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Announcement: Between now and year-end, we will be releasing a mixture of brand-new episodes interspersed with old-favorites, due to the sudden loss of Cynthia's husband in November. We will be back to our usual production schedule by New Year's. If you'd like to donate a gift to the GoFundMe that was set up for Cynthia and her family, you may do so here. Thank you to everyone for your beautiful messages, gifts and prayers.

Please keep an eye out for new content and an expanded Down to Birth platform on Patreon, including a new Community feature where listeners can post questions for us and each other. To join and gain instant access to our entire library of video content, go to our Patreon and sign up.

Onto the show:

Catherine Watson Genna is a renowned International Board Certified Lactation Consultant in private practice in New York City and author of Supporting Sucking Skills in Breastfeeding Infants. She specializes in teaching professionals around the world how treat to babies with anatomical, genetic and/or neurological issues. Today, she joins us to discuss the controversial topic of tongue tie. The research indicates 5-10% of babies suffer from feeding difficulties that require a surgical procedure known as a frenotomy, however far more than 10% are being diagnosed with tie-tongue and are treated for it. That means a majority of babies with tight frenulum may simply need latch support or muscular-skeletal work to improve their feeding function. 

Other topics we cover today include:

• How to know if it's really tongue-tie
• Torticolllis
• High or arched palates
• Upper lip ties 

...and, most important, we offer advice on how to get the best latch with your baby. 

Cathy Watson Genna

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