Obstetricians group recommends delayed umbilical cord clamping | Analysis calls into question drug for morning sickness | Controlling weight gain in pregnancy may reduce GD risk, study finds
January 9, 2017
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Obstetricians group recommends delayed umbilical cord clamping
Guidelines released by the American College of Obstetricians and Gynecologists recommend not cutting the umbilical cord for at least 30 to 60 seconds after birth of healthy babies. Delayed clamping was shown to improve hemoglobin levels at birth and increase iron supply months after among those born at term, as well as boost transitional circulation and red blood cell volume among those born preterm. However, the guidance, in Obstetrics & Gynecology, does not recommend delayed cutting for babies who have problems breathing and need emergency care.
CBS News/The Associated Press (12/21),  Physician's Briefing/HealthDay News (12/21) 
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Patient Safety & Clinical Update
Analysis calls into question drug for morning sickness
Researchers assessed a 40-year-old unpublished US trial of pyridoxine-doxylamine for alleviating nausea and vomiting during the first trimester of pregnancy and found that the drug may not be an effective remedy. A summary of the study found a 14% higher likelihood of reporting moderate or excellent treatment with the drug than with placebo, but the final results are not available and 37% of the placebo group left the study before it ended.
Reuters (1/4) 
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Controlling weight gain in pregnancy may reduce GD risk, study finds
A study in BMJ Open showed an association between triglyceride levels in the 4th quartile throughout pregnancy and increased risks of gestational diabetes or hypertensive disorders of pregnancy in the first and third trimesters, compared with intermediate levels of triglycerides. Japanese researchers found weight gain during gestation was tied to triglyceride levels and suggested that controlling weight gain during pregnancy could reduce increased triglyceride levels and the risk of gestational diabetes and hypertensive disorders of pregnancy.
Healio (free registration)/Endocrine Today (12/30) 
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Study ties statin use to lower risk of uterine fibroids
A study in the American Journal of Obstetrics & Gynecology found women who used statins two years before a hyperlipidemia event had a reduced risk of developing uterine fibroids. The findings, based on 47,713 women with uterine fibroids and 143,139 women without, also showed statin use was associated with lower rates of menorrhagia, pelvic pain, anemia and myomectomy among women with uterine fibroids.
ClinicalAdvisor.com/HealthDay News (12/25) 
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Professional Practice
QI program tied to increased breast-feeding rates
Nurses and other clinicians who participated in the Best Fed Beginnings quality improvement program were able to help increase exclusive breast-feeding rates and the number of mothers reporting breast-feeding at 18 months, a study in Pediatrics found. "Our main message is that hospital practices can impact breast-feeding rates, even in the longer term," said researcher Dr. Laura Ward of Cincinnati Children's Hospital Medical Center.
Medscape (free registration)/Reuters (1/5) 
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Preemies may have long-term benefits from "kangaroo mother care"
Preemies may have long-term benefits from "kangaroo mother care"
(Guillermo Legaria/AFP/Getty Images)
Preterm and low-birth-weight babies who received "kangaroo mother care" -- skin-to-skin contact and exclusive or near-exclusive breast-feeding -- had 61% lower odds of infant mortality, higher breast-feeding rates, fewer infections leading to hospitalization, better math and language test scores and higher hourly wages in early adulthood, compared with those who didn't receive such care. The findings in Pediatrics also showed that those who received kangaroo care had lower odds of aggression, impulsiveness, hyperactivity and anti-social behavior at age 20.
Reuters (12/12),  NBC News (12/12),  HealthDay News (12/12) 
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Policy, Ethics & Legal Update
CDC head: Much still needs to be done in the battle against Zika
CDC Director Thomas Frieden said much work remains in the fight against the Zika virus, including improved diagnostics, vaccine development, mosquito control and studies on Zika's long-term effects on pregnant women, men and infants born to Zika-infected mothers. He said he hopes Congress will approve the proposed $300 million Rapid Reserve Fund that would allow the government to act quickly in the event of an infectious disease emergency.
Reuters (12/30) 
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FDA: Avoid repeated or extended anesthesia, sedation in kids, pregnant women
The FDA is warning against the repeated or extended use of general anesthetic and sedation drugs in children younger than 3 years or pregnant women in the third trimester, and the agency is requiring that the drugs' labels be updated with a warning. Results of animal studies suggest the drugs can cause brain damage in children or a developing fetus if administered repeatedly or for longer than three hours.
Medscape (free registration) (12/14),  The Washington Post (tiered subscription model) (12/14) 
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Technology & Trends
Studies report data on fetal imaging
UK researchers reported in The Lancet that an additional MRI scan within two weeks of a midpregnancy ultrasound accurately diagnosed 93% of fetal brain abnormality cases, compared with 68% of cases diagnosed by ultrasound alone. Yale University researchers reported in the Journal of Ultrasound in Medicine that repeated ultrasound imaging to view fetal anatomy rarely detects abnormalities.
HealthDay News (12/15),  Diagnostic Imaging (12/26) 
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App helps ensure NICU babies get the right milk
A California NICU is using an app to help manage milk storage to ensure infants get their mother's milk. The hospital reported more than 70,000 correct milk verifications and the prevention of more than 480 potential misfeeds.
AdvanceWeb.com (12/9) 
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News from NCC
Announcing the NCC Pretest Program and free CE
The Pretest Program gives feedback to NCC content teams on the performance of newly developed questions prior to possible use on an NCC certification examination. By taking a pretest, individuals certified by NCC earn free CE for their participation and assist NCC by testing 50 questions in their specialty for future exams. All collected data is anonymous and only used for statistical analysis. CE is earned by simply completing the pretest. Read more.
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Request your FREE NCC Certification Awareness Kit
Certification Awareness
Certified Nurses Day is March 19! Order your FREE NCC Certification Awareness Kit, containing specialty specific informational brochures, posters and postcards highlighting various NCC programs. NCC Certification Awareness Kits will ship out the first week in February and will arrive in plenty of time for Certified Nurses Day. Read more.
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Election results for 2017 NCC Board of Directors and Officers
The National Certification Corporation (NCC) is pleased to announce the outcome of the 2017 election of NCC Board of Directors and Officers. Directors are elected by constituents through a slate approval process and officers are elected by the Board of Directors. See the results.
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The Alternate Certification Program (ACP) for Nurse Practitioners
The National Certification Corporation (NCC) is pleased to announce The Alternate Certification Program (ACP) for Neonatal Nurse Practitioners and Women's Health Care Nurse Practitioners. This program offers graduate prepared Neonatal or Women's Health Care Nurse Practitioners who wish to achieve national certification, but are not currently eligible, an opportunity to sit for their NCC national board certification exam. Read more.
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Conference calendar for 2017
Using NCC CE modules to maintain NCC certification is a convenient and affordable choice -- but not required. See this listing of organizations holding educational conferences in 2017.
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Learn more about NCC:
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Robert Baden-Powell,
military officer and founder of the scouting movement
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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.
 
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