CDC reports record-low birth rate in the US | Benzodiazepines tied to miscarriage risk in first trimester | Study: 2 types of arthritis linked with pregnancy risks
May 16, 2019
ACNM SmartBrief
Quick e-news for midwives and other health professionals
Maternal Health
CDC reports record-low birth rate in the US
A CDC report showed that US women ages 15 to 44 had a birth rate of 59 births per 1,000 women in 2018, a record low since tracking began, with births to teens ages 15 to 19 also reaching a record low, while the fertility rate dropped by 2% from 2017 to 2018. However, researchers found that preterm birth prevalence has increased for four years straight and reached just over 10% in 2018.
U.S. News & World Report/The Associated Press (5/15) 
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Benzodiazepines tied to miscarriage risk in first trimester
Taking benzodiazepines for anxiety during early pregnancy was associated with an 11% increased risk of a first-trimester miscarriage, according to a case-control study in JAMA Psychiatry. Lead researcher Anick Berard said animal studies have suggested benzodiazepines can affect fetal development and miscarriage risk.
HealthDay News (5/15) 
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Study: 2 types of arthritis linked with pregnancy risks
Psoriatic arthritis or ankylosing spondylitis are associated with increased risk of adverse pregnancy and obstetric events, according to a study in Arthritis Care & Research. Women with psoriatic arthritis were at higher risk of moderate preterm birth, while those with ankylosing spondylitis had a greater likelihood of having an infant hospitalized in the neonatal intensive care unit.
MedPage Today (free registration) (5/15) 
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Antibiotics studied for prevention after operative vaginal birth
A study in The Lancet found 11% of women given one dose of prophylactic antibiotic shortly after an operative vaginal birth developed a suspected or confirmed infection, compared with 19% of women given a placebo. Antibiotic treatment also was associated with lower rates of perineal wound infection, perineal pain and perineal wound breakdown.
OnMedica (5/14) 
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Women's Health & Primary Care
Research evaluates cervical cancer screening strategies
A study in JAMA Internal Medicine evaluated the efficacy of 12 different strategies for cervical cancer screening. Another study in the journal looked at cervical cancer screening and triage for women with human papillomavirus.
Medscape (free registration) (5/14) 
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Obesity ups diverticulosis risk in women, study shows
Researchers found that having a body mass index of at least 30 kg/m2 puts women at a higher risk for any diverticulosis, compared with those whose BMIs were between 18.5 kg/m2 and 24.9 kg/m2. Published in Clinical Gastroenterology and Hepatology and based on 623 patients, findings revealed a lower prevalence of diverticulosis among premenopausal women, ages 50 or younger, than men of the same age.
Healio (free registration) (5/14) 
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Infant Health
Early-term birth may reduce odds of breastfeeding
Babies born early-term had lower odds of being breastfed during the first hour and first month after birth, compared with those born full-term, researchers reported in the journal Breastfeeding Medicine. The findings also showed reduced exclusive breastfeeding and breastfeeding intensity during the first 72 hours and first month among early-term infants.
Business Standard (India) (tiered subscription model)/Asian News International (5/15) 
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Rotavirus vaccination among infants examined
Seventy-one percent of babies received complete vaccination against rotavirus, while 14% weren't given any vaccine, with nonvaccination more likely among those with lower socioeconomic status, according to a study in Pediatrics. Researchers also found that among those who didn't receive any rotavirus vaccine, 83% had one or more missed vaccination opportunities as defined by the World Health Organization and 72% as defined by the CDC's Advisory Committee on Immunization Practices, with missed opportunities more prevalent among those with higher socioeconomic standing.
Healio (free registration)/Infectious Diseases in Children (5/13) 
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Trending on Social Media
Have you seen the documentary "Giving Birth in America"?
The documentary series "Giving Birth in America" produced by Every Mother Counts is available online. Join the conversation at ACNM's Facebook page.
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Annual Meeting starts in 2 days! Hurry & register now
If you've waited until the last minute to register for the ACNM Annual Meeting, May 18-22, in National Harbor, MD, you're in luck. You can still get the discount hotel rate at the Gaylord by mentioning ACNM. So now is the time to register, learn, network, and get your tickets to our awards dinner and all of the other fun events. Read more.
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Great advocacy resources now available. Empower your efforts in DC or at the state level
Planning to take part in ACNM's Capitol Hill Day event on Monday, May 20? Get all of the resources you need on the ACNM Annual Meeting website, from talking points and ACNM's policy agenda to places to eat. Not going to Hill Day? Many of the materials we've compiled can help at the state level too. Read more.
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Two new great immunization resources -- webinar series and new podcast!
The CDC is launching a series of 15 one-hour webinars that will cover principles, strategies, and specific recommendations related to immunization and vaccine-preventable diseases. Join in starting June 5 from noon to 1 p.m. Eastern. Then tune into a new podcast from National Public Radio's Boston Affiliate, WBUR. Entitled "Infectious: The Strange Past and Surprising Present of Vaccines -- and Anti-Vaxxers," it is a must-listen. Read more.
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Win up to $1,000 through ACNM's new 10 for 10 Membership Campaign
ACNM has launched a new campaign to grow our membership and make ACNM stronger so we can serve you better. It's the 10 for 10 Membership Campaign. Take part on your own or with a team, and you can win up to $1,000 by recruiting students, colleagues, and others who are not current ACNM members. Make a difference for your professional organization! Read more.
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Once we realize that imperfect understanding is the human condition, there is no shame in being wrong, only in failing to correct our mistakes.
George Soros,
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