Report: Participation of Praborini Lactation Team in ASTOT 2025 Conference RACV City Club, Melbourne, Australia | May 16–17, 2025Australasian Society for Tethered Oral Tissues (ASTOT) Overview The Praborini Lactation Team traveled from Jakarta to Melbourne from May 16 to 17, 2025, to participate in the ASTOT 2025 Conference organized by the Australasian Society for Tethered Oral Tissues (ASTOT). This prestigious event brought together international experts in the field of infant feeding, oral restrictions, and interdisciplinary care related to tongue tie and other tethered oral tissues. The Praborini Lactation Team consisted of six pediatricians and three lactation consultants from Indonesia who are actively involved in clinical and community-based care related to tongue-tie and breastfeeding challenges. All members of the team were invited to be speakers at the conference, contributing original research, case reports, and clinical experience in the field. ⸻ Team Members1. Dr. Asti Praborini, MDPaed, IBCLC, FABM2. Dr. Agustina Santi, MDPaed, MSc, IBCLC3. Dr. Ayi Dilla Septarini, MDPaed, IBCLC4. Dr. Anjar Setiani, MDPaed, IBCLC5. Dr. Iffa Rasyida, MDPaed, IBCLC6. Dr. Andini Striratnaputri, MDPaed7. Dr. Yudith Angeline Hardjadinata, IBCLC8. Dr. Dyah Febrianty, IBCLC, FABM9. Dr. Dhika Arifa, CIMI10. Dr. Dira Firzanti ⸻ About ASTOT ASTOT (Australasian Society for Tethered Oral Tissues) is an international organization that focuses on education, clinical practice, and research on oral restrictions, especially tongue tie (ankyloglossia), across all age groups. The 2025 conference, themed “Collaborative Conversations: Tongue Tie and Other Oral Ties Across the Lifespan”, was attended by healthcare professionals from various disciplines including dentistry, medicine, lactation, speech pathology, and surgery. ⸻ Schedule of Presentations Friday, 16 May 2025• Postpartum Depression among Mothers of Babies with Ankyloglossia-related Breastfeeding Difficulties – Dr. Dyah Febriyanti, IBCLC, FABM• The Impact of Frenotomy on Weight Gain and Breastfeeding Outcomes in Infants with Tongue-Tie: A Case Series of Eight Patients – Dr. Agustina Santi, MDPaed, MSc, IBCLC Saturday, 17 May 2025• Malnutrition & Tongue Ties—Dr. Anjar Setiani, MDPaed, IBCLC• Postpartum Depression in Mother Relating to Newborns with Tongue Tie—Dr. Iffa Rasyida, MDPaed, IBCLC• The Costs of Overlooking a Tiny Tongue Tie: A Case Study of a Toddler with a Feeding Problem and Its Complex Medical Consequences—Dr. Asti Praborini, MDPaed, IBCLC, FABM• Tongue Tie as a Cause of Speech Problems in Childhood—Dr. Yudith Angeline Hardjadinata, IBCLC• The Role of Frenotomy and At-Breast Supplementation in Baby with Malnutrition Due to Ankyloglossia with Congenital Heart Disease—Dr. Dhika Arifa, CIMI• Case Report: Successful Relactation in Twins with Tethered Oral Tissue—Dr. Ayi Dilla Septarini, MDPaed, IBCLC• Successful Relactation After Frenotomy of a 6-Month-Old Baby with Tethered Oral Tissue Who Stopped Breastfeeding for 3.5 Months—Dr. Dira Firzanti (Presented by Dr. Ayi Dilla Septarini)• Prevalence Frenotomy in Baby Friendly Hospital and Baby Friendly Clinics: A Descriptive Study—Dr. Andini Striratnaputri, MDPaed ⸻ Board Membership Update In recognition of her ongoing contribution to the field, Dr. Asti Praborini, MDPaed, IBCLC, FABM, was officially appointed as a board member of ASTOT in 2024. She has since played an active role in international collaboration and development. Following this, she invited Dr. Agustina Santi, MDPaed, MSc, IBCLC to join the ASTOT board as well. Current ASTOT Board Members and Their Professions: Chair : Dr. Sharon Smart, BSc, CPSP, PGCert Higher Ed Innovative Learning, PhD, FHEA (Australia)Secretary : Dr. Kirsty Greenwood, DO, Advanced Paediatric Osteopath, PhD Candidate (Australia)Treasurer : Anna Walton, BSc, CPSP (Australia)Conference Coordinator : A/Prof. David Todd, MBBS, MSc, PhD, FIMLS, CCPU (Australia)Events & Education: Dr. Philip Hand, BDS (Otago, N.Z.), MSc Laser Dentistry (UCSC – Roma), FICCDE, LA&HA Master (Australia)Board Member: Louise Duursma, RN, IBCLC, MRes (Australia)Board Member: Marijke Eastaugh, RN, RM, IBCLC (Australia)Co-opted Board Member: Dr. David Grayson, MB ChB, FRACS (New Zealand)Dr. Asti Praborini, MDPaed, IBCLC, FABM (Indonesia)Dr. Agustina Santi, MD Paed, M.Sc, IBCLC (Indonesia) Conclusion The participation of the Praborini Lactation Team in the ASTOT 2025 Conference was an outstanding opportunity for knowledge exchange and international collaboration. All members contributed significantly as speakers, sharing their expertise and clinical experiences related to tongue tie, oral restrictions, and breastfeeding challenges. Through these contributions, the team helped raise awareness of Indonesia’s advancements in this important field. By connecting with global experts and practitioners, the team strengthened their professional knowledge and helped elevate Indonesia’s voice in the global conversation about infant oral health. The recognition of Dr. Asti Praborini as an official ASTOT board member in 2024, followed by the invitation of Dr. Agustina Santi to join the board, further highlights Indonesia’s growing influence in the international healthcare community. This experience will undoubtedly contribute to the ongoing development of best practices for managing tethered oral tissues and breastfeeding difficulties, benefiting healthcare providers and patients worldwide.