Pregnancy, menstruation top reasons for iron deficiency | Study looks at peripartum cardiomyopathy risk among black women | Low-dose epidural does not increase duration of labor
October 17, 2017
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Women's Health Update
Pregnancy, menstruation top reasons for iron deficiency
The top reasons for iron deficiency in women are menstruation and pregnancy. Nancy Berliner, chief of hematology at Brigham and Women's Hospital, said women should be tested for iron deficiency if they have symptoms such as weakness or fatigue, but she does not recommend iron supplements without testing.
The Washington Post (tiered subscription model) (10/15) 
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Study looks at peripartum cardiomyopathy risk among black women
A single-center study in JAMA Cardiology found black women were at a greater risk of having peripartum cardiomyopathy, compared with other women. Among the 220 women in the study, black patients took more than twice the time to recover.
Cardiovascular Business online (10/12) 
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Population Health Leadership - Doctor of Nursing Practice (DNP)
Designed for working RNs with direct and indirect care focus. Analyze population health needs, design interventions, and measure outcomes. Transform healthcare as a doctorally-prepared nurse leader. Continue to Change the World from Here.
Obstetrics Focus
Low-dose epidural does not increase duration of labor
Using a low-dose epidural anesthetic during the second stage of labor for first-time mothers had no effect on the duration of labor when compared with use of a non-drug saline solution, according to research in Obstetrics & Gynecology. Receiving the anesthesia also did not affect the rate of normal vaginal deliveries, episiotomies, fetus position at birth or any other baby well-being measure.
HealthDay News (10/10) 
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Lower fetal activity linked in study to sleeping on back
The risk of stillbirth may increase if women sleep on their back after 28 weeks of gestation, according to a small study in the Journal of Physiology. Monitoring of pregnant women as they slept showed fetuses were in an active state only when women were on their left or right sides.
NewKerala (India)/Asian News International (10/13) 
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AWHONN Journals Spotlight
Pathways to competence in sexual and reproductive health care for advanced practice nurses
Sexual and reproductive health has been widely recognized as essential to the health and well-being of individuals, families and communities, and a well-trained health workforce is critical to ensure access to these services. In an article in JOGNN, authors discuss extant and future pathways for advanced practice registered nurses to develop competence in sexual and reproductive health care. Read the abstract in JOGNN.
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Educate More Patients With Online Perinatal Classes
With InJoy's NEW suite of eClasses, parents who can't attend on-site classes can learn essential information from home or your antepartum unit. Covering pregnancy to parenting, eClasses are customizable, video-rich, interactive, and ad-free. Available in English & Spanish. Watch video >>
Neonatal Health
Preemies may benefit from higher vitamin D dose
Researchers found that preterm infants who received an 800-IU daily dose of vitamin D had better bone density and vitamin D blood levels after four weeks, as well as improved growth associated with significantly lower odds of developing very low bone density, compared with those who took 400 IUs of vitamin D daily. The findings in PLOS ONE were based on data involving 32 babies born from 24 to 32 weeks of gestation.
KHGI-TV/KWNB-TV/KHGI-CD (Kearney, Neb.) (10/11),  KETV-TV (Omaha, Neb.) (10/11) 
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Genetics interact with breastfeeding, NICU admission to affect EoE risk
Infants with the CAPN14 gene variant who were breastfed had a 92% lower risk of eosinophilic esophagitis, while those who did not have the gene variant LOC283710/KLF13 and were admitted to a NICU had a higher risk for the disorder, according to a study in the Journal of Allergy and Clinical Immunology. Researcher Elizabeth Jensen said the mechanism of protection linked to breastfeeding is unknown, but the CAPN14 variant is associated with barrier function in the gut, so breast milk may have a role in disease prevention.
Healio (free registration) (10/11) 
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AWHONN connections: Safe-sleep advice from real moms
October is SIDS Awareness Month. In our most recent blog post, one mom shares the difficulty she faced following the safe-sleep guidelines and enlists the help of AWHONN member Sharon Hitchcock, DNP, RN-C, and other moms to share safe-sleep tips and advice for parents. Read more.
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Legislative update
The First Amendment to the US Constitution gives Americans the rights to free speech, to peaceably assemble and to petition the government for a redress of grievances (as well as freedom of religion and a free press). Therein lay the roots of the American tradition to protest and demonstrate. Doing so has been American from the beginning. See updates on rules and executive orders that will impact health care and health insurance. Also, the Children's Health Insurance Program still hasn't been reauthorized. Read more.
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