Tongue Ties, Breastfeeding, and the Lactation Savvy Therapist

 Comprehensive. Evidence-based. Infant specific. 


This 8 hour, self-paced continuing education course provides an in-depth look at lactation, oral dysfunction, and specifically tethered oral tissues (TOTs). 


IBLCE Long-Term Provider

8.0 L-CERPs

Exactly what you need to gain the confidence and skills to work with breastfeeding infants and TOTs.


Learn about the therapist's role and a variety of healthcare professionals involved in the treatment of oral ties, explore the most common myths and controversies associated with the diagnosis and treatment of oral ties and delve into the most up-to-date research regarding this topic. Oral assessment, observations, as well as the impact of oral dysfunction on breastfeeding are thoroughly discussed in order to prepare therapists to effectively educate and guide families in order to achieve their goals.


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Timed Agenda

Don't feel rushed! As a self-paced course, you can pause, replay, and watch the videos as many times as you'd like!

Module 1

39 minutes

  • Introduction - 19 min
  • Collaboration & Controversy - 20 min


Module 2

2 hr 25 minutes

  • Research - 47 min
  • Definitions and the Role of the Therapist - 6 min
  • Oral Assessment - 60 min
  • Impact of Ties on Breastfeeding - 32 min


Module 3

1 hr 52 minutes

  • Milk Production & Storage - 22 min
  • Breastfeeding Assessment - 52 min
  • Low Milk Supply & Supplementation - 26 min
  • Oversupply & Overactive Letdown - 12 min


Module 4

1 hr 12 minutes

  • Latch at the Breast vs Bottle - 36 min
  • Case Video: Clicking During Breastfeeding, Shallow Latch, and Fatigue & 3 days old, Clicking, Noisy Sucking, and Nipple Shield - 1 min
  • Bottle feeding and Alternative Feeding Strategies - 20 min
  • Importance of Differential Assessment: Additional Infant Factors Impacting Feeding - 15 min

Module 5

1 hr 26  minutes

  • Pre-Release Therapy - 24 min
  • Surgical Release to Prevent Future Issues? (with case exaples) - 19 min
  • Surgical Release and Active Wound Management - 23 min
  • Post-Operative Therapy and Recovery - 20 min

Module 6

33 minutes

  • Case Studies

Module 7


  • Post-assessment
  • Feedback survey

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Jeanne Pichoff, LOTR, IBCLC

Jeanne Pichoff has sixteen years of experience as a pediatric occupational therapist. She has worked in a variety of pediatric settings including the NICU, outpatient clinic, and the state early intervention system. Jeanne owns and operates a private practice in Louisiana, Flourish Pediatric Therapy and Lactation LLC, which is focused on the niche areas of infant feeding, lactation support, and early intervention services.

Jeanne has pursued the additional credentials of Certified Lactation Counselor (CLC) and Certified Lymphedema Therapist (CLT). She sat for the International Board Certified Lactation Consultant (IBCLC) exam in September 2020. She continually strives to offer the highest quality service to families in her care.

In addition to her clinical work, Jeanne serves her community as a board member of the Acadiana Breastfeeding Coalition, where she promotes breastfeeding advocacy in her region.

Frequently Asked Questions


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Always more to learn!


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