Study finds long-term breathing problems among extreme preemies | Baby-led weaning doesn't increase choking risk in infants | Researchers refute link between maternal H1N1 vaccination, birth defect risk
September 22, 2016
National Association of Neonatal Nurses SmartBrief
News for Neonatal Care Professionals
Neonatal Care
Study finds long-term breathing problems among extreme preemies
Researchers examined 560 extremely preterm and full term infants and found that those born at 28 weeks of gestation or earlier had a significantly higher risk of having small airway obstruction at ages 8 and 18 and also a greater increase in small airway obstruction between ages 8 and 18 than those born full term. The findings in the journal Thorax also showed worse lung functioning at ages 8 and 18 among premature babies who had lung damage linked to respirator or long-term oxygen use, compared with premature babies who didn't have lung damage.
Reuters (9/16) 
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Baby-led weaning doesn't increase choking risk in infants
New Zealand researchers found that infants who underwent baby-led weaning with advice on reducing choking risk didn't have higher odds of choking, compared with those who were spoon-fed. However, the findings in Pediatrics, based on a trial involving 206 babies, showed that more than 50% and almost 100% were given foods with a choking risk such as raw vegetables and hard crackers at ages 7 and 12 months, respectively.
Physician's Briefing/HealthDay News (9/19) 
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Compelling Evidence for Nursing Advocates for an Exclusive Human Milk Diet (EHMD) in the NICU
Join us for a breakfast symposium at the annual NANN educational conference on Saturday, Oct. 29. The program will cover immunological benefits of human milk, review current feeding practices and preterm nutrition, and the clinical and economical outcomes for the use of an EHMD. Register today
Health Policy & Practice
Researchers refute link between maternal H1N1 vaccination, birth defect risk
A Swedish study in the Annals of Internal Medicine found that 4.98% of infants whose mothers received the H1N1 vaccine Pandemrix developed birth defects, compared with 4.78% of those whose mothers didn't receive the vaccination. The findings, based on data involving 238,571 babies in Sweden with and without vaccine exposure, also showed birth risk differences of 0.1% and 0.16% among those whose mothers were vaccinated during the first 8 weeks and first trimester of gestation, respectively.
Physician's Briefing/HealthDay News (9/20),  Tech Times (9/20) 
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Prenatal exposure to smoking may increase Tourette's syndrome risk
Children born to mothers who smoked at least 10 cigarettes daily during gestation were 66% more likely to develop Tourette's syndrome and other chronic tic disorders, compared with those whose mothers didn't smoke. The findings in the Journal of the American Academy of Child and Adolescent Psychiatry, based on data involving more than 73,000 births in Denmark, also showed a twofold to threefold higher risk of chronic tics combined with psychiatric conditions such as attention-deficit/hyperactivity syndrome among those whose mothers smoked heavily during pregnancy.
HealthDay News (9/16) 
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Trends & Technology
NIPT laws might complicate genetic counseling, informed consent
As noninvasive prenatal testing has become widely available, some states have passed or are considering laws outlawing the termination of pregnancies because of genetic abnormalities in the fetus, but experts say that NIPT is likely to have only a marginal effect on abortion demand. The laws, however, might complicate genetic counseling and informed consent.
GenomeWeb Daily News (free registration) (9/16) 
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Zika case reports in Puerto Rico near 20,000
Puerto Rico health officials have reported almost 20,000 confirmed cases of Zika virus infection, including 1,706 among pregnant women. Zika infections have resulted in 150 hospitalizations and 48 cases of Guillain-Barre syndrome.
The Washington Post (tiered subscription model)/The Associated Press (9/16) 
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Other News
Submit your abstracts for NANN’s 2017 Conference!
The NANN Program Planning Committee invites you to submit an abstract to present at its 33rd Annual Educational Conference Oct. 11-14 in Providence, R.I. The planning committee and Education Provider Committee have identified the need to cover a wide range of topics that will appeal to both the novice and expert neonatal nurse, and we have provided a list of topics and areas of interest to make the application selection process less cumbersome and more diverse to better meet the educational needs of conference attendees. We encourage you to suggest your own ideas, present your own research findings or share your knowledge on a topic of interest. Please keep in mind that application submissions should focus on nursing, be state-of-the-art and evidence-based and challenge neonatal nurses at all levels of expertise. Abstract Submission Deadline: Tuesday, Nov. 1 at 5 p.m. Central Time. Late submissions will not be accepted. There will be no deadline extensions.
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Join the NANN delegation to Cuba
NANN has been invited by the President of the Cuban Society of Nursing to organize a delegation to visit Cuba for the purpose of meeting with our Cuban counterparts and learning about the role of Cuban nurses in health care delivery. NANN is honored to be invited to experience this exciting learning opportunity, planned for March 13-18. The delegation will be led by NANN President-Elect Lori Brittingham. Delegates have the option of traveling with a guest, who will enjoy a fully-planned itinerary courtesy of Academic Travel Abroad and may also extend their stay to experience the Cuban culture through an extension itinerary. For detailed itinerary options, cost information, and to RSVP, please visit the NANN Academic Travel Abroad enrollment site.
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