Standardized neonatal abstinence program improves care, report shows | Guidelines recommend antenatal steroids for late-preterm women | Study looks at prevalence of acid-reducing drug prescriptions in NICU infants
A report published in Pediatrics found standardization of care for infants with neonatal abstinence syndrome resulted in fewer days of treatment and shortened hospital stays. The study included 223 participating centers, which received interactive webinars, coaching and feedback as well as a quality improvement toolkit and standardized data collection tools.
New practice guidelines from the Society for Maternal-Fetal Medicine and the American College of Obstetricians and Gynecologists call for late-preterm women at risk of preterm birth within the next week to get antenatal steroids. The groups said tocolysis should not be used to prevent labor and infants born to women who receive antenatal steroids should be monitored for hypoglycemia.
Researchers found that 23.8% of babies in NICUs received prescriptions for histamine-2 receptor antagonists and proton-pump inhibitors, despite the drugs being tied to infections, necrotizing enterocolitis and higher mortality risk. The findings in the Journal of Pediatrics, based on 2006 to 2013 Pediatric Health Information Systems data involving 122,002 infants, showed that those diagnosed with gastroesophageal reflux disease, congenital heart disease, and ear, nose and throat conditions were most likely to receive the treatment.
A review of eight studies, published in Obstetrics & Gynecology, found newborns whose mothers were using ondansetron early in pregnancy for nausea or vomiting had an overall low risk of developing birth defects, but a slightly higher risk of having cardiac abnormalities.
Preterm infants, including those with bronchopulmonary dysplasia, can be safely vaccinated on standard schedules without increasing the risk of respiratory decompensation, researchers reported in Pediatrics. Researcher Edwin Clark Montague of Emory University said the study should alleviate concerns that preterm infant immunizations will increase events that require interventions, such as intubation.
Researchers found that women with a history of gestational diabetes were almost 25% less likely to develop high blood pressure if they ate a healthy diet, compared with those with the least healthy diets. The findings in the journal Hypertension were based on nearly 4,000 women in the Nurses' Health Study II.
A study in the Journal of the American Medical Association found that nurses who worked three or more night shifts per month have a greater likelihood of developing heart disease over 24 years, compared with nurses who only worked daytime shifts. Nurses who worked night shifts for fewer than five years had a 12% increased risk of coronary heart disease, while nurses who worked night shifts for over 10 years had a 27% increased risk, although risk levels returned to normal after the nurses stopped working nights or retired.
The Zika virus does cause microcephaly and other birth defects, the CDC confirmed in a New England Journal of Medicine report. The agency and the Occupational Safety and Health Administration asked employers to take steps to protect workers from the Zika virus, including implementing standard infection control measures in health care settings, such as the use of personal protective equipment.
The FDA has issued a safety alert advising providers to take caution in prescribing oral fluconazole for treating yeast infections in pregnant women. The notice is in light of a Danish study that showed an association between the use of oral fluconazole during pregnancy and an elevated risk for miscarriages. The agency is reviewing the study, as well as other data, as it plans to make recommendations on the use of the drug.
Children's Hospital at the University of Oklahoma Medical Center has set up a live-stream camera so the parents and family of a set of Oklahoma City quadruplets can keep track of the babies in the NICU. The camera is set on a curved arm so Zachary and Jennifer Pagel can watch the babies from home at night.
The National Certification Corporation (NCC) is pleased to announce the debut of the NCC EFM Toolkit at ACOG's 2016 Annual Clinical and Scientific Meeting. If attending ACOG, please visit NCC at booth number 1234 on Sunday, May 15th or Monday, May 16th. Take a moment to test your Electronic Fetal Monitoring (EFM) skills by playing the NCC EFM Tracing Game or to discuss the value of NCC EFM certification ... how it promotes effective communication and impacts patient safety. The NCC EFM Toolkit can be accessed at NCC-EFM.org. Learn more.
Effective Jan. 1, 2016: All maintenance due dates are on the 15th of the month, instead of the end of the month. All individuals due to maintain NCC certification in 2016, 2017, 2018 or beyond have a new maintenance due date. This change affects all individuals holding an NCC credential, including RNC-E and those newly certified. NCC maintenance due dates are reflected in each individual's personal NCCwebsite.org account.Read more.
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 NCCwebsite.org at any time, 24/7. Read more.
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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 –