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Can Speech Pathologists Help with Breastfeeding?

7/26/2024

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Can Speech Pathologists Help with Breastfeeding?
Breastfeeding is often regarded as one of the most natural and essential acts a mother can perform for her infant. Yet, for many mothers, breastfeeding can be fraught with challenges such as soreness, bleeding, pain, and various feeding issues. These difficulties can lead to feelings of frustration and inadequacy. While lactation consultants, specifically International Board Certified Lactation Consultants (IBCLCs), are typically the first professionals mothers turn to, speech pathologists also play a critical role in addressing breastfeeding issues, particularly those related to oral motor function.

Understanding Oral Motor Function in Infants

Oral motor function refers to the movement and coordination of the muscles in the mouth, lips, tongue, and cheeks. For effective breastfeeding, an infant needs to latch properly, which requires coordinated movements of these muscles. Speech pathologists are experts in diagnosing and treating oral motor dysfunctions, which can significantly impact breastfeeding.

Structural Issues Affecting Breastfeeding

Several oral motor issues can interfere with an infant's ability to breastfeed effectively. These include tongue tie, lip tie, and buccal ties.
  • Tongue Tie (Ankyloglossia): Tongue tie, or ankyloglossia, is a condition where the strip of tissue connecting the tongue to the floor of the mouth is tight than expected. This restricts the tongue's movement, making it difficult for the infant to latch properly onto the breast. Signs of tongue tie include difficulty lifting the tongue, trouble moving the tongue from side to side, and a heart-shaped tongue tip when extended. This condition can cause significant pain and nipple damage for the mother and poor milk transfer for the baby. A tongue tie can be present by itself, or in combination with a lip tie.
  • Lip Tie: A lip tie is present when the tissue connecting the upper lip to the gums is too tight, limiting the upper lip's movement. This condition can prevent a baby from achieving a deep latch, leading to inadequate milk intake and sore nipples for the mother. A lip tie typically means there is a tongue tie, compounding feeding difficulties.
  • Buccal Ties: Buccal ties refer to tight bands of tissue that restrict the movement of the cheeks. These ties can prevent an infant from forming a proper seal while breastfeeding, leading to inefficient feeding and discomfort for the mother.

How Speech Pathologists Can Help

Speech pathologists, with their expertise in oral motor function, are well-equipped to identify and treat these issues. They employ various techniques to improve oral motor skills, ensuring that infants can latch effectively and feed comfortably.
Assessment and Diagnosis: A thorough assessment is the first step in addressing breastfeeding challenges. Speech pathologists conduct comprehensive evaluations to identify any oral motor dysfunctions. This includes examining the infant's mouth structure, muscle tone, and movement patterns. They also observe the breastfeeding process to pinpoint specific issues affecting latch and milk transfer.
Treatment Strategies: Once an assessment is complete, speech pathologists develop individualized treatment plans tailored to the infant's needs. These plans may include: 
  • Oral Motor Exercises: Targeted exercises can strengthen the muscles involved in sucking, swallowing, and breathing. These exercises help improve tongue mobility, lip closure, and cheek muscle strength, facilitating a more effective latch. 
  • Techniques for Improving Latch: Speech pathologists teach mothers various techniques to achieve a deeper and more comfortable latch. This may involve different breastfeeding positions, strategies for encouraging wide mouth opening, and tips for maintaining a good latch throughout the feeding session. 
  • Addressing Dysphagia: Dysphagia, or difficulty swallowing, can sometimes accompany oral motor issues. Speech pathologists can identify signs of dysphagia and provide appropriate interventions to ensure safe and efficient feeding. 
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Collaboration with IBCLCs

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Speech pathologists often work closely with IBCLCs to provide comprehensive care. This collaborative approach ensures that all aspects of breastfeeding, from milk supply to latch mechanics, are addressed. 

The Importance of Early Intervention

Early intervention is crucial for addressing breastfeeding challenges effectively. Infants with untreated oral motor dysfunctions may experience poor weight gain, prolonged feeding times, and increased maternal discomfort. By seeking help from a speech pathologist early on, mothers can prevent these issues from escalating and ensure a positive breastfeeding experience.

