US hospitals and medical practices are working to increase the use of certified nurse-midwives, providing more information on the safety and health care benefits of midwife-attended births, reducing old stereotypes and dealing with legal and administrative issues. The Pacific Business Group on Health has guidelines on integrating midwives and making a business case for adding them to the staff.
More funding and greater awareness are needed to increase the number of midwives in the US and access to the care they provide, writes Wendy Kline of Purdue University. Many areas lack access to midwifery care and many women have limited birthing options, even though studies show states with midwives integrated into their health care systems have better birth outcomes than those that do not.
The risks for postpartum depression and new psychiatric disorders are higher for women with inflammatory bowel disease, according to a study published in Gut by Dr. Eric Benchimol of the Children's Hospital of Eastern Ontario Inflammatory Bowel Disease Center in Ottawa, Ontario, and colleagues. Other factors contributed to the psychiatric disorders including the age of the mother, prenatal care and medical comorbidity.
Researchers who studied about 1,000 Irish women found about double the risk of delivering babies with short gestational age or abnormally low birth weight among those who had the highest consumption of caffeine during pregnancy. The study in The American Journal of Clinical Nutrition found the link was consistent regardless of whether caffeine was consumed in coffee or tea, and the authors urged expectant women to at least limit caffeine intake.
In utero exposure to higher levels of maternal glucose raises a child's risk of having higher insulin resistance and glucose levels, regardless of body mass index or a family history of diabetes, according to a study in Diabetes Care. Researchers conducted a follow-up study to the Hyperglycemia and Adverse Pregnancy Outcome study and found an association between maternal fasting glucose and childhood impaired fasting glucose, while maternal 1-hour and 2-hour plasma glucose levels were associated with childhood impaired glucose tolerance.
Sanofi's Adacel, or tetanus toxoid, reduced diptheria toxoid and acellular pertussis (Tdap) vaccine adsorbed, was approved by the FDA for use in repeat vaccination to help protect against diptheria, pertussis and tetanus. The vaccine is approved for a repeat dose in patients ages 10 to 64 at least eight years after the previous vaccination.
A study in Pediatrics that included data from 26,359 women associated delaying the use of contraception with unwanted pregnancy within three months of sexual debut. The authors said health care providers have a role in making timely contraception available to adolescents before or when they become sexually active.
Researchers looked at 84 pairs of twins and siblings who had similar alcohol exposure during gestation and found that identical twins had the same fetal alcohol disorder diagnoses, but fraternal twins and full and half siblings had different outcomes, with disparities increasing as the pairs became less related. The findings in the journal Advances in Pediatric Research prompted researchers to conclude that no amount of prenatal alcohol exposure is safe for infants due to varying genetic vulnerabilities.
A WHO study conducted in Vietnam found reductions in life-threatening infections in newborns and NICU admissions at hospitals using the Early Essential Newborn Care package, researchers reported in The Lancet's EClinicalMedicine. The package, which includes evidence-based practices recommended by the WHO, reduced sepsis cases from 3.2% to 0.9%, hypothermia cases from 5.4% to 3.9% and NICU admissions from 18.3% to 12.3%.
The Joint Commission will begin publicly reporting hospitals with consistently high NTSV cesarean birth rates on Quality Check by July 1, 2020, using data reported by hospitals during the calendar years 2018 and 2019. This designation will be based on hospitals' rates on the perinatal care Cesarean Birth measure PC-02, which measure the rates of cesarean births among a subset of the general obstetric population of low-risk women having their first birth with a term, singleton baby in a vertex position. Joint Commission-accredited hospitals were required to report this measure beginning in 2010. Join the conversation at ACNM's Facebook page.
The ACNM 2019 elections are open. Vote now and create the change you want to see. Vote for President-Elect, Treasurer, Representative (Regions 1 and 3) and Nominating Committee members. But first view the candidates' most up-to-date bios here, along with their CVs and statements, here. You'll find all the information you need to make your best choices, along with voting instructions. Voting closes Feb. 18. Remember, your vote is your voice. Read more.
The A.C.N.M. Foundation, Inc. is now taking applications for its 2019 scholarships for midwifery students. Application for the $3,000 Basic Midwifery Student Scholarships (including the Midwives of Color-Watson and Wonnell Scholarships) are due March 1, as are applications for the Varney Participant Award, which provides $1,000 in support for midwifery students attending their first ACNM Annual Meeting. Read more.
ACME seeks site visitor volunteers
The Accreditation Commission for Midwifery Education (ACME) is seeking applicants to join the Accreditation Site Visitor Panel. You do not need to be a midwifery educator to conduct accreditation site visits; however, previous experience as a midwifery educator is a plus. Training is provided, and new visitors are paired with experienced visitors for the first several visits. Midwives of color, certified midwives, and those from West and Midwest and/or rural areas are particularly urged to apply. For more information, please contact Heather L. Maurer, executive director, ACME, 240.485.1803, email@example.com.
The Health Research and Services Administration (HRSA) is rolling out a new program through their National Health Service Corps loan repayment program focused on CNMs who specialize in treating individuals with Substance Use Disorders. Applications for the program will be accepted through Thursday, Feb. 21, at 7:30 p.m. Eastern Time. To learn more, join HRSA for its webinar on this new program this evening, Thursday, Jan. 17, from 8 p.m. to 9:30 p.m. Eastern Time. Read more.
Power is based on the control of communication and information, be it the macro-power of the state and media corporations or the micro-power of organizations of all sorts.