Antibiotics raise risks for VLBW infants, researcher says | Study analyzes birth risks of HIV antiretroviral therapy | Early gestational weight gain tied to higher infant birth weight
September 5, 2017
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News for Obstetric, Neonatal & Women's Health Care Professionals
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Antibiotics raise risks for VLBW infants, researcher says
Nearly all very low birth weight infants get antibiotics within the first two days of life, which adds to problems of antibiotic resistance and can destroy helpful gut bacteria, researcher Gautam Dantas of Washington University School of Medicine in St. Louis told an NIH workshop. Dantas said antibiotic use in these infants may leave them more susceptible to bacterial infections.
Healio (free registration)/Infectious Diseases in Children (8/18) 
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Patient Safety & Clinical Update
Study analyzes birth risks of HIV antiretroviral therapy
Maternal use of the HIV combination therapy of tenofovir disoproxil fumarate, emtricitabine and efavirenz during pregnancy had the lowest risk of adverse birth outcomes, compared with other antiretroviral treatment options, a study in JAMA Pediatrics found. The adverse birth outcomes included stillbirth, preterm birth and having a baby who was small for gestational age.
eMPR (8/25) 
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Early gestational weight gain tied to higher infant birth weight
Pregnant women who had substantial weight gain within the first and second trimesters were significantly more likely to have a large-for-gestational-age baby, compared with those with normal prepregnancy body mass index and sufficient gestational weight gain, researchers reported in the journal Obesity. The findings also showed a higher risk of small-for-gestational-age infants among those with inadequate weight gain in early pregnancy.
The Boston Globe (tiered subscription model) (8/29) 
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Zika overruns pregnant woman's immune system, attacks fetus
The Zika virus hijacks the already suppressed immune system in pregnant women, overrunning natural defenses and directly attacking the fetus, according to a study in Nature Microbiology. University of Southern California researcher Jae Jung said the findings could help explain why many people with Zika virus infection do not show symptoms, but the virus still causes severe neurological birth defects when pregnant women are infected.
HealthDay News (8/21) 
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Hypertensive pregnant women have higher CVD risks, study says
A study in the journal Paediatric & Perinatal Epidemiology found pregnant women with high blood pressure had higher risks for cardiovascular disease and hypertension after pregnancy than women who did not have high blood pressure while pregnant. Researcher Sonia Grandi said pregnant women with a history of hypertension during pregnancy should have long-term follow-up to manage CVD risk factors.
United Press International (8/18) 
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Professional Practice
Certification helps RNs showcase their expertise
There are many choices for nursing certification, which can be good for nurses who want to show expertise but who are not ready to pursue an advanced degree, writes registered nurse Janice Petrella. Certified nurses can earn higher salaries, and RN Lee Galuska at University of California at Los Angeles Health said certification validates clinical expertise, shows a commitment to excellence and provides a source of professional pride.
Nurse (8/17) 
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APRNs command highest salaries in nursing, report says
A Georgetown University report finds the highest wages in the nursing field are for advanced practice registered nurses, including certified nurse midwives, nurse practitioners, certified registered nurse anesthetists and clinical nurse specialists. Co-author Nicole Smith said nursing has well-defined career pathways allowing for advancement.
Forbes (8/30) 
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Racial, ethnic disparities found in quality of care delivery in NICUs
Researchers found that Asian-American and white babies were given the best overall quality of care in the NICU, with significantly higher scores compared with Hispanics and those of other races or ethnicities such as American Indians and Alaska Natives. The findings in Pediatrics, based on data involving 19,000 infants in 134 NICUs across California, also showed lower odds of antenatal steroid treatment, eye exam administration and provision of human breast milk at hospital discharge among African-Americans and Hispanics.
San Francisco Chronicle (tiered subscription model) (8/27),  2 Minute Medicine (8/28) 
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Policy, Ethics & Legal Update
FDA encourages pregnant women to enroll in drug exposure registry
More pregnant women are taking prescription medications, and the FDA supports research into related effects and safety issues. The FDA also encourages pregnant women who take a prescription medication to enroll in a pregnancy exposure registry, which can provide information on the effects of prescription drugs and vaccine exposures on the health of women during pregnancy and on their babies after birth.
FDA Voice blog (8/21) 
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Technology & Trends
Kan. medical center customizes new neonatal ambulance
Wesley Medical Center in Wichita, Kan., has a new $540,000 neonatal ambulance custom-made to its specifications, which included being able to transport twins, if necessary, to its Level III neonatal intensive care unit. The ambulance includes a power lift that can bear the weight of an isolette and attached equipment so the transport team doesn't have to lift the cot.
The Wichita Eagle (Kan.) (9/2) 
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News from NCC
Sneak peek at some of the NCC projects and plans for 2018
Sneak peek at some of the NCC projects and plans for 2018
NCC has a lot of interesting and important projects planned for 2018. New and revised certification exams ... New and updated publications ... Take a peek at just a few of the things that are happening in 2018!
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If you are attending NANN or NPWH, stop by and see NCC!
NCC wants to connect with the nurses in our community and hear how certification has helped them professionally or personally. In order to do so, NCC leadership will be attending both NANN's and NPWH's October 2017 conferences. Please stop by to discuss certification, professional practice and take part in NCC's new public awareness campaign.
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NCC CE Modules that will be discontinued at the end of this year!
NCC CE Modules that will be discontinued at the end of this year!
Continuing Education from NCC offers affordable and convenient ways to maintain specialty knowledge competencies. To keep these educational offerings current and relevant, NCC adds new modules throughout the year and REMOVES modules at the end of every year. Don't miss out -- these modules will no longer be available after Dec. 31, 2017!
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Display your accomplishment and recognize others in your unit!
To help you proudly display your accomplishment, NCC has created a unique recognition website where you can purchase Official Certificates and Wallet cards with beautiful 4-color graphics. You can even add your photo to the Certificates. And don't forget the rest of your team -- check into a Unit Recognition Plaque. Read more.
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Learn more about NCC:
National Certification Corporation
Responsibilities gravitate to the person who can shoulder them.
Elbert Hubbard,
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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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