NICU study finds 2 interventions can reduce infection rate | ACOG, SMFM release recommendations for magnesium sulfate | "Kangaroo care" boosts survival odds in preemies, review says
January 4, 2016
NCC Practice Resource
News for Obstetric, Neonatal & Women's Health Care Professionals
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NICU study finds 2 interventions can reduce infection rate
A multicenter NICU study found changing sterile tubing and hub scrub compliance reduced the collaborative central line-associated bloodstream infection rate by 19.28%, researchers reported in Pediatrics. Emory School of Medicine researcher Dr. Anthony Piazza said the interventions can be incorporated into daily patient care and that reducing central line infections can lower costs and possibly lead to fewer deaths and better outcomes. Medscape (free registration)/Reuters (12/23)
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Patient Safety & Clinical Update
ACOG, SMFM release recommendations for magnesium sulfate
A committee opinion from the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine recommends short-term use of magnesium sulfate in obstetrics to prevent and treat seizures in women with preeclampsia or eclampsia, for fetal neuroprotection before early preterm delivery and to prolong pregnancy for up to 48 hours to allow preterm delivery of antenatal corticosteroids. The recommendations are published in Obstetrics and Gynecology. Medscape (free registration) (12/29)
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"Kangaroo care" boosts survival odds in preemies, review says
A review of 124 studies published in the journal Pediatrics found that "kangaroo care," or skin-to-skin contact, can improve the survival odds of premature infants. Researchers found such care improves vital signs, reduces the risk of sepsis and promotes breast-feeding. HealthDay News (12/22)
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Study examines efficacy of metformin in preventing preeclampsia
Metformin, a diabetes drug, decreased the release of toxins from the placenta into the mother's bloodstream and seemed to improve dysfunction in blood vessels, according to a study in the American Journal of Obstetrics and Gynecology. Australian researchers used primary human tissues to test secretions from the placenta and found that the drug could treat and possibly prevent preeclampsia among pregnant women. United Press International (12/23)
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Study examines treatment guidelines following chorioamnionitis exposure
A study in Pediatrics found that asymptomatic infants with culture-confirmed early-onset infection following exposure to maternal chorioamnionitis may be receiving unnecessary diagnostic evaluation and antibiotics. Thirteen percent of 229 infants were asymptomatic within six hours of birth, and 9% were still asymptomatic at 72 hours. 2 Minute Medicine (12/30)
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Study compares gestational diabetes screening guidelines
Researchers found that although the International Association of the Diabetes and Pregnancy Study Groups guidelines for gestational diabetes screening diagnosed 27% of women with the disease, compared with 17% using the Carpenter-Coustan method, there was no significant difference on the rate of infants who were large for their gestational age and sex. The findings in Obstetrics & Gynecology were based on 6,066 pregnancies from 2010 to 2013. MedPage Today (free registration) (12/9)
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Early treatment of PDA doesn't improve outcomes in preemies, study finds
Preterm infants who received early treatment for closing the patent ductus arteriosus didn't have any improvement in long-term outcomes, including bronchopulmonary dysplasia, necrotizing enterocolitis, neurosensory impairment and death, according to a study in Pediatrics. Researchers said there was insufficient evidence to evaluate the benefits of treatment initiated after 2 weeks of age. News (12/16)
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Professional Practice
Study: Group prenatal care may benefit mothers, infants
A study of pregnant teens and women found those who received group prenatal care were less likely to have small gestational age babies, preterm delivery and low birth weight infants, compared with those who received traditional individual care, researchers reported in the American Journal of Public Health. Certified nurse midwife Lauren Andronici at the Vancouver Clinic in Washington state said a group care model has been successful with patients, and in the future, "this is going to be the way to go, for sure." HealthDay News (12/21), The Columbian (Vancouver, Wash.) (12/22)
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Policy, Ethics & Legal Update
Opioid-linked children's deaths spur Senate action
News reports of preventable deaths among babies and toddlers born to women who used opioids during pregnancy have prompted two Democratic senators to call for more protection for those children. One seeks hearings into the apparent nonenforcement of a federal law directing states to safeguard newborns. Another has asked the Obama administration for emergency funding to deal with the rising number of drug-dependent newborns. Reuters (12/22)
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Technology & Trends
Study: Ultrasound comparable to mammography in detecting breast cancer
Researchers looked at data on 2,809 women with dense breast tissue who underwent annual ultrasonography and mammogram screenings for breast cancer for three years and found that the tests yielded similar detection rates. Ultrasound produced more false-positive results than mammography but was better in identifying node-negative, invasive cancers. The findings were published in the Journal of the National Cancer Institute. Reuters (12/29), HealthDay News (12/28)
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News from NCC
NCC maintenance due dates have changed!
NCC Maintenance Dates Have Changed
Effective Jan. 1, 2016: All maintenance due dates are on the 15th of the month, instead of the end of the month. All individuals due to maintain NCC certification in 2016, 2017, 2018 or beyond have a new maintenance due date. This change affects all individuals holding an NCC credential, including RNC-E and those newly certified. NCC maintenance due dates are reflected in each individual's personal account. Learn more.
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Election results for 2016 NCC Board of Directors and Officers
The National Certification Corporation is pleased to announce the outcome of the 2016 election of NCC Board of Directors and Officers. Directors are elected by constituents through a slate approval process and officers are elected by the Board of Directors. 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. Learn more.
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Credentials can get complicated, are you displaying your achievements the correct way?
It is common practice to list credentials in order of importance starting with the highest degree earned. Followed by licensure/state requirements, national certifications, awards and honors. Get helpful tips and a quick review of NCC certification designations.
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Adventures do occur, but not punctually."
-- E.M. Forster,
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Learn more about NCC ->National Certification Corporation
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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