Association releases guidelines for late preterm infant care | Delay in umbilical cord clamping supported by ACOG committee | Study: IUD use does not lead to pelvic inflammatory disease
December 3, 2012
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Association releases guidelines for late preterm infant care
The National Perinatal Association has released updated guidelines for the care of late preterm infants aimed at minimizing associated health risks and enhancing care. The Multidisciplinary Guidelines for the Care of Late Preterm Infants was developed with the input of 17 professional organizations and covers care from birth through the transition to home. WBNG-TV (Johnson City, N.Y.) (11/28)
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Patient Safety & Clinical Update
Delay in umbilical cord clamping supported by ACOG committee
A 30- to 60-second delay in clamping the umbilical cord leads to better outcomes for preterm infants, but research is less clear about the effects on term infants, according to an opinion by ACOG's Committee on Obstetric Practice. The opinion said the most important benefit in preterm infants is the possibility that intraventricular hemorrhaging can by reduced by almost 50%. Medscape (free registration)/Reuters (11/23)
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Study: IUD use does not lead to pelvic inflammatory disease
Women who have intrauterine devices have a low risk for pelvic inflammatory disease regardless of pre-insertion screening for chlamydia and gonorrhea, researchers reported in the journal Obstetrics & Gynecology. The study from the University of California, San Francisco, included some 60,000 women, and researchers said the results should reassure clinicians the devices are not linked to PID. Medscape (free registration) (11/28)
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Poor pregnancy outcomes seen in type 1 diabetes patients
Data on 148,498 pregnant women showed those with type 1 diabetes face a greater risk of spontaneous abortion, perinatal mortality and fetal macrosomia compared with those without diabetes. The findings were published in the Irish Journal of Medical Science. (11/15)
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Professional Practice
ACOG recommends selling birth control pills OTC
The American College of Obstetricians and Gynecologists is recommending that birth control pills be sold over the counter to cut the rate of unintended pregnancies. "Access and cost issues are common reasons why women either do not use contraception ... or have gaps in use," the group said. CNN (11/21), Fort Worth Star-Telegram (Texas)/The Associated Press (11/20)
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Labor and delivery nurses are recognized for walking research
A four-year research project by labor and delivery nurses at Saint Luke's Hospital in Kansas City, Mo., found walking does not help speed up a woman's labor, compared with resting. The nurses found that walking during an hourlong evaluation in a labor and delivery unit was not associated with faster delivery compared with women who rested. The study looked at women at 37 weeks gestation and less than 4 centimeters dilation. The study was published in the American Journal of Maternal Child Nursing and has been named the 2012 MCN Research Paper of the Year. The Kansas City Nursing News (11/12)
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Policy, Ethics & Legal Update
N.J. considers bill to allow NPs to prescribe on their own
New Jersey state Sen. Joseph Vitale, D-Middlesex, has introduced a bill that would give advanced practice registered nurses the power to prescribe drugs independently, eliminating the need for a formal agreement with a consulting physician. Supporters said the bill would help address the shortage of primary care providers in the state, which is expected to get worse once the Affordable Care Act is fully implemented. (New Jersey) (11/26)
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NICU staff supports recommendations to reduce premature births
NICU staff at Rush-Copley Medical Center in Aurora, Ill., are among the health groups that support a task force's recommendations to state lawmakers to reduce premature births by tracking data, educating the public and providing the best care for preemies and their families. The recommendations are in a report from the Perinatal Advisory Committee of the Illinois Department of Public Health. A dozen Illinois lawmakers have formed a prematurity caucus to review the issue. Daily Herald (Arlington Heights, Ill.) (11/26)
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Technology & Trends
Helicopter halves the time needed to reach NICU patients
The NICU Transport Squad at Mercy Hospital is able to reach families in rural parts of Oklahoma more quickly than ever, thanks to a new helicopter. Only a few hospitals in the state have Level III neonatal intensive care units, and they are often hours away by ambulance. For Mercy, even using a fixed-wing plane took too long, as it required an airfield and ambulance transfers. "Our time to be able to get to them has been cut in half," said NICU nurse Stacy Webb. KOKH-TV (Oklahoma City) (11/18)
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Mobile fetal monitoring device from Cerner wins FDA nod
The FDA has cleared Cerner to market its FetaLink+ fetal monitoring system. The technology is designed to allow clinicians to use their iPads or iPhones to access fetal and maternal data in near-real time and make informed medical decisions. The Kansas City Star (Mo.) (11/13)
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News from NCC
Is your NCC maintenance due in 2014, 2015 or beyond? You need a Stage 2 Education Plan!
Your Stage 2 Education Plan is innovative, personalized -- and required! Individuals due to maintain their NCC certification in 2014, 2015 or beyond are in Stage 2 of the NCC Professional Development Maintenance Program and need a Stage 2 Education Plan - BEFORE they can earn CE toward that maintenance! Visit the NCC website to learn more.
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NCC Continuing Education is accessible by smartphone!
The NCC Lecture Series offers in-depth learning modules and high-risk, low-frequency procedural reviews that you can access from your smartphone. The audio/visual lectures can be played on any digital device that allows for streaming video, including your home computer, smartphone or tablet. They provide excellent visual and auditory interpretation of critical aspects of providing care. Learn more.
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-- Gladys Bronwyn Stern,
British writer
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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.
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