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Baby tongue-tie division by fully trained and experienced practitioner Gill Bird. Serving Greater London (North), Waltham Forest and surrounding areas.

What's a Tongue-Tie?

It’s a very short or tight frenulum forming a tight string under the tongue. The tongue-tie can tether the tongue to the floor of the mouth and limit its free movement. This can often contribute to feeding problems, particularly with breast feeding. Moreover, it can also cause problems with weaning and later, oral hygiene. Some tongue-tied infants will not have any feeding problems apparent and so may not require treatment. 

Tongue-tie division (Frenulotomy) is a quick, simple and safe procedure when performed on babies less than six months old. It involves swaddling the baby in a blanket, holding the baby still and cutting/releasing the tongue-tie. The baby needs to feed from the breast or bottle straight afterwards, as this stops any bleeding and comforts baby. 

It’s therefore important your baby has not fed for one to two hours before my visit. There may be rare instances when, using clinical judgement, I decline to carry out the procedure.  

Image to illustrate what a tongue tie looks like
Portrait of tongue tie practitioner Gill Bird for 'Who am I?' section.

My full name’s Gillian Bird, but I prefer Gill. I’m an experienced qualified midwife, trained in tongue-tie division at University Hospital Southampton. I carry out tongue-tie assessment and division in a private capacity in your own home and have insurance cover, CQC registration, ICO registration and NMC registration to permit me to do this work. I’m also a full member of the Association of Tongue-tie Practitioners and attend clinical updates. I do a high number of tongue-tie assessments and divisions, including at an NHS hospital.

I only see and treat infants under six months old. 

How much does it cost?

You can make payment by cash, credit/debit card, contactless Apple Pay or Google Pay at the end of my visit. 

I’ll send you a consent form for you just to read before my visit. It does not need signing before then. If a tongue-tie is found on examination and you decide to go ahead with the procedure the consent form is signed at that point by a parent or legal guardian.

A completed consent form and examination form is retained for my own records, but you may request a copy.

Immediately after a tongue-tie division, the baby needs to be put to the breast or bottle which settles bleeding and gives comfort. That’s why it’s so important that the baby is not fed for one to two hours before my visit. 

The area under the tongue will be viewed after a feed and an aftercare leaflet and sticker given for baby’s red book.  

I’ll call you seven days after my visit to check how your baby is getting on. 

This includes a full assessment and the tongue-tie division procedure itself.

  • Visits within 10 Miles     £180
  • Visits over 10 Miles         £200

There may be an extra charge if the journey time is lengthy, involves tolls or charges, or has very limited parking availability.

The full assessment includes a feeding and medical history, and physical examination to determine if a-tongue tie is present and its type. 

FAQs

No anaesthetic is used so the baby has maximum use of the tongue immediately afterwards to feed. The first feed settles bleeding. Fortunately, there are few nerve endings under the tongue, so its not thought to be very painful for the baby, maybe like a scratch. Babies generally seem to settle as soon as they feed. Babies over eight weeks of age may benefit from a dose of Calpol/liquid Paracetamol given one hour before my visit or later after the procedure.

The wound can ooze blood for longer so a piece of gauze may need to be pressed on the wound. Much nicer to have a feed, which is why your baby should be hungry before the exam/procedure. 

Theres about 2-4% chance of a scar forming that can create another tightness where it had been released. This is called re-attachment. Wound massage is popular in the US and at a few UK hospitals. However, its uncomfortable for baby, invasive to do, carries a risk of infection and isn’t backed up by research to have any positive effect. Simple tongue exercises will be taught. 

Please inform your tongue-tie practitioner so that consideration can be given whether to pause appointments. Likewise, your tongue-tie practitioner will alert you if she tests positive for Covid soon after your home visit. Screening for symptoms, wearing of PPE, minimising contact time and mask wearing are some of the measures that have been incorporated to reduce risk, which can never be fully eliminated.

What do parents say?

'Gill was excellent! She was highly knowledgeable and professional whilst being empathetic and understanding. She gave really clear guidance and commentary throughout our consultation. Her service left us reassured and she demonstrated strong integrity by advising against the procedure based on her assessment. I would highly recommend Gill to any nervous parents.'
Happy parents
Submitted via Survey Monkey on 16/02/22
'Extremely happy with the service. I contacted her one day and got an appointment the next. Really quick and responsive to my emails. My baby’s feeding improved instantly and the procedure was over in seconds with minimal discomfort to my baby. Very happy would highly recommend! Thanks again!'
A satisfied parent
Submitted via Survey Monkey on 14/01/22
'Would definitely recommend. We didn’t see Gill until our baby was 9 weeks old as the tongue tie wasn’t obvious to the untrained eye. We noticed big improvements within a week of the procedure.'
A satisfied parent
Submitted via Survey Monkey on 14/12/21
'Gill really saved the day. Almost immediately we noticed our son's feeding got better and my boobs recovered quickly. The last week has been a dream since his tongue tie was cut. Highly recommend Gill, she was kind and knowledgeable.'
Happy mum & dad
Submitted via Survey Monkey on 20/11/21
'She is very professional, explained everything thoroughly and we felt that the whole experience was respectful and we could make an informed decision. We’ve noticed the big difference to our baby’s feeding after the tongue tie separation and Gill’s following up call a week later was great to discuss the progress too.'
A satisfied parent
Submitted via Survey Monkey on 21/08/21
'I would definitely recommend Gill's services. She explained the process clearly and helped us make an informed decision about having the procedure. Our daughter has had improved feeding and we are now much happier breastfeeding.'
Satisfied parents
Submitted via Survey Monkey on 13/08/21
'Gill was calm, professional and kind in her approach and crucially didn’t push any particular solution on us but helped us make the decision to go through with the tongue tie division by giving us plenty of information and guidance. Thank you Gill!'
Happy parents
Submitted via Survey Monkey on 21/08/21
'I highly recommend Gill's service. She was available to us very very quickly (same day!). She was calm, explained the procedure to us in detail and made us feel reassured. She was very professional and carried out the tongue tie snip very smoothly and effectively. Baby started latching on well for long feeds the day after! It was magic for us. Days of uncertainty finally over for us as new parents. We can't thank Gill enough for her services. Thank you!'
Satisfied parents
Submitted via Survey Monkey on 5/08/21
'Thank you so much for your help today. Ella is already opening her mouth wider, smiling (this is new) and sticking her tongue out (unprompted). She’s taking more breast tissue when she feeds and it feels like she has a better seal already. We’ll start the exercises tomorrow and let you know how she’s getting on when we speak next week. Hoping this will start longer, happier feeds and she’ll get more rest in between feeds now'
Rachel Farragher
Submitted via Survey Monkey on 21/07/21
'Thank you again very much for your help. We fall into the category where frenulectomy definitely was worth doing.' (It is clear from the Centile chart)
Mum and a paediatrician
02/22
0 %
of parents reported baby's feeding had 'much improved' following tongue-tie division.
0 %
of parents reported that they'd seen 'some improvement' to baby's feeding following tongue-tie division.
0 %
of parents reported that they'd seen 'little to no improvement' to baby's feeding following tongue-tie division.

Contact me

07961 836227
Or send me a message using the form below and I’ll get back to you shortly.
READ: Tongue Tie Away COVID-19 precautions – updated February 2022



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