Study highlights factors that may affect newborn respiratory rates | Study: Early ultrasounds may fail in diagnosing Zika-related microcephaly | Study: Cervical pessary may not lead to lower rates of preterm birth
April 4, 2016
NCC Practice Resource
News for Obstetric, Neonatal & Women's Health Care Professionals
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Study highlights factors that may affect newborn respiratory rates
A study in Pediatrics highlights how sleep, meconium staining of amniotic fluid and sex may affect respiratory rates during the first 24 hours of life in healthy term newborns. While the median respiratory rates were 46 breaths per minute at 2 hours and 42 to 44 breaths per minute after that, there was wide variation in the range, researchers said.
Medscape (free registration) (3/30) 
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Patient Safety & Clinical Update
Study: Early ultrasounds may fail in diagnosing Zika-related microcephaly
Signs of microcephaly in a fetus whose mother was infected by the Zika virus were detected by ultrasound only on the 19th week of pregnancy, according to a study in the New England Journal of Medicine. A separate CDC report said standard precautions should be used in labor and delivery to minimize risks of transmitting the Zika virus to health care personnel or other patients. News (3/28),  Reuters (3/30) 
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Study: Cervical pessary may not lead to lower rates of preterm birth
Using a silicone pessary to support the cervix and reduce pressure was not associated with significantly different rates of spontaneous delivery before 34 weeks compared with expectant management for pregnant women, according to a study in the New England Journal of Medicine. Data also showed no differences in perinatal death, adverse events or neonatal special care.
2 Minute Medicine (3/21) 
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Study: Mothers' vaginal fluid may benefit babies born by C-section
Babies born by cesarean section may benefit by being swabbed with their mothers' vaginal fluid collected just before the procedure begins, a new study published in Nature Medicine suggests. Scientists say microbes normally picked up by babies as they move through the birth canal in a vaginal birth can have a beneficial impact on future health. In the study, doctors wiped newborns just after birth by C-section with vaginal fluid and followed the bacterial changes that took place in the babies' first month of life compared with babies who weren't swabbed.
Science News (3/30) 
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Study ties antenatal corticosteroids to reduced mortality in preemies
A study in Obstetrics & Gynecology found a 58.1% mortality to discharge rate among preterm infants given antenatal corticosteroids and active intensive treatment, compared with a 71.8% rate among those who didn't receive medications. The findings were based on data from 17 observational studies involving neonates born before 24 weeks of gestation. News (3/16) 
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Study links endometriosis to higher risk of heart disease
Researchers reviewed data for more than 116,000 women in the Nurses' Health Study II and found that those with endometriosis were at greater risk of having a heart attack, needing surgery for a blocked artery or having angina. The risk was highest through age 40, according to findings published in Circulation: Cardiovascular Quality and Outcomes.
Reuters (3/29) 
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Professional Practice
Nurse midwife is popular clinical specialty, educators say
A nurse midwife develops strong, trusting relationships with pregnant women and their families, says Frontier Nursing University course coordinator and faculty mentor Heather Clarke, who has been a nurse midwife for 35 years. An emphasis on preventive health care and reducing unnecessary cesarean sections have generated new interest in the growing specialty. (3/24) 
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Policy, Ethics & Legal Update
Ill. bill would make it legal for midwives to assist home births
Illinois state Rep. Robyn Gabel is again pushing for consideration and support of the Home Birth Safety Act, which would make it legal for midwives to assist home births and provide for state licensure. Opponents of the bill cite mother and baby safety issues, but a 2012 study paid for by the Coalition for Illinois Midwifery found licensing midwives could save the state's Medicaid program millions of dollars. There were 456 certified nurse midwives working in Illinois hospitals as of 2013.
Belleville News-Democrat (Ill.)/The Associated Press (3/20) 
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Technology & Trends
NICU discharge can be complex process for neonates, study says
The transition from NICU to home for neonates can be complicated by continued requirements for complex care and use of technology such as supplemental oxygen and feeding tubes, mechanical ventilation, and gastronomy and nasogastric tubes, researchers reported at the National Association of Pediatric Nurse Practitioners' annual meeting. Study data showed the mean hospital stay for technology-dependent neonates was 108.6 days, compared with 25.7 days for those not dependent on technology. (3/25) 
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Wider use of ultrasound could cut maternal, fetal, neonatal morbidity and death
Wider use of ultrasound could help reduce morbidity and mortality among expectant and postpartum mothers, fetuses and newborns in parts of the world where care is lacking, according to Alfred Abuhamad of Eastern Virginia Medical School, speaking at the American Institute of Ultrasound in Medicine annual meeting. Barriers to more widespread use of prenatal ultrasound include political and financial instability in some countries and gender inequality in certain areas. (free registration) (3/18) 
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News from NCC
NCC is pleased to announce the launch of our video sharing app -- Certified Nurses
Take a moment to download the app and share with us how becoming certified has helped transform your career and has impacted your life. Your thoughts will be shared on the video wall and the Certified Nurses YouTube channel. We all have a story ... share yours! 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. Read more.
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Lapsed credential? Let's talk about the NCC reinstatement program
A reinstatement program is available for individuals who failed to maintain their certification by their maintenance due date. The reinstatement program allows professionals formally credentialed by NCC to come back into the system without re-examination. Read more.
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Learn more about NCC:
National Certification Corporation
The person who is waiting for something to turn up might start with their shirt sleeves.
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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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