Analysis supports delayed cord clamping for premature infants | Study: Whole-genome sequencing aids NICU diagnoses | Prenatal magnesium sulfate may provide neuroprotection for preemies
November 6, 2017
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Analysis supports delayed cord clamping for premature infants
A review of 18 clinical trials to be published in the American Journal of Obstetrics and Gynecology found delaying umbilical cord clamping for 60 seconds after birth was associated with a one-third decrease in mortality rates, as well as reduced blood transfusions and increased red blood cells among preterm infants. However, one of the studies, published separately in The New England Journal of Medicine, found delayed cord clamping had no effect on mortality or morbidity rates in preterm infants.
Newsweek (10/31),  Physician's Briefing/HealthDay News (10/31),  Medscape (free registration)/Reuters (10/31) 
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Patient Safety & Clinical Update
Study: Whole-genome sequencing aids NICU diagnoses
Whole-genome sequencing led to a genetic diagnosis for 43% of 42 NICU infants in a Rady Children's Institute for Genomic Medicine study, researchers told the American Society of Human Genetics annual meeting. Diagnoses, which on average took about a week, resulted in changes in medical care for 13 patients and researchers estimated that sequencing saved more than $1.8 million in health costs.
GenomeWeb Daily News (free registration) (10/19) 
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Prenatal magnesium sulfate may provide neuroprotection for preemies
A study in PLOS Medicine found that preterm infants whose mothers took magnesium sulfate during pregnancy had significantly reduced rates of cerebral palsy or death in 4 of 5 randomized control trials, compared with those whose mothers didn't receive magnesium sulfate. The findings also showed that magnesium sulfate treatment was well-tolerated by mothers and newborns, with no effects on 5-minute Apgar scores or breathing difficulties among newborns.
Medscape (free registration)/Reuters (10/30) 
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Practice bulletin covers trial of labor after cesarean
A practice bulletin in Obstetrics & Gynecology sets out recommendations for a trial of labor after cesarean delivery. The authors said research suggests most women with one previous cesarean delivery with a low-transverse incision are good candidates for a trial of labor.
Physician's Briefing/HealthDay News (10/26) 
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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 IU 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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Study links infertility in women to increased mortality risk
A study presented at the American Society for Reproductive Medicine's annual congress found women who were infertile were at a 45% greater risk of dying from breast cancer and a 10% increased risk of premature death, compared with fertile women. The findings were based on over 78,000 women who were followed by the researchers for 13 years.
The Telegraph (London) (tiered subscription model) (10/30) 
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Professional Practice
NICU manager empowers nurses to be problem solvers
NICU nurse manager Jill Krause says part of her job is to empower unit nurses to be problem solvers when changes are needed to improve care. Listening to staff and patients' families while sharing the reasons why change is needed is an important leadership tool, Krause writes.
Daily Nurse (10/11) 
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Report: APRNs see salary gains in 2016
Salaries for most advanced practice registered nurses increased in 2016, and six-figure compensation has become the norm, according to the 2017 Medscape APRN Salary Report. The survey of 3,417 APRNs found 20% of nurse practitioners reported participating in a reimbursement model that tied payment to productivity or performance on quality measures.
Medscape (free registration) (10/31) 
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Policy, Ethics & Legal Update
Staebler: Ga. APRN practice rules are too restrictive
Georgia is the most restrictive state in what advanced practice nurses are allowed to do and prescribe, causing many nurses to practice elsewhere, National Certification Corp. President Suzanne Staebler told the state Senate Study Committee on Barriers to Georgians' Access to Adequate Healthcare. Speakers told the committee Georgia could increase access to care by increasing the number of APRNs and allowing them to practice to the full extent of their licensure and in innovative ways.
The Augusta Chronicle (Ga.) (tiered subscription model) (10/16) 
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Technology & Trends
AI software evaluates brain maturity in premature infants
Researchers developed artificial intelligence software that interprets electroencephalography measurements to estimate the functional brain maturity of premature babies in a NICU, according to a study in Scientific Reports. "EEG monitoring combined with automatic analysis provides a practical tool for the monitoring of the neurological development of preterm infants and generates information which will help plan the best possible care for the individual child," said researcher Sampsa Vanhatalo.
MedGadget (11/1) 
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News from NCC
Have you accessed the free EFM toolkit at NCC-EFM.org?
Have you accessed the free EFM toolkit at NCC-EFM.org?
NCC-EFM.org is one of many free resources offered by NCC to enhance professional practice and to support our certified professionals and features the free NCC EFM Tracing Game. Visit NCC-EFM.org to access the EFM tracing game and to take full advantage of all the resources available in the EFM toolkit. Learn more.
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NCC president provides testimony to Ga. Senate on the health care role of APRNs
The SR 188 "Barriers to Georgians' Accessing Adequate Healthcare" Study Committee takes an in-depth look at physician shortage data and explores how APRNs could be an important part of the solution. Learn more.
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Announcing NCC's new publication -- Neonatal Imaging
Announcing NCC's new publication -- Neonatal Imaging
NCC is excited to offer this new publication. It is scheduled to be released this winter and we believe it will be a huge resource for providers. Neonatal Imaging is a visual learning experience, providing detailed pathology through imaging illustrations and includes over 200 annotated 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! Sign up to be notified when it is released.
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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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