Medical groups publish new guidelines on determining due dates | USPSTF recommends aspirin for some expectant women to manage preeclampsia risk | 300 experts collaborate on fetal and newborn size and growth guidelines
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October 6, 2014
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Medical groups publish new guidelines on determining due dates
Three medical groups are issuing new guidelines for determining pregnancy-due-date estimates and gestational ages in Obstetrics & Gynecology and the Journal of Ultrasound in Medicine. Authors from the American College of Obstetricians and Gynecologists, the American Institute of Ultrasound in Medicine and the Society for Maternal-Fetal Medicine said establishing a "consistent and exacting approach" was a public health priority. Medscape (free registration) (9/25)
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USPSTF recommends aspirin for some expectant women to manage preeclampsia risk
The U.S. Preventive Services Task Force has recommended that at-risk pregnant women take daily low-dose aspirin after 12 weeks of gestation to reduce the odds of preeclampsia. Low-dose aspirin in high-risk cases is associated with a 24% lower risk of preeclampsia, 14% lower odds of preterm birth and 20% reduced risk of intrauterine growth restriction. The final recommendations appear in the Annals of Internal Medicine. DailyRx.com (9/8), HealthDay News (9/8)
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Patient Safety & Clinical Update
300 experts collaborate on fetal and newborn size and growth guidelines
A universal set of guidelines outlining optimal fetal and newborn growth and development has been developed by an Oxford University-led team of experts. The project, which involved 60,000 women and 300 clinical experts and researchers, was designed to set a standard to guide assessments and interventions addressing the health of underweight and overweight babies. The guidelines establish ultrasound measurement curves for prenatal growth and for weight, length and circumference of the head at birth. MedicalDaily.com (9/4)
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HbA1C threshold may predict gestational diabetes
A study in Diabetes Care found an HbA1C threshold of ≥5.9% during early pregnancy showed a 98.4% specificity in detecting gestational diabetes. Researchers also noted poorer pregnancy outcomes in patients with an HbA1C of 5.9% to 6.4% compared with those who had lower rates. PhysiciansBriefing.com/HealthDay News (9/15)
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M Technique has benefits for NICU infants, study says
A sequence of structured movements designed to comfort NICU babies, known as the M Technique, can have physiologic and behavioral benefits for infants, according to a study presented at the National Association of Neonatal Nurses annual meeting. Neonatal nurse practitioner Mary Raney said M Technique is easy to learn and is something NICU staff can teach parents. Medscape (free registration) (9/18)
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Breast-feeding carries higher risk of mother-to-child CMV transfer
Among very low birth weight infants, breast milk consumption was associated with a greater risk of mother-to-infant cytomegalovirus transmission than blood transfusion, according to a study in the journal JAMA Pediatrics. Twenty-seven of the 29 infected babies were tied to CMV-positive breast milk, while none were transfusion-related. HealthDay News (9/23)
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Other News
Professional Practice
Neonatal medical home should follow NICU care, experts say
Infants discharged from a NICU have continuing medical issues and should be cared for in a neonatal medical home setting, researchers from the University of Kansas Hospital told the National Association of Neonatal Nurses annual meeting. Registered nurse Debbie Pennington, clinical program coordinator for the hospital's neonatal medical home, said the setting also can provide preventive care and offer parents the comfort of dealing with the same medical team that cared for their child in the NICU. Medscape (free registration) (9/16)
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Policy, Ethics & Legal Update
Health care needs nurse leaders, Cipriano says
As nurses become more educated and gain certifications, they are taking on greater responsibilities and moving out of the hospital into other health care settings, says American Nurse Association President Pam Cipriano. Determining whether there is a nurse shortage or when one might occur is difficult because the career landscape changes quickly and nurses are working longer before retiring, she said. It's important for nurses to be in positions of leadership and decision making, she added, as well as being integral parts of primary care, patient-centered medical homes and nurse-managed health centers. Modern Healthcare (subscription required) (9/27)
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Technology & Trends
Infants fare better in single-family room NICUs
Infants in single-family rooms in neonatal intensive care units gained weight more rapidly and were heavier at discharge than babies placed in shared, open-bay NICU rooms, according to a study in the journal Pediatrics. Single-room care also was associated with fewer medical procedures and reduced pain levels. The New York Times (tiered subscription model)/Well blog (9/22)
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News from NCC
"Golden Hours: Care of the Very Low Birth Weight Infant" is now available!
NCC
Edited by NCC Executive Director Robin Bissinger, PhD, APRN, NNP-BC, FAAN, and David J. Annibale, M.D., neonatal division director at the Medical University of South Carolina, and representing expertise from specialists from around the country, "Golden Hours: Care of the Very Low Birth Weight Infant" is a comprehensive guide that can give you the tools to help you change the outcome for these high risk infants. Learn more.
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$8 CE modules available for "Golden Hours: Care of the Very Low Birth Weight Infant" book chapters
Continuing education module for Golden Hours book chapters offer 2 contact hours for the low cost of $8. The CE is purchased from NCCwebsite.org and maintained through your NCCwebsite.org account. If you do not have an NCC account, you will create one during the purchase process. Learn more.
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Planning to attend the October NPWH Convention? We will see you there
Do you have questions about the Continuing Competency Initiative? Are you interested in the latest NCC-sponsored consumer education projects? Would you like to know "Why Certified"? Visit the NCC booth within NPWH's suite of exhibits -- we will be easy to find. Read more.
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SmartQuote
What we once enjoyed and deeply loved we can never lose, for all that we love deeply becomes a part of us."
-- Helen Keller,
American author and political activist
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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.
 
Contact NCC
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