Will try to make this brief...
DS is just over 5 months and weighs 11lbs. He's been gaining about 1-3 ounces a week on average. We've been trying trying trying to get his weigh up, but no luck. I'm on domperidone, blessed thistle, fenugreek - my supply seems fine now. I found out about a month ago I have celiac so we thought that might be contributing to low weight gain but a month of gluten free has seen no change. Now we've discovered ds has an upper lip tie. Went to the dentist today who confirmed the upper lip tie, but says no tongue tie. He doesn't recommend snipping it. He says the literature doesn't support that - that it hasn't been proven to be a problem with breastfeeding. It could become an issue in future with teeth but he said they'd deal with it then and that it's easier to snip in an older child than a wiggly baby! He said if we wanted it cut that a pediatric EMT would probably do it.
I, of course, have been doing heaps of reading online and while there may not be literature saying it impacts breastfeeding at lot of people would say that's just because there hasn't been research into that area since breastfeeding research isn't a big area. The dentist says he sees people with lip tie a lot, even one a day, and that he's not known it to be a problem - but how many of these people were breastfed?
We do have a fair amount of symptoms that could be explained by tongue or lip tie, including the poor weight gain. But I don't have pain, and that's usually a big sign. And the symptoms we do have could be explained by other things. Or not. Who knows?! His upper lip doesn't flange out when nursing and when I do it it often goes back in or the latch breaks. He pops on and off the breast a lot, but I thought that was because of unhappiness with the flow of milk. Also *sometimes* his upper lip DOES flange out on his own, so maybe it's not that big of a problem? I have always called him an inefficient or lazy nurser - maybe this is why?
I'm going to email Jack Newman (he has said he doesn't think upper lip flanging out is a big deal, I think) and go see our pedi tomorrow. I want to check his weight now because if he is doing worse (has dropped to about an ounce a week lately!) then I'm more inclined to do something. But my feeling is to leave it, I think. We are close to starting solids and there are risks, though small, to cutting. Maybe if we'd known what we know now months ago we would have done something, but at almost 5.5 months I wonder if it's worth it. Though I do really believe in breast milk being the main source of nutrition for the first year and letting the baby lead on solids, so if fixing his lip would increase his weight gain and mean we don't need to be so paranoid about solids then that would be a good thing too! Oh I dunno. Bah!
Would you snip? Or have you been in a similar situation and snipped - was it worth it?