Parent\’s Guide to TOTs
(Tethered Oral Tissues)
Part 1
- About the course
- Why we created this course
- What are TOTs
- Overview of Symptoms
- TOTs controversies and myths
Part 2
- What are TOTs: specifics
- Symptoms of TOTs in parents, infant and feeding
- How TOTs impacts feeding
- Video animation of infant feeding
- Discussion of infant “reflux” as it relates to TOTs
Part 3
- What is an IBCLC
- Why an IBCLC is best choice for infant with TOTs
- Role of IBCLC in team approach
- “Alphabet soup” of lactation care
- What to expect during an IBCLC visit
- Video of breastfeeding infant
Part 4
- How to chose a provider for frenotomy
- Laser vs scissor
- Tummy time & body work
- Stretches and oral (mouth) exercises: overview
- Pain relief
- Preparation for the day of the procedure
- What to expect on the day of the procedure
- Video of laser frenotomy
Part 5
- What to expect after frenotomy
- What to do if baby won’t latch
- Bottles, nipples, pacifiers
- About healing
- Stretches and oral (mouth) exercises: technique
Course Materials
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