Review: Childbirth complication risk does not rise with early vs. late epidural | Slow feeding technique may reduce NEC, study says | Delayed circumcision raises risks, costs, study says
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November 3, 2014
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News for Obstetric, Neonatal & Women's Health Care Professionals
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Review: Childbirth complication risk does not rise with early vs. late epidural
Researchers reviewed nine studies involving more than 15,000 first-time mothers and found that early use of epidurals during childbirth does not appear to raise the risk of delivery complications compared with later use. The study, published in The Cochrane Library, suggests the right time to give an epidural during labor is when the woman asks for pain relief, researchers said. HealthDay News (10/9)
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Patient Safety & Clinical Update
Slow feeding technique may reduce NEC, study says
Infants with extremely low birth weight who are fed using standardized slow enteral feeding may have a lower risk of necrotizing enterocolitis compared with babies who receive early enteral feeding, researchers reported on the website of the Journal of Parenteral & Enteral Nutrition. Researcher Dr. Sreekanth Viswanathan said there is a lack of consensus on feeding small babies. Medscape (free registration)/Reuters (10/27)
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Delayed circumcision raises risks, costs, study says
Delaying infant circumcision beyond 1 month of age may increase risks and costs, CDC researchers reported in the journal Pediatrics. Researcher Karen Hoover said 94% of circumcisions analyzed in the study were performed on neonates, and she noted that older male babies may need general rather than local anesthesia for the procedure. HealthDay News (10/20)
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Researchers say more hepatitis C testing is needed for newborns
Study data from Philadelphia show few newborns were tested for hepatitis C, even though their mothers had been diagnosed with the disease. "This data shows that an insufficient number of infants are being tested for HCV after birth, likely resulting in a pool of chronically infected children whose disease remains unmonitored," according to the study team from the Philadelphia Department of Public Health. Healio (free registration)/HCV Next (10/24)
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Healthy lifestyle during pregnancy may improve birth outcomes
Women who ate healthy food and regularly exercised during their pregnancy were less likely to give birth to heavier infants and had a lower risk of moderate to severe respiratory distress syndrome, according to a study in BMC Medicine. Science World Report (10/15)
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Better osteoporosis screening methods are needed, study finds
Study data on more than 62,000 postmenopausal women ages 50 to 64 showed that U.S. Preventive Services Task Force osteoporosis screening guidelines identified only about 26% of women who had a major osteoporosis-related fracture within a decade. Two older assessment tools were a little more accurate, but better ways to assess fracture risk are needed, researchers said, noting that all the tools and guidelines studied were least accurate for women ages 50 to 54. The findings were published in the Journal of Clinical Endocrinology & Metabolism. HealthDay News (10/23)
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Professional Practice
OB unit nurses, physicians work together to improve care
Nurses and physicians at Yale-New Haven Hospital's department of obstetrics and gynecology reduced adverse outcomes by working in teams, implementing guidelines and certification requirements, and creating a "two-challenge rule" to question procedures and reduce errors. Over time skeptical nurses and physicians began to approve of and champion the changes, and now the department is helping units across the U.S. make similar improvements. The New York Times (tiered subscription model)/Well blog (10/16)
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Other News
Policy, Ethics & Legal Update
Analysis shows varying C-section rates across U.S. hospitals
Approximately 33% of births in more than 1,300 hospitals in 2011 were via cesarean section, according to an analysis published in the journal PLOS Medicine. C-section rates varied between hospitals, ranging between 19% and 48%. This variation was not triggered by differences in maternal diagnoses or pregnancy complexity, researchers said. HealthDay News (10/23)
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Technology & Trends
NICU naming system reduces errors in EMR data
Creating an identification system for yet-to-be-named neonates helped one NICU reduce errors when clinical orders were entered into an EMR system, researchers from Montefiore Medical Center in the Bronx, N.Y., told the American Academy of Pediatrics annual meeting. Dr. Jason Adelman said a survey of more than 300 NICUs found more than 80% used BabyBoy, BabyGirl or BB/BG for unnamed infants, which increases the risk of mix-ups in patient charts. MedPage Today (free registration) (10/13)
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News from NCC
The CCI Specialty Assessment -- and your NCC Maintenance!
If you are certified in one of the core NCC specialties you must take your assessment to obtain your education plan. HAVE YOU DONE THIS YET? The educational plan that is developed outlines the CE used to maintain your certification. It is essential to have this education plan in place early in your certification cycle. This program provides continuing validation that NCC certified nurses and nurse practitioners maintain their specialty knowledge competencies based on current practice and examination content. Visit the Continuing Competency Specialty Assessment section of Read more.
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Golden Hours: Care of the Very Low Birth Weight Infant with corresponding CE modules!
The NCC publication Golden Hours: Care of the Very Low Birth Weight Infant is a valuable resource to those who provide care to these vulnerable infants. This publication is not just a guide to care, but a handbook with tools and resources to aid providers caring for neonates. NCC also offers CE modules to correspond with each book chapter (purchased separately). Read more.
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NCC CE Modules -- expiring soon!
As you know NCC offers convenient and affordable Continuing Education that you can use to maintain your certification. NCC adds new modules throughout the year and removes older modules at the end of every year. The expiration dates for all modules are posted. Don't miss out -- order before they are no longer available. Read more.
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The doer alone learneth."
-- Friedrich Nietzsche,
German philosopher
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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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