ACOG committee calls for expectant management in low-risk pregnancies | Study looks at trial of labor for twin births | Azithromycin during labor tied to fewer maternal, neonatal infections
February 6, 2017
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ACOG committee calls for expectant management in low-risk pregnancies
The American College of Obstetricians and Gynecologists' committee on obstetrics practice recommended expectant management for low-risk term pregnancies and limiting labor and delivery interventions, according to a report in Obstetrics & Gynecology. "These new recommendations offer providers an opportunity to reexamine the necessity of obstetric practices that may have uncertain benefit among low-risk women," said committee member Dr. Jeffrey Ecker of Massachusetts General Hospital.
MedPage Today (free registration) (1/25) 
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Patient Safety & Clinical Update
Study looks at trial of labor for twin births
A trial of labor was linked with higher mortality, postpartum hemorrhage and obstetric laceration risks in women pregnant with twins, compared with women who had an elective cesarean delivery, researchers wrote in Obstetrics & Gynecology. Researcher Sarah Rae Easter of Boston's Brigham and Women's Hospital said the higher risks should not be a deterrent to vaginal delivery for women pregnant with twins.
Medscape (free registration)/Reuters (1/17) 
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Azithromycin during labor tied to fewer maternal, neonatal infections
Researchers found that women who received oral azithromycin during labor had significantly reduced rates of maternal infection, mastitis and fever compared with those who received a placebo. The findings in Pediatrics, based on data involving 829 women in Gambia and their newborns, also showed lower rates of skin infection and overall infection among infants whose mothers received azithromycin.
Physician's Briefing/HealthDay News (1/31) 
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Use of antiplatelet agents linked to lower spontaneous preterm birth risk
A study in the journal Obstetrics & Gynecology found pregnant women at risk for preeclampsia who took antiplatelet agents, such as low-dose aspirin, had a lower risk of spontaneous birth prior to both 37 weeks and 34 weeks of gestation, compared with those on a placebo or no treatment. The findings were based on data from more than 27,000 women in 17 randomized trials.
Medscape (free registration)/Reuters (1/24) 
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Study supports low-dose aspirin use to prevent recurrent preeclampsia
Researchers looked at 417 deliveries that occurred before and after implementation of US Preventive Services Task Force guidelines recommending the use of low-dose aspirin to prevent preeclampsia in women with a history of preeclampsia, and found that women in the after group had a 30% lower risk of developing recurrent preeclampsia. The findings were presented at the Society for Maternal-Fetal Medicine's Annual Pregnancy Meeting.
Medscape (free registration) (1/31) 
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Diet program helped limit pregnancy weight gain, study says
Obese and overweight pregnant women who participated in a diet and lifestyle program gained less weight, but pregnancy outcomes were no different than for those who received usual care, according to a study presented at the Society for Maternal-Fetal Medicine's annual meeting. Data showed 68% of women in the intervention group gained more weight than recommended by Institute of Medicine guidelines, compared with 86% of women in the usual care group.
MedPage Today (free registration) (1/26) 
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Early menstruation may mean early menopause, study suggests
Women who began menstruating before age 12 and who have never given birth are more likely to enter menopause early, a study published in Human Reproduction suggests. More than 51,000 women in the UK, Scandinavia, Australia and Japan participated in the study.
LiveScience.com (1/24) 
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Professional Practice
Hospital's QI plan reduces cesarean rates, study says
A quality improvement initiative at one hospital was associated with a reduction in the nulliparous term singleton vertex cesarean delivery rate from 34.8% to 21.2%, and the total cesarean rate from 40% to 29.1%, researchers reported in the Joint Commission Journal on Quality and Patient Safety. The intervention included interpretation and management of fetal heart rate tracings, tolerance for labor, induction of labor, awareness of NTSV cesarean delivery rates and environmental stress.
Medscape (free registration)/Reuters (2/2) 
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Policy, Ethics & Legal Update
CDC finds higher birth defect-related death risk among babies with Medicaid
CDC researchers found that infants born at term with birth defects who were covered by Medicaid had a 45% increased mortality risk regardless of birth defect type, compared with those who were covered by private insurance. The findings in the agency's Morbidity and Mortality Weekly Report, based on 2011 to 2013 payment data involving more than 9.5 million deliveries in more than 30 states and Washington, D.C., should prompt efforts to bolster care access and quality to curb birth defect deaths for all deliveries, researchers said.
HealthDay News (1/26) 
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Technology & Trends
NICU uses plastic bags, bowl covers to keep infants warm
The Texas Health NICU uses plastic freezer bags and bowl covers to help keep infants warm, said registered nurse Stephanie Eidson. The bags are used with a heating pad and radiant warmer, which creates a greenhouse-like effect.
KDAF-TV (Dallas-Fort Worth) (1/18) 
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News from NCC
NCC is looking for a few good ... stories
Your story has an important purpose! We need your real-life engagement to help us create a public awareness announcement (PSA). NCC feels that consumers need to know that there are proficient, well-educated NCC certified professionals available for their care. NCC and other certifying organizations will review and edit the stories from all participating nursing specialties into one cohesive message. So far, NCC certified nurses only have a few videos uploaded. NCC wants our nursing community to be well-represented when it comes time to create the PSA. Learn more.
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Request your FREE NCC Certification Awareness Kit
Free NCC Certification Awareness Kit
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 mid-February and will arrive in plenty of time for Certified Nurses Day.
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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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Credentials can get complicated. Are you displaying your achievements the correct way?
It is common practice to list credentials in order of importance starting with the highest degree earned, followed by licensure/state requirements, national certifications, awards and honors. Get helpful tips and a quick review of NCC certification designations.
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Learn more about NCC:
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Learning to collaborate is part of equipping yourself for effectiveness, problem solving, innovation and life-long learning in an ever-changing networked economy.
Don Tapscott,
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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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