Experts: Exercise is good for pregnant women, fetuses | CDC: Boost in HIV testing linked to drop in mother-to-child transmissions | Paternal methotrexate exposure may not raise pregnancy risks

March 23, 2017
ACNM SmartBrief
Quick e-news for midwives and other health professionals
Maternal Health
Experts: Exercise is good for pregnant women, fetuses
Experts and researchers agree that pregnant women and fetuses benefit when the women regularly exercise, which can help prevent excessive weight gain during pregnancy and complications during pregnancy and childbirth. Experts, writing in a viewpoint published in the Journal of the American Medical Association, said that moderation is the goal and cautioned against certain more vigorous exercises that may not be safe for pregnant women.
National Public Radio (3/21) 
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CDC: Boost in HIV testing linked to drop in mother-to-child transmissions
CDC researchers found that infants born with HIV in the US declined from 216 in 2002 to 69 in 2013, due in part to increasing HIV testing rates among women. The findings in JAMA Pediatrics also showed that 38% of perinatal HIV cases were from Florida, Georgia, Louisiana, Maryland and Texas. (3/20),  HealthDay News (3/20) 
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Paternal methotrexate exposure may not raise pregnancy risks
A study in Obstetrics & Gynecology said fathers' exposure to the cancer and autoimmune drug methotrexate in the 90 days before pregnancy was not tied to increased risk of congenital malformations, stillbirth or preterm birth. "Available data suggest that prepregnancy paternal methotrexate exposure should not be of major concern," researchers wrote about their analysis of data on 849,676 births.
Physician's Briefing/HealthDay News (3/21) 
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Hospital design may contribute to Cesarean section rates
Hospitals with few rooms and many births had higher rates of Cesarean sections, according to a study by Neel Shah, a Harvard Medical School assistant professor and director of the Delivery Decisions Initiative at Ariadne Labs. Some labor wards are designed as surgical units rather than places for natural labor that can last hours or days, Shah said.
Quartz (3/21) 
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Women's Health & Primary Care
FDA reports 9 deaths from lymphoma linked to breast implants
The FDA said there have been nine deaths from anaplastic large-cell lymphoma, a rare malignancy linked to breast implants. The agency said in an update that patients with implants should continue to receive routine care and support and that most cases have occurred in women with textured implants.
The New York Times (free-article access for SmartBrief readers) (3/21) 
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Group issues global guidelines for HPV vaccine use
The American Society of Clinical Oncology released a global guideline recommending two doses of human papillomavirus vaccine spaced at six to 15 months apart for girls ages 9 to 14 in all resource settings, while three doses should be administered to girls ages 15 and older in maximal and enhanced settings who didn't receive prior HPV vaccination. The guidance in the Journal of Global Oncology also advised that boys in maximal, enhanced and limited settings may receive HPV vaccinations provided at least 50% coverage of the priority female target population and that such vaccines are sufficient and cost-effective.
Healio (free registration) (3/22),  Medscape (free registration) (3/21) 
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Infant Health
CDC data show 15% decrease in infant mortality
CDC researchers found that the infant mortality rate in the US decreased from 6.86 deaths per 1,000 live births in 2005 to 5.82 in 2014, and that declines were seen across most racial groups except among Alaska Natives or American Indians. The findings in the National Center for Health Statistics Data Brief also showed that deaths from sudden infant death syndrome dropped by 29%.
CNN (3/21),  Medscape (free registration) (3/21) 
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A "secret" of nurse-midwives: "We cry a lot"
"Sometimes they're tears of joy, sometimes they're tears of exhaustion, sometimes they're tears of worry, sadness, and frustration. No one said being a midwife was easy, but the majority of us didn't expect it to be quite so hard." Read more.
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One week left to enjoy early bird savings!
Register for the ACNM Annual Meeting by March 31, and you can reap savings of up to 45 percent. Gain up to 22 CEs at this year's event, May 21-25 in Chicago. Read more.
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Thank you, influenza prevention champions!
ACNM had a great turnout for our Influenza Champions contest this year. Four winners, all leaders in maternal immunization, will be announced at the annual meeting in May and each receive a $250 cash award. Start now to win next year's contest by becoming an immunization champion in your community. Here's helpful information to get you started.
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March is Child Life Month
March is the month to celebrate the midwives and other health care professionals who work on behalf of our youngest clients and their families. So give yourself a well-deserved pat on the back, and share with us on Facebook and Twitter how you promote the well-being of children. For resources and information about Child Life Month, read more.
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Show off your creativity: Enter ACNM's annual video contest!
Enter a video of up to 4 minutes in length in 1 of 3 categories, and you may win a free registration to next year's annual meeting and exhibition in Savannah, Ga. Entries are due by May 1, 2017. Read more.
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Nothing great will ever be achieved without great men, and men are great only if they are determined to be so.
Charles de Gaulle,
military leader and statesman
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