October 26, 2021
Nurse-Midwives SmartBrief
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Maternal Health
Three studies presented at the American Society for Reproductive Medicine Scientific Congress & Expo found no negative impact of COVID-19 vaccination on fertility or early pregnancy. No differences were found in pregnancy loss rate between vaccinated and unvaccinated people.
Full Story: Healio (free registration) (10/21) 
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An analysis of data from Norwegian health registries that included more than 18,000 women has found no increased risk of miscarriage among people vaccinated against COVID-19 in the first trimester of pregnancy. "The findings are reassuring for women who were vaccinated early in pregnancy and support the growing evidence that COVID-19 vaccination during pregnancy is safe," the researchers wrote in a letter in The New England Journal of Medicine.
Full Story: HealthDay News (10/25) 
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Findings from a nationwide population-based cohort study published in Frontiers in Endocrinology found that babies born to women with thyroid hormone insufficiency had an increased risk for cardiovascular disease. "Maternal hypothyroidism may have an adverse effect on offspring's cardiovascular health from adolescence to mid-adulthood, particularly when the exposure occurs during pregnancy," wrote the researchers.
Full Story: Endocrinology Advisor (10/21) 
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A survey found that 98% of nuclear medicine physicians are willing to consider using PET/CT scans on pregnant women with suspected cancer in select cases, according to an article published in the Internal Medical Journal. "There is emerging evidence that likely absorbed fetal doses in pregnancy are relatively low, and as such in certain circumstances PET/CT may be acceptable when balancing benefit and risk," wrote Pietro Di Ciaccio, the survey's lead author.
Full Story: AuntMinnie (free registration) (10/22) 
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Women's Health & Primary Care
CDC: COVID-19 numbers continue to drop
(Mario Tama/Getty Images)
The US seven-day average for newly reported COVID-19 cases is down 15.1% to 73,079, according to the CDC, marking the fifth straight week of decline, while the weekly average for COVID-19 deaths fell 4.3% to 1,253. The seven-day average for COVID-19 hospitalizations dropped 10.3% to 6,004 for the period ending Oct. 19, while average daily vaccinations declined by 5.5% to 795,156 as of Oct. 21.
Full Story: Becker's Hospital Review (10/22) 
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A study published in the CDC's Morbidity and Mortality Weekly Report found individuals who have received COVID-19 vaccines from Pfizer/BioNTech, Moderna or Johnson & Johnson had lower risk of dying from any cause in the months following vaccination, compared with unvaccinated individuals. The study, based on data from 11 million people, "reinforces the safety profile of currently approved COVID-19 vaccines in the United States," researchers said.
Full Story: HealthDay News (10/25),  CNN (10/22) 
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Patients who are recovering from mild or severe COVID-19 may continue to experience brain fog for months, according to a study published in JAMA Network Open. The researchers found that lingering cognitive side effects included impaired mental processing speed, memory and attention among patients who had experienced COVID-19 seven months before, on average.
Full Story: HealthDay News (10/25) 
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A woman who survived cancer was infected with the novel coronavirus for nearly a year, in the longest reported case of COVID-19, according to a case study published on medRxiv that has not yet been peer-reviewed. The 47-year-old woman was hospitalized with COVID-19 in spring 2020 in Maryland, and her infection continued for 335 days based on repeated positive COVID-19 tests and lingering symptoms that required supplemental oxygen at home.
Full Story: Live Science (10/21) 
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A study in Diabetes Care found that women with polycystic ovary syndrome had greater risk for dysglycemia regardless of their body mass index; however, the risk was lower among those treated with combined oral contraceptive pills. The findings support "the recommendation that women with PCOS should be systematically screened for type 2 diabetes irrespective of body weight category," the researchers wrote.
Full Story: HealthDay News (10/22) 
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A study in the International Journal of Cancer found that breast cancer survivors who consumed more than one-half ounce of nuts a week had 94% five-year survival and disease-free survival rates, while those who didn't consume nuts regularly only had an 89% five-year survival rate and an 86% disease-free survival rate. The findings also revealed that 94% of the participants who ate nuts regularly did not report return of their breast cancer within half a decade of recovery.
Full Story: United Press International (10/20) 
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Patients with both diabetes and cardiomyopathy had a greater risk of developing incident heart failure, compared with those with normal blood glucose levels. The findings, based on data from 10,208 adults and published in the Journal of the American College of Cardiology, remained similar after adjusting for sex and race, as well as obesity and hypertension status.
Full Story: Healio (free registration)/Cardiology Today (10/25) 
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Infant Health
Researchers estimate that 14,024 infants were treated in the emergency room for injuries associated with baby-wearing products between 2011 and 2020, with traumatic brain injuries as the most common. The preliminary findings presented at the annual meeting of the American Academy of Pediatrics also showed that over 60% of the injuries occurred in babies ages 5 months or younger, and nearly 84% of those injured in that age group sustained a head injury.
Full Story: HealthDay News (10/21) 
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