Antibiotics in labor/delivery not tied to infant seizures in Colo. study | Study links dissociative post-traumatic stress, high cortisol levels | Study links kidney stones to higher pregnancy risks
December 7, 2017
ACNM SmartBrief
Quick e-news for midwives and other health professionals
Maternal Health
Antibiotics in labor/delivery not tied to infant seizures in Colo. study
A chart review of Colorado birth certificate data from 2007 to 2015 found that antibiotics given during labor and delivery were not significantly associated with neonatal seizures after risk factors were accounted for, researchers reported at the American Epilepsy Society annual meeting. Risk factors for infant seizures included hypoxic ischemic encephalopathy, antibiotics given to infants to treat suspected sepsis and the presence of congenital abnormalities.
eMPR (12/4) 
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Study links dissociative post-traumatic stress, high cortisol levels
Cortisol levels were up to 10 times higher in pregnant women with dissociative post-traumatic stress disorder, which often is linked to past abuse or trauma, according to a study in the Journal of Obstetric, Gynecologic and Neonatal Nursing. Continued high cortisol levels have been associated with health issues such as heart disease.
Futurity (12/6) 
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Study links kidney stones to higher pregnancy risks
Pregnant women with nephrolithiasis were more likely to have gestational hypertension and gestational diabetes than those who did not have kidney stones, and were at greater risk of preeclampsia and preterm delivery, researchers reported at the American Society of Nephrology's Kidney Week. Women who were overweight or obese prior to pregnancy had the greatest risk.
Healio (free registration) (12/6) 
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Maternal air pollution exposure may increase low birth weight risk
UK researchers linked every 5 microgram per cubic meter in maternal exposure to air particulate matter with diameter smaller than 2.5 micrograms with a 15% higher likelihood of low birth weight in babies, which could increase their later risk of developing heart disease, diabetes and hypertension. However, the findings in The BMJ, based on 2006 to 2010 data involving 540,365 UK babies, didn't find an association between prenatal traffic noise exposure and low birth weight.
The New York Times (free-article access for SmartBrief readers) (12/5) 
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Women's Health & Primary Care
CDC: Upcoming flu season may be tough, vaccine efficacy low
CDC: Upcoming flu season may be tough, vaccine efficacy low
(Joe Raedle/Getty Images)
The CDC has reported that total number of confirmed cases of influenza in the US has exceeded 7,000 so far this year -- more than two times the number of cases at the same time last year -- and signals a potentially tough flu season. This year's batch of flu vaccine, which also was used in Australia, was only about 10% effective against influenza A (H3N2) there, compared with an efficacy of 43% for last year's vaccine.
CBS News (12/5),  HealthDay News (12/6) 
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Study: Oral birth control raises breast cancer risk by 20%
A study published in The New England Journal of Medicine found women taking newer versions of oral birth control have a 20% increased risk of breast cancer, compared with women who are not on hormonal contraception, but the absolute risk remains very low. The change in cases among users of any hormonal contraceptive was about 1 extra breast cancer case for every 7,690 women using hormonal contraception for a year.
HealthDay News (12/6) 
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Colo. officials credit IUD program for drop in teen births
A Colorado program that provided free or low-cost access to intrauterine devices at 75 public health clinics was the main reason for a 54% decrease in teen births over the past eight years, according to state health officials. Fewer pregnancies saved the state between $66 million and $69.6 million, according to a state report.
The Denver Post (12/1) 
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Study: Zika vaccine produces strong immune responses
The Zika vaccine developed by researchers from the Walter Reed Army Institute of Research and licensed to Sanofi exhibited promising immune responses in more than 90% of the human subjects who received the vaccine, according to data published in the journal The Lancet.
Reuters (12/4) 
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Cancer survival disparities persist
Cancer survival disparities persist
(Chris Hondros/Getty Images)
Three studies published in the journal Cancer found that racial disparities in cancer survival persist for colon, ovarian and breast cancer. "This suggests that access to and/or use of screening and treatment services varies by race and location," said CDC researcher Arica White, an author on the study that looked at colon cancer.
Reuters (12/5) 
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Are You Interested in Earning a DNP Degree Online?
Frontier Nursing University's online Post-Master's DNP program may be a good fit for you. Choose a plan from 12-18 months with just one in-person visit. Only $565/credit hour for 28 credit hours. Small cohorts admitted multiple times per year.

Infant Health
Mandatory newborn CHD screening curbed infant cardiac deaths
Researchers found that the number of infant critical congenital heart disease deaths in eight states with mandatory newborn CHD screening decreased by 33.4% between 2007 and 2013, while the number of infant deaths from other or unspecified cardiac causes dropped by 21.4% during the same period, compared with nonsignificant declines in states without mandatory newborn CHD screening policies. The findings were published in the Journal of the American Medical Association.
Healio (free registration)/Cardiology Today (12/5),  Physician's Briefing/HealthDay News (12/5) 
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It's National Influenza Vaccination Week
National Influenza Vaccination Week is Dec. 3-9. Make it a point this week to highlight the importance of continuing flu vaccination through the holiday season and beyond. Read more.
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ACA open enrollment ends Dec. 15!
Let your clients know that if they need health care coverage for 2018 under the Affordable Care Act, they have one week left, so it's important to act quickly.
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Apply now for the ACNM 2018 Immunization Champion Award
ACNM has created an award for individuals who educate clients and communities about immunizations and who promote immunizations in their communities or practice. Four midwives will be selected as leaders in maternal immunization, and will each receive a $250 gift certificate. Read more.
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Honor ACNM's founders with donation to support the future of midwifery!
Fifty years ago, our founders organized the A.C.N.M. Foundation to advance our profession of midwifery and support ACNM. As an expression of gratitude to living legends Kitty Ernst, Ruth and Bill Lubic and our other founders, and as a commitment to their legacies, please join the boards of ACNM and The A.C.N.M. Foundation, Inc. in making a charitable contribution online today. View a video of Kitty Ernst and read more.
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Your time is your life. Period. How you spend it ends up being what your life is.
Henry Cloud,
psychologist and leadership consultant
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