Study ties breastfeeding to better long-term cardiovascular health | Biologics during pregnancy do not raise preterm birth risks | Maternal tenofivir doesn't lower mother-to-child HBV transmission risk
March 13, 2018
AWHONN SmartBrief
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Women's Health Update
Study ties breastfeeding to better long-term cardiovascular health
A study to be presented at the annual scientific session of the American College of Cardiology found that women who had normal blood pressure during pregnancy and breastfed for at least half a year had lower triglycerides, higher HDL levels and healthier carotid artery thickness an average of 11 years later, compared with women who did not breastfeed. The findings were based on 678 women enrolled at over 50 Michigan clinics from 1998 to 2004.
Cardiovascular Business online (3/7) 
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Biologics during pregnancy do not raise preterm birth risks
Women who took biologics for autoimmune diseases before or during pregnancy did not have a higher risk of preterm delivery or having an infant small for gestational age, Canadian researchers reported in the Annals of the Rheumatic Diseases. Women in the study had diagnoses that included multiple types of arthritis, inflammatory bowel disease, psoriasis and systemic lupus erythematosus.
MedPage Today (free registration) (3/6) 
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Are You Interested in Becoming a Nurse-Midwife?
Follow your passion of serving women and providing quality care by becoming a Certified Nurse-Midwife. FNU accepts RNs with an associate's or bachelor's degree. Earn an MSN and complete coursework online and a clinical experience in your own community.
Obstetrics Focus
Maternal tenofivir doesn't lower mother-to-child HBV transmission risk
None of the infants given hepatitis B immune globulin and hepatitis B vaccine whose mothers took tenofovir disoproxil fumarate for hepatitis B infections during pregnancy was infected, compared with 2% of those whose mothers received placebo, which researchers said was not a significantly lower rate, according to a Thai study in The New England Journal of Medicine. Researchers found a similar prevalence of adverse events in both groups.
Physician's Briefing/HealthDay News (3/8) 
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Trial supports hydrotherapy, perineal exercises in childbirth
Researchers reported in the International Journal of Nursing Practice that hydrotherapy using warm showers and perineal exercises with a ball may be considered adjunct therapies for reducing childbirth-related pain. Pregnant women using the exercises had reduced pain, anxiety and epinephrine release in the 128-participant, randomized trial.
Physician's Briefing/HealthDay News (3/9) 
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Provide Perinatal Bereavement Care in Multiple Formats
Help parents understand the grief process and navigate difficult choices they'll need to make after the loss of their baby with InJoy's new Guide to Grief and Healing. This book plus web app also covers postpartum care and offers encouraging video stories from parents who endured perinatal loss. Learn More>>>
AWHONN Journals Spotlight
Latest issue of JOGNN online now
Check out the latest issue of JOGNN online now! Full-text articles are available to AWHONN members for free, and abstracts are accessible to everyone. Latest topics include anxiety and depression after perinatal loss, depression in fathers of NICU infants, strategies to improve management of shoulder dystocia, and more. You can also check out the latest AWHONN position statement on nursing care of incarcerated women during pregnancy and the postpartum period, as well as a practice brief on the use of nitrous oxide in maternity care. Find all this and more at JOGNN's website.
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Neonatal Health
Standardized treatment protocol tied to better care for infants with NAS
A study in Pediatrics showed that the rate of Ohio NICUs that adhered to the pharmacologic and nonpharmacologic care bundles for babies with neonatal abstinence syndrome rose from 37% and 59% to 59% and 68%, respectively, after the statewide implementation of a standardized treatment protocol. The findings also showed reduced treatment duration and lengths of hospital stay among infants with NAS, regardless of opioid treatment, during the same period.
Medscape (free registration)/Reuters (3/8) 
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Group develops priority list to boost pediatric EHRs
Pediatric EHRs should have linked maternal and birth data and precise recordings of all vital signs and growth parameters; offer age-specific decision support; and monitor incomplete preventive care opportunities, among others, according to a priority list from a multistakeholder work group, published in Pediatrics. "We hope that by focusing the energy of software vendors, EHR purchasers, policymakers and families on the same high-priority list, EHRs will be designed and used more safely and effectively in the care of children," said lead author Dr. Jonathan Wald.
Medscape (free registration)/Reuters (3/9) 
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Spokane Hospital Offers Laughing Gas for Moms-To-Be
Holy Family hospital started offering nitrous oxide to soon-to-be moms in September 2017 using two machines to serve 20 delivery rooms. Holy Family Nurse Manager Deanna Berezay said that as far as health risks go nitrous oxide does not have any. She said using nitrous oxide, or laughing gas, is actually an old process that is become new again. See the video.
Legislative update: March 13, 2018
I spent most of last week scheduling appointments with congressional offices for the nurses participating in the AWHONN on the Hill lobby day next month. These meetings are crucial to advancing AWHONN's legislative and policy agenda. There's only so much influence I can have on an elected official without her or his constituents involvement. Continue reading this week's legislative update.
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One week left! Apply for the Millennial Nurse Scholarship
Applications for the Millennial Nurse Scholarship will close in one week! The Millennial Nurse Scholarship sponsored by Kimberly-Clark/Huggies. The scholarship includes complimentary conference registration; hotel and airfare will be awarded to attend the AWHONN's 2018 Annual Convention in Tampa, Fla. on June 23-27, 2018. Recipients will also receive a one-year membership to AWHONN. Applications close on Tuesday, March 20, at midnight EST. Learn more and apply.
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2019 Board of Directors application extension
The deadline to submit applications for consideration to serve on the 2019 Board of Directors has been extended. The new deadline is Friday, March 23, at midnight. EST. The Board of Directors plays a vital role within the association, contributing their knowledge and expertise in various areas that will be useful in strengthening and expanding AWHONN. Learn more about the Board of Directors and apply.
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Registered Nurses – NICU / Nursery
RNs: NICU, L&D, Mother Baby NIGHTS
Registered Nurses – Maternity
Labor & Delivery RNs (L&D)
Often, the biggest, most dramatic change happens incrementally, little by little, through compromises and adjustments over years and decades.
Michelle Obama,
first lady
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