Topics & Abstracts

Management of tongue-tied infants remains a commonly debated area in infant feeding care. Variability in assessment methods, professional philosophies, and treatment approaches can create confusion for families and fragmentation between providers. This panel brings together IBCLCs, frenectomy providers, and pediatric bodyworkers to explore how structured, respectful, evidence-informed, and multi-disciplinary collaboration improves breastfeeding outcomes and parent experience. Participants will examine referral pathways, scope-of-practice boundaries, coordinated pre- and post-release care, and communication strategies that reduce confusion and improve continuity of care.

Objectives:

1. Explain the distinct roles and scope of practice of IBCLCs, frenectomy providers, and bodyworkers in tongue-tie management.
2. List key areas of tongue-tie management that can be improved through better coordinated pre- and post-frenectomy care between different professionals.
3. Describe strategies for building respectful, structured multi-disciplinary care that reduces interprofessional confusion and improves outcomes for families.

Live Presentation Schedule Sep 23, 2026

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23-09-2026 21:00 23-09-2026 22:00 35 Coordinated Care in Tongue-Tie Management: Aligning Providers, Supporting Families Management of tongue-tied infants remains a commonly debated area in infant feeding care. Variability in assessment methods, professional philosophies, and treatment approaches can create confusion for families and fragmentation between providers. This panel brings together IBCLCs, frenectomy providers, and pediatric bodyworkers to explore how structured, respectful, evidence-informed, and multi-disciplinary collaboration improves breastfeeding outcomes and parent experience. Participants will examine referral pathways, scope-of-practice boundaries, coordinated pre- and post-release care, and communication strategies that reduce confusion and improve continuity of care. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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When faced with the dyad experiencing breastfeeding dysfunction, it is important to discern whether the issues are caused by the knowledge of the mother, the mother’s ability to produce milk or the infant’s oral motor function. The infant’s oral motor function can be affected due to pathology (oxygen deprivation, residual medication from labor and delivery, neurologic deficit, etc) or it can be impaired due to structural causes be they mechanical (joint dysfunction, muscular injury, fascial constraint) or anatomical like posterior tongue tie or other oral tethers. This lecture will review exam procedures to differentially diagnose between mechanical and anatomical barriers to a successful breast-feeding experience for the dyad.

Objectives:

1. Explain neuromyofascial compensations for mechanical joint dysfunction in infants vs. anatomical restrictions like posterior tongue tie.
2. Describe how to recognize mechanical joint dysfunction and muscular compensations in infants
3. Describe interventions to alleviate mechanical joint dysfunction and the ensuing myofascial compensations in infants as well as supportive modalities

Live Presentation Schedule Sep 22, 2026

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22-09-2026 17:00 22-09-2026 18:00 35 Differential Diagnosis of Breastfeeding Dysfunction: Bio-Mechanical Forces vs. Posterior Tongue-Tie When faced with the dyad experiencing breastfeeding dysfunction, it is important to discern whether the issues are caused by the knowledge of the mother, the mother’s ability to produce milk or the infant’s oral motor function. The infant’s oral motor function can be affected due to pathology (oxygen deprivation, residual medication from labor and delivery, neurologic deficit, etc) or it can be impaired due to structural causes be they mechanical (joint dysfunction, muscular injury, fascial constraint) or anatomical like posterior tongue tie or other oral tethers. This lecture will review exam procedures to differentially diagnose between mechanical and anatomical barriers to a successful breast-feeding experience for the dyad. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Ankyloglossia assessment and management remain areas of clinical variability and interdisciplinary debate, often resulting in fragmented care and inconsistent outcomes. This interactive, case-based workshop explores comprehensive tongue-tie care across the clinical continuum—from assessment through aftercare—using real-world cases to highlight collaborative, evidence-informed decision-making.
Participants will review scenarios, emphasizing functional assessment, differential diagnosis, timing of intervention, and post-procedural support. Guided discussion will examine the roles of multiple disciplines involved in tongue-tie care and the many variables involved in real-world cases. This interactive presentation will help participants gain practical tools and critical thinking skills to strengthen interdisciplinary communication, care plan formation, and deliver consistent, family-centered tongue-tie care.

Objectives:

1. Describe an interprofessional framework for evaluating suspected ankyloglossia, including comprehensive feeding assessment, differential diagnosis, and appropriate timing of intervention.
2. Apply evidence-informed decision-making strategies to real-world tongue-tie cases to determine how to best support families navigating tongue-tie related care
3. Describe collaborative care plan formation, communication and family education to optimize outcomes and improve the overall experience of tongue-tie related care"

Live Presentation Schedule Sep 21, 2026

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21-09-2026 17:00 21-09-2026 18:30 35 From Assessment to Aftercare: Collaborative Lessons from Real-World Tongue-Tie Case Studies Ankyloglossia assessment and management remain areas of clinical variability and interdisciplinary debate, often resulting in fragmented care and inconsistent outcomes. This interactive, case-based workshop explores comprehensive tongue-tie care across the clinical continuum—from assessment through aftercare—using real-world cases to highlight collaborative, evidence-informed decision-making. Participants will review scenarios, emphasizing functional assessment, differential diagnosis, timing of intervention, and post-procedural support. Guided discussion will examine the roles of multiple disciplines involved in tongue-tie care and the many variables involved in real-world cases. This interactive presentation will help participants gain practical tools and critical thinking skills to strengthen interdisciplinary communication, care plan formation, and deliver consistent, family-centered tongue-tie care. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Infant frenectomy is increasingly discussed in the context of breastfeeding difficulties and oral functional concerns, yet parents are often exposed to inconsistent information, variable clinical recommendations, and polarized perspectives. This presentation is designed to assist professionals in supporting parental understanding of the clinical rationale, assessment process, and perioperative considerations surrounding frenectomy in infants.
This presentation will review the diagnostic process, including functional assessment, clinical indicators, and the role of multidisciplinary collaboration among healthcare providers. The presentation will outline current approaches to infant frenectomy, describing procedural techniques while incorporating a review of the literature to highlight best practices. Postoperative management will be addressed, with discussion of wound care, feeding support, and the rationale for adjunctive therapies when indicated. Throughout the session, common misconceptions and areas of controversy within the literature will be acknowledged, highlighting the importance of individualized assessment and evidence-based counseling. By translating clinical and research findings into accessible, parent-focused education, this presentation aims to promote informed consent, reduce decisional conflict, and enhance parental confidence when considering frenectomy as part of comprehensive infant care.

Objectives:

1. Describe diagnostic reasoning and clinical recommendations with clarity and transparency for parents with a tongue-tied infant
2. Explain procedural and postoperative evidence for frenectomy in a way that translates into actionable guidance for families
3. Describe the purpose of post-frenectomy stretches/exercises and post-operative evidence with clinical protocols for parental support and guidance.

