Study: Sedation protocol doesn't reduce ventilator days, adverse events in NICU | ACOG committee supports nifedipine for severe pregnancy hypertension | Preemies getting SLI may have less need for ventilator help
February 2, 2015
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News for Obstetric, Neonatal & Women's Health Care Professionals
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Study: Sedation protocol doesn't reduce ventilator days, adverse events in NICU
A targeted sedation protocol in the NICU did not reduce the amount of time spent on a ventilator or reduce the number of adverse events, according to a study in the Journal of the American Medical Association. The protocol was deemed safe, and though it failed to show a statistically significant improvement, researchers urge continued study of sedation strategies. MedPage Today (free registration) (1/20)
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Patient Safety & Clinical Update
ACOG committee supports nifedipine for severe pregnancy hypertension
A panel of the American College of Obstetricians and Gynecologists recommended nifedipine as a first-line emergency treatment for acute, severe hypertension during pregnancy and postpartum, according to an opinion published in the journal Obstetrics & Gynecology. The committee said data showed nifedipine reduced blood pressure faster than intravenous labetalol or hydralazine. Medscape (free registration) (1/28)
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Preemies getting SLI may have less need for ventilator help
Preterm infants were 43% less likely to require ventilation within 72 hours of birth using prophylactic sustained lung inflation plus nasal continuous positive airway pressure, compared with infants who received just nCPAP, according to an adjusted analysis published in Pediatrics. Dr. Noah Hillman of Saint Louis University suggested caution in the use of SLI due to possible pneumothorax risk. Medscape (free registration)/Reuters (1/28)
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Study suggests clonidine as alternate treatment for NAS
Newborns with neonatal abstinence syndrome may be given clonidine as a comparable alternative to morphine, researchers reported in Pediatrics. Researcher Dr. Henrietta Bada of the University of Kentucky said the use of non-opioid alternatives is worth pursuing. Medscape (free registration)/Reuters (1/29)
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Episiotomy use is decreasing, study finds
The percentage of vaginal births that included an episiotomy decreased from 17.3% in 2006 to 11.4% in 2012, Columbia University researchers reported in the Journal of the American Medical Association. The study, which analyzed data on more than 2.2 million women who delivered infants at 510 facilities, found that white women and patients with private insurance were more likely to have the surgical procedure than black women or patients with Medicaid, indicating nonmedical factors may be tied to use of the procedure. (1/13)
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Hysterectomy alternatives may be underused
Data on 3,397 patients with benign conditions who were treated with hysterectomy showed that in 37.7% of cases, doctors had not tried alternative treatments, while 18.3% had pathology that did not support hysterectomy. "This study provides evidence that alternatives to hysterectomy are underutilized in women undergoing hysterectomy for [abnormal uterine bleeding], uterine fibroids, endometriosis, or pelvic pain," researchers wrote in the American Journal of Obstetrics & Gynecology. News (1/13)
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Professional Practice
RNs say certification brings personal, professional rewards
Nurses cite many reasons for getting certified in a specialty, from benefits for patients to a desire to maintain the highest level of professional standards or as motivation for additional education. "To see a new mom start off in their attempts to breast-feed in tears and frustration and end up feeling confident in their abilities is very rewarding," said registered nurse Nancy Feldenkris, an outpatient lactation consultant at Cleveland Clinic's Hillcrest Hospital. (2/1)
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Credentials show growth, commitment to excellence, nurses say
Credentials are important to nurses, their patients and the public, demonstrating professional growth and showing a commitment to standards of excellence, according to nurse leaders. "Certification provides a foundation for lifelong learning and professional development. The purpose of certification is to assure the public that this individual has mastered the body of knowledge and acquired skills in the specialty," said Marianne Horahan, director of certification services at the American Nurses Credentialing Center. (1/23)
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Policy, Ethics & Legal Update
Groups call for standardizing maternal, neonatal care levels
The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine released a consensus document that calls for creating standardized levels of maternal and neonatal care that are distinct but complementary and offer consistent guidance on quality improvement. The report in Obstetrics & Gynecology outlines proposed standards for birth centers and facilities, including Level 4 regional perinatal health care centers with experience treating "the most complex and critically ill pregnant women." Medscape (free registration) (1/29)
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Technology & Trends
Compact MRI scanner modified for infants in Cincinnati NICU
Cincinnati Children's Hospital Medical Center can offer free-breathing pulmonary MRI in its NICU due to a modified, compact MRI scanner. The MRI scanner allows for a better understanding of underlying pathologies of pulmonary problems, research fellow Laura Walkup said. Medical Physics Web (registration required)/Aunt Minnie (1/21)
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News from NCC
See "Certified Nurses are Everywhere" on 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 specially scheduled broadcasts. "Certified Nurses are Everywhere!" will be aired during the "CBS Evening News" on Sundays in February. Learn more.
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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 a NCC certification. Read more.
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New CE modules available from NCC!
Continuing Education from NCC is affordable and convenient. Modules are available in five, 10 and 15 hours of CE with prices starting at $19. Plan your continuing education around YOUR schedule. Purchase and access NCC CE modules from at any time, 24/7. Read more.
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One new perception, one fresh thought, one act of surrender, one change of heart, one leap of faith, can change your life forever."
-- Robert Holden,
British psychologist and author
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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 –
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