Low testosterone tied to stress incontinence in women | 3D-bioprinted ovary offers hope to infertile women | Year-round flu vaccination during pregnancy benefits infants, mothers
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May 23, 2017
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Women's Health Update
Low testosterone tied to stress incontinence in women
An analysis of data from the National Health and Nutrition Examination Survey revealed a significant association between low serum testosterone levels in women and high risk of stress and mixed incontinence. The findings, presented at the American Urological Association's annual meeting, indicate that testosterone replacement therapy could help prevent pelvic floor atrophy and reduce the risk of urinary incontinence, researcher Michelle Kim said.
Medscape (free registration) (5/18) 
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3D-bioprinted ovary offers hope to infertile women
Teresa Woodruff, Ramille Shah and their colleagues at Northwestern University used 3D printing to create a hydrogel scaffold in which they embedded ovarian follicles and implanted the structure into mice whose ovaries had been removed. Once implanted, the follicles grew, the mice ovulated, the eggs were fertilized and each mouse gave birth to at least two pups.
CNN (5/16),  Science online (5/16),  HealthDay News (5/16) 
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Obstetrics Focus
Year-round flu vaccination during pregnancy benefits infants, mothers
Researchers reported in The Lancet Infectious Diseases that vaccinating pregnant women for the flu throughout the year may reduce infant flu rates by an average of 30% and increase birth weights. The study found pre- and postpartum women who were vaccinated had an average 19% reduction in flu-like illnesses, compared with women who received a placebo.
Business Standard (India) (tiered subscription model)/Indo-Asian News Service (5/16) 
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CDC: Women in early 30s have highest birth rate in US
CDC researchers reported that the rate of births to women ages 30 to 34 in the US was nearly 103 per 100,000 in 2016, just above the 102 per 100,000 rate for those ages 25 to 29, who had held the highest birth rates for more than 30 years. The findings also showed that teen birth rates declined between 2015 and 2016 and infant mortality rates remained similar.
ABC News/The Associated Press (5/17) 
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Other News
North Carolina Hospitals Offer Laughing Gas
Cone Health Women's Hospital and Cone Health Alamance Regional started offering nitrous oxide ('laughing gas'), the first Triad-area labor and delivery hospitals to do so. "Women were asking for it, and we wanted to give women moreā€¦pain management options," said a spokesperson. View the video.
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AWHONN Spotlight on Research
Physical activity and yoga-based approaches for pregnancy-related low back and pelvic pain
Although additional research is required, physical activity and yoga interventions may relieve pregnancy-related low back and pelvic pain and related symptoms. Authors in JOGNN conducted an integrative review to evaluate current literature about nonpharmacologic, easily accessible management strategies for pregnancy-related low back and pelvic pain. Read the abstract in JOGNN.
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Neonatal Health
MRSA outbreak raises questions about universal decolonization
The universal decolonization infection control protocol of bathing infants in intensive care with a disinfectant and swabbing their noses with an antibiotic is used by many US hospitals, but failed to stem a methicillin-resistant Staphylococcus aureus outbreak in the ICU at the University of California Irvine Medical Center. Adverse events have been reported from using the disinfectant chlorhexidine and the antibiotic mupirocin, and some experts have questioned use of the protocol.
Los Angeles Times (tiered subscription model) (5/16) 
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New guidelines update pediatric fruit juice recommendation
Infants younger than age 1 shouldn't be given any fruit juice, while youths ages 1 to 3, 4 to 6 and 7 to 18 should drink no more than 4 ounces, 4 to 6 ounces and 8 ounces of 100% fruit juice daily, respectively, according to an updated American Academy of Pediatrics policy statement in Pediatrics. The recommendations also urged pediatricians to support policies to lower fruit juice consumption and boost whole fruit intake among children.
The New York Times (free-article access for SmartBrief readers) (5/22),  National Public Radio (5/22),  MedPage Today (free registration) (5/22) 
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AWHONN News
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