Live Presentation Schedule Sep 21, 2026

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21-09-2026 15:00 21-09-2026 16:00 35 From Questions to Confidence: Supporting Parents' Understanding of Frenectomy Infant frenectomy is increasingly discussed in the context of breastfeeding difficulties and oral functional concerns, yet parents are often exposed to inconsistent information, variable clinical recommendations, and polarized perspectives. This presentation is designed to assist professionals in supporting parental understanding of the clinical rationale, assessment process, and perioperative considerations surrounding frenectomy in infants. This presentation will review the diagnostic process, including functional assessment, clinical indicators, and the role of multidisciplinary collaboration among healthcare providers. The presentation will outline current approaches to infant frenectomy, describing procedural techniques while incorporating a review of the literature to highlight best practices. Postoperative management will be addressed, with discussion of wound care, feeding support, and the rationale for adjunctive therapies when indicated. Throughout the session, common misconceptions and areas of controversy within the literature will be acknowledged, highlighting the importance of individualized assessment and evidence-based counseling. By translating clinical and research findings into accessible, parent-focused education, this presentation aims to promote informed consent, reduce decisional conflict, and enhance parental confidence when considering frenectomy as part of comprehensive infant care. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Over the last 10-15 years there has been an increasing awareness regarding tongue ties and number of procedures being performed have increased dramatically. Many of these procedures have been found to be advantageous in helping those children who have significant medical co-morbidities. Treatment outcomes measure improvement in the areas of feeding, breathing, sleep. and communication. Special emphasis will be placed on the collaborative approach with medical colleagues and understanding the concept of neuroplasticity, especially as it relates to the brain injury population.

Objectives:

1. Explain what constitutes a significant co-morbidity when assessing a child for tongue-tie.
2. Describe how to communicate and collaborate with medical professionals.
3. Describe how to create patient specific/customized treatment protocols for optimal outcomes.

Live Presentation Schedule Sep 22, 2026

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22-09-2026 19:00 22-09-2026 20:00 35 Improving Outcomes in Medically Complex Children Through The Treatment of Tongue-Tie Over the last 10-15 years there has been an increasing awareness regarding tongue ties and number of procedures being performed have increased dramatically. Many of these procedures have been found to be advantageous in helping those children who have significant medical co-morbidities. Treatment outcomes measure improvement in the areas of feeding, breathing, sleep. and communication. Special emphasis will be placed on the collaborative approach with medical colleagues and understanding the concept of neuroplasticity, especially as it relates to the brain injury population. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Effective management of tethered oral tissues in infants requires moving beyond anatomy to a functional, breastfeeding-centered assessment. This presentation offers a structured oral motor evaluation framework for infants aged 0–12 months, integrating neuromotor maturity, intraoral sensory responsiveness, lingual mobility, suck–swallow–breathe coordination, latch mechanics, feeding endurance, airway safety, and maternal feedback.

Participants will learn how to apply a clear clinical decision-making tree to determine when conservative strategies—such as oral motor priming, sensory modulation, positional optimization, and maternal technique adjustments—are sufficient, and when a frenotomy is truly indicated to support breastfeeding outcomes. This session also describes key functional readiness markers that guide optimal timing of release and immediate post-release considerations to stabilize latch, improve tongue cupping, and protect the breastfeeding relationship.

Using case-based reasoning, the presentation illustrates how targeted oral motor therapy can improve function, reduce compensations, and in some cases eliminate the need for surgical intervention. For infants who do undergo release, early functional support strategies are outlined to maximize breastfeeding success and long-term oral development. This practical, evidence-informed framework empowers lactation professionals to counsel families ethically, reduce unnecessary procedures, and provide confident, balanced, and function-driven guidance.

Objectives:

1. Describe how to conduct a structured oral motor assessment for infants aged 0–12 months, focusing on functional indicators such as latch mechanics, lingual mobility, sensory responses, and suck–swallow–breathe coordination.
2. Apply a clinical decision-making tree to differentiate when conservative interventions are sufficient and when frenotomy is indicated to support breastfeeding outcomes.
3. List functional readiness markers and early post-release strategies that promote efficient feeding and protect the breastfeeding relationship after frenotomy

Live Presentation Schedule Sep 21, 2026

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21-09-2026 13:00 21-09-2026 14:00 35 Oral Motor Assessment and Decision-Making for Infant Frenotomy: A Functional Approach Effective management of tethered oral tissues in infants requires moving beyond anatomy to a functional, breastfeeding-centered assessment. This presentation offers a structured oral motor evaluation framework for infants aged 0–12 months, integrating neuromotor maturity, intraoral sensory responsiveness, lingual mobility, suck–swallow–breathe coordination, latch mechanics, feeding endurance, airway safety, and maternal feedback. Participants will learn how to apply a clear clinical decision-making tree to determine when conservative strategies—such as oral motor priming, sensory modulation, positional optimization, and maternal technique adjustments—are sufficient, and when a frenotomy is truly indicated to support breastfeeding outcomes. This session also describes key functional readiness markers that guide optimal timing of release and immediate post-release considerations to stabilize latch, improve tongue cupping, and protect the breastfeeding relationship. Using case-based reasoning, the presentation illustrates how targeted oral motor therapy can improve function, reduce compensations, and in some cases eliminate the need for surgical intervention. For infants who do undergo release, early functional support strategies are outlined to maximize breastfeeding success and long-term oral development. This practical, evidence-informed framework empowers lactation professionals to counsel families ethically, reduce unnecessary procedures, and provide confident, balanced, and function-driven guidance. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Recovery from frenotomy is often stressful for families who are experiencing breastfeeding challenges vs. the "quick fix" that many families wish and hope for. In this presentation, factors influencing the decision to pursue frenotomy and considerations for the lactation professional who is guiding families in the recovery process are explored. Timelines for recovery and the unique role of the lactation professional in conjuction with other members of the multi disciplinary team will be reviewed. Learn about overlapping symptoms/systems to consider when guiding families, strategies to support recovery post op, and explore brief case studies to illustrate concepts of practice in the "real world" vs. ideal scenarios.

Objectives:

1. Describe common causes of stress/areas of difficulty in recovery post frenotomy. 2. List various roles of the lactation professional in supporting families during the recovery process post frenotomy.
3. Describe the timeline for recovery from frenotomy and overlapping infant/maternal factors that influence recovery.

Live Presentation Schedule Sep 23, 2026

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23-09-2026 19:00 23-09-2026 20:00 35 Post Frenotomy Recovery: Timelines, Expectations, and Clinical Considerations Recovery from frenotomy is often stressful for families who are experiencing breastfeeding challenges vs. the "quick fix" that many families wish and hope for. In this presentation, factors influencing the decision to pursue frenotomy and considerations for the lactation professional who is guiding families in the recovery process are explored. Timelines for recovery and the unique role of the lactation professional in conjuction with other members of the multi disciplinary team will be reviewed. Learn about overlapping symptoms/systems to consider when guiding families, strategies to support recovery post op, and explore brief case studies to illustrate concepts of practice in the "real world" vs. ideal scenarios. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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This presentation addresses the critical intersection of trauma awareness and clinical practice in the specific context of frenotomy discussions for new parents. Recognizing the implications of the high prevalence of trauma within our clientele group, we will explore how we can practically adjust consultations to deal with this reality, using three compelling case studies to illustrate best practices. The session aims to establish a framework for trauma-informed tongue-tie consultations, exploring possible scripts and immediately implementable strategies. We will examine the ways we can avoid the common triggering and paralyzing pitfalls when discussing frenotomy, illustrating how traditional methods might inadvertently exacerbate parental anxiety, leaving them incapable of moving forward with confidence.

