Baby is functionally cured of HIV, doctors say | Pregnancy nausea drug safe for fetus, study says | Low birth-weight babies may need more screening for infections
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March 4, 2013
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Baby is functionally cured of HIV, doctors say
Doctors have reported the case of a Mississippi girl who was cured of HIV following aggressive care with antiretroviral drugs soon after her birth. Researchers are planning to conduct studies to see whether the treatment can be used for other infants. The New York Times (tiered subscription model) (3/3), Reuters (3/3), USA Today (3/4)
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Patient Safety & Clinical Update
Pregnancy nausea drug safe for fetus, study says
Pregnant women who use the nausea drug ondansetron do not have a higher risk of adverse fetal outcomes, according to a study from the Statens Serum Institut in Denmark, which was published in the New England Journal of Medicine. Researchers analyzed data from 608,385 pregnancies, comparing women who used the drug with those who did not. PhysiciansBriefing.com/HealthDay News (2/27)
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Low birth-weight babies may need more screening for infections
Standard culturing used in low birth-weight babies with early-onset sepsis to detect bacterial infections failed to spot more than 20 bacterial species, a study showed. The findings, published in the journal PLoS One, suggest the need to conduct several tests among such newborns to detect infections missed by standard exams. HealthDay News (2/20)
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Professional Practice
Data show midwife-led birth centers have cost, outcome benefits
Owners of the New Birth Company in Overland Park, Kan., said their experience supports a study from the American Association of Birth Centers that found women at midwife-led birth centers had reduced costs and were less likely to have a cesarean delivery than those who delivered at hospitals. CEO Cathy Gordon, a nurse practitioner, said complication risks mean hospital maternity services always will be needed but most mothers can be helped by midwives. Shawnee Dispatch (Kan.) (2/20)
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Study: Laborists reduce induction, preterm births
Decreases in the rates of preterm birth and induced labor were associated with hospitals' use of laborists, researchers from the University of Pennsylvania in Philadelphia reported at a Society for Maternal-Fetal Medicine meeting. Similar results were found at hospitals with round-the-clock access to laborists in a study from the University of California at San Francisco. MedPage Today (free registration) (2/19)
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Policy, Ethics & Legal Update
Leapfrog report finds fewer early elective deliveries
The rate of early elective deliveries at almost 800 U.S. hospitals fell to 11.2% in 2011 from 14% in 2010, according to a Leapfrog report. "This is a move in right direction, but more needs to be done," Leapfrog CEO Leah Binder said. Medscape (free registration)/Kaiser Health News (2/21)
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Tenn. bill encourages prenatal intervention for opioid addiction
The Tennessee Senate Health and Welfare Committee voted on Wednesday in favor of a bill, sponsored by Sen. Ken Yager, R-Harriman, that would provide early prenatal intervention and drug rehabilitation to pregnant women who misuse prescription opioids. ?The Safe Harbor Act of 2013 provides a woman with a strong incentive to do the right thing for her baby,? Yager said. Chattanoogan.com (Tenn.) (2/28)
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Technology & Trends
Medical device use in NICUs linked to higher BPA levels
Urine samples of 55 premature babies in a neonatal intensive care unit showed that those exposed to four or more medical devices in the previous three days had substantially greater bisphenol A concentrations than babies exposed to three or fewer devices. Breast milk and formula had the same total BPA levels, researchers reported in the journal Pediatrics. DoctorsLounge.com/HealthDay News (2/18)
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Doctor: How fetal monitoring and cesarean rates are related
About one-third of pregnant women have a first cesarean delivery based on results from fetal monitoring during labor, Dr. Alison Cahill of Washington University in St. Louis told a meeting of the Society for Maternal-Fetal Medicine. A small number of women reached the point at which cesarean delivery is recommended by the National Institute of Child Health and Human Development. Studies are needed to define indeterminate patterns that should be treated as normal, Cahill said. MedPage Today (free registration) (2/14)
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App delivers fetal heart rate data to providers
A mobile app, called Essentris Fetal, was launched by CliniComp International to deliver information from fetal heart monitors to the mobile devices of health care providers. The app will be used at the Daughters of Charity Health System in California and integrated into its EMR system. It can also deliver data on blood oxygen levels and contraction frequency. San Diego Business Journal (3/1)
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News from NCC
NCC to speak at the CAC Public Outreach Conference
The Citizen Advocacy Center in Washington D.C. has asked NCC to present as part of a panel at its April 2013 Public Outreach Conference. Fran Byrd, NNP-BC, MPH, director of NCC strategic initiatives, will speak on the NCC public outreach program titled "Just Ask for Certified Nurses." Learn more.
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Affordable and convenient CE from NCC: New modules available!
Continuing education modules from NCC offer a convenient and affordable way to maintain specialty knowledge competencies and keep abreast of the latest practice updates. Learn more.
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SmartQuote
The person whose doors I enter with most pleasure, and quit with most regret, never did me the smallest favor."
-- William Hazlitt,
British writer and philosopher
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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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