Down to Birth

#336 | How Tongue Tie Impacts Vaginal Birth, Breastfeeding & Infant Development


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In this episode, occupational therapist and IBCLC Michelle Emanuel joins us to explore the hidden ways tongue-tie affects babies long before birth. She explains how oral restrictions begin in the embryo, influence fetal positioning, and impact birth outcomes including torticollis and C-sections. We dive into the anatomy of the tongue, how it connects to breathing, posture, and feeding, and why many tongue-ties remain hidden or misdiagnosed.

We discuss feeding positions, tummy time, swaddling, and infant sleep, and, of course, SIDS, including airway safety, sleep surfaces, toxins, and the importance of ventral (tummy) time for development and sleep.

Michelle shares insights on when a frenotomy is truly needed, the risks of unnecessary or too-early releases, and why myofunctional therapy and whole-body approaches are critical for optimal long-term outcomes. This episode is a must-listen for parents, birth professionals, and anyone seeking a deeper understanding of how tongue-tie influences health even before your baby is born. 

Watch this episode in full video format on YouTube.

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Down to BirthBy Cynthia Overgard & Trisha Ludwig

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