Preemies may benefit from umbilical cord milking, study finds | Study debunks link between C-section, autism | Studies show benefits of diet, exercise for pregnant women
July 6, 2015
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News for Obstetric, Neonatal & Women's Health Care Professionals
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Preemies may benefit from umbilical cord milking, study finds
Umbilical cord milking, or using the thumb and forefinger to gently squeeze the umbilical cord and slowly push blood to the infant's abdomen, improved blood flow, blood pressure and hemoglobin levels in premature babies delivered by cesarean section. The study was published in Pediatrics. United Press International (6/29)
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Patient Safety & Clinical Update
Study debunks link between C-section, autism
An Irish study published in the journal JAMA Psychiatry revealed that though babies born by cesarean section have a very small increased risk of developing autism spectrum disorder, family factors such as genetics or environment may be behind the increased risk. Researchers evaluated 13,000 pairs of siblings in which one was diagnosed with ASD and one was not, and found no association between C-section delivery and ASD. (6/25)
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Studies show benefits of diet, exercise for pregnant women
A review of data from 49 clinical trials found pregnant women who participated in diet or exercise programs, or a combined intervention, were less likely to gain too much weight or develop high blood pressure, compared with those receiving standard care, researchers reported in The Cochrane Library. The data did not show a strong association between diet and exercise and changes to other pregnancy complications. Reuters (6/12)
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Study links IBD to higher pregnancy risks
Corticosteroid use was associated with an elevated risk of severe preeclampsia in pregnant women with inflammatory bowel disease in the Danish National Birth Cohort study. Researchers also found an association between systemic corticosteroid use and higher risk of preterm delivery and preterm premature rupture of membranes in IBD patients. Local corticosteroid use was also tied to higher PPROM risk. Data showed a link between Crohn's disease and a higher risk for major congenital abnormalities, but no link was found between pregnancy loss and IBD. Medscape (free registration) (6/24)
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Low birth weight infants at increased risk for adverse effects after vaccination
Researchers looked at 13,926 infants with extreme low birth weight in neonatal intensive care units and found these infants had an increased incidence of sepsis evaluations from 5.4 per 1,000 patient-days before vaccination to 19.3 per 1,000 patient-days after vaccinations. The study was published in JAMA Pediatrics. (6/28)
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Professional Practice
Ohio health centers to test prenatal care program
The CenteringPregnancy program will be tested in four Ohio health centers to see if it helps women deliver healthy infants. The prenatal care program is provided in group sessions led by nurse-midwives and group facilitators. Certified nurse-midwife Gretchen Mettler said women in the program at University Hospitals were less likely to have a preterm delivery or deliver an underweight infant, compared with women in the area who did not participate. The Plain Dealer (Cleveland) (7/3)
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Study: Contraceptive training may reduce unwanted pregnancies
A study in The Lancet said training nurses and other practitioners to teach young women about long-acting reversible contraceptives helped reduce unwanted pregnancy rates. "It's very easy to provide pills and use condoms, whereas a physician or nurse needs training to be able to provide IUDs and the implant," said researcher Cynthia Harper at the University of California at San Francisco. Medscape (free registration) (6/17)
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Policy, Ethics & Legal Update
Senators seek HHS decision on updated preterm birth guidelines
A bipartisan group of senators asked HHS Secretary Sylvia Mathews Burwell to speed up the agency's review of updated guidelines to prevent preterm birth, which were submitted in 2014. "By reducing the rate of preterm births through expanded risk screening and preventive treatment, we can reduce the rate of infant mortality in the U.S.," the senators said in their letter to Burwell. Medscape (free registration) (6/17)
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Technology & Trends
NICUs in the Ozarks see spike in opioid-addicted newborns
The Ozarks are seeing a spike in babies born with opiate withdrawal, reflecting a national increase. In 2014, the NICU at Mercy Children's Hospital in Springfield, Mo., admitted 13 infants with withdrawal and has already surpassed that number so far this year. The CoxHealth NICU in the same city recorded five admissions in 2010 and 30 in 2014. Springfield News-Leader (Mo.) (tiered subscription model) (6/16)
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News from NCC
NCC has a new look!
Last year NCC created a new logo to celebrate Certified Nurses Day. The logo was so well liked that it was decided to adopt this new look as NCC's corporate identity. Read more.
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Is your transport team certified? Share your photo!
Children's Hospital Los Angeles Emergency Transport Team
The Children's Hospital Los Angeles Emergency Transport Team. (NCC)
This is the amazing Children's Hospital Los Angeles Emergency Transport Team. Currently 93% of its members hold the national Neonatal/Pediatric Transport Certification. NCC wants to recognize them for their phenomenal accomplishment and to challenge other teams. Read 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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-- Rumi,
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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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