Most Americans don't get enough choline, study finds | Researchers compare diabetes prevalence between men, women | Cognitive outcomes have worsened among extremely preterm, ELBW infants
December 5, 2017
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Women's Health Update
Most Americans don't get enough choline, study finds
A study in Nutrients found that fewer than 9% of adults in the US get enough choline in their diets on a daily basis, and people who did not eat eggs were the most likely to get too little of the nutrient. Choline deficiency in pregnant women can cause neural tube defects and suboptimal brain development in infants, Taylor Wallace, a nutrition and food studies professor, said. (11/30) 
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Researchers compare diabetes prevalence between men, women
The overall crude diabetes prevalence across ethnic groups was 6.9% among men and 3.7% in women, with the difference persisting after standardizing for age, body mass index, lifestyle factors and socioeconomic status, according to a study in Diabetic Medicine. Researchers analyzed data from the UK Biobank involving 489,079 adults ages 40 to 69 and found that in a subgroup analysis of South Asian participants, Bangladeshi men had the highest prevalence of diabetes, followed by Pakistani and Indian men, compared with women.
Healio (free registration)/Endocrine Today (12/4) 
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Obstetrics Focus
Cognitive outcomes have worsened among extremely preterm, ELBW infants
Researchers found that babies born extremely premature or with extremely low birth weight in the early 2000s had increased rates of executive functioning deficits, particularly in working memory and planning and organizing skills, at ages 7 to 8 than those born in the early and late 1990s, when compared with controls born at term. The findings were published in Pediatrics.
2 Minute Medicine (12/1) 
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Review: Prenatal exposure to armed conflict may increase low birth weight risk
Four of nine studies found that maternal exposure to armed conflict during pregnancy was significantly tied to low birth weight in infants, with a low bias risk, UK researchers reported in BMJ Global Health. The findings, based on a systematic review of 13 studies involving mothers in 12 countries, didn't show a clear link between maternal war exposure during gestation and other adverse neonatal outcomes such as stillbirth and preterm birth.
MedPage Today (free registration) (11/28) 
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Become a Nurse-Midwife or Nurse Practitioner
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AWHONN Journals Spotlight
Tailoring a NICU-based tobacco treatment program for mothers who are dependent on opioids
Smoking cessation during pregnancy is ideal but difficult, especially for women with other addictions. In an article in JOGNN, authors found that holistic tobacco treatment programs that incorporate stress relief and social support can be effective in this population. Read the abstract in JOGNN.
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Neonatal Health
NICU inborn admissions don't correlate with illness severity
NICU inborn admissions for infants born at 34 weeks gestation or more accounted for 79.2% of all inborn NICU admissions, but rates varied by 34-fold across NICUs, a study in JAMA Pediatrics showed. The researchers also found a negative correlation of inborn NICU admission rate with the percentage of high illness acuity, which accounted for just 11.9% of inborn NICU admissions born at 34 weeks or more gestation.
Medscape (free registration) (12/4) 
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Infants under stress show stronger brain response to pain
Infants under stress show stronger brain response to pain
Babies with higher levels of stress had greater brain activity in response to pain, according to a study in Current Biology. Researchers said the response did not result in a change in infant behavior, suggesting caregivers could underestimate an infant's pain experience.
HealthDay News (11/30) 
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Other News
Legislative Update: December 5, 2017
Last week, the Senate passed a tax bill in the middle of the night after releasing the final text after nightfall. It turns out it was also a healthcare bill. The Children's Health Insurance Program still hasn't been reauthorized despite having lapsed more than two months ago. The government won't have spending authority after Friday unless Congress acts. Read this week's update.
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NEW! POST-BIRTH Education Support Materials
AWHONN is now offering clinicians the ability to purchase Save Your Life magnets and downloadable Save Your Life magnet templates. Templates should be selected and purchased based on number of hospital births. Note that at this time, all products are only available in English. Click here for purchasing information.
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