Report: C-sections raise mothers' delivery risks | Preterm babies at increased risk of bronchiolitis hospitalization | Study finds newer antipsychotics are safer during pregnancy
June 1, 2015
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News for Obstetric, Neonatal & Women's Health Care Professionals
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Report: C-sections raise mothers' delivery risks
A CDC report says having a first baby by cesarean section, compared with vaginal delivery, raised the likelihood that a woman would need a blood transfusion or be admitted to an ICU. Researchers said 9 in 10 women who have a first delivery by C-section will go on to have their next child delivered that way. HealthDay News (5/20)
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Patient Safety & Clinical Update
Preterm babies at increased risk of bronchiolitis hospitalization
Researchers found that babies born at 33 to 34 weeks had a higher risk of being hospitalized for bronchiolitis due to respiratory syncytial virus compared with those born at 35 weeks or more. The findings in the Italian Journal of Pediatrics revealed that higher rates of hospitalization were associated with male gender, prenatal exposure to maternal smoking, lack of breast-feeding, prenatal treatment with corticosteroids, singleton delivery, respiratory diseases in the neonatal period and surfactant therapy. Lung Disease News (5/27)
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Study finds newer antipsychotics are safer during pregnancy
Women who took newer antipsychotic drugs, known as "atypical" drugs, during pregnancy showed similar risks for health conditions such as gestational diabetes and hypertensive disorders as women with mental health problems who did not take the medication, according to a new study published in the journal BMJ. The Globe and Mail (Toronto) (tiered subscription model) (5/13)
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Study: Tdap vaccine not tied to adverse pregnancy, neonatal outcomes
A study in Obstetrics & Gynecology that included 7,378 women at one facility found that those who received the tetanus, diphtheria and acellular pertussis vaccine at 32 weeks' gestation showed no differences in pregnancy or neonatal complications compared with those who declined the vaccination. However, significant increases in the duration of neonatal hospitalization and rates of preterm birth at 36 weeks' gestation or less were observed among women who did not receive the vaccine. News (5/13)
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Professional Practice
ACOG guidelines emphasize early prenatal HIV testing, treatment
The American College of Obstetricians and Gynecologists has updated its guidelines on prenatal and perinatal HIV testing, emphasizing early diagnosis and treatment. Dr. Denise Jamieson of the CDC said HIV prophylaxis was previously discontinued after pregnancy, but now most women stay on the drugs after pregnancy. The update was published in Obstetrics & Gynecology. Medscape (free registration) (5/27)
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Stork nurses promote faster mother-baby bonding
Hospital initiatives that aim to help women have gentler cesarean sections include a West Penn Hospital program in which a "stork nurse" promotes mother-baby bonding, including skin-to-skin contact, and helps with breast-feeding. Sandra Stanley said she and other stork nurses focus on beginning the mother-baby bonding process rather than prioritizing the completion of tasks such as weighing and measuring infants. Pittsburgh Post-Gazette (5/5)
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Team-based care puts focus on nurse certification
Nurses with additional certifications are taking the lead as the team-based care model seeks to improve patient care and reduce re-admissions. "When the patients are presented to us, we look at them as a total picture, manage them, set the plan for the day and adjust it as needed," said multidisciplinary team member Pam Bolton of the ICU at Good Samaritan Hospital in Cincinnati. The Cincinnati Enquirer (tiered subscription model) (5/8)
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Policy, Ethics & Legal Update
Ind. changes system for licensing midwives
Indiana legislation would give physicians and their employers immunity from liability for entering into practice agreements with midwives. A 2013 law requires midwives to have a collaborative agreement with a physician, but no physicians participated, according to the Professional Licensing Board. (Indiana University) (5/22)
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Technology & Trends
CDC data show fewer hospitals are giving formula samples
CDC research published online in Pediatrics showed less than one-third of U.S. maternity wards gave away baby formula in 2013, compared with almost 75% in 2007. Public health efforts have focused on discouraging free formula samples and getting more mothers to breast-feed because of the health benefits to babies and mothers. CBS News (5/25)
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Other News
News from NCC
Texas BON now accepts all NCC core certifications for licensure!
Earlier this year, NCC began work with the Texas Board of Nursing to have all core NCC nursing certifications accepted for licensure in lieu of CNE. During its April board meeting, the Texas BON approved the acceptance of the following NCC certifications to meet continuing competency requirements*: Inpatient Obstetric Nursing (RNC-OB); Maternal Newborn Nursing (RNC-MNN); Low Risk Neonatal Nursing (RNC-LRN); Neonatal Intensive Care Nursing (RNC-NIC). *-Read the complete story for details and exceptions.
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It's a busy world and you may not have time to look for news and reminders from NCC. Use the links at the bottom of to connect with NCC through Facebook, Pinterest, Twitter and LinkedIn. Learn more.
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New CE modules available from NCC!
Continuing education from NCC is affordable and convenient. Modules are available in 5, 10 & 15 hours of CE with prices starting at $19. Plan your continuing education around YOUR schedule. Purchase and access NCC CE modules from at any time, 24/7. Read more.
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Planning to attend the AWHONN convention? A few things to know before you go ...
If you are an NCC-certified nurse or nurse practitioner and plan to attend the AWHONN convention, here are a few things that you should know before you go.
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About NCC
The National Certification Corporation is a not for profit organization that provides national credentialing programs and continuing education opportunities to nurses, physicians and other licensed health care professionals within the obstetric, neonatal and women's health care specialties. NCC has awarded more than 115,000 certifications or certificates of added qualification since its inception in 1975.
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