Additionally, this session will explore the necessity for self-reflection of personal biases when discussing the existing evidence surrounding tongue tie, focusing on how to ethically communicate information while respecting parental autonomy.

Ultimately, participants will leave with practical tools and strategies that aim to empower vulnerable families, allowing them to engage in informed, ethical decision-making, while equipping them with the knowledge necessary to overcome decision paralysis.

Objectives:

1. List the six core principles to trauma-informed practice, and explore the multitude of ways that this awareness is vital for tongue-tie discussions.
2. Explain ways in which traditional consultations can trigger a traumatised client, and simple alternatives that we should all consistently employ.
3. Create an ethical framework for ways that we can provide relevant tongue-tie information without overwhelming clients.
4. List strategies that can be applied during a consult to assist clients in moving past decision-making paralysis and towards an informed, empowered decision.

Live Presentation Schedule Sep 14, 2026

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14-09-2026 15:00 14-09-2026 16:15 35 Supporting Informed Decision Making for Tongue-Tie in a Trauma Sensitive Manner This presentation addresses the critical intersection of trauma awareness and clinical practice in the specific context of frenotomy discussions for new parents. Recognizing the implications of the high prevalence of trauma within our clientele group, we will explore how we can practically adjust consultations to deal with this reality, using three compelling case studies to illustrate best practices. The session aims to establish a framework for trauma-informed tongue-tie consultations, exploring possible scripts and immediately implementable strategies. We will examine the ways we can avoid the common triggering and paralyzing pitfalls when discussing frenotomy, illustrating how traditional methods might inadvertently exacerbate parental anxiety, leaving them incapable of moving forward with confidence. Additionally, this session will explore the necessity for self-reflection of personal biases when discussing the existing evidence surrounding tongue tie, focusing on how to ethically communicate information while respecting parental autonomy. Ultimately, participants will leave with practical tools and strategies that aim to empower vulnerable families, allowing them to engage in informed, ethical decision-making, while equipping them with the knowledge necessary to overcome decision paralysis. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Frenectomy for ankyloglossia can be a pivotal intervention for improving tongue mobility and feeding efficiency; however, it represents only one component of a broader rehabilitation process. Tongue tied infants often develop compensatory patterns that impact the tongue, orofacial muscles and anterior fascial system, which may persist post-procedure if not addressed. Osteopathic treatment can play a valuable role in supporting functional integration following frenectomy by addressing residual myofascial tension, supporting optimal tongue mobility, and improving feeding mechanics.

This presentation explores the anatomical and functional impact of tongue-tie on anterior fascial connections throughout the body, highlighting how targeted myofascial release post-frenectomy may enhance feeding efficiency, infant comfort, and overall movement patterns. The role of gentle intra-oral osteopathic techniques in reducing scar tissue contracture and supporting optimal tongue function will be discussed. Common compensations in breastfeeding position and latch seen with ankyloglossia will also be considered, with practical tips to support improved biomechanics for both infant and parent post-frenectomy.

Objectives:

1. Describe the relationship between ankyloglossia and anterior fascial connections, and how release of myofascial tension post-frenectomy can improve sucking dynamics.
2. Explain the role of intra-oral work post-frenectomy in reducing scar tissue contracture and improving tongue mobility.
3. Describe common compensations in position and latch that can be addressed in the breastfed infant post-frenectomy.

Live Presentation Schedule Sep 22, 2026

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22-09-2026 21:00 22-09-2026 22:00 35 Supporting Release of Tension & Compensations Post Frenectomy: An Osteopathic Approach Frenectomy for ankyloglossia can be a pivotal intervention for improving tongue mobility and feeding efficiency; however, it represents only one component of a broader rehabilitation process. Tongue tied infants often develop compensatory patterns that impact the tongue, orofacial muscles and anterior fascial system, which may persist post-procedure if not addressed. Osteopathic treatment can play a valuable role in supporting functional integration following frenectomy by addressing residual myofascial tension, supporting optimal tongue mobility, and improving feeding mechanics. This presentation explores the anatomical and functional impact of tongue-tie on anterior fascial connections throughout the body, highlighting how targeted myofascial release post-frenectomy may enhance feeding efficiency, infant comfort, and overall movement patterns. The role of gentle intra-oral osteopathic techniques in reducing scar tissue contracture and supporting optimal tongue function will be discussed. Common compensations in breastfeeding position and latch seen with ankyloglossia will also be considered, with practical tips to support improved biomechanics for both infant and parent post-frenectomy. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Ankylofrenula including ankyloglossia (tongue tie) remains a highly debated condition across pediatric healthcare, with ongoing uncertainty on assessment, diagnosis, management, and potential future issues. Over the past decade, expanding research has challenged traditional anatomical definitions, questioned earlier outcome assumptions, and highlighted the importance of functional assessment and interdisciplinary care.
This presentation provides a critical review of contemporary peer reviewed research examining the anatomy, classification, assessment, and management of tongue tie across infancy and early childhood. Current evidence regarding associations with feeding, speech, oral motor function, and caregiver experience will be examined. Methodological strengths and limitations within the literature will be explored, including variability in diagnostic criteria, outcome measures, and study design. The session will synthesize recent systematic reviews, cohort studies, and practice guidelines to clarify what is currently supported by evidence, where uncertainty remains, and how research findings translate into ethical, family centred clinical decision making. Implications for clinical practice, interdisciplinary collaboration, and future research priorities will be discussed to support attendees in navigating this complex and evolving field using evidence informed frameworks.

Objectives:

1. Describe contemporary anatomical and functional understandings of ankyloglossia as reflected in current research.
2. Describe the evidence regarding feeding, speech, and oral motor outcomes associated with tongue tie and frenectomy.
3. Explain how research findings can be applied to evidence informed, family centred and interprofessional clinical decision making.