When to Seek Help 

Mothers should consider seeking help from a speech pathologist if they notice any of the following signs: 
  • Persistent pain during breastfeeding despite proper latch techniques
  • Bleeding or blistering nipples
  • Infant's difficulty latching or staying latched
  • Poor weight gain or slow growth
  • Clicking or smacking sounds during feeding
  • Lip blisters on the infant
  • Excessive gassiness or fussiness after feeds
  • Excessive reflux after feeding
  • Visible signs of tongue tie, lip tie, or buccal ties 
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Conclusion

Breastfeeding can be a challenging journey, but with the right support, mothers and infants can overcome these difficulties. Speech pathologists play a vital role in addressing oral motor issues that impact breastfeeding. Through comprehensive assessments, individualized treatment plans, and collaboration with other professionals like IBCLCs, speech pathologists help ensure that both mothers and infants have a positive breastfeeding experience. If you or someone you know is struggling with breastfeeding, consider reaching out to a speech pathologist for support.

At Thrive Speech, Feeding, & Myofunctional Therapy, we are dedicated to helping families navigate these challenges and achieve successful breastfeeding relationships. By addressing oral motor dysfunctions early on, speech pathologists not only alleviate pain and discomfort for mothers but also promote healthy growth and development for infants. Contact Thrive today to speak to a speech language pathologist.
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ZocDoc for Private Practitioners

8/1/2023

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​As healthcare providers in private practice, speech therapists, occupational therapists, and mental health professionals are continually seeking new ways to expand their practices and connect with patients. As a speech language pathologist, I too have explored countless ways to reach patients. From old-fashioned brochures and business cards to Google and Facebook ads, I've spent a lot of time and money getting my name out there with varying results. It was not until I went online to book an acupuncture appointment for myself that I realized that I should be pursuing an avenue that I often used for myself - ZocDoc. 

ZocDoc is a website and app that allows patients to search for doctors and other health practitioners in their area. Patients input their location and reason for searching, and a variety of practitioners appear for them to choose from. Zocdoc gives the option for practitioners to list in-person or virtual appointment availability. Patients select an appointment time, and the patient is now yours. Win-win!

This may sound too good to be true - and I really think that it is. As a practitioner, it is free to add your profile to ZocDoc and become searchable to patients. When a patient books their initial visit, you are then charged $45 (as of the date of this blog post). As a virtual speech language pathologist, I use my first session as a free consultation through HIPAA-compliant video chat. It may sound like a risk to pay $45 for an appointment that may not result in a paying client, but to me it has yielded MUCH higher success than the hundred of dollars per month that I have spent on Google or Facebook Ads. Listing on ZocDoc has been completely worth it to me, and here is why:

*Virtual Telehealth Expansion: Zocdoc is an ideal avenue for practitioners in the virtual Telehealth space. With an increasing demand for remote healthcare services, Zocdoc allows you to broaden your reach and connect with patients seeking online therapy and counseling. The beauty of Zocdoc lies in its ability to connect you to any patient searching for services in your state. Whether you're based in the heart of a city or a rural town, your practice can be discovered by patients statewide, maximizing your potential reach. I currently am helping patients that I would never have been able to due to our distance from each other.

*Tailored for Diverse Specialties: From speech therapists to occupational therapists and mental health professionals, ZocDoc caters to a wide range of specialties. This inclusivity ensures that patients seeking services across various disciplines can effortlessly find and book appointments with you. I also love that patients can search for providers based on their symptoms, so patients may be directed to you that were originally unaware of your professional abilities and scope of practice.

*Seamless Virtual Appointment Booking: With ZocDoc, the process of booking virtual appointments becomes seamless. Patients can easily view your availability and schedule appointments online, eliminating the hassle of back-and-forth communication. When signing up for ZocDoc as a practitioner, you will list weekly available times and the patient can schedule the appointment on their own. You will be notified of the appointment and will be prompted to confirm it.

