Report calls for more pre-pregnancy carrier screening | Risk prediction model tied to better neonatal early-onset sepsis management | Guidance covers women with suboptimally dated pregnancies
March 6, 2017
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Report calls for more pre-pregnancy carrier screening
The ACOG Committee on Genetics issued a report in the journal Obstetrics and Gynecology that calls for all women to be offered additional carrier screening, to assess the risk for genetic disorders in potential offspring, before becoming pregnant. The report said acceptable strategies include ethnic-specific screening, pan-ethnic screening and expanded carrier screening.
MedPage Today (free registration) (2/23) 
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Patient Safety & Clinical Update
Risk prediction model tied to better neonatal early-onset sepsis management
A study in JAMA Pediatrics found that an online neonatal early-onset sepsis risk calculator that combines gestational age, maternal temperature, Group B streptococcus screening results, intrapartum antibiotic use and time from membrane rupture helped to reduce blood cultures for evaluating infections by 66% and antibiotic use among newborns by 48%. The findings were based on data involving more than 600,000 infants and mothers.
United Press International (2/20) 
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Guidance covers women with suboptimally dated pregnancies
The American College of Obstetricians and Gynecologists' Committee on Obstetric Practice released guidance for managing the care of pregnant women without ultrasonographic confirmation or revision of the estimated due date before 22 weeks. "During the antenatal care of a woman with a suboptimally dated pregnancy, it is reasonable to consider an interval ultrasonographic assessment of fetal weight and gestational age three to four weeks after the initial ultrasonographic study," the authors wrote in the journal Obstetrics & Gynecology.
Physician's Briefing/HealthDay News (3/1) 
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Neuraminidase inhibitors not tied to neonatal risks in study
Pregnant women who took the neuraminidase inhibitors oseltamivir or zanamivir did not have an increased risk of adverse neonatal outcomes compared with women who were not exposed to the antivirals, researchers wrote in The BMJ. Data did show neuraminidase inhibitors were associated with a slightly lower risk of having a low birth weight or small for gestational age baby.
MedPage Today (free registration) (2/28) 
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Research examines maternal, neonatal complication risks in women with diabetes
French researchers found lower overall risks for adverse maternal and neonatal outcomes among women with gestational diabetes, compared with those in the pregestational diabetes group. The findings in Diabetologia, based on 796,346 pregnant women, revealed a higher risk for complications, such as eclampsia or preeclampsia and delivery via cesarean section, among women with gestational diabetes who were using insulin.
Healio (free registration)/Endocrine Today (2/20) 
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False-positive mammogram results may deter women from future screening
A study by the American Association for Cancer Research found that only 80% of women who have false-positive mammogram results returned for scheduled mammograms, but 85% of women with true negative mammograms came back for screening as scheduled. Women with false-positives may not return for scheduled screenings because of costs and stress related to additional procedures required for follow-up of a false-positive result, which may put them at a slightly higher risk for a late-stage cancer diagnosis.
NBC News (2/9) 
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Professional Practice
Hospital uses Healthy Birth program to cut C-section rate
Virginia Baptist Hospital in Lynchburg, Va., part of the National Healthy Birth Initiative, reduced its rate of cesarean births from 18% to just over 14% last year. Certified nurse-midwife Erin Baird said much of the program is about educating pregnant women that spontaneous labor is a better choice and having stricter guidelines for inducing labor.
WSET-TV (Lynchburg, Va.) (2/27) 
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Policy, Ethics & Legal Update
Pa. bill would remove oversight requirements for APRNs
Pennsylvania Senate Bill 25 would remove requirements that some advanced practice registered nurses in the state, including nurse practitioners and certified nurse midwives, have collaborative agreements with physicians. The bill would require nurses to practice under physician oversight for at least three years or 3,600 hours before autonomy is granted.
WESA-FM (Pittsburgh) (2/22) 
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Technology & Trends
Congenital syphilis cases increase in US
Health care professionals are seeing increased cases of congenital syphilis, which can be fatal for newborns, and US data show the trend is part of a larger uptick in prevalence of the STD. States are stepping up prevention and detection efforts, and the CDC is recommending adding a second test for the STD in the second or third trimester of pregnancy.
Kaiser Health News (3/2) 
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News from NCC
NCC Celebrates Certified Nurses Day -- March 19
Certified Nurses Day
NCC supports the commitment and expertise of certified nurses and has created multiple public awareness campaigns to bring much deserved recognition to NCC Certified Nurses. Currently there are over 92,000 NCC certified nurses in the obstetric, neonatal and women's health care specialties. Read more.
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The NCC EFM Certification ... now meets MOC requirements!
NCC's Electronic Fetal Monitoring Certification Exam and Maintenance of NCC EFM Certification has been approved to meet the American Board of Obstetrics and Gynecology (ABOG) Part IV Improvement in Medical Practice requirements for Maintenance of Certification (MOC) as an ABOG-approved Simulation Course for 2016-2018. Validate your EFM expertise through NCC certification and receive MOC credit. Read more.
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New CE Modules available from NCC!
CE from NCC
Continuing Education from NCC is an affordable and convenient way for any health care provider to maintain specialty knowledge competencies and keep abreast of the latest practice updates. CE from NC is offered in a wide range of topics and can be purchased and accessed from NCCwebsite.org at any time, 24/7. Please share this story with your colleagues ... you don’t have to be certified to use NCC CE!
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Resources from NCC ... most are free!
The National Certification Corporation (NCC) has various programs that support specific specialties, best practices and recognition for the certified professional -- most are free! Visit the sites below and take advantage of these resources.
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Learn more about NCC:
National Certification Corporation
  
  
Maybe that's what life is ... a wink of the eye and winking stars.
Jack Kerouac,
writer
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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 – http://www.nccwebsite.org.
 
Contact NCC
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