Feeding a newborn should be a bonding experience, but for many families, it becomes a source of stress when challenges arise. One commonly misunderstood issue that can cause significant breastfeeding difficulties is tongue tie, medically known as ankyloglossia. International Board Certified Lactation Consultants (IBCLCs) play a pivotal role in recognizing and addressing this condition early, helping families find clarity and support.

What Is Tongue Tie?

Tongue tie occurs when the lingual frenulum — the small band of tissue connecting the underside of the tongue to the floor of the mouth — is unusually short, tight, or thick. This can restrict tongue movement, making it difficult for babies to latch deeply onto the breast and feed effectively. The condition varies in severity and may present with a range of symptoms in both the baby and breastfeeding parent.

Signs That May Suggest Tongue Tie

Some common signs that IBCLCs look for include:

Poor latch or shallow latch
Clicking sounds during feeding
Inadequate milk transfer
Slow weight gain or poor weight gain
Long or frequent feeding sessions
Nipple pain, compression, or damage
Gassiness or colic-like symptoms in the baby

While these signs can suggest tongue tie, they are not diagnostic on their own — which is where the IBCLC’s expertise becomes essential.

The IBCLC’s Role in Tongue Tie Assessment

IBCLCs are trained to evaluate the functional aspects of infant feeding. Their role in the assessment of tongue tie includes:

Taking a Thorough Feeding History
IBCLCs begin by gathering information about feeding challenges, pain, frequency, and duration. They assess whether feeding issues align with possible oral restrictions.
Conducting a Functional Oral Assessment
IBCLCs examine how the baby uses their tongue during feeding — not just its appearance. They evaluate suck strength, tongue extension, lift, lateral movement, and coordination.
Distinguishing Between Breastfeeding Issues
Not all latch problems stem from tongue tie. An IBCLC will rule out positioning, supply, or other anatomical factors before concluding a tongue tie may be contributing to the difficulties.
Collaborating with Other Professionals
IBCLCs do not diagnose tongue tie — that responsibility falls to qualified medical or dental professionals. However, they are critical in referring families to trusted providers for a full evaluation and, if appropriate, treatment such as frenotomy.
Supporting Families Before and After Treatment
If a tongue tie release is recommended, IBCLCs prepare families by educating them about what to expect, how to manage feeding in the interim, and how to support optimal oral function post-procedure. After the release, they assist with latch retraining and healing support.

Why Early Assessment Matters

Delays in identifying and managing tongue tie can lead to a cascade of issues — from early weaning and poor weight gain to emotional distress for parents. Early intervention by an IBCLC can make a profound difference in outcomes, helping families continue breastfeeding if that’s their goal, and reducing discomfort and frustration on all sides.

Final Thoughts

While tongue tie can be a challenging diagnosis to navigate, IBCLCs are uniquely equipped to guide families through this journey. Their blend of clinical skill, compassion, and breastfeeding expertise ensures that babies receive the support they need to feed well — and that parents are empowered every step of the way.

If you’re facing breastfeeding difficulties and suspect tongue tie might be a factor, connecting with an IBCLC could be the first step toward solutions and relief.

Get Support from Babies in Bloom

If you’re experiencing feeding challenges, you don’t have to navigate this alone. At Babies in Bloom, our IBCLCs provide compassionate, evidence-based care through both in-person and virtual appointments. Whether you need a comprehensive feeding assessment or guidance before or after a tongue tie release, we’re here to help you feel confident and supported.

Schedule your appointment today and take the first step toward more comfortable, effective feeding for you and your baby. Book Now