Rotational instrumental, cesarean deliveries show similar neonatal outcomes | Study: 94% of NICU antibiotics prescribed for suspected infection | Gestational diabetes drug tied to increased risk of adverse events in newborns
April 6, 2015
NCC Practice Resource
News for Obstetric, Neonatal & Women's Health Care Professionals
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Rotational instrumental, cesarean deliveries show similar neonatal outcomes
Rotational instrumental delivery for fetal malposition was associated with no worse neonatal outcomes than cesarean section, according to a study in the American Journal of Obstetrics & Gynecology. Researchers found that mothers who were younger, delivered during the daytime and who had a lower body mass index had increased odds of undergoing rotational instrumental delivery. News (3/24)
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Patient Safety & Clinical Update
Study: 94% of NICU antibiotics prescribed for suspected infection
NICU data showed 94% of antibiotics were prescribed for suspected infections, while just 5% of treatments ultimately were confirmed by positive cultures, researchers reported in the Pediatric Infectious Disease Journal. They said prompt discontinuation of antibiotics if infection is ruled out and evaluation of safe minimum duration for therapy can reduce antibiotic usage and avoid associated adverse outcomes. Healio (free registration) (3/18)
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Gestational diabetes drug tied to increased risk of adverse events in newborns
Treating gestational diabetes with glyburide was associated with higher risks for hypoglycemia, birth injury and respiratory distress among newborns compared with insulin treatment during pregnancy, according to a study in JAMA Pediatrics. Infants born to mothers who took glyburide were also more likely to be admitted to the neonatal intensive care unit and have a large for gestational age status than those exposed to insulin while in the womb. Family Practice News (3/30)
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Case study: Woman with preeclampsia receives CPAP
A case study in Obstetrics & Gynecology found a woman with early-onset preeclampsia and sleep-disordered breathing may have prolonged her pregnancy by using continuous positive airway pressure at night. A researcher in Australia said other studies have noted CPAP may improve blood pressure for women with hypertension or fetal activity in women with preeclampsia. Medscape (free registration)/Reuters (3/30)
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Study: 47% of pregnant women gain too much weight
Data on more than 44,000 women showed about 47% gained excessive weight, 32% were within Institute of Medicine weight-gain recommendations and 20% gained too few pounds, CDC researchers reported in the journal Obstetrics & Gynecology. Women who were overweight or obese were more likely to gain weight beyond recommended levels for pregnancy, the study found. Gaining too much weight during pregnancy can raise health risks for both the mother and baby, researchers noted. HealthDay News (3/11)
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Professional Practice
Study: Collaboration among nurses, physicians linked with ICU safety
Strong nurse-physician partnerships were associated with lower incidence of health care-associated infections in critical care settings, according to a study in the journal Critical Care Nurse. An analysis of five years' worth of data found nurses' reports of positive clinician collaboration were associated with lower rates of ventilator-associated pneumonia and central line-associated bloodstream infections. Intensive care units with more certified nurses also had fewer HAIs. (4/2)
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Hospitals honor staff on Certified Nurses Day
Hospitals honored their certified nurses on March 19, which was Certified Nurses Day. "They represent the best of the nursing profession," said Carolinas Hospital System CEO Darcy Craven. Kathy Webster of NewYork-Presbyterian/Hudson Valley Hospital said certified nurses prioritize professional development, assuring the highest levels of care. The Morning News (Florence, S.C.) (3/31), (4/2)
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Policy, Ethics & Legal Update
Nurse-to-patient standards in acute care appear to reduce occupational injuries
The incidence of occupational injuries and illnesses in California acute care hospitals fell after the state established a minimum nurse-to-patient staffing ratio, according to a study in the International Archives of Occupational and Environmental Health. Findings show that the law resulted in an average yearly drop of 32% from 176 to 120 illnesses and injuries per 10,000 registered nurses. For licensed practical nurses, injuries dropped from 244 to 161 injuries per 10,000 individuals, or a 34% drop. (3/17)
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Technology & Trends
Experts back ultrasound for investigating pelvic symptoms
A team of obstetricians and gynecologists recommended starting with ultrasound imaging to examine pelvic symptoms, rather than CT or MRI scans, in an article in the American Journal of Obstetrics & Gynecology. Ultrasounds can avoid unnecessary radiation exposure from CT scans and are more cost-effective. The lead author is president of the American Institute of Ultrasound in Medicine. HealthDay News (3/31)
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Ark. telehealth program helps women with breast-feeding
Baptist Health in Arkansas uses telehealth technology to promote breast-feeding in rural areas and for mothers whose infants are in the NICU. Registered nurse Ciara McClanahan said the technology will help educate mothers of NICU babies so they can bring breast milk for their infants when they visit. KATV-TV (Little Rock, Ark.) (3/19)
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News from NCC
NCC wins the Janel Parker President's Award
NCC Award
The NCC was honored to receive the 2015 Janel Parker President's Award for the Certified Nurses are Everywhere public awareness campaign. This award was given out by American Board of Nursing Specialties at its 2015 March Assembly. This award is considered a huge honor and has only been given out a few times in the history of ABNS. The NCC was nominated for the award by the ABNS Board of Directors. Read more.
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NCC's continuing competency assessment for maintenance -- A quick update
As of 2015, close to 100,000 NCC certified nurses have completed an assessment. In the beginning of the process, approximately 63% of nurses required the full 45 hours of CE; however, by the end of five years, only about 50% are requiring the full 45 hours of CE. This represents a 20% change in CE needs since the continuing competency initiative started and demonstrates improving knowledge competency in core areas over time. Read more.
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Plaques, certificates and cards ... customized for you!
NCC certificates
Log in to this new site with your NCC login to see the items that are available specifically for you. Give your patients the added confidence of knowing they are being cared for by a proficient, well-educated NCC certified professional. Display your accomplishment of certification!
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Editor's Note
A headline in the March 2 edition of NCC Practice Resources misidentified the nation where a study was conducted on recommendations for induced labor. The study was based on an analysis of patients in Denmark. SmartBrief regrets the error.
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-- Gail Sheehy,
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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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Editor:  Tom Parks

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