*Good Attendance: ZocDoc's automated appointment reminders play a pivotal role in reducing no-show rates for virtual Telehealth sessions. Patients receive timely reminders, ensuring a more consistent and organized schedule for you. I also love that when patients sign up for ZocDoc to book an appointment, they have to input their reason for appointment, enter their insurance information, and confirm their account through email. This ensure that only serious patients book an appointment. I have not had any no-shows to date!

*Attracting New Patients: By joining ZocDoc, you gain access to an extensive pool of patients actively searching for Telehealth services. This exposure helps attract new clients, leading to potential long-term partnerships. This is especially great for practitioners who are in a field in which weekly or monthly sessions are common. An initial booking fee for a long-term weekly patient is well-worth paying.

*Cost-Effective Listing: The best part about listing your Telehealth practice on ZocDoc is currently free! You can set up your profile without any upfront costs, making it a risk-free investment in expanding your practice's online presence.

*Pay-for-Performance: ZocDoc operates on a pay-for-performance model, where you are only charged a nominal fee of $45 when a patient successfully books an appointment with you. This ensures that you receive value for money, paying only for tangible results. As stated before, this is much more cost-effective than Google and Facebook ads in my experience.

ZocDoc is such a great opportunity for small, private practice clinicians with ongoing patients. The low-risk, high-reward setup has really yielded some great results for me. If you haven't opened your practice up to virtual appointments yet, I say go for it! This is a great place to start. And if you need some help along the way, reach out to me at [email protected] for teletherapy practice consulting.

Embrace the power of ZocDoc to elevate your Telehealth practice to new heights. Whether you're a speech therapist, occupational therapist, or mental health professional, ZocDoc has the tools and reach to connect you with patients across your state. Expand your practice, enhance patient engagement, and transform the way you deliver care, all with the help of ZocDoc.

If you're thinking about joining ZocDoc, use my referral link here to sign up! Together, let's embark on a journey of growth and excellence in the world of virtual Telehealth. The future of your practice awaits!

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What is teletherapy?

6/27/2020

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Our world is constantly evolving. If I think back to when I was six years old, I can distinctly remember my mom putting a cassette tape into the boom box as my dad held the video camera to capture my sister and me dancing. How times have changed! I now can play any song within seconds, connect it wirelessly to any speaker, and take a video all from my phone.
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These advances in technology are affecting our world in countless ways. When COVID-19 changed our everyday lives suddenly, many people relied on technology for communication, everyday errands, and even education. The field of healthcare is especially benefitting from these changes. In return, people all over the world are benefitting from telehealth. 

Telehealth, or teletherapy, is the application of telecommunications technology, such as a video or phone conference, to deliver healthcare professional services (ASHA). Those receiving speech language pathology services will often use video conferencing with their speech language pathologist in order to achieve their speech, language, and communication goals.

Why teletherapy?

There are many reasons why teletherapy could be a great fit for you and your child:
  • The research proves that it works! Research on teletherapy has proven that children make progress comparable to in-person services, including progress in speech sound production, language production, language comprehension, stuttering, social skills, and reading.
  • Your time. We live in a busy world and it sometimes seems like it may be impossible to leave your house. Teletherapy is done in your home at a time that works for you. This removes the time and hassle of driving to and from appointments 
  • Parent interaction. Parents are welcome to join in on the session to increase your involvement in and understanding of your child's progress. This also increases your ability to help your child generalize their skills into everyday life.
  • Minimal cancellations. Since there is no traveling involved, it is less likely that sessions are cancelled due to inclement weather or other travel surprises. 
  • It's fun! Children typically love interacting with technology while working on their speech and language skills. There are many resources developed that allow for the use of engaging and interactive games 
  • Safety. Teletherapy services are HIPAA compliant, meaning that your child's privacy is protected.
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Are you interested in teletherapy speech and language services for your child? Contact us at ChatterBox Teletherapy to schedule a free consultation!
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    Author

    ChatterBox Teletherapy
    Elizabeth Buffolino, M.A., CCC-SLP, TSSLD

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