Mother-to-child transmission of Zika may be possible through breastfeeding | Early hysterectomy tied to long-term CV, metabolic risks | Study: Maternal immune response to Zika may trigger miscarriage
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January 9, 2018
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Women's Health Update
Mother-to-child transmission of Zika may be possible through breastfeeding
A study in the journal Clinical Infectious Diseases suggests that Zika virus infections may be transmitted from mother to child through breastfeeding after genetic testing of a Venezuelan woman and her infant showed Zika virus isolates in her breast milk and her child's urine were nearly identical.
Healio (free registration)/Infectious Disease News (1/4) 
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Early hysterectomy tied to long-term CV, metabolic risks
A study in Menopause found women younger than 35 who underwent hysterectomy, but not removal of ovaries, had a 2.5-fold higher risk of coronary artery disease and a 4.6-fold increased risk of congestive heart failure, compared with controls. The findings, based on data from the Rochester Epidemiology Project for 2,094 women who had hysterectomies from 1980 to 2002, also showed that the procedure, even with ovarian conservation, was linked to a higher long-term risk of metabolic and cardiovascular conditions, especially among women who were 35 years old or younger when they had the operation.
United Press International (1/3) 
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Obstetrics Focus
Study: Maternal immune response to Zika may trigger miscarriage
A pregnant woman's immune response to a Zika virus infection may be responsible for miscarriages associated with the virus, a study in Science Immunology found. Researchers are studying whether maternal immune response causes infant birth defects associated with Zika, including microcephaly.
HealthDay News (1/5) 
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Maternal pre-, early pregnancy weight gain may increase infant birth weight
Canadian researchers found that babies' birth weight rose by 13.6 grams and 26.1 grams for every kilogram of maternal weight gain from before pregnancy to 14 weeks of gestation and from 14 weeks to 18 weeks of gestation, respectively. However, the findings in JAMA Pediatrics didn't show an association between maternal weight gain after 18 weeks' gestation and infant birth weight.
Medscape (free registration) (1/3) 
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Accessible and Effective Perinatal Education
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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 nonpharmacologic pain management for infants, population-based risk factors for shoulder dystocia, and mental health and anxiety screening. You can also check out the latest AWHONN position statement on continuous labor support, as well as a CNE activity on mistreatment of women during childbirth. Find all this and more at JOGNN.org.
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Neonatal Health
Birth hospital tied to racial disparities in very preterm birth outcomes
A study in JAMA Pediatrics showed that black and Hispanic infants born very preterm had a nearly twofold and about 50% increased morbidity and mortality risk, respectively, compared with whites, with birth hospital performance accounting for 39.9% of the outcome disparity between blacks and whites, and 29.5% of the difference in outcomes between Hispanics and whites. The findings were based on 2010 to 2014 data involving 7,177 very preterm births at 39 hospitals in New York City.
Reuters (1/2),  Medscape (free registration) (1/2) 
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Study examines prevalence of HSV diagnosis in infant meningitis assessments
Researchers looked at babies ages 60 days and younger who received cerebrospinal fluid culture testing for potential meningitis at 23 emergency departments in the US and found that 0.42% had herpes simplex virus infection, with such infections more common among those ages 28 days and younger. The findings in Pediatrics also showed significant variations in the number of infants undergoing HSV testing and receiving acyclovir treatment across sites.
Physician's Briefing/HealthDay News (1/3),  2 Minute Medicine (1/3) 
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Other News
AWHONN News
AWHONN Legislative Update: Jan. 9, 2018
The continuing resolution passed in December to fund the government through Jan. 19 provides temporary funding for the Children's Health Insurance Program and community health centers. The extension is paid for, in part, by cuts to the Prevention and Public Health Fund. Read this Week's Legislative Update.
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One week left to apply for a new evidence-based practice training opportunity
Time is winding down to apply for a new training opportunity learning evidence-based practices. AWHONN will fund selected members interested in conducting an evidence-based practice project to attend a three-day course at the University of Iowa Advanced Practice Institute. Funds will be provided by AWHONN's Every Woman, Every Baby. Applications are due on Tuesday, Jan. 16, 2018. Learn more.
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