2 trials evaluate risk of lowering oxygen saturation targets | Study assesses neurodevelopmental outcomes of extreme preemies | CDC assesses congenital heart defect screening practices
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May 6, 2013
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2 trials evaluate risk of lowering oxygen saturation targets
Two studies presented at a pediatric conference reached differing conclusions about the mortality and disability risks of lowering standard oxygen saturation targets for preterm infants. The Canadian Oxygen Trial published in the Journal of the American Medical Association found no significant effect, but the BOOST II study in the New England Journal of Medicine found a higher death rate. MedPage Today (free registration) (5/5)
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Patient Safety & Clinical Update
Study assesses neurodevelopmental outcomes of extreme preemies
Uppsala University researchers looked at 491 extremely premature babies and found that 73% of them who were given active perinatal care had mild or no neurodevelopmental disability at age 2.5 years. They reported in the Journal of the American Medical Association that the rate of moderate or serious overall disability among babies born at 26 weeks of gestation was 17%, compared with 60% for babies born at 22 weeks. PhysiciansBriefing.com/HealthDay News (4/30)
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CDC assesses congenital heart defect screening practices
In Georgia, 22 of 71 hospitals routinely screen all newborns for congenital heart defects, while all 11 hospitals surveyed in New Jersey conducted the screening, CDC researchers said. Lack of on-site echocardiography and the need to transfer patients for screening were among the barriers cited by Georgia hospitals for not performing newborn screening. The findings appear in the agency's Morbidity and Mortality Weekly Report. Family Practice News (4/18)
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Music therapy can improve vital signs among preemies
Listening to lullabies, heartbeat sounds and entrained breathing sounds yielded significant improvements in premature babies' vital signs, such as slower heart rates and better quality of sleep, according to a study in Pediatrics. The lullabies also boosted babies' appetite and sucking behavior and lowered parents' stress levels, researchers found. DailyRx.com (4/14), Reuters (4/15)
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Other News
Professional Practice
Project helps hospitals curb early elective deliveries
An initiative aimed at preventing unnecessary early-term deliveries reduced the rate of such deliveries in 25 hospitals across the U.S. by 83%, according to a study in the journal Obstetrics & Gynecology. "This quality-improvement program demonstrates that we can create a change in medical culture to prevent unneeded early deliveries and give many more babies a healthy start in life," study lead author Dr. Bryan Oshiro said. HealthDay News (4/9)
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Tucson, Ariz., hospitals say trained specialty nurses are in demand
Hospitals in the Tucson, Ariz., are not necessarily short of nurses, but say they do need highly trained nurses who specialize in areas including women's health and obstetrics and gynecology. "Every specialty is looking for nurses who are highly trained in their particular area and also compassionate about that particular specialty," said Lisa Contreras of Carondelet Health Network. Arizona Daily Star (Tucson) (4/28)
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Other News
Policy, Ethics & Legal Update
AAP policy statement addresses planned home births
Hospitals and birthing centers are the safest settings for birth, but home deliveries may be an option for healthy pregnant women who are due to have a single, on-time baby, the American Academy of Pediatrics said. The policy statement in Pediatrics recommends the presence of a certified nurse-midwife, midwife or doctor during home births as well as preparing an agreement with a nearby hospital in case of the need for a transfer. Reuters (4/29), DailyRx.com (4/28)
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Technology & Trends
Improved NICU care linked to intellectual disabilities rates
A study in the journal JAMA Pediatrics revealed that 10% to 15% of all intellectual disabilities in children in the study, who were evaluated after the age of 5, were associated with low birth weight. While better technologies and NICU care for low birth weight babies coincided with an increased future risk of intellectual disorders, researchers noted that these babies likely would have died without such improvements. DailyRx.com (4/29)
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News from NCC
NCC to present at the June 2013 AANP National Conference!
NCC is to make a poster presentation at the June 2013 National Conference of the American Association of Nurse Practitioners in Las Vegas. "Evolution of a New Approach to Certification Maintenance" on Friday, June 21, 4 p.m.-6 p.m. NCC Past President Suzy Reiter, WHNP-BC, FAANP, will be presenting. Learn more.
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Is your maintenance due June 30th? Do you have enough CE?
Due to maintain your credential June 30? The deadline is rapidly approaching ... To submit your maintenance application, log in into your NCC website account and "Go to your maintenance application."
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Laughter and tears are both responses to frustration and exhaustion. ... I myself prefer to laugh, since there is less cleaning up to do afterward."
-- Kurt Vonnegut,
American writer
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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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