Low-risk cesarean rates declining in U.S. | Childbirth risks are low for women with congenital heart disease, study says | Study: Early sodium supplementation boosts weight in preemies
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December 1, 2014
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News for Obstetric, Neonatal & Women's Health Care Professionals
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Low-risk cesarean rates declining in U.S.
A report in National Vital Statistics Reports found the delivery rate for low-risk cesarean sections has dropped from 28.1% in 2009 to 26.9% in 2013. Low-risk cesarean delivery rates have risen since hitting their low point in 1997 at 18.4%, and HHS and the Joint Commission made lowering the rate of low-risk cesareans a goal. Medscape (free registration) (11/5)
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Patient Safety & Clinical Update
Childbirth risks are low for women with congenital heart disease, study says
Study data show pregnant women with congenital heart disease had low rates of heart failure, heart rhythm problems and heart attacks when giving birth, and did not have a significantly increased risk of death. However, these women had higher rates of cesarean section deliveries and longer hospital stays, compared with women who did not have congenital heart disease, University of California, San Francisco, researchers reported at the American Heart Association annual meeting. HealthDay News (11/19)
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Study: Early sodium supplementation boosts weight in preemies
Premature infants who received early sodium supplementation gained more weight at a faster rate compared with those who did not receive the intervention, according to a study in the Journal of Parenteral and Enteral Nutrition. Science World Report (11/21)
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Higher risk of preterm birth seen in women with RA
Children born to mothers with either maternal or preclinical rheumatoid arthritis exhibited lower birth weight and were more likely to be delivered prematurely than those whose mothers did not have the condition, according to a study in Arthritis & Rheumatology. Medical News Today (11/13)
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Most HIV drug combos don't cause birth defects, study finds
A study in JAMA Pediatrics revealed that most combinations of antiretroviral agents do not increase the odds of birth abnormalities -- such as heart defects, cleft palates and extra fingers or toes -- in children of pregnant women with HIV. "Overall, I think this finding is very reassuring. Nothing would suggest that women should avoid treatment early in pregnancy, especially when there's such a dramatic and demonstrated benefit," said lead researcher Paige Williams. The Boston Globe (tiered subscription model) (11/11)
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Plastic medical products may lead to DEHP exposure in preemies
A study in the Journal of Perinatology showed preemies in the neonatal intensive care unit may be exposed to levels of di(2-ethylhexyl)phthalate from plastic medical products 4,000 to 160,000 times higher than safe levels. HealthDay News (11/13)
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Professional Practice
Study: EMRs, databases show nurses' contributions to care
A study in Health Services Research found that the performance of nurses can be measured using EMRs and human resource databases. Researchers found that nurses' work could be associated with 8% of the variance in patient outcomes, and more experience and having at least a bachelor's degree were linked with greater nurse contributions to care. McKnight's Long-Term Care News (11/13)
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Policy, Ethics & Legal Update
Study backs safety of pertussis vaccine during pregnancy
A study in the Journal of the American Medical Association found pregnant women who received tetanus-diphtheria-pertussis vaccine did not show increased odds of preterm birth, preeclampsia or low birth weight infants. "The vaccine is the best option we have right now to prevent pertussis in newborns, and our study supports vaccinating women during pregnancy," said lead author Elyse Kharbanda. HealthDay News (11/11)
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Technology & Trends
NICU learns evacuation lessons from Hurricane Sandy
An online report in Pediatrics looks at the challenges and lessons learned by New York University Langone Medical Center NICU staff when they evacuated the unit during Hurricane Sandy in 2012. Since then, the NICU team has created evacuation checklists for future events, assigned a social worker as a contact for family and staff, and moved evacuation equipment to an easily accessible area. Medscape (free registration) (11/10)
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CDC: U.S. shows lower infant death rates
A CDC report showed a 4% decrease in U.S. infant death rates between 2006 and 2011, with the largest decline seen among black women at 8%. However, researchers found the fetal death rate has remained steady from 2006 through 2012. Improvements in prenatal care and access to care could help more women give birth at 39 weeks and further decrease the infant death rate, an expert said. HealthDay News (11/19)
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News from NCC
The reviews are in ... "Golden Hours" is certain to become an essential resource
Golden Hours -- Care of the Very Low Birth Weight Infant is certain to become an essential resource for providers or students who desire a practical guide for considering the most common clinical situations and problems that arise when delivering neonatal intensive care for the VLBW infant. Read more.
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Certified Nurses are Everywhere campaign update
The national PSA campaign -- Certified Nurses are Everywhere! -- was launched last February. Its purpose is simple - to inform the public that "nurses can be nationally certified in their nursing specialty" and to briefly explain the values held by certified nurses. This PSA is currently being broadcast by network and independent stations throughout the country and has already been viewed over 225 million times. There will also be specially scheduled broadcasts during the "CBS Sunday Evening News" this winter. Read more.
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NCC certified nurses promotional items
Visit NCC's web stores and do some holiday shopping for yourself or your unit. Help generate awareness within your unit and community about NCC Certified Nurses. Learn more.
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Look within. Within is the fountain of good, and it will ever bubble up, if thou wilt ever dig."
-- Marcus Aurelius,
Roman emperor
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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.
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