Currently there is no published evidence supporting a link between breastfeeding issues and lip tie.
The National Institute for Health and Care Excellence (NICE) have not issued any guidance on this issue and therefore training is not available in the UK in lip tie division for practitioners.
This situation may change in the future if new research and evidence influences best practice guidelines. Currently nurse/midwife tongue-tie practitioners working in the UK cannot offer lip tie division as the Nursing and Midwifery Council’s Code of Conduct states that nurses, midwives and health visitors must ‘deliver care based on the best available evidence or best practice’ and ensure any advice given is evidence based if suggesting healthcare products or services.
The Code also requires that nurses and midwives recognise and work within the limits of their competence. On the rare occasions that lip ties are divided by surgeons in the NHS it is usually done in relation to concerns about dental issues, not breastfeeding. If you have concerns about lip ties we suggest you discuss this with your dentist.
This article “Lip Tie – What’s it all about?” was written by our past Chair, Sarah Oakley, for the Association of Breastfeeding Mothers.
Disruptive Wound Management
There is currently no evidence that disruptive wound management prevents recurrence of a restrictive lingual frenulum. The ATP supports their members to make their own individual clinical judgement based on the holistic situation in front of them.