Advanced nurse training boosts neonatal rescue | Delivery at 38 weeks or later is best for twins, study says | Some pregnant women stop taking asthma meds, study finds
November 5, 2012
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News for Obstetric, Neonatal & Women's Health Care Professionals
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Advanced nurse training boosts neonatal rescue
Nurses have a vital role to play in neonatal rescue in the NICU, said University of Arizona in Tucson assistant professor Sheila Gephart. Staffing ratios, standardized documentation procedures and advanced training are ways hospitals can work to improve neonatal rescue services. Medscape (free registration) (10/17)
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Patient Safety & Clinical Update
Delivery at 38 weeks or later is best for twins, study says
U.S. researchers assessed 377 twin pregnancies and found significantly improved perinatal outcomes among those delivered at 38 weeks of gestation compared with deliveries at 36 or 37 weeks. They did not find substantial differences in outcomes between those born at 38 weeks and those born at 39 weeks or later. The findings appear in the American Journal of Obstetrics & Gynecology. News (11/1)
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Some pregnant women stop taking asthma meds, study finds
Research from the Netherlands found about one-third of women who take asthma medications stop during early pregnancy even though uncontrolled asthma could endanger the fetus. Guidelines from the Global Initiative for Asthma and the U.S. National Asthma Education and Prevention Program call for women to continue asthma medication during pregnancy to help prevent problems such as hypoxemia. Reuters (10/31)
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Study: Probiotics may not reduce infection, mortality risks
Premature infants given the probiotic Lactobacillus reuteri did not have lower rates of infection or mortality compared with babies given a placebo, researchers from Wake Forest School of Medicine reported. However, Dr. Frank Greer noted that the study in Pediatrics did not include data on whether the infants, who were treated in a hospital neonatal ICU, were also given antibiotics, which he said could have affected the efficacy of the probiotics. Medscape (free registration) (10/15)
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SSIs offer risks, not benefits during pregnancy, study says
Taking selective serotonin reuptake inhibitors while pregnant raises a woman's risk of miscarriage, preterm birth and neonatal complications, researchers from Beth Israel Deaconess Medical Center reported. They said there isn't strong data showing benefits, either for mothers or infants, and advised women to discuss use of the medications with their health care practitioner. Medscape (free registration) (10/31)
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Study ties multiple C-section deliveries to higher complication risks
Pregnant women who've had five or more cesarean deliveries had a greater risk of preterm delivery and maternal complications including major obstetric hemorrhage and were more likely to receive blood transfusions and be admitted to critical care units than those who had fewer C-sections, according to a study of 269 women. The findings were published in BJOG: An International Journal of Obstetrics and Gynaecology. HealthDay News (11/1)
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Other News
Professional Practice
ANA offers draft plan on improving patient, worker safety
The American Nurses Association's proposed Safe Patient Handling and Mobility National Standards seeks to create a national foundation for improving patient and health care worker safety. The ANA said the draft guidelines, which cover eight broad categories essential to an effective safety culture, could be used as the basis for nurse certifications and resource toolkits. (11/4)
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Ill. school's CNM program celebrates 40 years of growth
The certified nurse midwifery program at the University of Illinois at Chicago College of Nursing marked its 40th anniversary. Carrie Klima, interim director of the Nurse Midwifery and Women's Health Nurse Practitioner programs, said CNMs increasingly are taking positions that influence policy and public health as well as popular attitudes. "We want people to not see pregnancy as a disease state," she said. (10/22)
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Nurse researcher recommends taking infant temps in 2 places
Robin Knobel of Duke University School of Nursing said her work at a NICU neonatal nurse practitioner alerted her to the problem of keeping premature, low-birth-weight infants warm. Less stimulation and incubators help infants retain warmth, and Knobel says research is showing monitoring abdominal and foot temperatures provide a good gauge of a baby's thermal status. Knobel shared her research at NANN's recent 28th Annual Educational Conference in Palm Springs, Calif. Medscape (free registration) (10/23)
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Policy, Ethics & Legal Update
CDC backs pertussis vaccinations to protect mothers, babies
The CDC's Advisory Committee for Immunization Practices is now recommending all pregnant women be vaccinated against pertussis, or whooping cough, to decrease the number of cases in infants. The recommendation calls for vaccination during the late second or third trimester. CNN/The Chart blog (10/24)
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Technology & Trends
Electronic records pose challenges for nurses, physicians
Electronic medical records have a huge potential to improve health care and even save money but nurses and physicians say they also increase the risk of mix-ups and confusion, which could affect patient safety. Mayo Clinic has worked for years to get its three main electronic records systems to communicate with each other. The New York Times (free-article access for SmartBrief readers) (10/8)
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News from NCC
NCC Certified and Proud? Visit the new Web store
NCC is working with to create useful and fun items for NCC Certified Nurses. This new Web store allows you to choose various products and then decide between two different designs. The proceeds from this Web store will be used to fund NCC's continuing efforts to promote certification. Learn more.
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Who do you know? Help NCC continue your story!
NCC plans to continue telling the general public about certified nurses and we could use your help! NCC would like to discuss the role of the certified nurse with various news outlets. But in the world of broadcast media, who you know is an important factor. NCC is planning for 2013 and with your help ... we can continue your story! Learn more.
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Mere longevity is a good thing for those who watch life from the sidelines. For those who play the game, an hour may be a year, a single day's work an achievement for eternity.
Gabriel Heatter,
American radio commentator
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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 –
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