Studies support planned cesarean for breech birth presentation | Induced labor may lower injury risks during delivery of large babies | Miscarriage, preterm delivery more likely with celiac disease
May 4, 2015
NCC Practice Resource
News for Obstetric, Neonatal & Women's Health Care Professionals
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Studies support planned cesarean for breech birth presentation
Data from 52,671 cases of breech birth showed planned cesarean delivery led to fewer adverse events than vaginal delivery or labor and cesarean delivery, researchers reported in Obstetrics & Gynecology. An additional report analyzing results from several studies also supported use of planned cesarean delivery for women with a breech presentation. Medscape (free registration) (4/17)
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Patient Safety & Clinical Update
Induced labor may lower injury risks during delivery of large babies
European researchers said a trial found women pregnant with particularly large babies who undergo labor induction at 37 to 38 weeks had lower rates of shoulder dystocia during delivery. In the study, reported in The Lancet, shoulder dystocia was reported in 2% of infants in the assigned-induction group and 6% in the monitoring group. Reuters (4/22)
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Miscarriage, preterm delivery more likely with celiac disease
Researchers looked at 970 women and found that those with celiac disease were more likely to miscarry and deliver prematurely than those without celiac disease. The findings, published in the Annals of Gastroenterology, suggest women who experience miscarriages or preterm deliveries should be tested for celiac disease, the lead researcher said. Reuters (4/16)
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Study ties RA disease activity in pregnancy to preterm birth
A study of 440 pregnant women with rheumatoid arthritis found those who had high levels of disease activity early in their pregnancies were at higher risk of preterm deliveries or having babies who are small for gestational age. Researchers at the University of California at San Diego said a woman's use of prednisone at dosages of more than 10 milligrams daily also was tied to increased risks. The findings were published in the Journal of Rheumatology. Healio (free registration)/Rheumatology (4/20)
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Professional Practice
Guidelines address when newborns are ready for hospital discharge
Guidelines from the American Academy of Pediatrics say there can be wide variation in newborn infants' readiness to be released from the hospital and multiple issues for health care professionals to consider. The report, published in the journal Pediatrics, also lists criteria to determine when mothers are ready to care for their babies and themselves at home. HealthDay News (4/27)
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Studies support more parent involvement in NICU baby care
International study data show better outcomes when parents care for their newborns in the NICU, and researchers suggest the physical contact may help a baby's developing immune system. The University of California at San Francisco has applied for an NIH grant to study the Family Integrated Care approach. The Wall Street Journal (tiered subscription model) (4/13)
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Policy, Ethics & Legal Update
Nurse staffing bill is introduced in Congress
Sen. Jeff Merkley, D-Ore., and Reps. David Joyce, R-Ohio, and Lois Capps, D-Calif., have proposed legislation that would require hospitals to develop staffing plans for nurses. The Registered Nurse Safe Staffing Act of 2015 also includes the creation of a staffing committee whose members include a majority of direct-care nurses. KTVZ-TV (Bend, Ore.) (4/29)
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HHS turns down request for ACA open enrollment for pregnant women
HHS is not legally authorized to establish pregnancy as an exception to create an open enrollment period under the Affordable Care Act, HHS Secretary Sylvia Mathews Burwell said. She was responding to a letter sent by Democrats asking for a special arrangement for women when they find out they are pregnant. Enrollment in Medicaid or the Children’s Health Insurance Program is an option for pregnant women, she said. The Hill (4/13)
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Technology & Trends
Study examines antibiotic use in Calif. NICUs
Researchers looked at more than 52,000 infants in 127 neonatal intensive care units in California and found that about half of NICUs gave antibiotics to newborns for less than 25% of patient-days, while half administered on more than 25% of patient-days. The findings, published in Pediatrics, showed that antibiotic use does not correlate with infection rates, surgical cases or infant deaths, which researchers said indicates they may be overused. HealthDay News (4/20)
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NICUs see increase in infant admissions for neonatal abstinence syndrome
A study in the New England Journal of Medicine found an almost fourfold increase in the number of infants admitted to neonatal intensive care units for treatment of neonatal abstinence syndrome in the U.S. from 2004 to 2013. HealthDay News (4/27)
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News from NCC
NCC to present at AANP's 2015 National Conference
NCC has been invited to present a poster at the American Association of Nurse Practitioners 2015 National Conference. "Practice Issue: Let's Assess Personalized Certification Maintenance" will be presented on Wednesday, June 10, from 10 a.m.-noon by Suzy Reiter, WHNP-BC, FAANP and NCC past president. Learn more.
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Planning to attend the AWHONN convention? A few things to know before you go ...
If you are an NCC-certified nurse or nurse practitioner and plan to attend the AWHONN convention, here are a few things that you should know before you go. Read more.
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Webinar: "Grandfathering, Endorsement, and Other New 'Rules' for APRNs"
The National Association of Neonatal Nurse Practitioners is sponsoring a free webinar, "Grandfathering, Endorsement and Other New 'Rules' for APRNs." This one-hour event is scheduled for Wednesday, May 13. Find additional information.
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2014 NCC Milestones
NCC has certified over 133,000 professionals and celebrated its 39th anniversary. Over 6,400 new registrants signed up for an NCC certification in 2014 and passed the exams. Over 26,000 maintained during this time as well. Find a link to the 2014 Milestone document.
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The seat of knowledge is in the head, of wisdom, in the heart."
-- William Hazlitt,
writer and philosopher
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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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