Exposure to cleaning agents tied to lung function decline | USPSTF recommends against ovarian cancer screening in asymptomatic women | FDA approves auto-injector to reduce preterm birth
February 20, 2018
AWHONN SmartBrief
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Women's Health Update
Exposure to cleaning agents tied to lung function decline
A study in the American Journal of Respiratory and Critical Care Medicine found women who were exposed to cleaning agents at home or work had a greater decline in lung function and a higher prevalence of asthma over time. Researchers evaluated 20 years of data for 6,235 participants in the European Community Respiratory Health Survey and found lung function decline linked to cleaning agents exposure was comparable to almost the equivalent of smoking a pack of cigarettes a day for 20 years.
Business Standard (India) (tiered subscription model)/Asian News International (2/17) 
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USPSTF recommends against ovarian cancer screening in asymptomatic women
The US Preventive Services Task Force released new guidelines in the Journal of the American Medical Association advising against ovarian cancer screening for women with no signs or symptoms of the illness, as the harms of screening outweigh the benefits, but the recommendation does not apply to women who are at high risk of ovarian cancer, including those who carry a BRCA gene mutation. "Evidence shows that current screening methods do not prevent women from dying of ovarian cancer and that screening can lead to unnecessary surgery in women without cancer," task force member Michael Barry said.
HealthDay News (2/13),  MedPage Today (free registration) (2/13) 
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Become a Nurse-Midwife or Nurse Practitioner
Earn an MSN and become a Nurse-Midwife or Nurse Practitioner with online coursework and a clinical experience in your own community. Only 2-3 brief visits to our campus. Apply today if you are an RN with an associate's or bachelor's degree.
Obstetrics Focus
FDA approves auto-injector to reduce preterm birth
The FDA has approved a subcutaneous auto-injector delivering hydroxyprogesterone caproate, or Makena, to women carrying a single baby who have spontaneously delivered a preterm infant in the past. The approval represents "an important alternative mode of delivery for patients at risk of recurrent preterm birth," said Society for Maternal-Fetal Medicine President Dr. Sean Blackwell of the University of Texas Medical School.
MD Magazine online (2/15) 
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WHO: Pregnant women need more time to deliver
The World Health Organization called for pregnant women to be given fewer interventions and more time to deliver and said the traditional benchmark for cervix dilation of 1 centimeter per hour is unrealistic and leads to excessive cesarean sections. The WHO said a 5 cm dilation in the first 12 hours of labor for a new mother and then 10 hours in subsequent labor is a better benchmark and recommended against routine use of episiotomy.
Reuters (2/15) 
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AWHONN Journals Spotlight
Effect of nonpharmacologic pain control during examination for retinopathy of prematurity
Premature infants are exposed to numerous painful, invasive procedures and examinations. In an article in JOGNN, authors examine the effects of infant swaddling paired with other treatments on pain perception in premature infants during a screening examination for retinopathy of prematurity. Read the abstract in JOGNN.
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Featured Content
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Neonatal Health
Higher early nutritional intake may boost brain growth in preemies
Very preterm infants who received greater nutritional intake and enteral feeding during the first two weeks of life had increased brain growth and accelerated white matter maturation at term-equivalent age, compared with those with lower early nutritional intake, Canadian researchers reported in Pediatrics. The findings also showed that brain growth was associated with psychomotor outcomes at 18 months' corrected age.
Healio (free registration)/Infectious Diseases in Children (2/13) 
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Report finds highest infant mortality prevalence in rural US
Rural US counties had the highest infant mortality rate between 2013 and 2015, with the highest prevalence of infant deaths due to congenital malformations, sudden infant death syndrome and unintentional injuries but the lowest rate of infant deaths due to low birth weight and maternal complications, compared with small and medium urban counties and large urban counties, according to a report in the CDC's NCHS Data Brief. The findings also showed the highest rates of post-neonatal deaths due to congenital malformations, homicide, SIDS and unintentional injuries in rural counties.
The Washington Post (tiered subscription model) (2/15) 
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Legislative update: Feb. 20, 2018
Congress is working on the budget for the current fiscal year and the next one. It isn't supposed to be this way. It's a complicated process and that hasn't worked the way it was designed to in recent years. The current budget and appropriations process was enacted by the Budget & Impoundment Control Act of 1974, which created the House and Senate Budget Committees, set rules for adopting and enforcing a budget resolution, and established the Congressional Budget Office to estimate spending and revenues. Continue reading this week's Update.
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AWHONN's Awards of Excellence nominations
AWHONN recognizes members who have made a positive difference in our specialty areas at the local, state, national and even international level. Submit your nomination of a nursing professional who has gone above and beyond in affecting women's health, obstetric or neonatal nursing. Nominations will be accepted until April 6, 2018. Learn more.
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