CDC reports 40-year-high suicide rate among US teen girls | Study links pelvic organ prolapse, Pap smear abnormalities | Cardiac fat lower for black women than for white women, study says
August 8, 2017
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Women's Health Update
CDC reports 40-year-high suicide rate among US teen girls
The rate of suicide among teen girls ages 15 to 19 doubled between 2007 and 2015, marking the highest rate in 40 years, according to a report from the CDC's National Center for Health Statistics. Researchers also found that suicide rates among boys increased 31% during the same period.
CNN (8/3),  NBC News (8/3) 
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Study links pelvic organ prolapse, Pap smear abnormalities
A study found 6.6% of women with pelvic organ prolapse had non-human papillomavirus Pap smear abnormalities, compared with 2.8% of women who did not have POP. The study in the journal Female Pelvic Medicine and Reconstructive Surgery showed increasing prolapse stage in women with POP was linked to higher rates of non-HPV Pap smear abnormalities.
Medscape (free registration)/Reuters (8/7) 
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Other News
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Obstetrics Focus
Flu vaccine during pregnancy effective regardless of prior vaccination
A study in the journal Vaccine found that pregnant women with prior flu vaccination had reduced flu antibody responses a month after receiving their second flu vaccine but had similar seroprotection levels at delivery, compared with those who didn't receive prior vaccination. The findings also showed similar antibody or seroprotection levels in babies as well as comparable antibody transfer efficiencies, regardless of earlier maternal flu vaccination.
United Press International (8/1),  HealthDay News (8/1) 
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Gestational diabetes risk higher with weight gain between pregnancies
Women who had a higher BMI at the start of their second pregnancy, compared with the beginning of their first pregnancy, had a higher risk of developing gestational diabetes than those whose weight was stable, researchers reported in PLOS Medicine. Researchers found risks were higher for women with a normal weight before their initial pregnancy, and overweight women who lost weight after having a baby reduced their risk of gestational diabetes in a subsequent pregnancy.
HealthDay News (8/1) 
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AWHONN Spotlight on Research
Menopause and exercise intolerance
Central adiposity and weight gain are common among women in the postmenopausal period. Because of the metabolic changes that many women experience, there can be a decrease in exercise tolerance related to the loss of potent estrogens. In Nursing for Women's Health, author Ann R. Lurati, DNP, MPH, ACNP-BC, GNP-BC, explores the relationships among menopause, exercise intolerance, and weight gain. Read the abstract in Nursing for Women's Health.
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Neonatal Health
Case report: Sepsis in preemie may be tied to rituximab exposure
A case study in Pediatrics described a preterm baby girl with a gestational age of 29 weeks whose in utero exposure to rituximab was linked to two severe septic episodes with Enterococcus faecalis, both of which happened during the shift from donor human milk to infant formula. The infant developed undetectable immunoglobulin G, IgA and IgM concentrations as well as a critically depressed B-lymphocyte subset of 10% at 37 weeks' postmenstrual age, and received antibiotics, intravenous immunoglobulin and donor human milk as treatment.
Medscape (free registration)/Reuters (8/3) 
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Case report shows infant tremors may be due to vitamin D deficiency
A case study in Pediatrics described an otherwise healthy male infant who had worsened tremors at age 12 days and was found to be deficient in 25 hydroxy vitamin D but completely recovered within two weeks of receiving 800 IU daily dose of vitamin D. Researchers also found below-normal vitamin D levels in another male baby with occasional chin shuddering who was then prescribed to take 800 IU of vitamin D daily.
Medscape (free registration)/Reuters (8/2) 
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Member testimony contest!
AWHONN is holding a contest for members to share either a written or video testimony answering the following question: "Tell us your success in assisting a new mother to breastfeed." The contest is open until Aug. 31. One entry will be selected to win a $50 gift card. Submit your entry.
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Peer to Peer: Proven Practices for Increasing Vaccination Rates in Adults and Pregnant Women
August is National Immunization Awareness Month! The CDC will be hosting a webinar on Aug. 24 at 12:30 p.m. EST that will provide health care professionals with tips for having positive and productive vaccine conversations with adult and pregnant patients. Gain insights for bolstering your recommendations that you can begin implementing in your practice immediately! Register today.
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