This randomized, controlled trial has clearly shown that tongue-ties can affect feeding and that division is safe, successful and improved feeding for mother and baby significantly better than the intensive skilled support of a lactation consultant.

There is a real, immediate improvement in breastfeeding, detectable by the mother, which is sustained and does not appear to be due to a placebo effect.

No abstract

No abstract

with prior HDP were younger (46.4 +/-6.5 years) than the normal group (49.1 +/-5.6 years). Women with prior pregnancy complications were more likely to be obese (35.9% vs. 56.0%, p¼0.001), to have diabetes (37.9% vs. 14.4%, p<0.001) and chronic hypertension (80.0% vs. 42.3%, p<0.001). The clinical severity of ACS measured by the Grace score was similar in all 3 groups (72.7 vs. 69.1 vs. 69.6, p¼0.227 for all comparisons). The occurrence of MACE (8.5% vs. 8.9%, p¼0.919) was also similar in all groups, with the exception of recurrent ACS, which was more common in women with prior HDP than women with prior normal pregnancy (adjusted hazard ratio 3.21 +/-1,79 vs. 0.33 +/-0.21). The association appeared to be mediated by hypertension. CONCLUSION: Women with prior pregnancy complications have more CVD risk factors at the time of a premature ACS, and are younger at time of event than are women with prior normal pregnancy. Moreover, women with prior preeclampsia are more likely to experience a recurrent ACS at 12 months.