ACOG adds betamethasone to corticosteroid recommendations | Birth defects caused by Zika could rise beyond estimates | USPSTF calls for routine BP screening for preeclampsia
October 3, 2016
NCC Practice Resource
News for Obstetric, Neonatal & Women's Health Care Professionals
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ACOG adds betamethasone to corticosteroid recommendations
An American College of Obstetricians and Gynecologists committee opinion added betamethasone to antenatal corticosteroid recommendations for women at high risk of late preterm birth. The update in Obstetrics & Gynecology also emphasized an earlier guideline about considering antenatal corticosteroids for women at high risk of preterm delivery, beginning at 23 weeks' gestation.
Medscape (free registration) (9/27) 
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Birth defects caused by Zika could rise beyond estimates
The risk of any congenital defect for an infant born to a pregnant woman infected by the Zika virus is likely much higher than the 1% to 13% risk of microcephaly for such children, said Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases. A study in the journal Cell Host & Microbe found that the virus attacks cranial neural crest cells, which could explain why Zika-affected infants develop smaller-than-average skulls and facial features that are disproportionate.
Reuters (9/29),  Reuters (9/29) 
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Patient Safety & Clinical Update
USPSTF calls for routine BP screening for preeclampsia
Draft recommendations from the US Preventive Services Task Force advise pregnant women to undergo routine preeclampsia screening using blood pressure tests throughout pregnancy, an update of 1996 guidance. The USPSTF found that blood pressure screening yielded higher accuracy and efficacy in diagnosing preeclampsia risk, compared with the dipstick test and risk prediction.
Reuters (9/27),  Physician's Briefing/HealthDay News (9/27) 
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High-flow therapy tied to increased treatment failure among preemies
A study in The New England Journal of Medicine found that 25.5% of preterm infants with early respiratory distress who had high-flow therapy as primary support had treatment failure, compared with 13.3% of those who received continuous positive airway pressure. However, the findings, based on an international, multicenter, non-inferiority trial involving 564 babies born at 28 weeks of gestation or later, didn't show significant differences in the rates of intubation within 72 hours and adverse events between both groups.
Physician's Briefing/HealthDay News (9/22) 
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Azithromycin may help reduce infections after C-section
Using azithromycin as part of routine antibiotic prophylaxis in women who have unscheduled cesarean deliveries was associated with reduced risk of infection, according to a study in the New England Journal of Medicine.
Medscape (free registration) (9/28) 
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Study ties early menopause to elevated risks of heart disease, mortality
A Dutch study in JAMA Cardiology found women who started menopause before the age of 45 had a 50% higher risk of coronary heart disease, a 20% increased risk of cardiovascular disease-related mortality and a 12% greater risk of all-cause mortality, compared with those who entered menopause at an older age. A second study found women who began menopause between 50 and 54 had a lower risk of fatal coronary heart disease, compared with those who began menopause before age 50.
Reuters (9/15) 
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Professional Practice
NICU nurses help design preemie diapers
Procter & Gamble worked with NICU nurses to design its Pampers Preemie Swaddlers line of diapers for premature babies as small as 1 pound. The diapers can fit a premature infant born in the mother's second trimester.
The Cincinnati Enquirer (tiered subscription model) (9/29) 
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Policy, Ethics & Legal Update
Researchers find increasing NAS prevalence among US infants
The incidence of neonatal abstinence syndrome in the US increased from 2.8 cases per 1,000 births in 2008 to 7.3 in 2013, according to a study in JAMA Pediatrics. National and state drug abuse programs must prioritize ways to address opioid use in pregnant women and women of childbearing age, researchers said.
Reuters (9/26), (9/26) 
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Technology & Trends
Ind. hospital tests wireless fetal monitoring system
A wireless fetal monitoring system is being tested at Hancock Regional Hospital in Greenfield, Ind. The hospital is part of a pilot project for the Monica Novii wireless patch system that monitors the heart rates of mothers and infants and tracks contractions.
Greenfield Daily Reporter (Ind.) (9/16) 
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News from NCC
The Alternate Certification Program (ACP) for Nurse Practitioners
The National Certification Corporation (NCC) is pleased to announce The Alternate Certification Program (ACP) for Neonatal Nurse Practitioners and Women's Health Care Nurse Practitioners. This program offers Neonatal or Women's Health Care Nurse Practitioners who wish to achieve national certification, but are not currently eligible, an opportunity to sit for their NCC national board certification exam. Learn more.
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Attending the NANN or FANNP conference this October? A few things you should know before you go ...
If you are a NCC-certified nurse or nurse practitioner and plan to attend the Annual NANN Educational Conference or FANNP's National NNP Symposium this October, there are a few things that you should know before you go....
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Share Your Story -- Winner chooses their prize
The Certified Nurses FREE app was created to give certified nurses an opportunity to share their story -- via video. NCC will randomly select a winner from the videos uploaded this month. The winner will choose their own prize from the Certified Nurses are Everywhere! webstore, the NCC Certified Nurses Changing Lives webstore OR they can choose a NCC CE module. Learn more.
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NCC CE Modules -- Expiring soon!
CE from NCC
Continuing Education from NCC offers affordable and convenient ways 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. The expiration date for all modules are posted. Here is a listing of modules that will be discontinued on Dec. 31, 2016. Don't miss out -- order before they are no longer available.
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National Certification Corporation
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George Bernard Shaw,
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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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