Live Presentation Schedule Sep 22, 2026

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22-09-2026 23:00 23-09-2026 00:00 35 The Current Understanding of Tongue-Tie: Review of the Research Ankylofrenula including ankyloglossia (tongue tie) remains a highly debated condition across pediatric healthcare, with ongoing uncertainty on assessment, diagnosis, management, and potential future issues. Over the past decade, expanding research has challenged traditional anatomical definitions, questioned earlier outcome assumptions, and highlighted the importance of functional assessment and interdisciplinary care. This presentation provides a critical review of contemporary peer reviewed research examining the anatomy, classification, assessment, and management of tongue tie across infancy and early childhood. Current evidence regarding associations with feeding, speech, oral motor function, and caregiver experience will be examined. Methodological strengths and limitations within the literature will be explored, including variability in diagnostic criteria, outcome measures, and study design. The session will synthesize recent systematic reviews, cohort studies, and practice guidelines to clarify what is currently supported by evidence, where uncertainty remains, and how research findings translate into ethical, family centred clinical decision making. Implications for clinical practice, interdisciplinary collaboration, and future research priorities will be discussed to support attendees in navigating this complex and evolving field using evidence informed frameworks. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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When a tongue-tie has been identified, a pre-release treatment plan must be made. For the best possible result of a togue-tie release, the baby needs to be ready for the procedure. Ensuring good nutritional status for the baby prior to a release is important, in addition to assessing (breast)feeding functions and dysfunctions the mother-baby dyad may struggle with. Mother’s milk nutrition should be supported whenever possible. This presentation will make suggestions for support and (breast)feeding counselling based on the individualized plan for the baby. We will look at factors that contribute to achieving the best possible outcomes of a release and recommended (breast)feeding plans for optimizing the chance of success.

Objectives:

1. List the indicators that a baby and/or their family are not ready for tongue-tie release.
2. Describe how to ensure good nutritional status in baby with feeding challenges due to oral restriction while waiting for tongue-tie release.
3. Describe a multi-disciplinary treatment plan that can be put in place to support a baby/family’s readiness for tongue-tie release and how to evaluate when readiness has been achieved.

Live Presentation Schedule Sep 23, 2026

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23-09-2026 17:00 23-09-2026 18:00 35 When Release Has to Wait: Supporting the Tongue-tied Baby Until They're Ready for Frenectomy When a tongue-tie has been identified, a pre-release treatment plan must be made. For the best possible result of a togue-tie release, the baby needs to be ready for the procedure. Ensuring good nutritional status for the baby prior to a release is important, in addition to assessing (breast)feeding functions and dysfunctions the mother-baby dyad may struggle with. Mother’s milk nutrition should be supported whenever possible. This presentation will make suggestions for support and (breast)feeding counselling based on the individualized plan for the baby. We will look at factors that contribute to achieving the best possible outcomes of a release and recommended (breast)feeding plans for optimizing the chance of success. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Ankyloglossia is an embryologic variation of the lingual frenulum, which causes a significant restriction in the mobility of the tongue. As such, an altered lingual function is always an essential consideration when faced with breastfeeding challenges. On some occasions however, other anatomic or functional alterations in the babies’ orofacial region can cause breastfeeding problems, similar to those seen in tongue-tie babies. They can be the root of latch difficulties, nipple trauma and/or suction and deglutition issues. In these cases, frenotomy does not solve those problems and therefore, the misdiagnosis and posterior surgical treatment can frustrate parents. From a pediatric dentist perspective, retrognathia (recessed chin) and hypotonia are two common differential diagnosis of tongue tie, which can affect a babies’ suction at the breast.

The aim of this talk is to present normal and abnormal orofacial structures so as to differentiate ankyloglossia from two problems that can be part of a “faux tie”, in order to aid breastfeeding consultants, and broaden their perspective on breastfeeding difficulties.

Objectives:

1. Describe the difference between retrognathia and a normal mandible.
2. Explain the impact of retrognathia and hypotonia on breastfeeding.
3. Explain why frenotomy is contraindicated in patients with severe retrognathia.

Live Presentation Schedule Sep 10, 2026

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10-09-2026 18:00 10-09-2026 19:00 35 Ankyloglossia Differential Diagnosis: Tongue-Tie, Retrognathia or Hypotonia? Ankyloglossia is an embryologic variation of the lingual frenulum, which causes a significant restriction in the mobility of the tongue. As such, an altered lingual function is always an essential consideration when faced with breastfeeding challenges. On some occasions however, other anatomic or functional alterations in the babies’ orofacial region can cause breastfeeding problems, similar to those seen in tongue-tie babies. They can be the root of latch difficulties, nipple trauma and/or suction and deglutition issues. In these cases, frenotomy does not solve those problems and therefore, the misdiagnosis and posterior surgical treatment can frustrate parents. From a pediatric dentist perspective, retrognathia (recessed chin) and hypotonia are two common differential diagnosis of tongue tie, which can affect a babies’ suction at the breast. The aim of this talk is to present normal and abnormal orofacial structures so as to differentiate ankyloglossia from two problems that can be part of a “faux tie”, in order to aid breastfeeding consultants, and broaden their perspective on breastfeeding difficulties. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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The management of tongue tie has many approaches. In this presentation we will explore the anatomy and physiology of normal tongue frenulae and that of ankyloglossia. How the structures affect function and how to manage them to optimise function. We will also discuss the problems that can be seen following incomplete release and reattachment. We will also cover complications during surgery and management options.

Objectives:

1. Describe the normal anatomy of the tongue.
2. Explain how ankyloglossia affects the normal function of the tongue.
3. Describe how to achieve a complete release of ankyloglossia in order to optimise function and why supportive therapies are vital to the outcome.

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Babies with tongue, lip, and buccal ties commonly present with altered or compensatory movements of the tongue, lips, face, mandible, neck and whole body. These compensations are secondary to restrictions and subsequent oral dysfunction that results from not having full range of motion and movement of the tongue, a vital organizational organ of the body. While these compensatory strategies have been somewhat functional prior to release, once the ties are released, babies need novel movements to emerge for function to improve and breastfeeding to experience a positive shift. The difficulty is that novel movements often do not spontaneously arise, requiring therapeutic intervention. In this talk, Michelle will discuss 3 keys to eliciting and strengthening novel and more competent oral patterns and feeding abilities after release while making compensatory strategies obsolete.

Objectives:

1. Learner will describe the top 3 compensatory strategies seen in precrawling babies with tethered oral tissues.
2. Learner will describe 3 novel movements to elicit for optimal breastfeeding.
3. Learner will list the 3 keys to eliciting novel movements and eliminating compensatory movement strategies for babies after release of tethered oral tissues.

Live Presentation Schedule Sep 10, 2026

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10-09-2026 14:00 10-09-2026 15:00 35 Compensatory vs Novel Movements: 3 Keys for Babies With Tongue, Lip and Buccal Restrictions Babies with tongue, lip, and buccal ties commonly present with altered or compensatory movements of the tongue, lips, face, mandible, neck and whole body. These compensations are secondary to restrictions and subsequent oral dysfunction that results from not having full range of motion and movement of the tongue, a vital organizational organ of the body. While these compensatory strategies have been somewhat functional prior to release, once the ties are released, babies need novel movements to emerge for function to improve and breastfeeding to experience a positive shift. The difficulty is that novel movements often do not spontaneously arise, requiring therapeutic intervention. In this talk, Michelle will discuss 3 keys to eliciting and strengthening novel and more competent oral patterns and feeding abilities after release while making compensatory strategies obsolete. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Feeding is movement and some babies need personalized help when it comes to oral function and skills. This presentation covers critical thinking strategies around basic activities to support optimal infant oral function. We will review available evidence, contraindications, and targeted activities. We will discuss when and why to consider a variety of activities for the jaw, cheeks, tongue, palate, lips, and tongue. Learners will also recognize oral function concerns that require referral and connection to other allied health professionals.

