Women have many health issues to add to policy debate | Falling insulin requirement linked to preeclampsia | Incident diabetes risk higher among refugees with gestational diabetes

August 17, 2017
ACNM SmartBrief
Quick e-news for midwives and other health professionals
Maternal Health
Women have many health issues to add to policy debate
Women often have not had a seat at the table when health care reform has been discussed, even though key issues include everything from prenatal care and maternity coverage to Medicare. American College of Nurse-Midwives Board member Patricia Loftman, a certified nurse-midwife at Harlem Hospital Center for 30 years, is concerned about abortion rights, contraceptive access, attacks against Planned Parenthood and the continued racial and ethnic disparity in pregnancy and health outcomes for African-American women and women of color.
National Public Radio (8/16) 
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Falling insulin requirement linked to preeclampsia
Falling insulin requirement is a clinical marker for placental dysfunction in pregnant women with diabetes as well as preeclampsia, researchers reported in Diabetes Care. Women with a FIR of 15% or higher from the peak daily dose after 20 weeks gestation were at increased risk of having a composite of clinical markers of placental dysfunction and preeclampsia.
Physician's Briefing/HealthDay News (8/16) 
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Incident diabetes risk higher among refugees with gestational diabetes
Canadian researchers found that refugee women with gestational diabetes had a 23% higher risk for developing incident postpartum type 2 diabetes four years after resettling in Ontario, Canada, compared with nonimmigrants with gestational diabetes. The findings in Diabetic Medicine, based on data from 40,902 women with gestational diabetes, revealed that non-refugee immigrants had a higher rate of neonatal hypoglycemia and low birth weight than nonimmigrants.
Healio (free registration)/Endocrine Today (8/11) 
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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
UI often is not part of women's office visit, study says
Among 1,339 women with urinary incontinence, 61% did not seek treatment during an office visit, with 55% saying their health care provider never asked, 73% saying the UI was not bad enough, and 53% believing it was a normal part of aging, researchers wrote in Menopause. Researcher Elaine Waetjen said providers should routinely discuss incontinence with women at midlife and older during well-woman and other preventive health visits.
NewsWorks (South Korea)/Reuters (8/12) 
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Postmenopausal vaginal estrogen use not tied to elevated cancer, CVD risk
A study in the journal Menopause found women aged 50 to 79 years who used vaginal estrogen did not have a significantly greater risk for endometrial cancer, invasive breast cancer, colorectal cancer, stroke and pulmonary embolism/deep vein thrombosis, compared with nonusers. The findings, based on data from participants in the Women's Health Initiative Observational Study, also showed that vaginal estrogen use was tied to a reduced risk of fracture, coronary heart disease and premature death.
eMPR (8/16),  United Press International (8/16) 
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CDC data show 65% jump in US antidepressant use over 15 years
Data from the CDC's National Center for Health Statistics showed antidepressant use in the US was up by almost 65% over the last 15 years. Researchers said antidepressant use increased with age for both genders, but women were about twice as likely as men to report using the medications in the past month.
HealthDay News (8/15) 
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Infant Health
Inflammation during pregnancy tied to brain changes in infant
A study in Biological Psychiatry found elevated inflammatory markers in pregnant women during the first trimester were associated with an enlarged amygdala in infants and changes in amygdala connectivity. The changes to the amygdala were linked to impaired impulse control at age 2.
Psych Central (8/13) 
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Trending on Social Media
A message from the ACNM Board denouncing the attacks in Charlottesville, Va.
ACNM condemns racism in all of its forms and denounces the white supremacist and Nazi rally that led to violence against human rights protesters in Charlottesville, Va., on Saturday, Aug. 12. Read more at ACNM's Facebook page.
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Call for abstracts: 2018 ACNM annual meeting. Submit by Aug 25.
Share your knowledge at the largest gathering of midwives in the US! Ensure that your knowledge reaches your key audience. Submit by Aug. 25. Read more.
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Sharpen your business skills: Midwifery Works 2017
Join us in Portland, Ore., for Midwifery Works 2017, ACNM's major professional development conference, designed by the Midwifery Business Network. This highly affordable conference will help you gain management and other skills to enhance your career. Learn more.
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Webinar: Maternal Health in Crisis: Ensuring Nationwide Access to Maternity Care Providers, Aug. 22
ACNM President Lisa Kane Low, Ph.D., will be among the featured speakers on this NIHCM free webinar on Aug. 22 from 3 p.m. to 4 p.m. EDT. Join us to explore the dynamics behind maternity workforce challenges, review an example of a public-private collaboration to connect Medicaid mothers-to-be with prenatal care and resources, and more. Read more.
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Check out the latest ACNM Student Newsletter!
Get the latest updates and news about and from ACNM students, check out the most recent student newsletter. To suggest a topic, contact newsletter editor Yulia Labko, CNM, MNS, at Ylabko@gmail.com.
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The marvelous thing about human beings is that we are perpetually reaching for the stars. The more we have, the more we want. And for this reason, we never have it all.
Joyce Brothers,
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