Study evaluates parental decision-making preferences in NICU | Study links NICU phthalate exposure to future behavioral problems | Study: Exercise reduces labor time for pregnant women
April 2, 2018
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Study evaluates parental decision-making preferences in NICU
Parents of children in hospital NICUs preferred parent-centered decision-making, compared with medical team-centered decision-making, when decisions involved big-picture goals and had a potential to harm infants, researchers reported in JAMA Pediatrics. For technical decisions, along with those that had a higher potential benefit, required medical expertise or were urgent, parents preferred a medical-team decision approach.
Physician's Briefing/HealthDay News (3/20) 
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Patient Safety & Clinical Update
Study links NICU phthalate exposure to future behavioral problems
A study in the journal PLOS ONE found phthalate exposure in the NICU was associated with more mature behavioral performance in premature infants, but also could lead to neurobehavioral problems during childhood. Researcher Annemarie Stroustrup said studies are needed to find safe replacements for "bad actor" phthalates in plastic equipment used in NICUs.
Medscape (free registration)/Reuters (3/14) 
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Study: Exercise reduces labor time for pregnant women
Pregnant women who exercised three times per week shortened their labor time, on average, by 57 minutes and were less likely to get an epidural, according to a study in The European Journal of Obstetrics and Gynecology and Reproductive Biology. Women who were provided only nutrition and exercise advice had a higher weight gain during pregnancy than those in the exercise group.
ABC News (3/23) 
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Study highlights importance of controlling weight gain in gestational diabetes
A study presented at the Diabetes UK Professional Conference showed that women with gestational diabetes can reduce their risk of complications by maintaining a normal weight and keeping good control of their blood glucose levels throughout the pregnancy. Findings, based on 546 pregnant women with gestational diabetes, showed those who gained additional weight were more likely to have increased blood glucose levels and higher blood pressure, to need a cesarean section, and to require more insulin after birth than those who maintained their weight.
Diabetes (UK) (3/16) 
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Professional Practice
Hospitals across US celebrate Certified Nurses Day
Hospitals celebrated Certified Nurses Day on March 19 to recognize nurses who have continued their education to become certified in a specialty and to raise awareness of the need for more certified nurses and faculty. "I got certified because I wanted to be able to offer my patients the best care possible by staying on top of the rapidly changing knowledge base in cancer care and research," said Alene Nitzky, author of "Navigating the C: A Nurse Charts the Course for Cancer Survivorship Care."
Daily Nurse (3/19),  WFMY-TV (Greensboro, N.C.) (3/19),  The Morning News (Florence, S.C.) (3/19) 
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Study: More NPs provide care to areas with lowest income, health status levels
A team of University of Michigan researchers counted the total number of health care providers in counties of different health status levels and income and found that around 50% more nurse practitioners were available in counties with the lowest health status level, compared with the healthiest counties. The findings, published in the Journal of General Internal Medicine, also showed there were 15% fewer NPs in the highest-income areas compared with the lowest-income areas.
DOTMed (free registration) (3/15) 
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Toolkit aims to improve care for pregnant women with substance abuse disorders
An online toolkit from Dartmouth-Hitchcock Medical Center is designed to help nurses and physicians provide better care for pregnant women with substance abuse disorders and their infants. Certified nurse-midwife Daisy Goodman of Dartmouth-Hitchcock said there are variations in care for pregnant women with an opioid use disorder and the toolkit will allow providers to implement best practices.
Vermont Public Radio (3/26) 
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Policy, Ethics & Legal Update
Calif. bill would require mental health screening during pregnancy
A bill in the California Legislature would require screenings of women for mental health problems such as postpartum depression during pregnancy and after they give birth. Some health care providers say they are reluctant to screen women because it is difficult to find practitioners to treat those who need help.
Kaiser Health News (3/19) 
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Technology & Trends
More US infants have low birth weight, CDC reports
The rate of US singleton babies with low birth weight rose from 6.24% in 2014 to 6.34% in 2015 and 6.44% in 2016, following a steady decline between 2006 and 2014, due to higher rates of infants with moderately low birth weight from 2014 to 2016, according to a CDC study in the agency's NCHS Data Brief. Researchers also found that low and moderately low birth weight prevalence increased across all races from 2014 to 2016, and blacks had a more than two times higher low birth-weight rate between 2006 and 2016, compared with whites.
Physician's Briefing/HealthDay News (3/22),  MedPage Today (free registration) (3/21) 
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Home monitoring can reduce clinic visits for pregnant women
The OB Nest program at the Mayo Clinic in Rochester, Minn., provides eight clinic visits instead of 12 or 14 for low-risk pregnant women, giving them equipment to monitor their weight, blood pressure and fetal heart rate at home. Dr. Nathaniel DeNicola of the American Congress of Obstetricians and Gynecologists' telehealth task force said an important part of remote monitoring programs is integration with clinical staff.
The Washington Post (tiered subscription model)/Kaiser Health News (3/27) 
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News from NCC
2017 Milestones -- Annual review of NCC activities
The annual review of NCC activities is here. The annual review identifies the milestones of the organization achieved in the past year and future plans. NCC has certified over 155,000 professionals since 1975. 10,085 new registrants signed up for an NCC certification in 2017, with 9,531 taking the exams and 8,543 passing the exams (an overall 89% pass rate). Over 22,000 maintained during this time as well. Read more.
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NCC's new publication -- Neonatal Imaging -- purchase your copy today!
NCC's new publication -- Neonatal Imaging -- purchase your copy today!
NCC is pleased to announce the release of its new publication Neonatal Imaging, ISBN 978-0-9890198-2-8. Written by Pediatric radiologists, this full-size, 292-page book has over 300 annotated images. Neonatal Imaging is a visual learning experience, providing detailed pathology through imaging illustrations and images. Each chapter gives a brief overview of the pathology of disease and provides an in-depth discussion of the concepts and systematic approach to the imaging studies. Don't miss this book!
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Your Baby Communicates -- National PSA campaign -- update!
Your Baby Communicates -- National PSA campaign -- update!
The PSA campaign "Your Baby Communicates" is being broadcast on major TV and cable markets across the country. It has already generated 64 million audience impressions since its release in October 2017 and is expected to go well over its original projection of 100 million audience impressions. If you have not yet seen it on live TV -- read more and check it out!
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NCC president to receive NONPF Outstanding Policy Leader Award
NCC President Suzanne L. Staebler, DNP, APRN, NNP-BC, FAANP, FAAN, will receive the 2018 Outstanding Policy Leader Award from the National Organization of Nurse Practitioner Faculties (NONPF) during its 44th Annual Conference this April. Since its inception in 1974, NONPF has evolved as the leading organization for NP faculty sharing the commitment of excellence in NP education. Read more.
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Learn more about NCC:
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We are all ready to be savage in some cause. The difference between a good man and a bad one is the choice of the cause.
William James,
psychologist and philosopher
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About NCC
The National Certification Corporation (NCC) is a non-profit organization committed to promoting quality health care to women, neonates and their families. NCC provides certification, recognition and educational programs for nurses, physicians and other licensed health professionals in the obstetric, gynecologic and neonatal specialties. More than 150,000 licensed health care professionals have been awarded prestigious NCC certifications since its inception in 1975.

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