Women with fertility issues face higher premature birth risks | Maternal diet in pregnancy tied to changes in infant gut microbiome | Water birth safe for mothers and infants, review finds
July 10, 2018
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Women's Health Update
Women with fertility issues face higher premature birth risks
A study in Pediatrics found women who had difficulty getting pregnant were 39% more likely to have a premature birth and those who used reproductive technologies were 79% more likely, compared with women who did not have problems getting pregnant. Women who had problems conceiving also were 21% more likely to give birth to an infant with birth defects, compared with women who did not have problems getting pregnant.
Reuters (7/3) 
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Maternal diet in pregnancy tied to changes in infant gut microbiome
Infants whose mothers ate more fruit during pregnancy had elevated levels of Clostridium and Streptococcus, but lower levels of Bifidobacterium in their gut, while those whose mothers consumed more red and processed meats had higher levels of Bifidobacterium, researchers reported in the journal Microbiome. The findings also showed increased Streptococcus and Clostridium levels among those born by cesarean section whose mothers ate more dairy products during gestation, which may explain the higher risk of dairy allergies among those born by Caesarean section.
Newsweek (7/5) 
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Obstetrics Focus
Water birth safe for mothers and infants, review finds
Immersion labor and delivery appears safe for mothers and infants, according to a study of hospital data in the Cochrane Database of Systematic Reviews. Water birth did not significantly affect rates of spontaneous vaginal delivery, vaginal delivery using forceps or other devices or cesarean delivery, and women who used immersion during the first stage of labor were a little less likely to have an epidural.
Reuters (6/29) 
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Babies born from IVF, ART reach 8M worldwide
Eight million infants have been born from in-vitro fertilization and other assisted reproductive technologies around the world since the first IVF baby was born in 1978, according to an International Committee Monitoring Assisted Reproductive Technologies report presented at the European Society of Human Reproduction and Embryology annual meeting. The report also showed that the prevalence of twins and multiple births has dropped over the past 40 years and is now at 14%.
CNN (7/3) 
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AWHONN Journals Spotlight
Latest issue of JOGNN online now
Check out the July 2018 issue of JOGNN online now! Full-text articles are available to AWHONN members for free, and abstracts are accessible to everyone. Latest topics include the effects of shame and guilt on error reporting among obstetric clinicians, stress and quality of life for women undergoing infertility treatment, prevention of admission hypothermia in very-low-birth-weight newborns and more. There is also CNE activity on the experiences of women who donated human milk; access the post-test and feedback survey in the AWHONN Online Learning Center. Find all this and more at JOGNN.org.
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Neonatal Health
US opposes breastfeeding resolution at World Health Assembly
US delegates to the UN-affiliated World Health Assembly surprised global health officials by opposing a resolution that states breastfeeding is the healthiest option for infants and encourages countries to block misleading advertising by formula-makers.
The Toronto Star/New York Times (7/8),  Axios (7/8) 
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Agencies report higher numbers of birth mothers with opioid involvement
Wynnewood, Pa.-based adoption agency Adoptions for the Heart reports that the rate of opioid-involved birth mothers rose from 33 percent in 2016 to 52 percent in 2017, and most of the infants required extended neonatal intensive care unit stays. Another Pennsylvania agency, Open Arms Adoption Network, has seen a 50 percent increase in opioid-exposed babies.
U.S. News & World Report/The Associated Press (7/4) 
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Legislative Update: July 10, 2018
AWHONN's advocacy flows from the mission. As part of AWHONN's mission, which states that "superior advocacy" is one of the initiatives for improved and promoted women and newborn health care, we advocate for public policies. Continue reading this week's update.
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Featured Webinar: Survival Guide for New Nurses
Nosocomial infections can occur if hand hygiene practices are not followed, resulting in longer hospital stays and readmissions for patients as well as time off for staff. Using the TeamSTEPPS approach, this webinar focuses on communication skills for new nurses in the maternal/newborn setting using a case study approach. AWHONN webinars give the needed tools to enhance personal development and gain new techniques that improve patient care. View this webinar in AWHONN's Online Learning Center.
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