Newborns benefit from delayed cord clamping, study shows | Deeper, longer cooling does not boost survival in hypoxic infants | Male fetal death more likely with low pregnancy weight gain
 
January 5, 2015
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Newborns benefit from delayed cord clamping, study shows
A study in the journal Pediatrics suggests delaying cord clamping until two minutes after birth results in better development for newborns. Waiting two minutes increased antioxidant capacity and moderated inflammatory effects in newborns, researchers found. Medical News Today (12/16)
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Patient Safety & Clinical Update
Deeper, longer cooling does not boost survival in hypoxic infants
Research on newborns with moderate to severe hypoxic ischemic encephalopathy revealed those who received a cooling treatment at 32 degrees/120 hours had a 17% death rate while in the neonatal intensive care unit, compared with only 7% in those on 33.5 degrees/72 hours treatment -- the current standard of care. The study was halted early due to the poor outcomes, with researchers noting that other alternatives on improving survival in these cases will need to be investigated. The results appear in the Journal of the American Medical Association. HealthDay News (12/23)
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Male fetal death more likely with low pregnancy weight gain
A review in PLOS ONE found women who gained fewer than 20 pounds during pregnancy had reduced proportion of male offspring than those who gained more weight. Researchers also noted a higher rate of male fetal deaths among those who gained less weight. "I think it is important to continue the research to determine whether women carrying boys should actually be eating more than women carrying girls in order to maximize the chances of the fetus' survival," said researcher Kristen Navara. Medical News Today (12/14)
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Higher late pregnancy HbA1C leads to worse health outcomes
Female patients with type 1 diabetes who had higher HbA1C levels during the second and third trimesters of pregnancy had higher odds of babies being large for gestational age compared with those with lower values, a study in Diabetes Care indicated. Women with higher HbA1C levels were also at an increased risk of preeclampsia and preterm delivery and were more likely to require neonatal glucose infusion. PhysiciansBriefing.com/HealthDay News (12/11)
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Women often retain weight after pregnancy, study says
A study of 774 women found that about 75% weighed more one year after pregnancy than they did before having a baby, and almost 25% had retained more than 20 pounds, researchers reported in the journal Obstetrics & Gynecology. Data showed that one-third of women who had a normal weight before pregnancy were overweight or obese one year after giving birth. HealthDay News (12/9)
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Professional Practice
Intervention teaches new moms dangers of shaking infants
Nurses and new mothers said the Period of PURPLE Crying education intervention was useful in teaching soothing and coping skills to prevent head trauma from infant shaking, according to a University of Iowa study in the Journal of Obstetric, Gynecologic & Neonatal Nursing. The program to prevent shaken baby syndrome was evaluated in five Midwest hospitals, and 54.4% of new mothers responded correctly to questions about the dangers of shaking an infant, while 57.4% gave correct responses to questions about normal infant crying. Medscape (free registration) (12/18)
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U.K. guidance highlights benefits of nurse-midwives
The U.K.'s National Institute for Health and Care Excellence has released guidance that notes safe births are more likely with midwives than physicians for healthy women with uncomplicated pregnancies due to less frequent use of interventions such as cesarean sections and forceps deliveries. The guidance has implications in the U.S., where patients could benefit from greater autonomy for certified nurse-midwives, according to this editorial. The New York Times (tiered subscription model) (12/14)
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Policy, Ethics & Legal Update
FDA approves first test to check newborns for SCID
The FDA has granted PerkinElmer approval for its EnLite Neonatal TREC Kit designed to detect severe combined immunodeficiency in newborns. The test is the first of its kind to gain federal approval. The genetic condition affects the immune system and can be fatal within the first year of life if not detected and treated early. HealthDay News (12/16)
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Other News
Technology & Trends
Study examines factors related to NICU mortality
A study in Pediatrics found 31% of neonatal intensive care unit deaths were linked to potentially modifiable risk factors, the most common of which was delivery at a health care facility that lacked proper support. Researchers said most early gestational age infants died from extremely low birth weight, intracranial hemorrhages and sepsis. 2 Minute Medicine (12/8)
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News from NCC
Election results for 2015 NCC Board of Directors and officers
The National Certification Corporation is pleased to announce the outcome of the 2015 election of NCC Board of Directors and Officers. The NCC Board of Directors is composed of eight members and one public member. The full board listing is available at NCCwebsite.org.
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Don't miss seeing Certified Nurses are Everywhere! on live TV
If you have not yet seen this message or even if you have, make sure that you tune in to see your specialty on TV during one of the scheduled broadcasts. Certified Nurses are Everywhere! will be aired during the "CBS Sunday Evening News" on Jan. 25 and weekly in February.
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Remember to take the specialty assessment -- before earning CE!
The maintenance requirements for NCC Certified Nurses and Nurse Practitioners are determined by a specialty assessment. The specialty assessment creates a personalized education plan that directs the continuing education activities needed in order to maintain an NCC certification. Learn more.
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Conference calendar for 2015
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 2015.
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SmartQuote
Do not let the behavior of others destroy your inner peace."
-- The Dalai Lama,
Buddhist monk
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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 – http://www.nccwebsite.org.
 
Contact NCC
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Editor:  Tom Parks
 
 

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