ACA dependent coverage provision improved prenatal care use | Heart failure during pregnancy tied to higher maternal risks | Study looks at prenatal ultrasound and autism spectrum disorder
February 15, 2018
ACNM SmartBrief
Quick e-news for midwives and other health professionals
Maternal Health
ACA dependent coverage provision improved prenatal care use
A study in the Journal of the American Medical Association showed that mothers ages 24 to 25, especially those who weren't married, had increased use of early and adequate prenatal care, reduced preterm births, higher private insurance payments, and lower Medicaid payments and self-payments after the implementation of the Affordable Care Act dependent coverage provision, compared with those ages 27 to 28. However, the findings showed similar rates of low birth weight, cesarean delivery and NICU admission before and after the ACA dependent coverage enactment.
Physician's Briefing/HealthDay News (2/13) 
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Heart failure during pregnancy tied to higher maternal risks
An analysis of more than 50 million pregnancy-related hospitalizations showed women with heart failure had higher risks of adverse maternal outcomes during the antepartum, delivery and postpartum periods, according to a study in Circulation: Heart Failure. Researchers said women at high risk should be identified during hospitalization, and surveillance programs should be developed before discharge.
Healio (free registration)/Cardiology Today (2/14) 
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Study looks at prenatal ultrasound and autism spectrum disorder
Children whose mothers had more or longer ultrasound exams during pregnancy didn't have an increased likelihood of developing autism spectrum disorder, compared with those whose mothers had fewer or shorter ultrasounds, researchers reported in JAMA Pediatrics. The findings showed a slightly increased ASD risk among those whose mothers had deep ultrasound wave penetration during the first and second trimesters, but more studies are needed.
CNN (2/12),  NBC News (2/12) 
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Fla. birth center creates environment for safe deliveries
Midwife Jennie Joseph's Birth Place in Winter Garden, Fla., increases access to prenatal care by accepting all patients regardless of ability to pay, creates a welcoming environment that reduces stress among pregnant women, and emphasizes education and empowerment. The clinic has lower preterm birth rates and low--birth-weight rates than other settings, especially among women of African descent.
The New York Times (tiered subscription model) (2/14) 
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Are You Interested in Adding a Specialty or DNP?
Apply to one of FNU's distance education programs. We offer Post-Graduate Certificates in Nurse-Midwifery, Family Nurse Practitioner, Women's Health Care and Psychiatric-Mental Health NP specialties with the option to complete a DNP degree. Learn more.

Women's Health & Primary Care
USPSTF recommends against ovarian cancer screening in asymptomatic women
The US Preventive Services Task Force released new guidelines in the Journal of the American Medical Association advising against ovarian cancer screening for women with no signs or symptoms of the illness, as the harms of screening outweigh the benefits, but the recommendation does not apply to women who are at high risk of ovarian cancer, including those who carry a BRCA gene mutation. "Evidence shows that current screening methods do not prevent women from dying of ovarian cancer and that screening can lead to unnecessary surgery in women without cancer," task force member Dr. Michael Barry said.
HealthDay News (2/13),  MedPage Today (free registration) (2/13) 
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CDC: More than 8% of US adults have depression
A CDC report showed more than 8% of adults over age 20 have depression, and the rate for women was almost double that for men. The research, published in the NCHS Data Brief, found about 80% of adults with depression also reported problems with performing daily tasks.
HealthDay News (2/13),  KLKN-TV (Lincoln, Neb.) (2/13) 
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Study compares hypertension risk by race, ethnicity
Research in the Journal of Clinical Hypertension found that Asian-Americans, African-Americans, American Indians/Alaska Natives and Pacific Islanders such as Native Hawaiians are at higher risk of hypertension than whites or Hispanics. White patients were more likely than Hispanic patients to have hypertension, but the overall data were not affected by weight, education level or neighborhood status.
Healio (free registration)/Cardiology Today (2/13) 
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Researchers assess history, screening trends in breast cancer
A study in JAMA Internal Medicine found women 65 and older who had a first-degree family history of breast cancer were at elevated risk of having invasive breast cancer, regardless of their relatives' age of diagnosis. Another study in the same journal found that, regardless of personal history of breast cancer, screening via MRI was associated with lower cancer yield and greater biopsy rates than mammography.
Healio (free registration) (2/12) 
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Infant Health
Newborn SUID prevalence flat despite safe sleep recommendations
A study in the Journal of Pediatrics showed that 8,869 US babies died from sudden unexpected deaths during the first month of life between 1995 and 2014, 2,593 of whom were ages 6 days and younger, while the rate of SUIDs among those younger than 1 year plateaued after 2002. The continued prevalence of SUIDs among newborns may be due to hospitals encouraging mothers to place their infants in a prone sleeping position, said lead researcher Joel Bass.
Today (2/14),  USA Today (2/14) 
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Trending on Social Media
Do you have the emergency signs of flu sickness?
Do you know the signs that indicate it's time to seek emergency care for flu sickness? Join the conversation at ACNM's website.
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Be in the know! Join us for a webinar on ACNM's improved volunteer structure
Join us on Thursday, Feb. 22, at 7 p.m. EST for a webinar on ACNM's new, improved volunteer structure and what it means for members and current volunteer leadership. Vice President Carol Howe, CNM, DNSc FACNM, DPNAP, FAAN and Past Vice President Cathy Collins-Fulea, CNM, MSN, FACNM will be presenting. Can't make it Thursday? The webinar will be repeated Friday, Feb. 23 at 10 a.m. EST. Join us! Read more and register.
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Calling authors for the ACNM Annual Meeting book-signing event
Are you -- or do you know of -- an author whose fiction or nonfiction book has a focus on a midwifery-related or women's health care topic? Spread the word that each year, the ACNM Store hosts book-signing events during the Annual Meeting. Prospective authors can submit their application to participate. Deadline: March 8. Read more.
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Applications for $5,000 Fellowship for Graduate Education due March 1
The A.C.N.M. Foundation announces the availability of the Fellowship for Graduate Education -- a $5,000 award! To be eligible, applicants must be a CNM/CM, a member of ACNM, and a student in good standing enrolled in a doctoral education program. Completed applications are due March 1. Read more.
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Free webinar: Maternal Immunization: Understanding Safety and Efficacy
Please join ACOG and ACNM for an upcoming free webinar, Maternal Immunization: Understanding Safety and Efficacy and Making a Strong Recommendation, on Thursday, March 1, at 5-6 p.m. ET, 2-3 p.m. Pacific Time. The webinar is jointly hosted by the CDC, ACNM and ACOG. Read more.
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Every smart person wants to be corrected, not admired.
Marvin Minsky,
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