Objectives:

1. Describe specific areas of infant oral function that may benefit from supportive exercises and activities based on oral assessment findings.
2. Describe exercises and techniques that support function of the lips, jaw, cheeks, tongue, and sucking patterns.
3. List at least 2 contraindications for oral work and when to refer.

Live Presentation Schedule Sep 10, 2026

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10-09-2026 13:00 10-09-2026 14:00 35 Feeding is Movement: Activities for Supporting Optimal Infant Oral Function Feeding is movement and some babies need personalized help when it comes to oral function and skills. This presentation covers critical thinking strategies around basic activities to support optimal infant oral function. We will review available evidence, contraindications, and targeted activities. We will discuss when and why to consider a variety of activities for the jaw, cheeks, tongue, palate, lips, and tongue. Learners will also recognize oral function concerns that require referral and connection to other allied health professionals. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Infants and children with tongue-tie can have difficulty swallowing, poor breastfeeding latch, and difficulty transitioning to solid foods. The impact of tongue-tie on these functions can have long-lasting effects on a child's development and well-being. This presentation will include discussion on the anatomy and physiology of swallowing and how it can be impacted by a restricted lingual frenulum. It will include discussion on the typical development of oral motor skills during breastfeeding and transition to solids, and the impact that tongue-tie can contribute to the introduction of solid foods, and challenges with chewing and swallowing. Overall, this presentation will aim to increase your understanding the impact of tongue-tie on feeding and swallowing which is crucial for healthcare professionals working with infants and young children to improve outcomes for both the child and family.

Objectives:

1. Recite current definitions of tongue-tie, incidence, and scope of practice.
2. Describe the anatomy and physiology of swallowing and identify the potential impacts of a restricted lingual frenulum on this process.
3. Explain the typical development of oral motor skills during breastfeeding and transition to solids and describe the impact that tongue-tie can have on the introduction of solid foods, as well as the potential challenges with chewing and swallowing that can arise as a result.
4. List at least 3 signs and symptoms of tongue-tie and its impact on swallowing, breastfeeding, and starting solids in infants and young children.
5. Describe how to conduct a thorough assessment of lingual frenulum appearance and function to diagnose tongue-tie, including the examination of the infant's mouth and feeding patterns, and clinical assessment tools available.
6. Explain non-surgical and surgical treatment options and referral pathways and recognize when referral to another professionals is required for infants and young children with tongue-tie.

Live Presentation Schedule Sep 10, 2026

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10-09-2026 15:00 10-09-2026 16:00 35 The Impact of Tongue-Tie on Swallowing and the Implications for Breastfeeding and Starting Solids Infants and children with tongue-tie can have difficulty swallowing, poor breastfeeding latch, and difficulty transitioning to solid foods. The impact of tongue-tie on these functions can have long-lasting effects on a child's development and well-being. This presentation will include discussion on the anatomy and physiology of swallowing and how it can be impacted by a restricted lingual frenulum. It will include discussion on the typical development of oral motor skills during breastfeeding and transition to solids, and the impact that tongue-tie can contribute to the introduction of solid foods, and challenges with chewing and swallowing. Overall, this presentation will aim to increase your understanding the impact of tongue-tie on feeding and swallowing which is crucial for healthcare professionals working with infants and young children to improve outcomes for both the child and family. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Regulation of the autonomic nervous system is critical for the successful breastfeeding relationship of the dyad. This 1 hour lecture will first, review the anatomy and physiology of the Vagus Nerve (Cranial Nerve X) as it might potentially influence breastfeeding. It will then explore the myriad of ways that the presence of ankyloglossia could potentially influence dysregulation of vagal tone resulting in a myriad of complaints often seen in both members of the dyad when the neonate has ankyloglossia.

Objectives:

1. Describe the form and function of the Vagus Nerve (CN X).
2. Explain how the presence of ankyloglossia and it's associated changes in structure and function in the breastfeeding neonate can alter vagal tone.
3. Describe the concomitant implications of ankyloglossia to vagal function and a successful breastfeeding relationship.

Live Presentation Schedule Sep 10, 2026

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10-09-2026 13:00 10-09-2026 14:00 35 Wondering about “The Wanderer?” The Vagus and Ankyloglossia Regulation of the autonomic nervous system is critical for the successful breastfeeding relationship of the dyad. This 1 hour lecture will first, review the anatomy and physiology of the Vagus Nerve (Cranial Nerve X) as it might potentially influence breastfeeding. It will then explore the myriad of ways that the presence of ankyloglossia could potentially influence dysregulation of vagal tone resulting in a myriad of complaints often seen in both members of the dyad when the neonate has ankyloglossia. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Body-Led Breastfeeding explores breastfeeding through the lens of physiokinetics, emphasizing how an infant’s full-body motor patterns reflect the functional quality of their suck. Rather than focusing solely on oral structures or latch technique, this approach considers how the baby’s body responds to the demands of feeding. Attendees will learn how to observe signs such as spinal positioning, elevated shoulders, or a persistent occipital crease as clues to underlying compensatory feeding strategies.

These postural patterns, often overlooked, reveal when a baby is working inefficiently or excessively hard to maintain suction and flow. Understanding the body’s role in feeding allows clinicians to decode the physical "story" babies tell with their posture. The Body-Led Breastfeeding framework equips clinicians with body-based strategies to improve feeding outcomes where oral approaches alone fall short.

Objectives:

1. Differentiate latch vs. suck across developmental stages by listing differences in purpose, timing, and observable signs.
2. Explain the three core principles of Body-Led Breastfeeding.
3. List at least three different postures that infants adopt to support compensatory feeding.
4. List 3 hands-on body-based interventions that invite more ease into an infant’s body, helping them access a more effective sucking pattern.

Live Presentation Schedule Sep 10, 2026

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10-09-2026 08:00 10-09-2026 09:00 35 Body-Led Breastfeeding: A Physiokinetics Perspective on the Infant Body While Feeding Body-Led Breastfeeding explores breastfeeding through the lens of physiokinetics, emphasizing how an infant’s full-body motor patterns reflect the functional quality of their suck. Rather than focusing solely on oral structures or latch technique, this approach considers how the baby’s body responds to the demands of feeding. Attendees will learn how to observe signs such as spinal positioning, elevated shoulders, or a persistent occipital crease as clues to underlying compensatory feeding strategies. These postural patterns, often overlooked, reveal when a baby is working inefficiently or excessively hard to maintain suction and flow. Understanding the body’s role in feeding allows clinicians to decode the physical "story" babies tell with their posture. The Body-Led Breastfeeding framework equips clinicians with body-based strategies to improve feeding outcomes where oral approaches alone fall short. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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This presentation examines the impact of breastfeeding and skin-to-skin contact on long-term neurodevelopment and child wellbeing. It elucidates the scientific foundations of these practices, detailing how breastfeeding facilitates neural development and fosters emotional resilience, while skin-to-skin interactions support neural pathway formation, soothe infants, and strengthen caregiver-infant bonds. Drawing on recent research, the session underscores the significance of nourishment and nurturing in influencing attachment, stress regulation, and developmental outcomes. Attendees will gain evidence-based insights to inform family support strategies and policy initiatives that advance healthy childhood development.

