Study finds misoprostol does not prevent postpartum hemorrhage | Researchers examine risk factors tied to preterm birth | Twin delivery at 37 weeks may reduce stillbirth, newborn death risk
September 12, 2016
NCC Practice Resource
News for Obstetric, Neonatal & Women's Health Care Professionals
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Study finds misoprostol does not prevent postpartum hemorrhage
A study in the journal Obstetrics & Gynecology found that using misoprostol with oxytocin after childbirth was not associated with reductions in the rate of postpartum hemorrhage and was linked with increases in the number of adverse events compared with using oxytocin alone. The clinical trial was stopped early due to the results.
Medscape (free registration) (9/9) 
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Patient Safety & Clinical Update
Researchers examine risk factors tied to preterm birth
Twenty-five percent of women who were underweight before gestation, had insufficient weight gain during pregnancy and had shorter birth spacing delivered premature babies, compared with 7.6% of those who didn't have such risk factors, according to a study in the Maternal and Child Health Journal. The findings, based on 2006 to 2011 data involving nearly 400,000 births, should prompt women to be aware of adjustable factors to curb preterm birth risk, said study co-author Dr. Emily DeFranco.
HealthDay News (8/31) 
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Twin delivery at 37 weeks may reduce stillbirth, newborn death risk
Researchers found that twins delivered at 37 weeks of gestation had lower odds of stillbirth and newborn death than those born earlier, while evidence recommending routine delivery before 36 weeks was lacking. The findings in The BMJ, based on a review of 32 studies involving 35,171 twin pregnancies, also showed that delaying deliveries to 38 weeks was linked to an additional 8.8 deaths per 1,000 pregnancies due to greater stillbirth risk for twins in separate placentas, while those with shared placentas had a higher likelihood of stillbirths than neonatal death when they exceeded 36 weeks of gestation.
Reuters (9/7),  The Guardian (London)/Agence France-Presse (9/6) 
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Maternal extreme temperature exposure tied to preterm birth risk
Women exposed to extreme cold during the first seven weeks of gestation had 20%, 9% and 3% higher odds of delivering before 34 weeks, between 34 and 36 weeks and at 37 or 38 weeks, respectively, according to an NIH study in Environmental Health Perspectives. Data also showed that those exposed to extreme heat during gestation had a 6% to 21% increased preterm birth risk.
United Press International (8/31) 
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Study: Antenatal corticosteroids don't reduce neonatal morbidity
Twenty-nine percent and 27% of preterm twins whose mothers took antenatal corticosteroids had composite neonatal morbidity and respiratory distress syndrome, respectively, compared with 20% and 17% of those whose mothers didn't receive the steroids. The findings in Obstetrics & Gynecology, based on data involving 850 neonates from 432 women, also showed that 78% and 23% of those whose mothers received antenatal corticosteroids were admitted to the NICU and had mechanical ventilation, respectively, compared with 59% and 12% of those whose mothers didn't. News (8/17) 
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Breast density should guide mammogram schedule, researchers say
Breast density should guide mammogram schedule, researchers say.
(Mychele Daniau/Getty Images)
Breast density should be considered along with age, ethnicity, family and personal medical histories and prior mammogram results in deciding how often a woman should receive screening mammograms, researchers suggest in the Annals of Internal Medicine. Although most women can safely schedule screenings every two to three years, women who have dense breast tissue, are older than 50 and have above-average risk of developing breast cancer should get a mammogram annually, the researchers said.
Los Angeles Times (tiered subscription model) (8/22),  Reuters (8/22) 
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Professional Practice
Study: Group prenatal care outcomes similar to traditional care
A study in Obstetrics & Gynecology found that group prenatal care had no significant differences in preterm birth rates, NICU admission and breast-feeding initiation, compared with traditional prenatal care. The findings, based on data involving four randomized trials and 10 observational studies, showed that group care was tied to a decreased rate of low birth weight, compared with traditional care. News (8/15) 
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Policy, Ethics & Legal Update
Maternal mortality is high priority, Texas lawmakers say
Texas lawmakers say they are concerned about the high rates of pregnancy-related death and complications in the state and hope funding increases from the past three years will help address the problems. Meanwhile, Gov. Greg Abbott said he will determine "what steps need to be taken to reduce the number of these deaths."
Houston Chronicle (tiered subscription model) (8/27) 
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Technology & Trends
Longer NICU stays yield better outcomes, lower costs
Research in the Journal of Perinatology found longer NICU stays for newborns were linked to lower costs and better outcomes. The researchers found a composite NICU with the best outcomes had an average length of stay that was three days longer than units with poor outcomes, while comparable annual costs were $3 million less.
Clinical Innovation + Technology online (9/1),  Healthcare Informatics online (9/1) 
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News from NCC
2016 Nurse Practitioner Program Director meeting -- Hosted by NCC
The National Certification Corporation (NCC) is pleased to share discussions from the national Nurse Practitioner (NP) Program Directors' meeting hosted by NCC. Read more.
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Planning to attend an educational conference this fall? A few things to know before you go ...
If you are a NCC-certified health care professional and plan to attend the NPWH 19th Annual Conference or one of Contemporary Forums fall educational conferences there are a few things that you should know before you go ...
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Share Your Story for a chance to win our monthly drawing!
The Certified Nurses FREE app was created to give certified nurses an opportunity to share via video -- their story. "Luveanurse" shared her story about RNC-MNN Certification and won a copy of Golden Hours: Care of the Very Low Birth Weight Infant book. Take a moment to hear her story and then download the app and share yours! Read more.
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NCC CE Modules -- Expiring soon!
CE from NCC
Continuing Education from NCC offers affordable and convenient ways to maintain specialty knowledge competencies and keep abreast of the latest practice updates. To keep these educational offerings current and relevant NCC adds new modules throughout the year and REMOVES modules at the end of every year. The expiration date for all modules are posted. Here is a listing of modules that will be discontinued on Dec. 31, 2016. Don't miss out -- order before they are no longer available.
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National Certification Corporation
Just because something doesn't do what you planned it to do doesn't mean it's useless.
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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.
Learn more about certification and continuing education opportunities for obstetric, neonatal and women's health care professionals –
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