ACOG updates recommendations on planned home birth | Early-term births linked to higher risk of subsequent premature delivery | NICU physical therapy improves infant motor performance, study says
August 1, 2016
NCC Practice Resource
News for Obstetric, Neonatal & Women's Health Care Professionals
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ACOG updates recommendations on planned home birth
The American College of Obstetricians and Gynecologists released a revised committee opinion on planned home birth that said women have the right to make medically informed decisions on where to give birth and clinicians should stress that a planned home birth has higher risks of perinatal death, neonatal seizure or serious neurologic dysfunction. The opinion, in Obstetrics & Gynecology, recommends planned home births be attended by clinicians, including certified nurse-midwives.
Medscape (free registration) (7/27) 
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Patient Safety & Clinical Update
Early-term births linked to higher risk of subsequent premature delivery
Researchers found that women who gave birth to their firstborn early-term at 37 or 38 weeks gestation had a twofold to threefold higher risk of subsequent premature delivery, compared with those who gave birth at term. The findings in Obstetrics & Gynecology were based on 2005 to 2011 data involving more than 160,000 women who gave birth in California.
HealthDay News (7/12) 
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NICU physical therapy improves infant motor performance, study says
Medically stable preterm infants who received daily physical therapy from their parents while in a NICU had improved motor performance after three weeks, compared with infants who had conventional care, according to a study published in Pediatrics. Researchers said the preterm period is an important time for motor development.
Medscape (free registration) (7/21) 
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Fetal blood transfusions can save lives
Intrauterine fetal blood transfusions are rare but can save fetuses threatened by conditions such as neonatal thrombocytopenia, Rh factor incompatibility and hydrops fetalis. Red blood cells can be delivered through the umbilical vein or through the infant's abdomen or liver. (7/17) 
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Researchers ID 4 categories of menopause-related hot flashes
The onset and duration of menopause-related hot flashes vary significantly, with the population spread evenly among four categories marked by some common traits, according to data from the Study of Women's Health Across the Nation. The finding "explodes our typical myth around hot flashes: that they just last for a few years and everyone follows the same pattern," senior author Rebecca Thurston said.
The New York Times (free-article access for SmartBrief readers) (7/25) 
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Professional Practice
Think about your career strategically
A SWOT analysis -- examining strengths, weaknesses, opportunities and threats -- can be a helpful framework at any point in your nursing career, writes Keith Carlson. "Archiving your results for comparison over the years can offer valuable insight into your career trajectory and the ways in which your goals and aspirations have changed with age," Carlson writes. (7/19) 
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Policy, Ethics & Legal Update
CDC expands Zika testing, protection guidelines for pregnancy
The CDC has revised its Zika virus prevention guidelines for pregnant women to warn of possible sexual transmission from an infected woman after female-to-male sexual transmission was documented. The CDC also revised testing guidance, including a recommendation that all pregnant women who may have been exposed to the virus undergo testing, even if they show no symptoms.
Reuters (7/25),  HealthDay News (7/25) 
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VA closes comment period on proposed APRN rule
The Department of Veterans Affairs has received over 160,000 comments for a proposed rule granting full practice authority for nurse practitioners and other advanced practice registered nurses at VA facilities. "The overwhelming number of comments submitted by veterans, caregivers, nurse practitioners and other concerned citizens is indicative of the high level of support for the proposed rule," said AANP CEO David Hebert.
Morning Consult (7/25) 
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Technology & Trends
Study finds declining rates of late-preterm, early-term births in the US
The rate of babies born between 34 and 36 weeks of gestation in the US decreased from 6.8% in 2006 to 5.7% in 2014, while the rate of those born between 37 and 38 weeks dropped from 30.2% to 24.4%, according to an international study in the Journal of the American Medical Association. The findings also showed that the rate of early-term births in the US correlated with declining clinician-initiated obstetric interventions, but intervention increases in some countries weren't linked to late-preterm or early-term birth rates. News (7/28),  Medical News Today (7/26) 
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Robot helps labor/delivery nurses make bed assignments
Massachusetts Institutes of Technology researchers created a robot to help labor and delivery nurses schedule patients, first allowing it to learn from nurses in the unit and then having it make recommendations on patient bed assignments. The study, presented at the Robotics: Science and Systems Conference, found the robot's recommendations were accepted by nurses and physicians in 90% of cases. (7/13) 
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News from NCC
"Certified Nurses are Everywhere!" wins PSA honors award
NCC award
The National Certification Corporation (NCC) is proud to announce "Certified Nurses are Everywhere!" has been recognized as one of the top 10 Public Service Announcement (PSA) campaigns from 2015. Read more.
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If you are planning to attend ANN this September, take a moment to connect with NCC
NCC's Executive Director, Robin L. Bissinger, Ph.D., APRN, NNP-BC, FAAN will be attending both the Mother Baby Nurses Conference and the Neonatal Nurses Conference. Robin will be available to meet with individuals who wish to discuss certification, professional practice and other topics of interest. Please look for her in the ANN Lounge. Plus, a few more 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, how certification has affected their nursing career. This summer, NCC will randomly select a winner from the videos uploaded that month. The August winner will receive a "Certified Nurses are Everywhere" stainless steel travel mug. Learn more.
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Learn more about NCC:
National Certification Corporation
The bond that links your true family is not one of blood, but of respect and joy in each other's life.
Richard Bach,
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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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