Miscarriage risk higher for women with epilepsy, unplanned pregnancy | Research ties cancer Tx, cardiotoxicity to congestive HF in pregnancy | Researchers study preeclampsia and risk of cognitive decline
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October 18, 2018
ACNM SmartBrief
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Maternal Health
Miscarriage risk higher for women with epilepsy, unplanned pregnancy
A study in JAMA Neurology found a 35% rate of miscarriage among women with epilepsy who had unplanned pregnancies, compared with 16% among those whose pregnancies were planned. Researcher Andrew Herzog said around 65% of pregnancies in women with epilepsy are unplanned, although guidelines call for planning to ensure the best seizure control on the lowest effective dosage of antiepileptic medication.
MedPage Today (free registration) (10/15) 
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Research ties cancer Tx, cardiotoxicity to congestive HF in pregnancy
A Canadian study in the Journal of the American College of Cardiology found women who received treatment for cancer with chemotherapy or radiation and had cardiotoxicity, which is a left ventricular ejection fraction reduction to less than 50% after therapy completion, were at a more than 30% risk of developing congestive heart failure during and following pregnancy, compared with women without a history of cardiotoxicity. The findings were based on data for 78 women with 94 pregnancies who were treated for cancer from 2005 to 2015.
Healio (free registration)/Cardiology Today (10/15) 
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Researchers study preeclampsia and risk of cognitive decline
Research published in the journal Hypertension found that while preeclampsia during pregnancy is linked to higher cardiovascular risks, it may not independently increase a woman's risk of cognitive impairment later in life. However, a study in the BMJ found that preeclampsia was linked to a higher risk of dementia, especially vascular dementia, later in life.
HealthDay News/American Heart Association (10/17),  MedPage Today (free registration) (10/17) 
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Report: US birth rate declines, first-time moms are older
A report in the CDC's NCHS Data Brief found that from 2007 to 2017, US fertility rates decreased 18% in metro counties, 16% in small and medium cities, and 12% in rural areas. During the same time, however, the average age among women who had their first child increased from 26 to 28 in large cities, from 24 to 26 in small or medium cities, and from 23 to almost 25 in rural areas.
HealthDay News (10/17) 
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Women's Health & Primary Care
FDA logs 776 dietary supplements containing pharmaceuticals
A study published in JAMA Network Open found from 2007 to 2016 the FDA identified 776 dietary supplements that contained pharmaceuticals, but only 46.4% were linked to a voluntary recall. The most common adulterated supplements were those for sexual enhancement, weight loss and muscle building.
The Scientist online (10/14) 
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Infant Health
Breastfeeding may lower antibiotic-resistant bacteria in infants
Babies who were breastfed for six months or longer had fewer antibiotic-resistant bacteria in their gut, compared with those who were breastfed for less than six months and those who weren't breastfed, Finnish researchers reported in Nature Communications. However, the findings, based on data from 16 mother-infant pairs, showed increased drug-resistant gut bacteria among those whose mothers received antibiotics during delivery.
New Atlas (10/18),  Romper (10/17) 
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Research IDs adverse events tied to diazoxide use in hyperinsulinism
Infants and children with congenital hyperinsulinism experienced adverse events 48 days after receiving diazoxide treatment, including prematurity, pulmonary hypertension, neutropenia, edema and higher baseline risk, according to a study in The Journal of Clinical Endocrinology & Metabolism. Based on 295 patients with a median age of 29 days at diazoxide initiation, researchers note the importance of monitoring children on diazoxide for common adverse events.
Endocrinology Advisor (10/15) 
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Trending on Social Media
Senators call on HHS to take action to reduce maternal deaths
Several senators are asking the HHS to "focus on strategies to reduce maternal mortality rates in the United States." Join the conversation at ACNM's Facebook page.
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ACNM News
ACNM mourns the loss of nursing education pioneer Colleen Conway-Welch
Colleen Conway-Welch, CNM, PhD, FAAN, FACNM, passed away on October 12 after a courageous battle with cancer. A true nursing education pioneer and visionary, Dr. Conway-Welch served as dean of the Vanderbilt University School of Nursing from 1984 until 2013, when she was named dean emeritus. She transformed nursing education there, was active nationally in health policy, and was named a Living Legend in 2016 by the American Academy of Nursing for her many extraordinary contributions. Read more.
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How to help in the aftermath of Hurricane Michael
ACNM is thinking of those affected by Hurricane Michael and those still affected by Hurricane Florence. To find helpful resources, state updates and how you can help in the aftermath of these most recent disasters, please visit ACNM's Hurricane Disaster Preparation and Response page. Read more.
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2018 Combined Federal Campaign -- Support the A.C.N.M. Foundation!
Federal and military employees may support The A.C.N.M. Foundation Inc. -- a member of the Women, Children & Family Service Charities of America -- with their contributions to the Combined Federal Campaign (CFC). Simply choose CFC charity code #43413. Learn more.
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JMWH calls for manuscripts on professional issues
JMWH is soliciting manuscripts that address professional issues in midwifery for upcoming continuing education offerings. Submission deadline for initial manuscripts is Feb. 1, 2019. Read more.
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Between memory and reality there are awkward discrepancies.
Eileen Chang,
writer
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