Objectives:

1. Describe the mechanisms by which breastfeeding and skin-to-skin contact influence neural development, emotional resilience, and the formation of strong caregiver-infant bonds.
2. Analyze the evidence linking early nourishment and nurturing practices to positive outcomes in attachment, stress regulation, and long-term neurodevelopment.
3. List actionable strategies and policy recommendations that support families in implementing breastfeeding and skin-to-skin contact to promote healthy childhood development.

Live Presentation Schedule Sep 10, 2026

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10-09-2026 08:00 10-09-2026 09:00 35 Breastfeeding, Skin-to-Skin, and Neurodevelopment: Unlocking the Blueprint for Brighter Beginnings This presentation examines the impact of breastfeeding and skin-to-skin contact on long-term neurodevelopment and child wellbeing. It elucidates the scientific foundations of these practices, detailing how breastfeeding facilitates neural development and fosters emotional resilience, while skin-to-skin interactions support neural pathway formation, soothe infants, and strengthen caregiver-infant bonds. Drawing on recent research, the session underscores the significance of nourishment and nurturing in influencing attachment, stress regulation, and developmental outcomes. Attendees will gain evidence-based insights to inform family support strategies and policy initiatives that advance healthy childhood development. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Breastfeeding is more than a nutritional act. It is a profoundly sensory and motor experience. Among the lesser-discussed but critically important systems involved in feeding is the proprioceptive system: the body’s ability to sense position, movement, and force. During breastfeeding, infants receive rich proprioceptive input through deep pressure, joint activation, and muscle engagement that support postural control, body awareness, and regulation. These sensory experiences help infants build the foundations for safe, efficient feeding.

Equally important, proprioceptive input aids in emotional regulation for both the infant and the breastfeeding parent. Infants benefit from the calming, organizing effects of deep pressure and containment, while parents experience enhanced body awareness, confidence in positioning, and physiological regulation through close contact and synchrony with their baby. This co-regulation is central to feeding success, comfort, and the parent-infant bond.

When breastfeeding is disrupted or absent, infants may miss opportunities for proprioceptive input that support motor development, midline orientation, and self-regulation. This webinar will explore the role of proprioception in breastfeeding, with a brief discussion of vestibular and interoceptive contributions. Participants will learn how sensory foundations influence feeding success and practical strategies to support proprioceptive input in both breast- and bottle-feeding contexts.

Objectives:

1. Describe the role of the proprioceptive and other sensory systems, in infant feeding, including its impact on posture, body awareness, and suck-swallow-breathe coordination.
2. Explain how proprioceptive input contributes to comfort, safety, and co-regulation within the breastfeeding dyad.
3. Apply practical strategies to support proprioceptive input in both breastfeeding and bottle-feeding contexts, with consideration for infants with developmental or sensory challenges.

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Breastfeeding is more than a means of nourishment - it plays a central role in shaping oral motor development and long-term health. This presentation will begin with an overview of the anatomical aspects of breastfeeding, highlighting the musculature, nervous system, and the integrated processes of swallowing and breathing. Building on this foundation, we will explore how breastfeeding stimulates the coordinated function of the lips, cheeks, tongue, jaw, and palate - and how they work together to support optimal oral development. We will also discuss the importance of coordination for suckling, swallowing, and breathing, as well as the possible impacts of oral ties, bottle feeding, and pacifiers. Finally, the session will connect early feeding experiences to long-term outcomes, including oral health, speech development, eating and drinking skills, airway health, and even body posture. By understanding these interconnected processes, healthcare providers can better support families in fostering healthy oral and overall development from infancy onward.

Objectives:

1. Describe the anatomical and functional aspects of breastfeeding.
2. Explain how breastfeeding stimulates coordinated use of the lips, tongue, jaw, and palate to support healthy oral motor development.
3. Describe the long-term oral health, speech, and functional benefits associated with breastfeeding during infancy.

Live Presentation Schedule Sep 10, 2026

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10-09-2026 08:00 10-09-2026 09:00 35 From Feeding to Function: The Role of Breastfeeding in Oral Development Breastfeeding is more than a means of nourishment - it plays a central role in shaping oral motor development and long-term health. This presentation will begin with an overview of the anatomical aspects of breastfeeding, highlighting the musculature, nervous system, and the integrated processes of swallowing and breathing. Building on this foundation, we will explore how breastfeeding stimulates the coordinated function of the lips, cheeks, tongue, jaw, and palate - and how they work together to support optimal oral development. We will also discuss the importance of coordination for suckling, swallowing, and breathing, as well as the possible impacts of oral ties, bottle feeding, and pacifiers. Finally, the session will connect early feeding experiences to long-term outcomes, including oral health, speech development, eating and drinking skills, airway health, and even body posture. By understanding these interconnected processes, healthcare providers can better support families in fostering healthy oral and overall development from infancy onward. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Breastfeeding is a dynamic process shaped not only by maternal factors but also by the infant’s reflexes, motor patterns, and sensory processing. This presentation explores how infants’ neurological, sensory, and motor development influence latch, milk transfer, and feeding comfort. Participants will gain an evidence-based understanding of the suck–swallow–breathe triad and primitive reflexes as well as the role of sensory organization in breastfeeding success. Practical applications will highlight how to observe infant body cues, identify barriers such as motor fatigue or sensory sensitivities, and implement positioning and environmental strategies to support more effective and stress-free feeding.

This session bridges research and practice by emphasizing how body-led approaches can optimize feeding outcomes and parental confidence. By the end of the session, attendees will be able to assess motor and sensory readiness for feeding, apply responsive positioning techniques, and integrate these principles into individualized care plans. This presentation supports a deeper understanding of the infant’s body as an active driver of breastfeeding success, equipping professionals with strategies to promote healthier, more sustainable feeding experiences.

Objectives:

1. List key reflexes involved in breastfeeding.
2. Describe motor patterns that impact latch and transfer.
3. Describe how sensory processing differences influence feeding.
4. Apply body-led strategies in lactation practice.

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Breastfeeding functions not only as a mode of infant nutrition but as a critical biopsychosocial process, influencing early relational development. This talk will examine how breastfeeding is linked to co-regulation through multisensory interaction, oxytocin release, and autonomic nervous system synchrony, thereby impacting stress levels and homeostasis in both mother and infant. Evidence from developmental neuroscience and attachment theory suggests that these regulatory processes are central to the formation of secure attachment, enhancing maternal sensitivity and infant socio-emotional development. Anna will address how interruptions to these regulatory dynamics can cause disruptions to breastfeeding as well as influence parental mental health and infant-parent bonding. Integrating perspectives from lactation science, psychology, and sociology, Anna’s session will focus on improving the biopsychosocial regulatory system through co-regulation techniques. Attendees will gain an enriched understanding of the links between attachment, co-regulation and breastfeeding as well as leave with practical skills that they can use with their clients, whatever setting they find themselves working in.

