Brazil study examines microcephaly as indicator of Zika infection | Analysis: More data needed on optimal oxygen for preterm infant resuscitation | Creatinine measures may help predict preeclampsia, study says
July 11, 2016
NCC Practice Resource
News for Obstetric, Neonatal & Women's Health Care Professionals
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Brazil study examines microcephaly as indicator of Zika infection
A study of 1,501 births in Brazil found that microcephaly does not reliably indicate Zika virus infections in newborns and that normal head circumference cannot rule out Zika. Dr. Cesar Victora said 1 in 5 infants who had definite or probable Zika infections had head circumference measures within the normal range.
Medscape (free registration) (7/1) 
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Patient Safety & Clinical Update
Analysis: More data needed on optimal oxygen for preterm infant resuscitation
No clear evidence supports either lower or higher oxygen levels for resuscitation of babies born at or before 28 weeks, according to an analysis of trials and databases in the Archives of Disease in Childhood. No difference in overall survival or common preterm conditions was seen between of fraction of inspired oxygen levels of 0.3 or less and 0.6 or more.
Medscape (free registration)/Reuters (6/24) 
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Creatinine measures may help predict preeclampsia, study says
Creatinine levels and urine protein-to-creatinine ratios may help predict preeclampsia risk in pregnant women with a history of hypertension, researchers reported in Obstetrics & Gynecology. The retrospective study found risk of adverse outcomes was associated with urine protein-to-creatinine ratios of 0.12 or higher and 0.75 mg/dL or higher serum creatinine, which are lower than the levels usually considered abnormal.
Medscape (free registration) (6/13) 
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USPSTF: More data needed on pelvic exam screenings in asymptomatic women
The US Preventive Services Task Force found insufficient evidence to recommend for or against annual pelvic examinations to identify gynecologic conditions among asymptomatic women who are not pregnant, according to draft recommendations. "This is not a recommendation against doing the exam. This is a recommendation to call for more research to figure out the benefits and harms associated with screening pelvic exams," said task force member said Dr. Maureen Phipps.
The New York Times (free-article access for SmartBrief readers) (6/28),  Medscape (free registration) (6/28),  STAT (6/28) 
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Professional Practice
ACOG updates guidance on obstetric lacerations
The American College of Obstetricians and Gynecologists included updated information on obstetric lacerations during vaginal delivery in recommendations published in its journal Obstetrics & Gynecology. The report found insufficient evidence to recommend some treatments to prevent and repair severe perineal lacerations, along with indications for episiotomy.
Medscape (free registration) (6/24) 
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NPs offer views on updated drug labels for pregnant, lactating women
Updated FDA drug labels for pregnant and lactating women will provide more complete and current information but also could make prescribing more complex, according to nurses at the American Association of Nurse Practitioners National Conference. "You're going to have to read the new labels, understand them, and be proactive by recognizing clinical pictures," said NP Patricia Geraghty.
Medscape (free registration) (6/29) 
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Report: Pa. averages 2 newborn misidentification events daily
A report from the Pennsylvania Patient Safety Authority found about two newborn misidentification events happen daily in the state. A large majority did not result in harm, but five serious events were identified. (6/17) 
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Policy, Ethics & Legal Update
Senate rejection of Zika bill may threaten vaccine research
A $1.1 billion measure to fund the federal response to the Zika virus was blocked in the US Senate. Anthony Fauci, director of the NIH's National Institute of Allergy and Infectious Diseases, said research into developing a vaccine for Zika could stop in the coming months if Congress does not approve funding.
USA Today (6/28),  USA Today (6/29) 
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Technology & Trends
Simulation center trains clinicians for newborn emergencies
The Newborn Center Comprehensive Insight to Simulation Program at Texas Children's Hospital helps physicians, nurses and other staff train for medical emergencies involving infants. Medical director Dr. Jennifer Arnold says the program can help prepare clinicians for critical situations in a safe environment.
KTRK-TV (Houston) (6/27) 
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Women may now obtain birth control prescriptions online
Lemonaid app
Lemonaid app (Jason Hwang, M.D., Inc./Lemonaid Health)
Several companies and nonprofits, such as Planned Parenthood and Prjkt Ruby, now provide birth control prescriptions for women through apps and websites such as Lemonaid and Virtuwell. These digital ventures do not require legislative approval, but they must follow telemedicine regulations, and they can only provide prescriptions in states where their clinicians are licensed.
The New York Times (free-article access for SmartBrief readers) (6/19) 
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News from NCC
Display your accomplishment!
Certificates, cards and pins! The NCC Recognition website offers official certificates and wallet cards with specialty specific graphics. T-shirts, totes and more! NCC has created some fun and useful items for NCC certified professionals. Take a moment to visit these webstores: NCC Certified Nurses Changing Lives and Certified Nurses are Everywhere. Learn more.
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Share your story for a chance to win our monthly drawing!
The Certified Nurses FREE app was created to give certified nurses an opportunity to share, via video, how certification has affected their nursing career. This summer, NCC will randomly select a winner from the videos uploaded that month. The July winner will receive a copy of the Golden Hours: Care of the Very Low Birth Weight Infant book. Read more.
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NCC maintenance due dates have changed!
NCC Maintenance Dates Have Changed
Effective Jan. 1, 2016: All maintenance due dates are on the 15th of the month, instead of the end of the month. All individuals due to maintain NCC certification in 2016, 2017, 2018 or beyond have a new maintenance due date. This change affects all individuals holding an NCC credential, including RNC-E and those newly certified. NCC maintenance due dates are reflected in each individual's personal account. Read more.
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New CE Modules available from NCC!
Continuing Education from NCC is affordable and convenient. Modules are available in 5, 10 & 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. Learn more.
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Learn more about NCC:
National Certification Corporation
Failure is only the opportunity to begin again, this time more intelligently.
Henry Ford,
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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 –
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