Some women stop biologic therapy during pregnancy | Decreasing testosterone tied to male postpartum depression | Shorter sleep duration in pregnancy ups gestational diabetes risk, study finds

October 19, 2017
ACNM SmartBrief
Quick e-news for midwives and other health professionals
Maternal Health
Some women stop biologic therapy during pregnancy
The number of women who started biologics to treat autoimmune diseases decreased between conception and delivery, 31% of pregnant women using the drugs stopped within the third trimester and 38% stopped during the second trimester, according to a study in Arthritis Care & Research. "The concern highlighted by our study is that this discontinuation pattern was occurring irrespective of changes in certain indicators of disease activity and use of concomitant treatments," researchers wrote.
Healio (free registration) (10/16) 
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Decreasing testosterone tied to male postpartum depression
Research in Hormones and Behavior found postpartum depression in new fathers may be due to decreasing testosterone levels, adding to evidence indicating the condition is not found only in women. High testosterone in new fathers was associated with higher rates of depression among new mothers.
The New York Times (free-article access for SmartBrief readers) (10/17) 
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Shorter sleep duration in pregnancy ups gestational diabetes risk, study finds
A study in Sleep Medicine Reviews showed that pregnant women who had an average sleep duration of less than six hours had a 1.7-fold increased risk of developing gestational diabetes, compared with those who slept longer. The research was based on a meta-analysis of eight studies involving 17,308 pregnant women.
NewKerala (India)/Asian News International (10/17) 
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Brown Exec. Master of Healthcare Leadership
The Brown University Executive Master of Healthcare Leadership is an intensive 16-month program for mid-career professionals. Gain a comprehensive perspective that goes beyond local concerns, and develop skills to create flexible, responsive and sustainable healthcare organizations.

Women's Health & Primary Care
Will custom-fit condoms increase use of the contraceptive?
A company has started selling condoms in 60 sizes, but public health experts are not sure if better fit will make the contraceptive option more popular. A federal study found failure to use a condom during sex, which can help prevent transmission of sexually transmitted infections, remains common and almost 7% of women using them said they broke or fell off.
The New York Times (free-article access for SmartBrief readers) (10/12) 
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Hormone level inaccurate for predicting fertility potential
Anti-Mullerian hormone levels do not accurately predict a woman's fertility potential, according to a study in the Journal of the American Medical Association. Experts said the hormone can be useful in diagnosing polycystic ovarian syndrome, identifying women close to menopause and predicting the response to ovarian stimulation for in vitro fertilization.
The New York Times (free-article access for SmartBrief readers) (10/16) 
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Bladder problems, pain can keep older women from having sex
A survey of women ages 55 and older found bladder control problems, vulvovaginal irritation and pain or dyspareunia, part of genitourinary syndrome of menopause, were among the main reasons for avoiding sex after menopause, researchers told the North American Menopause Society's annual meeting. "Our findings underscore the need to further expand the sexual history after a woman reports that she is not currently sexually active," said lead author Amanda Clark.
Medical News Today (10/15) 
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Study: 12% of men, 3% of women have oral human papillomavirus
A study in the Annals of Internal Medicine showed almost 12% of men and some 3% of women had oral human papillomavirus. Oral HPV has been linked to cancer of the head, neck and throat.
HealthDay News (10/16) 
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Infant Health
Prenatal air pollution exposure linked to shorter telomeres
A study in JAMA Pediatrics found that newborns whose mothers with higher residential exposure to particulate matter with a diameter of 2.5 microns or less during pregnancy had significantly shorter telomeres, compared with those whose mothers were less exposed to particulates, with every 5 micrograms per cubic meter increase in prenatal particulate exposure tied to 8.8% shorter cord blood telomeres and 13.2% shorter placental telomeres. The findings also showed that maternal particulate exposure during the second trimester had the greatest impact on telomere length.
CNN (10/16),  TIME online (10/16),  MedPage Today (free registration) (10/16) 
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Trending on Social Media
Blog post on managing anxiety during pregnancy
Treating anxiety in pregnant patients can be a complex issue to tackle. MotherToBaby teratogen information expert Kirstie Perrotta, MPH, addresses the issue in the blog post "Managing Mom's Anxiety During Pregnancy." Read more at ACNM's Facebook page.
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Join the National Mammography Day Thunderclap for tomorrow!
Take a minute now to join the FDA's Office of Women's Health in a social media "thunderclap." Then, on Oct. 20 at 1 p.m. ET, a message promoting mammography screenings will be released from the social accounts of everyone who signed up.
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Bookmark your link to ACNM Connect
ACNM Connect is ACNM's new mobile-friendly online community. It replaces our listservs and offers a host of great features such as document sharing. If you haven't checked it out, join now and make your first connection with a friend or colleague! Read more.
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Nominations for the 2018 Dorothea M. Lang Pioneer Award being accepted until Nov. 10
Nomination applications are now available for the A.C.N.M. Foundation's most prestigious award, the Dorothea M. Lang Pioneer Award, which honors exceptional CNMs/CMs who have exhibited vision, leadership and innovation over time in a sustained way. For details and applications, read more.
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Free Obstetric Hemorrhage Safe Action Session Oct. 31
The Council on Patient Safety in Women's Health Care is offering a free session, "Patient, Family, and Staff Support After Obstetric Hemorrhage," Tuesday, Oct. 31, at 1:30 p.m. Eastern time. The session will provide a framework for communication and actionable steps and more. Read more.
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Join us for Midwifery Works, Oct. 26-29, 2017
Don't miss Midwifery Works 2017, ACNM's premier business meeting! It's hosted this year in historic downtown Portland, Oregon, one of the top "Places to Go in 2017." Have fun, get inspired, and take your career to the next level. Learn more.

A man who dares to waste one hour of time has not discovered the value of life.
Charles Darwin,
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