Guidance curbed acid-suppressing drug use in NICU | Grants to establish volunteer cuddling programs in 4 NICUs | Number of low birth weight infants dropped after EPA curb on PFOA
November 30, 2017
National Association of Neonatal Nurses SmartBrief
News for Neonatal Care Professionals
Neonatal Care
Guidance curbed acid-suppressing drug use in NICU
The mean number of nonindicated proton-pump inhibitor and histamine-2 receptor antagonist prescriptions per month in a NICU dropped from 7.5 at baseline to zero after the implementation of a clinical practice guideline based on evidence-based criteria and staff education, researchers reported in Pediatrics. The findings also showed reduced total PPI/H2RA prescriptions and a more than 50% decline in the ratio of PPI/H2RA patient-days to total patient-days after the guideline was implemented.
Physician's Briefing/HealthDay News (11/22),  Medscape (free registration)/Reuters (11/22) 
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Grants to establish volunteer cuddling programs in 4 NICUs
Four US hospitals are receiving a $10,000 No Baby Unhugged grant to help launch volunteer hugging programs in the NICU as a means to enhance therapeutic care for patients. Human touch can offer comfort to infants as well as physical improvements, such as a more stable heart rate and improved oxygen levels, said NICU nurse manager Sammy Twito at St. Vincent Healthcare in Billings, Mont.
Billings Gazette (Mont.) (11/25) 
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Health Policy & Practice
Number of low birth weight infants dropped after EPA curb on PFOA
A study in the International Journal of Hygiene and Environmental Health estimated that 10,000 to 17,000 fewer low birth weight infants were born annually after the 2006 agreement between the Environmental Protection Agency and US manufacturers to reduce and stop production of perfluorooctanoic acid, which is used in nonstick coatings, by 2015. The findings were based on 2003 to 2014 national study data involving blood samples from new mothers.
The Washington Post (tiered subscription model) (11/28) 
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Review: Prenatal exposure to armed conflict may increase low birth weight risk
Four of nine studies found that maternal exposure to armed conflict during pregnancy was significantly tied to low birth weight in infants, with a low bias risk, UK researchers reported in BMJ Global Health. The findings, based on a systematic review of 13 studies involving mothers in 12 countries, didn't show a clear link between maternal war exposure during gestation and other adverse neonatal outcomes such as stillbirth and preterm birth.
MedPage Today (free registration) (11/28) 
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Trends & Technology
FDA OKs Isentress' expanded indication for HIV-1 exposed full-term neonates
FDA OKs Isentress' expanded indication for HIV-1 exposed full-term neonates
(Kena Betancur/Getty Images)
Merck's Isentress, or raltegravir, received FDA approval for an expanded indication to include treatment of HIV-1 exposed full-term newborns who weigh at least 2 kilograms and are up to 4 weeks of age. Neonates whose mothers took Isentress or Isentress HD two to 24 hours before delivery should be treated with raltegravir 24 and 48 hours after birth, the agency noted.
Healio (free registration)/Infectious Diseases in Children (11/22) 
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Prenatal aspirin, paracetamol tied to increased cerebral palsy risk in babies
Infants whose mothers took aspirin during pregnancy had a 2.5 times higher likelihood of developing cerebral palsy, compared with those who didn't, while those whose mothers received paracetamol had a 30% higher overall cerebral palsy risk and 50% increased odds of developing the condition on one side, according to a Danish study in the International Journal of Epidemiology. The findings found no link between prenatal ibuprofen exposure and increased odds of cerebral palsy.
The Indian Express online (India)/Indo-Asian News Service (11/26),  Business Standard (India) (tiered subscription model)/Asian News International (11/25) 
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Other News
Submit your abstracts for NANN's Conference!
The National Association of Neonatal Nurses (NANN) Program Planning Committee invites you to submit an abstract to present at the 34th Annual Conference taking place Oct. 17-20, 2018 in Anaheim, Calif. A list of topics and areas of interest is available online. We encourage you to suggest your own ideas, present your own research findings, or share your knowledge on a topic of interest.
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Nurse in Washington Internship scholarships available
The Nurse in Washington Internship (NIWI) is an intense learning experience for nurses interested in becoming more involved in the legislative and regulatory aspects of healthcare. The 2018 NIWI program will take place March 11-13 in Washington, D.C. NANN is offering two (2) scholarships for nurses to attend the program. Deadline to apply is Jan. 5, 2018. Apply now!
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