Study: Zika-related microcephaly not detected by early prenatal imaging | Higher mid-pregnancy omega-3 to omega-6 ratio may boost fetal growth | Mayo studies fewer prenatal visits for low-risk pregnancies
June 20, 2017
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Women's Health Update
Study: Zika-related microcephaly not detected by early prenatal imaging
Colombian researchers reviewed a case series involving 17 infants in Colombia whose mothers had Zika virus and found that serial ultrasound identified Zika-related microcephaly at a median gestational age of 28 weeks and a median of 18 weeks after the onset of maternal Zika virus symptoms. The findings in the journal Obstetrics & Gynecology also showed that three babies had evident congenital Zika syndrome symptoms such as ventriculomegaly and clubfoot prior to microcephaly diagnosis.
Medscape (free registration) (6/13) 
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Higher mid-pregnancy omega-3 to omega-6 ratio may boost fetal growth
Higher omega-3 to omega-6 ratios during mid-pregnancy may lead to faster fetal growth, higher infant birth weight and a longer pregnancy, according to a study in the journal Clinical Nutrition. The study included data on almost 7,000 pregnant women and infants.
NutraIngredients (6/12) 
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Obstetrics Focus
Mayo studies fewer prenatal visits for low-risk pregnancies
A Mayo Clinic intervention called OB Nest, developed with help from expectant mothers and their obstetricians, midwives and nurses, allows low-risk pregnant women to reduce prenatal in-person visits from the usual 12-14 to eight. Researchers wrote in the Harvard Business Review that the program improved mother and family satisfaction and freed clinician time for higher-risk pregnancies.
Harvard Business Review online (tiered subscription model) (6/19) 
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Other News
Mayo in Wisonsin Offering Nitrous Oxide for Labor
Mayo Clinic Health System in La Crosse now offers nitrous oxide, also known as laughing gas, for women during childbirth. It acts very quickly so the mom takes a breath with the mask during a contraction and should feel the effects within a matter of seconds. Visit Porter at the AWHONN Convention, booth #710 to learn more. Watch the video.
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AWHONN Spotlight on Research
Relationships among psychosocial stress, secondhand smoke, and perinatal smoking
The use of tobacco during pregnancy has well-known detrimental effects on a mother and fetus. In JOGNN, author Karen R. Damron, PhD, RN, summarizes and evaluates the recently published literature regarding the relationships among psychosocial stress, smoking, and exposure to secondhand smoke during the perinatal period. Read the abstract in JOGNN.
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Why Warmth Is Critical to Your Career
If people think you have low interpersonal warmth, "you have something like a 1-in-2000 chance to make the top quartile of effectiveness as a leader," according to Kellogg School of Management Professor Loran Nordgren. Read more.
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Neonatal Health
Hospital NICU tests app to track breast milk
The Hospital of the University of Pennsylvania's Intensive Care Nursery is testing the Keriton app, designed by nurses and mothers, that monitors the hospital's inventory of breast milk and serves as a communication tool. The app has four functions, including an inventory management system and a dashboard that allows nurses to monitor pumping patterns, along with forums connecting moms to lactation specialists and allowing nurses to send baby photos to mothers.
PhillyVoice (Philadelphia) (6/13) 
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Researchers find sharp increase in costs for neonatal abstinence syndrome
Hospital care costs for babies with neonatal abstinence syndrome in the US rose from $61 million in 2003 to more than $300 million in 2013, researchers report in the journal Addiction. The findings also showed three times longer and more expensive hospital stays among those with NAS, compared with other hospitalized newborns.
HealthDay News (6/15) 
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AWHONN News
AWHONN legislative update -- June 20
Work in Washington continues. Updates on Fiscal Year 2018 appropriations, health care legislation impact and timing, and upcoming opportunity for town hall meetings with Members of Congress. Read more.
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NEW! L-CERPS available for 2017 AWHONN Convention sessions
In addition to CNE and ACNM contact hours, a total of 10 L-CERPS have been awarded for specific sessions. Session evaluations will be available at the conclusion of each session. Learn more.
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