Study assesses risks linked to hypertensive disorders of pregnancy | Gestational diabetes telehealth program tied to improved monitoring | Lithium transfer during breastfeeding varies, review finds
June 13, 2019
ACNM SmartBrief
Quick e-news for midwives and other health professionals
Maternal Health
Study assesses risks linked to hypertensive disorders of pregnancy
Blood pressure and body mass index may account for up to 77% of the extra cardiovascular disease risk for women who have a history of hypertensive disorders of pregnancy, researchers reported in JAMA Cardiology. "Blood pressure plays a substantial role in driving the excess cardiovascular risk in women who experienced preeclampsia and an even larger role in women who experienced gestational hypertension," the study authors wrote.
MD Magazine online (6/12) 
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Gestational diabetes telehealth program tied to improved monitoring
A telehealth education and psychosocial support program developed for women with gestational diabetes was associated with improved blood glucose monitoring and appointment attendance, compared with usual care, researchers reported at the American Diabetes Association's annual meeting. Both groups saw increased knowledge about gestational diabetes and there were no reported differences in delivery data and other clinical outcomes.
Healio (free registration)/Endocrine Today (6/12) 
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Lithium transfer during breastfeeding varies, review finds
Data from 12 case studies showed lithium transfer from breast milk to an infant during breastfeeding varied, but overall there was not a demonstrated association with adverse effects, according to a study in the International Review of Psychiatry. Adverse events were found in three cases, but researchers said it was difficult to differentiate factors including concomitant medication use.
Physician's Briefing/HealthDay News (6/10) 
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Task force recommends HIV screening for pregnant women
The US Preventive Services Task Force issued two final recommendations calling for HIV screening in pregnant women, adolescents, adults and those at increased risk, and preexposure prophylaxis for those at high risk of HIV. The recommendations, supporting evidence and an editorial were published in the Journal of the American Medical Association.
Physician's Briefing/HealthDay News (6/11) 
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Add a Psychiatric-Mental Health NP Specialty
Interested in becoming a Psychiatric-Mental Health Nurse Practitioner? Earn a Post-Graduate Certificate online at Frontier Nursing University. FNU offers post-graduate certificates in the following specialties - Nurse-Midwifery, Family Nursing, Women's Health and Psych-Mental Health - with the option to complete a DNP.
Women's Health & Primary Care
Study: 3 interventions could prevent 94.3M deaths globally
Research published in the journal Circulation said increasing blood pressure treatment coverage by 70%, reducing sodium intake by 30% and eliminating trans fat consumption could prevent 94.3 million deaths globally by 2040. "Successful global implementation would require increased investment in health care capacity and quality of care in the primary health care sector, and increased efforts to reduce sodium and eliminate trans fat intake through regulation and health promotion campaigns as well," the authors wrote.
Healio (free registration)/Cardiology Today (6/10) 
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Infographic shows women spend more on health care than men
An infographic produced by the Kaiser Family Foundation and the Journal of the American Medical Association shows that, on average, per person health care spending among US women in 2015 was higher than among men. A 2017 survey showed 20% of women had not had a medical test or treatment in the past year because of the cost, compared with 15% of men.
Becker's Hospital CFO Report (6/11) 
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An MBA for Healthcare Leaders
Brown's Executive Master of Healthcare Leadership is designed for mid-career professionals with the passion and desire to transform healthcare. Learn in a flexible format combining the best of online and face-to-face learning. Learn More.
Infant Health
Effect of early, limited formula intake in breastfed infants examined
Breastfed babies who received early, limited formula supplementation had a similar likelihood of being breastfed at age 6 months but had reduced odds of still breastfeeding at age 12 months, compared with those who were exclusively breastfed, according to a study in JAMA Pediatrics. "The results suggest that using early, limited formula may not have a negative impact on infants, but it may alter maternal attitudes toward breastfeeding," said researcher Valerie Flaherman.
HealthDay News (6/10) 
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Microsoft, Wash. research institute partner on genomics database
Seattle Children's Research Institute and Microsoft are working together to develop a genomics database for sudden infant death syndrome cases. Microsoft and Seattle Children's developed advanced modeling techniques to analyze how smoking during pregnancy and SIDS-related deaths are related, and they aim to use sequenced whole genome data for SIDS prevention.
Becker's Health IT & CIO Report (6/10) 
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From the Journal of Midwifery & Women's Health
Vaccines during pregnancy -- What providers need to know
A reminder: Maternal vaccination reduces severity of newborn disease and the earlier in the third trimester, the better the fetus and newborn are protected. Find more information here, here and here.
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New CDC course on preventing FASD
The CDC has launched a new full-length course on preventing alcohol-exposed pregnancies, Interprofessional Collaborative Practice as a Model for Prevention of Alcohol-Exposed Pregnancies. The course offers continuing education units and is available on the CDCs site for FASD training and resouces. Read more.
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Complete the ACNM Core Data Survey today
ACNM is updating essential information about midwifery in the United States through our all-important Core Data Survey. The confidential 15-minute survey enables ACNM to gather reliable and accurate workforce data that can support policymaking for women's health care services and midwifery workforce improvement. Read more.
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Council on Patient Safety: Obstetric Drill Program for Postpartum Hemorrhage, Friday, June 14, 2019
Tomorrow, Friday, June 14, the Council on Patient Safety in Women's Health Care is presenting a new safety action series event, Practicing for Patients: Obstetric Drill Program for Postpartum Hemorrhage. The session, hosted from 2 p.m. to 3 p.m. Eastern, will provide an in-depth overview and include an open Q&A. Read more.
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writer, physical therapist and inventor of self-feeding device for amputees
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