Is it worth having tongue tie released at 4 month due to a nursing strike?
I'm torn whether or not I should have a tongue tie release surgery for my 3.5 month old baby.
I gave birth via emergency C-section with significant in blood loss, so my milk took 5 days to come in. She was born small, and lost over 12% body weight at the hospital, so we had to triple feed and supplement with formula for some time. I was able to achieve exclusive breastfeeding by the time she was about 1 month old, and everything seemed to be going well, she followed her curve at 6%. Around 2 months old when we started dealing with witching hour and colic, she was too tired to eat at the breast in the evening so we introduced bottles of pumped milk before bed. Sometime around 3 months old, she suddenly stopped accepting the breast altogether during her waking hours. Unfortunately I had to go back to work so I resigned myself to pumping and bottle feeding during the day, and direct nursing at night when she's too sleepy to protest. Since then she jumped to 13% on her growth curve.
We went and saw a lactation consultant a few weeks ago, who reviewed our entire history. She said we are using the right bottle nipples, positioning baby correctly and so forth - on my end, I'm doing everything right. She also evaluated the baby's latch and looked at her mouth, and she concluded that my baby has good latch but she doesn't suck well due to a tongue tie. This seemed counter intuitive to me, because the baby always seemed to have good tongue mobility, she always sticks her tongue out when she's happy and smiling or bringing toys to her mouth. But seems like the tongue tie is the only reasonable explanation. I am also surprised we got so far with exclusive breastfeeding despite the tie. Recently, even night feedings started falling apart. I really enjoy direct breastfeeding but having a baby scream at me in the middle of the night when I'm trying to feed her is very discouraging. I also really don't want to have to pump at night.
She is also starting to teethe and sometimes she bites when nursing. I am debating whether I should just give up on exclusive breastfeeding and start doing formula at night (my supply during the day is only enough to support daytime feeds).
I trust my lactation consultant's opinion, but I am looking for other people's stories as well. She said that at this age, the baby might prefer the bottle even after the tie release. Do you think it's worth getting the tongue tie release at 4 months and would it help save our breastfeeding journey, or is it too late? Does the surgeon doing the tongue tie release confirm the diagnosis before doing the surgery? I don't want to subject my baby to an unnecessary procedure if it's not going to help us, and I guess I'm still not 100% sure if the posterior tongue tie would only show itself this late.