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.
Learning Objectives
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
untimed
- Post-assessment
- Feedback survey
Instructor
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.
Jeanne's Disclosures
Frequently Asked Questions
What makes this TOTs course different?
Who is this course for?
Are there prerequisites for this course?
Can I count this course towards my 90 hours of lactation specific education?
Information about AOTA CEUs
Information about ASHA CEUs
Information for Physical Therapists
How long will I have access to the course?
What is your refund/cancellation policy?
How do I request special accommodation?
Always more to learn!
Looking for more information? Have a comment or complaint?
Send an email to [email protected]. View complaint policy here.