Objectives:

1. Describe a biopsychosocial model of breastfeeding.
2. Explain the importance of attachment for all infants and how breastfeeding plays a role.
3. Describe the polyvagal theory and how it relates to parent/infant attachment and potentially breastfeeding outcomes.
4. Name 2 co-regulating exercises that can be used in practice to support improved attachment, breastfeeding outcomes & emotional intelligence.

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Breastfeeding a child with a tongue can be very straightforward with no challenges for mother or baby, or can bring numerous challenges and problems. There are circumstances when a tongue tie procedure is not possible or the parents choose to avoid having the procedure, yet want to continue to breastfeed if possible. There are ways that we can help! This presentation involves practical tips and suggestions for health care professionals on how to best support families in this situation including how to best cover different possible outcomes, forming plans and working through challenges.

Objectives:

1. List the positions that tend to work best for babies who are having trouble latching
2. Explain how planning with the family helps leads to better outcomes.
3. Discuss possible challenges that might arise and how to best support families through them if.

Live Presentation Schedule Sep 10, 2026

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10-09-2026 20:00 10-09-2026 21:00 35 Breastfeeding With A Tongue Tie. How Can We Help When A Tie Revision Is Not Possible? Breastfeeding a child with a tongue can be very straightforward with no challenges for mother or baby, or can bring numerous challenges and problems. There are circumstances when a tongue tie procedure is not possible or the parents choose to avoid having the procedure, yet want to continue to breastfeed if possible. There are ways that we can help! This presentation involves practical tips and suggestions for health care professionals on how to best support families in this situation including how to best cover different possible outcomes, forming plans and working through challenges. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Tongue tie is one potential cause of breastfeeding difficulties, but most authorities fear that frenotomy is overused. This presentation explores research on the role of the tongue during normal breastfeeding; briefly reviews validated assessment tools, and proposes other management, structural and medical issues that impact tongue mobility and feeding.

Objectives:

1. Describe the kinematics (organization of tongue movements in space and time) of normal breastfeeding.
2. List validated assessment tools to identify ankyloglossia.
3. List 4 conditions that can be confused with tongue-tie.

Live Presentation Schedule Sep 10, 2026

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10-09-2026 20:00 10-09-2026 21:00 35 Critical Assessment of Apparent Tongue-Tie Tongue tie is one potential cause of breastfeeding difficulties, but most authorities fear that frenotomy is overused. This presentation explores research on the role of the tongue during normal breastfeeding; briefly reviews validated assessment tools, and proposes other management, structural and medical issues that impact tongue mobility and feeding. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Frenectomy has become an increasingly more common procedure since the resurgence of interest in breastfeeding. Patient selection and anticipatory guidance provided to the family are key to success in reaching their goals. An honest discussion about the indications for doing the procedure and providing them with resources preemptively help in establishing trust and the future success of the procedure. After the procedure the care of the baby and the site are very intimidating to families and support at that time is vital to the success of the procedure. The post procedure experience can vary widely and to an extent depends on the family’s readiness. It is very important that post procedure be discussed before the procedure and support given after the procedure. Ultimately, the pre and post procedure interventions make the experience wholesome and conducive to successful breastfeeding.

Objectives:

1: Explain the details of pre-frenectomy anticipatory guidance.
2: Describe post frenectomy management of pain, and exercises that may decrease the incidence of reattachment
3: Describe the nuances of care for the dyad, and the importance of individualizing care for the best possible results post frenectomy."

Live Presentation Schedule Sep 10, 2026

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10-09-2026 20:00 10-09-2026 21:00 35 Frenectomy: The Importance of Anticipatory Guidance and Post Procedure Support Frenectomy has become an increasingly more common procedure since the resurgence of interest in breastfeeding. Patient selection and anticipatory guidance provided to the family are key to success in reaching their goals. An honest discussion about the indications for doing the procedure and providing them with resources preemptively help in establishing trust and the future success of the procedure. After the procedure the care of the baby and the site are very intimidating to families and support at that time is vital to the success of the procedure. The post procedure experience can vary widely and to an extent depends on the family’s readiness. It is very important that post procedure be discussed before the procedure and support given after the procedure. Ultimately, the pre and post procedure interventions make the experience wholesome and conducive to successful breastfeeding. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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What are tethered oral tissues and what is the role of fascia? Fascia is a thin casing of connective tissue that surrounds and holds every organ, blood vessel, bone, nerve fiber and muscle in place. How is the fascial system connected to TOTS? The condition of tongue-tie and lip-tie exists on a continuum with variable visibility and symptoms differently across the body through different age groups. Some restrictions, mainly anterior or “classic” tongue tie, are highly visible and easier to detect. However, “posterior” or submucosal tongue-ties are often more challenging to diagnose. Through this session, we will explore a detailed dissection of what is fascia and how the concept of tongue ties has evolved and changed with the role of fascia and its impacts with TOTS. It takes a village of specialists to treat this challenging problem. We will learn how we can help prevent a vicious circle of problems if treated early with a holistic integrative approach.

Objectives:

1: Explain the foundations of anatomy and fascia that are necessary when diagnosing TOTs
2: Describe how fascia impacts posture, facial development and tongue structure, function & mobility through different age groups
3: Explain the role of a fascial tongue tie release

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A suspected or diagnosed tongue-tie can throw a breastfeeding journey into immediate peril, with concerns over the baby's well-being most often discussed and debated. However, without an appropriate and intentional strategy for supporting the mother, the breastfeeding journey risks meeting an untimely, unplanned, and/or unsatisfactory end. The mental and emotional toll such a complex lactation situation can take on parents is wide-ranging in its effects, and it is critical to provide personalized and comprehensive counseling to restore a sense of empowerment and control to the mother as she makes continual decisions on how and whether to proceed with lactation and breastfeeding. Additionally, it is vital that indications of postpartum mood disorders are recognized and addressed as early as they appear. Lactation care providers can benefit from a clear framework for their fundamental responsibility to safeguard both the mother and child in a breastfeeding dyad. In this presentation we will explore ideas and themes that can guide the lactation care provider to ask the right questions at the right times in the specific context of tongue-tie so that they can offer effective counseling and care.

