Standardized neonatal abstinence program improves care, report shows | Perinatal hospice helps parents deal with infant loss | Low-income mothers, infants face additional health risks from stress
April 21, 2016
National Association of Neonatal Nurses SmartBrief
News for Neonatal Care Professionals
Neonatal Care
Standardized neonatal abstinence program improves care, report shows
A report published in Pediatrics found standardization of care for infants with neonatal abstinence syndrome resulted in fewer days of treatment and shortened hospital stays. The study included 223 participating centers, which received interactive webinars, coaching and feedback as well as a quality improvement toolkit and standardized data collection tools.
Medscape (free registration) (4/19) 
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Perinatal hospice helps parents deal with infant loss
Perinatal hospice helps expectant parents deal with an infant who will not survive long beyond birth, and there are 202 formal programs in the US. Hospice nurses and social workers help families talk with relatives and coworkers, recommend grief counselors, and prepare parents to administer pain medication if needed.
The Washington Post (tiered subscription model) (4/16) 
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NICU Enteral Guideline For the Use Of An Exclusive Human Milk Diet (EHMD) in Infants ≤ 1250 g Birth Weight
In this presentation, Andi Markell, RD provides recommendations for managing an exclusive human milk diet and outlines the NICU enteral feeding guideline as recommended by the Nutrition Advisory Committee in preterm infants equal to or less than 1250 g birth weight. Register here to view the presentation.
Health Policy & Practice
Low-income mothers, infants face additional health risks from stress
Low-income women face significant stressors in their life that can increase the chances of negative birth outcomes, researchers say. "So many social stress factors overlap -- drug abuse, violence -- and coexist in these neighborhoods," said LuAnn Brink, chief epidemiologist for Pennsylvania's Allegheny County. "It makes a less than optimal environment for babies and their mothers."
Pittsburgh Post-Gazette (4/19) 
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Study links maternal socioeconomic status to breast-feeding duration
Researchers looked at 1,845 German women who gave birth in 2000-2001 or 2012-2013 and found that those in the later group were 21% less likely to stop predominant breast-feeding by 4 months and 29% less likely to stop total breast-feeding by 6 months, compared with those who gave birth a decade earlier. The findings in Pediatrics also showed that women in the later birth group with more education were 24% less likely to stop predominantly breast-feeding by 4 months, compared with 8% lower odds for those with fewer than 12 years of education.
Reuters (4/19) 
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Other News
Trends & Technology
Double breast pumps linked to better milk production for preemies
UK researchers looked at 62 mothers of preterm infants and found that women who used double breast pumps had nearly 109 grams more expressed breast milk daily, compared with those who used a single pump. The findings in the Archives of Disease in Childhood-Fetal and Neonatal Edition also found that double breast pumping increased prolactin levels and mammary gland stimulation.
Reuters (4/14) 
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Zika virus mutations could help explain defects, researchers say
Aedes aegypti.
Aedes aegypti. (Nelson Almeida/AFP/Getty Images)
Researchers in China and the US have found that numerous genetic mutations have occurred in the Zika virus, creating substantial differences in the African and Asian strains that might explain the recent emergence of birth defects and other issues associated with the virus. The study, published in Cell Press journal, Cell Host & Microbe, compared Zika virus strains from mosquitoes, humans and monkeys, uncovering mutations that might improve viral replication, allow the pathogen to escape immune system attack or allow it to invade new tissues. (4/15),  WNBC-TV (New York) (4/15) 
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NANN has awards to give, but only YOU know who deserves them!
Looking for a way to distinguish the contributions your AMAZING nursing peers have made over the past year? Recognize their efforts by nominating them for a 2016 NANN/NANNP award! Each year, NANN recognizes outstanding contributions of individuals in neonatal nursing. Whether awardees are clinical practitioners, educators or researchers, NANN is dedicated to honoring the achievements of those who advance the profession of neonatal nursing. NANN chapters are also honored annually for their outstanding local accomplishments. All nominations are due May 1. Learn more about the awards how to nominate your peers.
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Registration is OPEN for NANN's 32nd Annual Educational Conference!
It's time! We're thrilled to announce registration is OPEN for THE premier neonatal nursing event of the year! Join us in beautiful Palm Springs, Calif., for NANN's 32nd Annual Educational Conference where we celebrate YOU at the neonatal event that helps you connect, grow, and feeds your soul.
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