Weeks Holst (henbrace3)

· Introduction of early diabetes screening guideline did not improve rate of early screening.. · Detection and treatment of gestational diabetes may not improve perinatal outcomes.. · Early screening guidelines was associated with decreased gestational weight.. · Introduction of early diabetes screening guideline did not improve rate of early screening.. · Detection and treatment of gestational diabetes may not improve perinatal outcomes.. · Early screening guidelines was associated with decreased gestational weight.. Guidelines do not exist to determine timing of delivery for women with cardiovascular disease (CVD) in pregnancy. The neonatal benefit of a term delivery as compared with an early term delivery is well described. We sought to examine maternal outcomes in women with CVD who delivered in the early term period (37 + 0 weeks through 38 + 6 weeks) compared with those who delivered later. This is a prospective cohort study examining cardiac and obstetric outcomes in women with CVD delivering between September 2011 and December 2016. The associations between gestational age at delivery and maternal, fetal, and obstetric characteristics were evaluated. Two-hundred twenty-five women with CVD were included, 83 (37%) delivered in the early term period and 142 (63%) delivered at term. While the early term group had significantly higher rates of any hypertension during pregnancy (18.1 vs. 7%, = 0.01) and intrauterine growth restriction (22.9% vs. 2.8%, < 0.001), there was no difference in high-risk cardiac or obstetric characteristics. No difference in composite cardiac morbidity was found (4.8 vs. 3.5%, = 0.24). Women in the early term group were more likely to undergo cesarean delivery than women in the term group (43.4 vs. 24.7%, = 0.004). There is no maternal benefit of an early term delivery in otherwise healthy women with CVD. Given the known fetal consequences of early term delivery, this study offers support to existing literature suggesting term delivery in these women. · Question of delivery timing in women with cardiac disease.. · No difference in cardiac morbidity, term versus early term.. · Term delivery in women with asymptomatic cardiac disease.. · Question of delivery timing in women with cardiac disease.. · No difference in cardiac morbidity, term versus early term.. · Term delivery in women with asymptomatic cardiac disease..Adolescent mothers and their children represent a high-risk group for unfavorable developmental outcomes. There are early health and support services for this group. The aim of the current study was to investigate and compare the use of these interventions by adolescent mother-child dyads compared to adult mothers and their children. N=99 mothers (age of children 5.3±1.0 months) were interviewed regarding early interventions, which were sorted into three groups ("interaction interventions", "child development" and "maternal support interventions") and pooled according to costs. Group differences in utilization and, exploratively, differences in allocation paths between adolescent and adult mothers were investigated. "Interaction interventions" were significantly more frequently used by adolescent mothers (U 605.50, p less then 0.001). Interventions concerning "child development" (U 633.50, p less then 0.001) and "maternal support" (U 477.50, p less then 0.001) and interventions to be paid for (U 582.00, p less then 0.001) by adult mothers. Social contacts (U 817.00, p=0.003) and general practitioners (GP)/gynecologists (U 879.00, p = 0.054) directed the adult mothers significantly more often to interventions, whereas adolescent mothers significantly more frequently were directed to other professional contacts (U 877.50, p=0.01) and the youth welfare service (U 962.50, p=0.021) as intermediaries. Early interventions for child and maternal health and interventions with costs were used s