April 2014, Issue 1

By: Zylmira Ivonne Garcia RN, MSN, IBCLC

BREASTFEEDING IN THE
21
ST
CENTURY
Who is SFBFPC?
San Franciscos Breastfeeding Promotion Coalition
Babies suck plays a key role in obtaining
enough milk during a feed. Tongue
mobility is essential for suck. What is
tongue-tie? According to the International
Affiliation of Tongue-tie Professionals
(IATP), it is an embryological remnant of
tissue in the midline between the undersurface
if the tongue and the floor of the mouth that
restricts normal tongue movement.

What is the cause of tongue-tie? It is a
failure of the tongue to separate from the
floor of the mouth during pregnancy,
leaving a piece of tissue that restricts full
tongue motion and movement.
A few facts:
The medical term for tongue-tie
is Ankyloglossia.
More fairly defined as a
restriction of tongue mobility
by a tight frenulum.
It affects 1-10% of all babies.
It affects twice as many boys as
girls.
Often runs in families.
Tongue mobility restriction includes
anterior and posterior restriction.
Posterior tongue- tie has only recently
been identified. This tends to be thicker
4
Did you know?
New born babies have to be fed often
because their stomachs are very small.
When your baby is hungry s/he may:
keep his/her hands near their mouth,
bend his/her arms and legs, make
sucking noises, pucker his/her lips or
search for the nipple (root). Keep an
eye out for these cues!
been identified. This tends to be thicker
and partially or completely
Underground making it harder to
diagnose. Its gender distribution is 1:1.

organizing Childhood Obesity 2010:
The Next Generation of Prevention &
Management. The coalition is now
focusing on the protective aspects of
breastfeeding and implementation of
exclusive breastfeeding for the first six
months through the first year of life.
SFBFPC is organizing the conference,
Breastfeeding in the 21
st
Century, to
be held in February of 2015.
and partially or completely
Underground making it harder to
diagnose. Its gender distribution is
1:1.
San Franciscos Breastfeeding Promotion
Coalition or SFBFPC is a 501(c)(3) non-
profit corporation. Our mission is to
improve the health of the community by
promoting breastfeeding as the cultural
norm in the City and County of San
Francisco. Our goal is to improve infant
and child health and address disparities by
increasing breastfeeding initiation and
duration rates. SFBFPC hopes to increase
exclusive breastfeeding rates for the first
six months of life among all mother baby
pairs in San Francisco County.
In 2005, SFBFPC sponsored a breastfeeding
day at Yerba Buena Gardens with 42
participating vendors. In 2007, SFBFPC
sponsored the Breastfeeding as a Strategy
to Prevent Childhood Obesity: Increasing
Initiation and Duration Rates conference.
In 2010 SFBFPC was a partner in
The new Breastfeeding Policy
Statement by the AAP was released
on March 6, 2012. The policy refers to
breastfeeding as a public health issue
and not a lifestyle choice. It strongly
reaffirms the recommendation for
exclusive breastfeeding for six
months, up to one year or longer.
Lactation Tip:
By: Zylmira Ivonne Garcia RN, MSN, IBCLC
Baby Tongue Mobility Restriction




April 2014, Issue 1




Lactation Tips:

Red flags: What you might see
Persistent sucking blisters
Clamping, biting, chewing
Red flags: What mothers might say
I must not have enough milk because
o He wants to eat all the time.
o He falls asleep at the breast.
o Hes killing me every time he gets on!
Potential problems when baby has tongue-tie (restriction)
include:
Baby:
o Difficulty latching
o Clicking with air swallowing
o Aspirating
o Early fatigue
o Long feeds
o Poor weight
Mom:
o Sore nipples
o Plugged ducts and breast infections
o Low milk supply
o Frustration, feelings of helplessness


Treatment: Frenotomy-Supported by research: can
usually be done in office with minimal anesthetic.
Very little blood is seen for anterior but posterior
might have a little more blood. Stretching exercises
are recommended after the procedure.
What can a mother do to help her baby do this job
better:
Breast compressions
Paced feeds position changes
Have patience to see if baby can work
through it.
Refer to babys Pediatrician and to a Lactation
Consultant. The Pediatrician will assess the frenulum
while the Lactation Consultant can help provide
further support and guidance.

Lactation Spotlight of the
Month:
In Rugeley, England, a mother was secretly
photographed while breastfeeding her daughter in public
without any cover. The photo was posted online where
many critiqued the mothers public feeding and labeled
her a tramp.
To support the mothers actions, between 600-1000
mothers gathered and breastfed to a protest against the
internet critics. Similar events took place around the area.
This campaign demonstrates the considerable amount of
support breastfeeding possesses and how much power
we all have in helping to make it a social norm.

For more on this story, visit
http://www.bbc.com/news/uk-england-stoke-
staffordshire-26592340
Announcements:
SFBFPC Sidewalk Sale
Turn our junk into your treasures!
Where: 527 Baker St.
When: April 13, 2014 from 10AM- 3PM
Come see what treasures youll be able to find!

If you have sell-able goods you no longer want,
please e-mail Eva.yip@ucsf.edu to learn how you
can contribute to our sidewalk sale!

Mothers Rally Support for Breastfeeding in Public
To sign up for future newsletters and to learn
more about SFBFPC, visit our website:
SFbreastfeeding.org

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