Study: Weight loss might cut hot flash incidents in menopausal women | No guarantee power morcellation won't spread cancerous tissue, FDA panel says | U.K. study: Severe sepsis can develop quickly during pregnancy
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July 15, 2014
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Women's Health Update
Study: Weight loss might cut hot flash incidents in menopausal women
Weight loss could help menopausal women ease hot flashes, researchers reported in the journal Menopause. In observing 40 overweight and obese participants who had hot flashes during menopause, researchers found that women enrolled in a weight-loss program experienced fewer hot flashes compared with those in the control group. HealthDay News (7/10)
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No guarantee power morcellation won't spread cancerous tissue, FDA panel says
An FDA advisory panel reported Friday that there is no guarantee that laparoscopic power morcellation, a surgical approach to remove uterine fibroids or perform a hysterectomy, will not boost the chances of spreading cancerous tissue. The advisers recommended that patients sign forms acknowledging they have been told about the risks before receiving the procedure. HealthDay News/The Associated Press (7/14)
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U.K. study: Severe sepsis can develop quickly during pregnancy
A study in the journal PLoS One analyzed cases of severe maternal sepsis from June 2011 to May 2012 reported through the U.K. Obstetric Surveillance System. Severe sepsis should be regarded as an obstetric emergency and antibiotics do not necessarily prevent the progression of an infection to severe sepsis, researchers said. BBC (7/8), Medscape (free registration) (7/8)
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Urine test could ID at-risk pregnancies
A study in the journal BMC Medicine found high concentrations of lysine in the urine of pregnant women were linked to a greater risk of spontaneous preterm delivery, while lower levels of molecules acetate, formate, tyrosine and trimethylamine were tied to fetal growth restriction. These biomarkers could lead to the development of a screening test for preterm or poor fetal growth conditions. Medical News Today (7/12), Nature World News (7/12)
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Other News
CCHD Screening Education Online—CNE for Nurses
For years, oximetry has been used for diagnostic purposes, but now it is utilized effectively as a newborn screening tool for critical congenital heart disease (CCHD). Earn Nursing Contact Hours by completing this fully online course with a focus on understanding CCHD screening requirements, the screening process and interpreting screening results. Learn more.
AWHONN Spotlight on ResearchSponsored By
Antidepressant use during pregnancy may be safer than previously believed
A government-funded study suggests that taking antidepressants during pregnancy may not substantially increase women's risk of delivering babies with heart defects. The findings run counter to prevailing beliefs about the safety of antidepressant use during pregnancy and could affect treatment for the 10% to 15% of pregnant women who suffer from depression. The study, published in The New England Journal of Medicine, involved analyses of Medicaid records for nearly 950,000 women who gave birth between 2000 and 2007. Overall, researchers found that infants were 25% more likely to have heart defects if their mothers used selective serotonin-reuptake inhibitors -- the most common type of antidepressant -- during their first trimester. However, when the investigators restricted their analyses to women diagnosed with depression -- to control for the potential effect of underlying illness or related factors -- the increased risk was only 12%. When they further controlled for depression severity and other potential confounders, the increased risk was only 6% with a low absolute risk. Read the abstract.
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New White Paper: 6 Amateur Texting Mistakes in Hospitals
Learn where your hospital may be going wrong when it comes to using standard texting apps. Mistakes include not being able to link to your organization's directory or on-call schedules, and failing to secure sensitive information. How do you compare? Read the white paper now.
Neonatal Health
Hypothermia for perinatal asphyxia has neurocognitive benefits
In a study involving 325 babies with asphyxial encephalopathy, U.K. researchers found that those treated with moderate hypothermia were more likely to have an IQ score of 85 or more at ages 6 or 7. The hypothermia group also had lower risks for cerebral palsy and moderate or severe disability. The findings appear in the New England Journal of Medicine. News (7/10)
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Risk factors for sleep-related death differ for younger, older infants
A study in the journal Pediatrics found that 74% of infants age 3 months and younger who died during sleep were sharing a bed with an adult at the time. For older infants, the strongest risk factor for sleep-related death was rolling into objects placed in the sleeping area. USA Today (7/14), (7/13)
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AWHONN's Postpartum Hemorrhage Project update
Hospitals in Washington, D.C., Georgia and New Jersey kicked off their 18-month postpartum hemorrhage quality improvement project in June with meetings in Newark, N.J., and Atlanta. Between the two events, 60 hospitals and over 200 attendees (nurses, physicians and blood bank specialists) participated. The project will focus on improving the recognition of, readiness for and response to postpartum hemorrhage events. For more information about the project, please visit or e-mail
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Report: Pregnancy-related deaths in Detroit 3 times higher than national average
Based on data from the Michigan Department of Community Health, mothers in Detroit are three times more likely to die as a result of complications during pregnancy than women in the rest of the country. From 2008 to 2011, the average death rate for Detroit mothers was 58.7 per 100,000, which is higher than the rates in many developing nations. "Growing maternal deaths in Detroit and nationally are a very troubling trend," AWHONN VP Debra Bingham, DrPH, RN, said. "... In the US there are many states that don’t even carry out maternal mortality studies, leaving us with limited data to even begin addressing the problem." Read the full story.
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Position TitleCompany NameLocation
Registered Nurse - Family Birth CenterKapiolani Medical Center for Women & ChildrenHonolulu, HI
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Love can do much, but duty more."
-- Johann Wolfgang von Goethe,
German writer and scientist
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