Neonatal hypoglycemia higher with steroids in late preterm | Study: Pessary not tied to fewer preterm births in at-risk women | Study links hospital mortality, morbidity rates to preterm birth
February 5, 2018
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Neonatal hypoglycemia higher with steroids in late preterm
The rate of neonatal hypoglycemia was 24.3% among late-preterm infants given antenatal steroids, compared with 13.2% among early-term infants, researchers reported at the Society for Maternal-Fetal Medicine's annual meeting. The study, also published in the American Journal of Obstetrics & Gynecology, found maternal glucose levels did not significantly differ between infants with neonatal hypoglycemia and those who did not have it.
MedPage Today (free registration) (2/3) 
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Patient Safety & Clinical Update
Study: Pessary not tied to fewer preterm births in at-risk women
Preterm births did not decline with the use of a cervical pessary among pregnant women at risk of preterm labor, according to a study reported at the Society for Maternal-Fetal Medicine's annual meeting. Compared with a control group, the pessary group saw a trend toward an increase in preterm birth at fewer than 32 weeks gestation.
MedPage Today (free registration) (2/3) 
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Study links hospital mortality, morbidity rates to preterm birth
A study of more than 7,000 very preterm infants born in 39 New York City hospitals found that those who were black and Hispanic had a higher risk of being born in a hospital with high morbidity and mortality rates, compared with those who were white. Researchers reported in JAMA Pediatrics that the hospital where a very preterm infant was born accounted for 40% of the black-white outcomes disparity and 30% of the Hispanic-white outcomes disparity.
Healio (free registration) (2/3) 
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Study: One negative Zika test may not mean lack of infection
A single negative test may not be enough to rule out Zika virus infection among pregnant women because the "viral load in the mother's fluids is intermittent and very low, almost at the detection threshold," a study shows. The results suggest that "the virus continues replicating during pregnancy, in the fetus or the placenta, which must serve as a reservoir for the pathogen," said senior author Mauricio Lacerda Nogueira.
Clinical Laboratory News (1/2018) 
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Study: Extremely preterm infants benefit from hydrocortisone
Extremely preterm infants benefit overall from early treatment with low-dose hydrocortisone, according to a study in Pediatrics. Researchers said that compared with a placebo, the biggest benefits of hydrocortisone were found in infants born after placental vascular disease.
Medscape (free registration)/Reuters (1/19) 
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Physical decline of rheumatoid arthritis speeds up after menopause
Nurse practitioner Elizabeth Mollard and colleagues surveyed 8,189 women diagnosed with rheumatoid arthritis prior to menopause and found that declines in physical function were faster after menopause than before. The study in Rheumatology found previous pregnancy, longer reproductive life and hormone replacement therapy use were associated with reduced decline.
Healio (free registration)/Rheumatology (1/30) 
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Professional Practice
Nursing trends: New clinical roles, leadership, practice scope
Trends affecting nursing practice in 2018 include novel clinical roles, having more nurses in leadership roles, leadership mentoring programs for new nurses and partnerships with other fields that affect health. The scope of practice debate will continue nationwide, as will the pace of nurse retirements and the push for all nurses to attain a bachelor's degree.
Medscape (free registration) (1/22) 
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Policy, Ethics & Legal Update
Fla. committee approves bill to expand birth center options
The Florida House Health Quality Subcommittee approved a bill that would allow pregnant women to get epidurals or have a cesarean section at a licensed birth center, instead of just at a hospital. The bill would end birth center surgical and length-of-stay restrictions, along with the epidural ban.
The Daily Commercial (Leesburg, Fla.)/News Service of Florida (1/16) 
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Technology & Trends
New NICU at Yale New Haven features high tech, privacy
Yale New Haven Children's Hospital's new neonatal intensive care unit has 32 private rooms, eight couplet rooms, a procedure room and a room for storing expressed milk. Smartphones carried by staff connect with panels in each room to enable instant communication.
New Haven Register (Conn.) (1/27) 
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Researchers chart fetal kicks through various stages of pregnancy with MRI
When babies kick inside the womb, it helps develop their bones and joints, according to findings published in the Journal of the Royal Society Interface. Researchers charted fetal kicking throughout the duration of pregnancy using MRI scans.
Science News (1/30) 
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News from NCC
Request your free NCC Certification Awareness Kit
Request your free NCC Certification Awareness Kit
Certified Nurses Day is March 19! Order your FREE NCC Certification Awareness Kit, containing specialty specific informational brochures, posters and postcards highlighting various NCC programs. NCC Certification Awareness Kits will ship out mid-February and will arrive in plenty of time for Certified Nurses Day. 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 date 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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Earn free CE with the NCC Pretest Program
The Pretest Program allows NCC to collect data on new questions and ensure they are statistically and psychometrically sound before possible use on NCC certification examinations. By taking a pretest, individuals certified by NCC earn free CE for their participation and assist NCC by testing 50 questions in their specialty. All collected data is anonymous and only used for statistical analysis. CE is earned by simply completing the pretest; scores will not be given. Read more.
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For WHNPs with an interest in treating obesity
NCC is not involved in any way with the below noted certification exam. We are sharing this news release, as it may be of interest to some of our WHNP-BC population. The Commission on Dietetic Registration has launched an interdisciplinary credential in the specialty of obesity and weight management. Read more.
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Learn more about NCC:
National Certification Corporation
  
  
We are all failures, at least all the best of us.
James Matthew Barrie,
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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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