Protocol-based weaning improves outcomes in neonatal abstinence syndrome | U.K. study: Severe sepsis can develop quickly during pregnancy | Study: Jaundice is common among breast-fed infants
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August 4, 2014
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Protocol-based weaning improves outcomes in neonatal abstinence syndrome
Following established weaning procedures was associated with faster recovery time among babies exposed to opioids during pregnancy, according to a study in the journal Pediatrics. Infants who were weaned off opioids using an established method also had a shorter hospital stay than those who were treated with a less precise procedure. DailyRx.com (7/27)
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Patient Safety & Clinical Update
U.K. study: Severe sepsis can develop quickly during pregnancy
A study in the journal PLoS One analyzed cases of severe maternal sepsis from June 2011 to May 2012 reported through the U.K. Obstetric Surveillance System. Severe sepsis should be regarded as an obstetric emergency and antibiotics do not necessarily prevent the progression of an infection to severe sepsis, researchers said. BBC (7/8), Medscape (free registration) (7/8)
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Study: Jaundice is common among breast-fed infants
Research in the journal Pediatrics showed that 43% of 1,044 breast-fed babies had skin bilirubin levels of at least 5 milligrams per deciliter at age 3 weeks and 34% were clinically jaundiced. At one month, 34% of the babies had high bilirubin levels and 21% had jaundice. DailyRx.com (7/21)
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Low folate levels in pregnancy may predict neural tube defect risk
In an analysis of two population-based studies from China, researchers found that women who had a lower red blood cell folate concentration on the 28th day of pregnancy had a greater likelihood of having babies with neural tube birth defects compared with those with higher folate levels. The findings appear in The BMJ. HealthDay News (7/29)
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Early cord clamping may raise infant admission, death risk
Among self-breathing newborns in a rural Tanzanian hospital, clamping the umbilical cord before or immediately after onset of spontaneous respiration was associated with higher odds of admission and death, Norwegian researchers found. The likelihood of death or hospital admission fell by 20% for each 10-second delay in cord clamping, according to the study in Pediatrics. PhysiciansBriefing.com/HealthDay News (7/18)
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Hormonal contraceptives linked to gestational diabetes risk in Mo. study
Women who used hormonal contraceptive methods prior to pregnancy were more likely than nonusers to develop gestational diabetes, according to a study in the CDC's Preventing Chronic Disease journal. Other factors linked to greater risk of diabetes in the study were being older than 30 and being overweight or obese, according to the analysis of data involving 2,741 women in Missouri. DailyRx.com (7/18)
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Studies confirm that acupuncture reduces hot flashes
An analysis of 12 clinical trials covering 869 menopausal women found that various forms of acupuncture consistently reduced the frequency and severity of hot flashes. The study was published in the journal Menopause. The article also describes other ways to relieve hot flashes, including reducing stress levels, taking black cohosh supplements, avoiding spicy foods, and eating foods rich in soy and vitamins E and C. The Epoch Times (7/28)
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Professional Practice
SANE training helps nurses care for sexual assault victims
Nurses can be trained and certified through the Sexual Assault Nurse Examiner Program to help children and adults. The program teaches nurses how to collect evidence and care for victims. Hospitals may have SANE-trained nurses in units such as maternity, behavioral health and the emergency department. SeacoastOnline (Portsmouth, N.H.) (tiered subscription model) (7/13)
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Policy, Ethics & Legal Update
Tenn. law may keep pregnant women from getting health care
A Tennessee woman has been charged under a new state law making it a crime to use drugs while pregnant. Lynn Paltrow of the National Advocates for Pregnant Women said such laws can keep women from getting health care because of the fear of prosecution and of losing their children. ABC News (7/14)
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Technology & Trends
Mich. children's hospital has dedicated neonatal ambulance
Michigan's Hurley Children's Hospital has its own "SPLASH" ambulance dedicated to transporting pregnant women and critically ill infants. The Specialized Pediatric and Perinatal Life Support Ambulance Supporting Hurley Children's Hospital ambulance carries NICU technology, and clinicians say they hope to begin using Skype to enhance care during longer transports. MLive.com (Michigan) (free registration) (7/29)
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News from NCC
Welcome Robin L. Bissinger, Ph.D., APRN, NNP-BC, FAAN -- NCC's new executive director
Dr. Bissinger also served as NCC president from 2010-2013 and brings to the executive director position extensive knowledge of NCC and its activities. She has been active nationally regarding critical issues affecting nurses and advanced practice nurses. NCC wishes to welcome Dr. Bissinger to her new role and looks forward to a long partnership. Read more.
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Certified Nurses Are Everywhere! -- Campaign update
Certified Nurses Are Everywhere! button
The Certified Nurses Are Everywhere! PSA is in broadcast rotation throughout the country, and it has been viewed over 132 million times. If you haven't seen it, view on NCC's YouTube channel and visit the Certified Nurses are Everywhere online store and choose some items to help with your team building efforts. Read more.
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NCC CE modules -- expiring soon!
As you know, NCC offers convenient and affordable Continuing Education that you can use to maintain specialty knowledge competencies and keep abreast of the latest practice updates. To keep these educational offerings current and relevant, NCC adds new modules throughout the year and removes modules at the end of every year. See the listing of modules that will be discontinued on Dec. 31. Don't miss out -- order before they are no longer available.
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SmartQuote
My definition of a free society is a society where it is safe to be unpopular."
-- Adlai Stevenson,
American politician and diplomat
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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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