LACTATION | MENTAL HEALTH | FERTILITY
Frenectomy After Care & Oral Exercises
The more the tongue and lip move during the healing process, the more flexible it will heal!
Aftercare includes gentle exercises that are both in and outside of the infant's mouth. These are completed to encourage lots of tongue and lip movement during healing following frenectomy. We find that when babies move their tongues and lips more during the healing process, they heal with more flexibility. These gentle exercises should not be painful for your baby and should not make your baby cry or pull away.
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Aftercare Oral Exercises:
Tongue Stretch - Using gentle pressure, use a clean finger under your baby's tongue and/or lip and gently lift 4 times a day for at least 2 weeks. A white patch will develop where the frenectomy was performed, this is normal healing.
Mimicking - stick your tongue out at your baby when you enjoy face time. Or trace your baby’s bottom gums with your finger.
Gentle Massage - gently massage around your baby's mouth, lips and jaw. Start on the outside and gently press your baby's cheeks to make "fishy lips" and then move into your baby's mouth and gently rub the gums. The tongue will follow your finger!
Tug of War - use a clean finger (if your baby uses a pacifier or bottle, ok to use these!) use gentle downward pressure on your baby's tongue while your baby sucks and pull out until you meet resistance, then release.
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Tips if your baby is fussy after the procedure:
1. Give your baby the recommended dose of acetaminophen (directions and dosing for this are on your aftercare sheet).
2. Use over the counter infant oral arnica (we recommend the Hylands Oral Pain relief.) Use as directed by the manufacturer.
3. Put your baby skin to skin and take a warm bath in a dimly lit room.
If at any time your baby develops a fever, refuses to feed or is inconsolable, please call or text the after hours number at (425)870-7137. Text is preferred! *non-urgent concerns will be responded to during business hours.
Oral Exercises for better suck and better milk movement!
Modified Infant Oral Exercises
These have been shown to help babies return to breastfeeding sooner and improve milk transfer!
MODIFIED INFANT ORAL EXERCISES
Do these exercises 1x daily when your baby is calm or sleepy but not fully asleep. These should not make your baby cry or fuss. If your baby starts crying then stop and try again later. This usually takes families about 5 minutes to complete.
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Cheek C- Stretch - 30 seconds
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Lip Roll - 30 seconds
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Lip Stretch - 30 seconds
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Gum Massage - 30 seconds
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Lateral borders of tongue/cheek - 15 seconds
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Midblade of tongue/palate - 15 seconds
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Elicit suck - 15 seconds
Support for non-nutritive suckling - 2 minutes