Breast milk may reduce ROP incidence in premature newborns | Newborn twins sharing heart, liver die at Ga. medical center | FDA considers development pathway for maternal vaccines
November 19, 2015
National Association of Neonatal Nurses SmartBrief
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Breast milk may reduce ROP incidence in premature newborns
Human milk could help prevent retinopathy of prematurity in very preterm newborns, compared with feeding them formula, according to results of a meta-analysis of observational studies published in Pediatrics. Chinese researchers said the antioxidant and immune-protective properties of breast milk may provide the protection. Medscape (free registration) (11/16)
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Newborn twins sharing heart, liver die at Ga. medical center
The conjoined twin boys born last week sharing a heart and liver died in neonatal intensive care two days after they were delivered via cesarean section. They were in critical condition at Children's Hospital of Georgia and experienced numerous complications, although doctors said the heart was functioning normally soon after they were born. The Atlanta Journal-Constitution (free content) (11/12)
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Blend Content and Community to Create Truly Interactive Websites
Websites need to evolve. Visit any website today and they're much the same as those in the 1990's: entirely one-way. In this eBook, we detail six reasons for blending an online community to make your website interactive.

Health Policy & Practice
FDA considers development pathway for maternal vaccines
The FDA's Vaccines and Related Biological Products Advisory Committee has started the process of creating a development pathway that would lead to approval of vaccines for use in pregnant women to prevent disease in their infants. GlaxoSmithKline has four vaccines it would like approved for maternal use and Novavax is developing an RSV vaccine for which it will attempt to get a maternal immunization indication. Medscape (free registration) (11/16)
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Study reviews newborn screening model for CF in Calif.
Researchers found only 28 cases of cystic fibrosis were missed with the use of California's three-step model for newborn screening from 2007 to 2012. The findings in Pediatrics, based on 2,573,293 infants, revealed California's CF newborn screening model had an overall sensitivity of 92% and a positive predictive value of 34%. The median age to referral to a CF center for infants who tested positive on the initial gene mutation panel was 18 days, compared with 37 days among those who tested positive on DNA sequencing. 2 Minute Medicine (11/16)
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Trends & Technology
Study links mother's weight before, during pregnancy to infant survival
Infants whose mothers achieved a healthy weight before pregnancy and gained a healthy amount during pregnancy had a reduced risk of dying during the first year of life, according to a study in the journal Obesity. Researchers evaluated more than 1.2 million births, including 5,530 infant deaths, in Pennsylvania from 2003 to 2011 and suggested that women lose excess weight before their pregnancy to help improve infant survival. Science World Report (11/18)
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Study examines effect of catheter dwell time on infants' risk of infection
Researchers found no correlation between increased dwell time and an increased risk of central line-associated bloodstream infections among infants with peripherally inserted central catheters. The findings in Pediatrics, based on data from 141 NICUs, showed tunneled catheters had a significantly higher incidence of infection during weeks seven and nine than in week one. News (11/16), Medscape (free registration) (11/16)
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Other News
Applications for the NIWI Scholarship due this week
Learn how nurses can be involved and influence policy at the local and national level. Apply for the 2016 Nurse in Washington Internship (NIWI) program, an intense learning experience for nurses interested in becoming more involved in the legislative and regulatory aspects of healthcare. NANN will award two scholarships to interested members. NIWI is hosted by the Nursing Organization Alliance and will take place March 6-8, 2016, in Washington, D.C. The deadline to apply for the NIWI scholarship is Friday, Nov. 20. Learn more.
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New NANN CNENow! Modules
Two new CNENow! Modules are now available in the NANN online store.
  • The Management of Human Milk in the NICU: The authors discuss specific evidence-based recommendations for the storage and handling of human milk. Best practices and risks are discussed to ensure the correct mother's milk is provided to the appropriate infant.
  • Improving Outcomes with Colostrum Human Milk – Evidence to Guide Practice: The author describes the protective components of colostrum, verbalizing the role of colostrum in initiating both passive and active immunity in the neonate. Participants will understand the role of oligosaccharides and commensal bacteria, the detrimental effects of formula, and the dose amount of breast milk received in relation to the benefits gained.
Both modules are supported by NeoMed
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