Thank you for your answer.
I agree, it's a simple and quick procedure. I've done It, literally, dozens of times. I recall one case of secundary infeccion and one bad bleeding.
But, I keep thinking: is It really necessary? And If so, are we doing It at the right time? Am I doing harm?
I know It's a difficult subject for RCT, but, still, It bugs me.
Thank Abdul.
I work in 2 public hospitals, so It's not about money, but lt may be about some kind of confirmation bias from the speech therapists. I think, maybe, the children that go to speech therapist's clinic are those who are having problems in breastfeeding. Some of them have tongue-tie. Than, the speech therapist makes the assumption that every child with tongue-tie Will have problems in breastfeeding.
There is a Clinical protocol for tongue-tie evaluation, Martinelli's (2013), that find out 23% of tongue-tie. I mean, is It even possible? By a evolucionary perspective, are 1/4 of babys not able to breastfeeding without frenulotomy?