Study: Iron deficiency may raise risks during pregnancy | Bacteria carried by dogs could put pregnant women at risk | Study assesses HIV transmission in Atlanta hospitals
July 12, 2018
ACNM SmartBrief
Quick e-news for midwives and other health professionals
Maternal Health
Study: Iron deficiency may raise risks during pregnancy
A retrospective study published in the journal Thyroid found women deficient in iron during their first trimester of pregnancy had an increased risk of having lower levels of free thyroxine and greater hypothyroxinemia risk in the second or third trimester, compared with women who were not iron-deficient. Researchers said overt hypothyroidism and isolated hypothyroxinemia during pregnancy have been linked to a higher risk of poor fetal neurocognitive development and pregnancy complications.
Healio (free registration)/Endocrine Today (7/11) 
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Bacteria carried by dogs could put pregnant women at risk
Dogs that have not been neutered can carry bacteria that cause flu symptoms in humans and pose risk to a pregnancy, according to a study in the journal Emerging Infectious Diseases. Dr. Amesh Adalja at the Johns Hopkins Center for Health Security said brucellosis, contracted from the Brucella canis strain of bacterium, can cause miscarriages in animals and is associated with fetal problems in pregnant women, and the CDC recommends pregnant women who have been exposed to the infection consult their health care provider.
HealthDay News (7/11) 
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Study assesses HIV transmission in Atlanta hospitals
A study of 11 labor and delivery hospitals in Atlanta showed eight had a deficit in their prevention of mother-to-child transmission of HIV infrastructure, which was defined as missing one of seven national recommendations. "Unless delivery units and prenatal clinics across Georgia can reach the majority of pregnant women and each step along the pathway to prevention is carried out with more than 95% reliability, the goal of eliminating transmission will not be reached," researchers wrote in the Journal of the Pediatric Infectious Diseases Society.
Healio (free registration)/Infectious Diseases in Children (7/11) 
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Apply for the Midwife Sonography Examination
By earning the Midwife Sonography Certificate, certified midwives validate their knowledge, skill and rigorous intuition. Visit to apply, prepare and schedule your examination. The written examination will be administered from October 2, 2018 - November 1, 2018. Apply before Sept 5!
Women's Health & Primary Care
Pelvic examination may not improve STI diagnosis in female youths
A study in the Annals of Emergency Medicine showed that pelvic examination and standardized history yielded 48.1% sensitivity and 60.7% specificity in diagnosing cervicitis or pelvic inflammatory disease in female youths with vaginal discharge or lower abdominal pain, compared with 54.4% sensitivity and 59.8% specificity with history alone. The findings prompted researchers to conclude that pelvic examination doesn't improve the sensitivity and specificity of chlamydia, gonorrhea or trichomonas diagnoses, compared with history alone.
Physician's Briefing/HealthDay News (7/10) 
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American Cancer Society report outlines cancer trends
The American Cancer Society published a report in CA: A Cancer Journal for Clinicians that identifies cancer trends as a prelude to the development of a national cancer control plan to reduce mortality by 2035. The report covers cancer mortality trends over the past several decades, disparities in outcomes, and cancer control and prevention efforts.
Healio (free registration)/HemOnc Today (7/10) 
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Review: No evidence of heart health benefits with vitamin-mineral supplements
A review of 18 studies with more than 2 million participants showed that the use of multivitamins and mineral supplements was not associated with the risk of death from cardiovascular or coronary heart disease, or of stroke incidence or deaths. The study was published in Circulation: Cardiovascular Quality and Outcomes.
Reuters (7/10) 
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FDA calls on label update for fluoroquinolone antibiotics
A safety labeling update was approved by the FDA for all fluoroquinolone antibiotics, as they may increase risk of mental health side effects and severe low blood sugar, including hypoglycemic coma. Current FDA-approved fluoroquinolones include Bayer's Avelox and Cipro, Melinta Therapeutics' Baxdela, Merus Labs' Factive, Janssen's Levaquin, and ofloxacin.
eMPR (7/10) 
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Infant Health
Few young children receive developmental screening, surveillance
Only 30.4% and 37.1% of youths ages 9 months to 35 months underwent parent-completed developmental screening and received developmental surveillance or monitoring from a provider, respectively, while only 19.2% of children received both, according to a study in JAMA Pediatrics. The findings, based on 2016 National Survey of Children's Health data, also showed a higher prevalence of developmental screening and surveillance in certain populations, including non-Hispanic whites, those with a medical home and those with special needs.
Medscape (free registration) (7/10) 
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Early solid food introduction may improve infant sleep
Breastfed babies who ate solid foods at age 3 months had almost two hours additional sleep and nearly two fewer sleep disturbances per week, with sleep improvements persisting even after the first year of infancy, compared with those who were exclusively breastfed until age 6 months, UK researchers reported in JAMA Pediatrics.  The World Health Organization advises exclusive breastfeeding for 6 months.
BBC (7/10),  CNN (7/9) 
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Trending on Social Media
ACNM affirms importance of breastfeeding in response to recent news reports
ACNM has released a statement in response to recent news stories indicating that US delegates opposed an international resolution in support of breastfeeding during the United Nations-affiliated World Health Assembly in Geneva. Read the statement and join the conversation on ACNM"s Facebook page.
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Applications are now open for new nursing innovation awards
The American Nurses Association and the American Nurses Foundation are now accepting applications for new ANA Innovation Awards, powered by BD (Becton, Dickinson and Co.). The awards include a $25,000 individual award and a $50,000 team award to support the use of translational research and development. Applications are being accepted through Dec. 31. Read more.
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Midwifery Works registration now open
Registration is now open for ACNM's premier business conference, Midwifery Works. Join us in beautiful Fort Lauderdale, Fla., Oct. 11-14, for an event that attendees call "transformative!" Read more.
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Upcoming AIM Safety Action Series: Educating Patients on Postpartum Complications
Join the Alliance for Innovation on Maternal Health's free webinar, Effectively Educating Patients on Postpartum Complications, on Wednesday, July 18, from 1 p.m. to 2 p.m. (EDT). Read more.
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Join the Aug. 2 ACOG webinar: An Overview of Adult Immunizations for Ob-Gyn Providers
ACOG is sponsoring a free, 1-CME credit live webinar, An Overview of Adult Immunizations for Ob-Gyn Providers, on Thursday, Aug. 2, at noon (EDT). Read more.
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The blessed work of helping the world forward, happily does not wait to be done by perfect men.
George Eliot,
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