Navigating supplementation challenges due to tethered oral tissue when traditional methods fail. Exploring the collaborative relationship between lactation consultants and release providers in these cases. - Edu3D

Speaker(s):Susan Howard
Co-Author(s): Rishita Jaju 

Difficulties in infant feeding extend beyond breastfeeding challenges in newborns. Many mother-infant dyads necessitate bottle supplementation, which may be compromised by tethered oral tissues (TOTs) such as lip or tongue ties. A collaborative model of care between lactation consultants and release providers is crucial for successful outcomes in independent community settings. This presentation will delineate the lactation provider's role in assessing oral function, safeguarding milk supply and intake, and preparing the infant and family for a release procedure. The presentation will also address the release provider's role in evaluation, release, and subsequent follow-up care. Strategies for collaboration and communication will be presented to facilitate the resumption of feeding, wound management, suck training, and emotional support. It is established that appropriate pre-release preparation and post-release support optimize outcomes; however, implementation remains a challenge. This presentation will examine the repercussions of failed collaboration on families and propose strategies to enhance feeding outcomes through effective communication and coordinated care.