Pre-pregnancy care programs benefit women with diabetes, study finds | CDC: Suicide rate rising in US | Blood test shows promise in predicting premature births, due date
June 12, 2018
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Women's Health Update
Pre-pregnancy care programs benefit women with diabetes, study finds
A study in Diabetologia showed women with type 2 diabetes who participated in community-based pre-pregnancy care programs were more likely to achieve an A1C target of below 48 mmol/mol than those who did not participate in these programs. Researchers used a cohort of 4,558 women and found participation in the PPC program also led to an improvement in pregnancy preparation measures and improved folic acid supplementation among type 2 diabetes patients, while those with type 1 diabetes presented earlier for antenatal care during and after the intervention.
Endocrinology Advisor (6/11) 
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CDC: Suicide rate rising in US
The average annual rate of suicide among individuals ages 10 and older in the US rose by 25% between 1999 and 2016, increasing by a low of 6% in Delaware to over 57% in North Dakota, according to a CDC Vital Signs report. Contributing factors include social isolation, poor access to mental health care, misuse of drugs and alcohol, and gun ownership; and common precursors include termination of a relationship, financial problems and substance abuse.
The New York Times (tiered subscription model) (6/7),  HealthDay News (6/7) 
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Obstetrics Focus
Blood test shows promise in predicting premature births, due date
Researchers found that a new blood test detecting RNA changes in the blood of pregnant women correctly identified premature pregnancies in six of eight women with preterm deliveries, as well as yielded similar accuracy as ultrasound and greater accuracy than predictions based on a woman's last menstrual period in determining pregnancy due dates. The test, described in the journal Science, "gives us a starting point to understand the biology of what is going on in premature births," said researcher Stephen Quake.
The New York Times (tiered subscription model) (6/7),  TIME online (6/7) 
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UNICEF, WHO praise India for maternal mortality decrease
Efforts to improve access to maternal health services have reduced India's maternal mortality rate by 77% between 1990 and 2016, the World Health Organization reports. "India has shown impressive progress in reducing maternal deaths, with nearly 1000 fewer women now dying of pregnancy related complications each month in India as compared to 2013," says UNICEF's India representative Yasmin Ali Haque.
BloombergQuint (India)/Indo-Asian News Service (6/10),  NDTV (India)/Asian News International (6/10) 
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Nitrous among choices for moms at St. Louis Hospital
Nitrous oxide is a new alternative to manage labor pain at St. Mary's Hospital. "It's something she holds up, she breaths in and out for as long as she's comfortable, and as she relaxes her hand, naturally it will fall away; so, she controls how much she gets," the director of perinatal services said. Watch the video and see us at booth 926 at AWHONN Jun 24.
AWHONN Journals Spotlight
The meaning of safety during hospital-based birth
Women's birth experiences can hold particularly affirming or destructive power in their lives that can reverberate for years. It is important to understand women's perspectives on safety during birth to prevent or mitigate physical and psychological harm. In a study in JOGNN, authors explore the experiences and understanding of safety during the labor and birth of one group of women. Read the abstract in JOGNN.
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Neonatal Health
Lower oxygen saturation doesn't up primary outcome risk in extreme preemies
Extremely preterm infants treated with lower oxygen saturations had a similar likelihood of primary composite outcome of death or major disability at ages 18 months to 24 months as those who received higher oxygen saturations, Australian researchers reported in the Journal of the American Medical Association. The findings showed increased odds of mortality and severe necrotizing enterocolitis, but lower risk of retinopathy of prematurity treatment among those in the lower oxygen target group.
MedPage Today (free registration) (6/5),  Physician's Briefing/HealthDay News (6/5) 
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Tablets effective for neonatal diabetes in 10-year study
UK and European researchers conducted a 10-year follow-up study of 81 infants with neonatal diabetes from 20 countries and found that switching from regular insulin injections to glibenclamide tablets was associated with long-term blood glucose control with patients experiencing only mild side effects after the switch. The study in The Lancet Diabetes & Endocrinology also found that the average HbA1C before the switch was 8.1%, while the average HbA1C after 10 years of sulphonylurea treatment was 6.4%.
Diabetes (UK) (6/5) 
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Other News
Legislative update: June 12, 2018
The Senate will not take a recess in August. The president's rescission request passed the House and the administration asked the courts to throw out the individual health insurance mandate. Continue reading this week's update.
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Kick-start your convention experience with a preconvention workshop
AWHONN preconvention workshops fall on Saturday and Sunday prior to the official convention opening and include exclusive content not found in other education sessions. Attendees can earn 3.75 CNE contact hours by attending a preconvention workshop. An additional registration fee is required to attend each workshop. View the 2018 workshop offerings and register today.
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Ignite the Passion to Improve Patient Care at the 2018 AWHONN Convention
Don't miss the premier event for obstetric, neonatal and women's health nurses! Attend the 2018 AWHONN Annual Convention in Tampa, FL from June 23-27. Gain exclusive access to the latest best practices in improving care for women and newborns. You will also learn nursing methods to excel your career. Register.
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Labor & Delivery RNs (L&D)
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It cannot be too often repeated that in this country, in the long run, we all of us tend to go up or go down together.
Theodore Roosevelt,
26th US president
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