+together%2C+preferably+looking+calm+and+connected+rather+than+clinical..jfif Blogs - When Birth Happens Earlier Than Expected: How Private Midwifery Care Can Support You Through Premature Birth - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.beforeandafterbaby.com.au/blogs/ectopic-pregnancy-perth monthly 0.5 2026-06-15 https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/5c9371a1-8828-4298-bd43-2a43da874f2e/pregnancy-after-ectopic-pregnancy-perth.jpg Blogs - Ectopic Pregnancy: Signs, Symptoms and When to Seek Urgent Help - Make it stand out Many women go on to have healthy pregnancies following an ectopic pregnancy. https://www.beforeandafterbaby.com.au/blogs/positive-pregnancy-test-early-pregnancy-care-midwife monthly 0.5 2026-06-03 https://www.beforeandafterbaby.com.au/blogs/miscarriage-support-perth monthly 0.5 2026-06-02 https://www.beforeandafterbaby.com.au/blogs/early-signs-labour-is-starting-what-to-look-for monthly 0.5 2026-05-06 https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/f6db7c16-d90b-4bdf-9516-d09d6ba2e95a/perth+pregnant+woman.png Blogs - Early Signs Labour Is Starting: What to Look For - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.beforeandafterbaby.com.au/blogs/can-a-private-midwife-attend-a-hospital-birth monthly 0.5 2026-05-06 https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/abadb87a-c2f5-4b0c-b53e-53ccc4ceb44f/Perth+Midwife.png Blogs - Can a Private Midwife Attend a Hospital Birth? - Make it stand out Whatever it is, the way you tell your story online can make all the 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https://www.beforeandafterbaby.com.au/private-midwife-perth daily 1.0 2026-06-16 https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/cbaf58ca-e6bf-44e5-b386-790edeb32288/Pic+18.jpg https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/c0befc3e-b8aa-4930-9289-caba55cb12d5/hand.png https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/effa502f-6ec1-482f-9a2c-add5823a80c8/house.png https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/03e0547a-a0bc-4549-a3e5-85e19723253d/limitation.png https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/ade1dc67-662b-4c02-91a8-855b66f879b8/responsibility.png https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/eccb93b3-e3db-4522-bce4-7b53f28bdf29/mother.png https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/9b9825c4-3723-4b65-aa9d-dc3a91d66ab4/calendar.png https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/68b4df49-91e9-4b09-a989-b082055a72b6/healthcare-and-medical.png https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/7b2fee81-5f32-4fea-868b-e84f362efb72/breastfeeding.png https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/c6285947-3aab-4a83-a10c-ea980806fe58/JESS+BOLAND.jpg https://www.beforeandafterbaby.com.au/about-me daily 0.75 2026-04-08 https://images.squarespace-cdn.com/content/v1/624e0508d2785f4522a54322/124d8643-6b04-4e6e-931c-34792dac9cd8/Pic+1.jpg My Story - Hi, I’m Jess I am an endorsed private practice midwife providing continuity of care for women across Perth. I support women through pregnancy, birth and postpartum with a focus on safety, clinical awareness and personalised care. 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