Objectives:

1. Describe 3 characteristics of a lactation scenario involving tongue-tie which can trigger stress or strong emotions in the mother or lactating parent
2. Describe 3 behaviors which can be indicators of a need for screening for postpartum mood disorders
3. List 4 areas for questioning and counseling that lactation care providers should use to address common stressors in a lactation scenario involving tongue-tie

Live Presentation Schedule Sep 10, 2026

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10-09-2026 20:00 10-09-2026 21:00 35 Tongue-Tied and Troubled: A Breastfeeding Journey at Risk A suspected or diagnosed tongue-tie can throw a breastfeeding journey into immediate peril, with concerns over the baby's well-being most often discussed and debated. However, without an appropriate and intentional strategy for supporting the mother, the breastfeeding journey risks meeting an untimely, unplanned, and/or unsatisfactory end. The mental and emotional toll such a complex lactation situation can take on parents is wide-ranging in its effects, and it is critical to provide personalized and comprehensive counseling to restore a sense of empowerment and control to the mother as she makes continual decisions on how and whether to proceed with lactation and breastfeeding. Additionally, it is vital that indications of postpartum mood disorders are recognized and addressed as early as they appear. Lactation care providers can benefit from a clear framework for their fundamental responsibility to safeguard both the mother and child in a breastfeeding dyad. In this presentation we will explore ideas and themes that can guide the lactation care provider to ask the right questions at the right times in the specific context of tongue-tie so that they can offer effective counseling and care. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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IBCLCs assess chest/breast and bottle feeding skills, and infant’s oral and body structures and motions that contribute to, or inhibit, the process of feeding as well as post-feeding comfort. When infants present with feeding dysfunction, the root of the issue is often tight frenulum (ties), or asymmetric/tense muscles/fascia, or both. IBCLCs help families navigate the differential assessment of feeding dysfunction, and at the same time support the family’s feeding and milk supply choices. This presentation will examine the bigger picture of assessment when ties are suspected. Because a narrow focus on only the oral cavity can negate other contributing factors, initial and follow-up assessments need to include not just what is going on in the infant’s mouth, but also take into account the infant’s body as a whole, family dynamics, feeding goals, and the creation of a manageable plan for the family. IBCLCs aid with oral/body exercises, referrals for oral evaluations and/or bodywork, help with pre/post frenotomy oral skills, and more - helping to adjust the care plan as infant feeding skills and parent goals grow and change. Developing the skill of big picture assessment is crucial in order to determine the best course of clinical care, meet the families needs, and allow for the best possible outcome.

Objectives:

1. Explain the process for assessing infant oral structure and motion and its impact on feeding.

2. List the components of a complete assessment that extend beyond the oral cavity.

3. Describe the ongoing assessments that are needed through the course of care to allow for adjustments in the care plan.

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10-09-2026 20:00 10-09-2026 21:00 35 Untangling the Big Picture of Tongue-Tie Assessment IBCLCs assess chest/breast and bottle feeding skills, and infant’s oral and body structures and motions that contribute to, or inhibit, the process of feeding as well as post-feeding comfort. When infants present with feeding dysfunction, the root of the issue is often tight frenulum (ties), or asymmetric/tense muscles/fascia, or both. IBCLCs help families navigate the differential assessment of feeding dysfunction, and at the same time support the family’s feeding and milk supply choices. This presentation will examine the bigger picture of assessment when ties are suspected. Because a narrow focus on only the oral cavity can negate other contributing factors, initial and follow-up assessments need to include not just what is going on in the infant’s mouth, but also take into account the infant’s body as a whole, family dynamics, feeding goals, and the creation of a manageable plan for the family. IBCLCs aid with oral/body exercises, referrals for oral evaluations and/or bodywork, help with pre/post frenotomy oral skills, and more - helping to adjust the care plan as infant feeding skills and parent goals grow and change. Developing the skill of big picture assessment is crucial in order to determine the best course of clinical care, meet the families needs, and allow for the best possible outcome. GOLD Tongue-Tie Online Symposium false DD/MM/YYYY

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Exclusivity is a term that has become an unspoken gatekeeper in the infant feeding world and the pendulum can swing in either direction depending on who you are speaking to. It is a term used to define who is uplifted as "successful" or just settling in their feeding choices. Many families are navigating a postpartum life shaped by inequity, return to work timelines, separations, trauma, and shifting family structures. Exclusivity is not always a lack of desire. It is often a lack of access, time, or systemic support. It can also be a declaration of autonomy and freedom in a family's feeding choices.

This presentation challenges lactation professionals and supporters to evolve our framework. This session presents a model in which direct breastfeeding, pumping, supplementation, and responsive scheduling are competing forces, but can be coordinated tools when used with intention, physiology, and dignity. Learners will gain strategies to protect supply when direct nursing is intermittent, prevent bottle dependence, and apply autonomy-honoring language that strengthens breastfeeding duration and parental confidence in feeding.

Objectives:

1. Describe the physiological impact and clinical implications of combining bottle feeding of expressed human milk with direct breastfeeding.

2. Analyze and apply trauma-informed and autonomy affirming communication techniques to develop individualized care plans that support families practicing mixed feeding to reduce stigma and preserve breastfeeding duration.

3. List strategies for supporting infant feeding during realities such as NICU transition, work/life realities and chronic health conditions.

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Breast pump flange fitting and pump selection are critical components of lactation support, yet guidance on breast pump flange fitting and pumping practices often varies widely among professionals and can feel subjective. This presentation aims to cut through that variability by synthesizing the latest research on flange sizing and pump technology into a clear, practical framework. Drawing from randomized trials, observational studies, and systematic reviews, we will explore what the evidence collectively reveals about optimizing milk expression, maternal comfort, and user experience. This session will highlight overarching themes, contextual factors, and actionable strategies that emerge when the literature is considered as a whole. By integrating these insights, attendees will leave equipped to translate research into individualized recommendations, moving beyond “one-size-fits-all” toward evidence-informed care that supports both efficiency and maternal well-being.

Objectives:

1. Describe the current evidence base on flange fitting and pumping in lactation care.

2. Analyze how flange size and pump type influence milk output, maternal comfort, and pumping efficiency based on synthesized research findings.

3. Apply evidence-based strategies to recommend appropriate flange sizing and pump selection for different contexts.

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Over the last 15 years, the breast pump has shifted from a tool used mostly by working parents to a standard breastfeeding accessory, virtually required by modern infant feeding practices. Pumping has been embraced by today’s parents as a preventative measure for milk supply concerns, flexibility, and control. Yet the rapid normalization of early, frequent, and sometimes excessive milk expression may come with unintended consequences. This presentation explores how modern pump culture, shaped by policy, tech innovations, social media influencers, and commercial influence, is rapidly reshaping lactation experiences and feeding decisions in the early postpartum period. In this session, we will examine a multitude of factors that influence milk expression and the use and overuse of the breast pump. In addition, we will discuss the downstream effects of over-pumping, including dysregulated milk supply, inflammation, mastitis risk, and altered perceptions of normal feeding behaviors. In addition, this session will examine a recent 2025 study by Nardella et al. to explore current pumping trends, including early initiation of milk expression, pumping frequency, and unintended downstream effects of initiating pumping early. This presentation will underscore the importance of balance, critical thinking, and at-breast infant feeding techniques, offering practical strategies for educators and clinicians to support families using pumps.

Objectives:

1. Describe at least three factors that have contributed to today’s pump culture.

2. List at least three negative outcomes that are possible when parents overuse the breast pump and over-express their milk.

3. Explain at least three human-centered strategies that facilitate at-breast infant feeding skills and practices in the first days and weeks after birth.

4. Describe at least three ways to help parents critically evaluate information about breast pumps, pumping requirements, and their own needs for pumping and milk expression.

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