USPSTF recommends routine BP screening for preeclampsia | Childhood abdominal radiation tied to pregnancy risks later | Infection increases stroke risk for women with preeclampsia

April 27, 2017
ACNM SmartBrief
Quick e-news for midwives and other health professionals
Maternal Health
USPSTF recommends routine BP screening for preeclampsia
The US Preventive Services Task Force published updated guidelines in the Journal of the American Medical Association that call for all pregnant women to undergo routine blood pressure monitoring at every prenatal visit to screen for preeclampsia, regardless of whether they have a history of preeclampsia or high blood pressure. Separate guidelines call for pregnant women with a higher risk of preeclampsia to take low-dose aspirin after 12 weeks of pregnancy.
Reuters (4/25) 
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Childhood abdominal radiation tied to pregnancy risks later
Women who survived childhood cancer after receiving abdominal radiation therapy had a higher risk of gestational diabetes and anemia during pregnancy compared with survivors who received other treatments. Researchers wrote in the Journal of the National Cancer Institute that women who survived childhood cancer but didn't have radiation did not appear to have greater risk of labor complications compared with women who never had cancer.
Reuters (4/26) 
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Infection increases stroke risk for women with preeclampsia
A population-based study found women with preeclampsia who develop infections, particularly urinary tract infections, had a threefold increased risk of stroke, researchers told the American Academy of Neurology's annual meeting. Bleeding disorders, prothrombotic states and chronic hypertension also were tied to increased risk of stroke. (4/25),  Medscape (free registration) (4/25) 
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Financial stress may affect pregnancy outcomes, study says
A study of 138 pregnant women found that pregnancy-related financial stress, such as concerns about meeting their babies' needs, was associated with a higher risk of having a low-birth-weight infant, researchers wrote in the Archives of Women's Mental Health. Ohio State University researcher Amanda Mitchell said pregnant women health care practitioners should talk with pregnant patients about their stress levels.
Yahoo (4/26) 
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Cheap generic could prevent thousands of maternal deaths
Tranexamic acid can stop postpartum hemorrhage, which kills some 100,000 women every year and forces emergency hysterectomies in low- and middle-income countries, according to the results of a six-year study in The Lancet. The drug was invented in the 1950s, costs less than $2 per dose, does not need to be refrigerated and reduced the rate of maternal bleeding deaths by a third when given within three hours.
The New York Times (free-article access for SmartBrief readers) (4/26) 
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Women's Health & Primary Care
Young more vulnerable to pollutants that affect thyroid function
The thyroid function of young people ages 12 to 21 is up to three times more sensitive to common environmental contaminants such as perchlorate, thiocyanate and nitrate, compared with the general population, according to a study in the Journal of Clinical Endocrinology and Metabolism. "We were concerned about the earliest exposures, but since we weren't able to examine children younger than 12, we were able to identify adolescence as a window of vulnerability," senior author Leonardo Trasande said.
Medscape (free registration) (4/27) 
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CDC: Fewer US adults are unaware they have hypertension
A CDC report said data from 2011 to 2014 showed 15.9% of US adults with hypertension were unaware that they had it, compared with 29.5% from 1999 to 2002, a decrease of 46%. More men than women and more younger people than older adults were unaware they had hypertension, the report found.
Medscape (free registration) (4/26) 
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Central obesity raises mortality risks, study says
Central obesity raises mortality risks, study says
(Jeff J Mitchell/Getty Images)
Research in the Annals of Internal Medicine found people with a normal BMI but central obesity had a 22% higher risk of early death, and those with a BMI in the obesity range had a 13% increased risk, compared with people who stored fat in other areas of the body. Data showed having central obesity increased the risk of heart-related death by 25% among people with a normal BMI, 26% for those who were overweight and 56% for people with a BMI in the obese range.
HealthDay News (4/24) 
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Other News
Seattle Hospital Offers Nitrous Oxide For Labor
At Northwest Hospital they are seeing patients choosing their birth center just to use the laughing gas. "Its half-life is about 3 minutes. When you stop breathing it - it's gone," said the Chief of Midwifery. And she added, "nitrous oxide does not affect the newborn." View the video.

Infant Health
Stronger vaccine exemption laws may reduce measles outbreak risk
States with easy nonmedical vaccine exemption policies were 140% and 190% more likely to experience a measles outbreak than states with medium and difficult exemption policies, respectively, researchers reported in Academic Pediatrics. The findings also showed that strengthening immunization policies reduced outbreak size by 50% and bolstered public health, health care system and individual cost savings.
Healio (free registration)/Infectious Diseases in Children (4/24) 
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Professional News
Mich. to require licensing of midwives
Michigan Gov. Rick Snyder has signed a midwife licensing measure into law. Midwives will be licensed by the new Michigan Board of Licensed Midwifery. Capital News Service (Michigan State University) (4/21)
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ACME volunteer opportunities for non-midwives
Please assist us in spreading the word about our Public Member on the Board of Review vacancy. The BOR is the unit within ACME whose responsibility is the evaluation of nurse-midwifery/midwifery education programs for the purpose of granting pre/accreditation status and monitoring the programs' continued compliance with pre/accreditation standards and criteria. A public member is one who does not derive any income from the practice of midwifery. For a full job description please visit our website. Please contact, Heather L. Maurer, ACME Executive Director, at with any questions.
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Book by Friday via ACNM and save $200 a night
For all of your hard work and sleepless nights, treat yourself to a dreamy hotel room at the Hilton Chicago where you'll sleep like an angel. Plus, you'll save $200 a night May 21-25 during the 62nd Annual Meeting by booking in our block via this link now. Read more.
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May 5 is International Day of the Midwife!
Friday, May 5, is a day to honor and celebrate the tremendous work midwives around the globe do every day to bring health babies into the world, reduce maternal mortality and morbidity, and promote and protect the health and well-being of women and their young children worldwide. So take a moment to reflect on the great community you belong to and the past, present, and future you are part of! Read more.
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Apply to join the Reducing Primary Cesareans Project
Applications are being accepted now to have your hospital take part in the Reducing Primary Cesarean Project. Join other hospitals where teams have reduced their primary cesarean rates by an average of 6%. Sign up for an informational webinar on May 15 or June 5, and apply by July 21. Read more and apply at
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All types of knowledge ultimately mean self-knowledge.
Bruce Lee,
martial artist, actor and filmmaker
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