Every week the SHEis.com team scours the internet looking for news articles and videos related to women’s health issues. We aggregate all that research here, so it is all in one place for you. We would love to hear from you on any of the content below.
SHE is in the News – Headlines for the Week of 7/30/18:
- Hospitals know how to protect mothers. They just aren’t doing it.
- New York City Launches Initiative to Eliminate Racial Disparities in Maternal Death
- Higher Buprenorphine Dose May Not Increase Severity of Neonatal Abstinence Syndrome
- New international PCOS guideline aims to streamline care
- US Cancer Screening Rates Improved, but Still Below Targets
- Women with obesity, higher body fat at greater risk for RA
- WHO, UNICEF: 78 million newborns not breastfed within first hour after birth
- ACOG, Others Come Out Against Proposed Rule on Title-X
- Daily walking improves glycemic profile in women with gestational diabetes
- Torticollis: A Consequence of Neonatal Abstinence Syndrome?
- Extreme preterm birth linked to hypertension at school age
- 20% of physicians prefer hospital employment, survey finds
- No Adverse Outcomes in Efforts to Reposition Breech Baby
- Holistic Heritage Homebirth – Empowering VBAC Homebirth
An analysis of hospital data on adverse events linked to obstetric deliveries showed many hospitals failed to follow safety recommendations. More than 50,000 women are severely injured giving birth and about 700 die each year, but about 40% of hospitals are adopting the AIM program’s safety bundles, sponsored by the American College of Nurse-Midwives and other groups, to improve patient safety and quality of care, and reduce adverse events.
USA Today (7/26)
New York City launched a three-year, $12.8 million initiative to reduce maternal deaths and complications among women of color, which will include improving data collections, funding implicit bias training for health care staff and conducting a public awareness campaign. California’s maternal death rate fell by 55% from 2006 to 2013 as the California Maternal Quality Care Collaborative encouraged use of obstetric toolkits that address emergency issues such as maternal bleeding.
Researchers found that buprenorphine dose in pregnant women with opioid dependency wasn’t associated with peak neonatal abstinence score, peak morphine dose, required morphine treatment, time to morphine use onset or duration of morphine treatment. The findings in the Journal of Addiction Medicine also linked exclusive breastfeeding with a lower likelihood of infant morphine treatment.
Clinical Pain Advisor (7/26)
New evidence-based guidelines published in Fertility and Sterility for managing polycystic ovary syndrome recommend assessing and screening patients for anxiety and depressive symptoms. The recommendations call for not using insulin resistance for PCOS diagnosis and not using ultrasound for diagnosing in the presence of oligo-anovulation and hyperandrogenism, and treating menstrual irregularity and hyperandrogenism with oral contraceptive pills.
A CDC study published in Preventing Chronic Disease found screenings for colorectal, cervical and breast cancer remain below Healthy People 2020 targets, especially among people who don’t have health insurance. A separate study in the journal Cancer Research found a healthy diet, exercise and avoiding alcohol were tied to lower cancer risks and that people who followed dietary recommendations fared the best.
Medscape (free registration) (7/26)
Danish researchers found that women’s risk for rheumatoid arthritis was nearly 50% greater among those who were obese, compared with those who had a normal body mass index, as well as 10% higher for every 5% increment of total body fat and 5% higher for each 5-centimeter increment of waist circumference. The findings in Arthritis Care & Research, based on 55,037 individuals, showed no clear associations between BMI, body fat percentage, waist circumference and RA among men.
The World Health Organization and UNICEF reported that the rate of breastfed babies in low- and middle-income countries rose from 37% in 2005 to 42% in 2017, but 78 million newborns, or nearly 3 in 5 infants, weren’t breastfed within the first hour after birth in 2017, and better breastfeeding practices could have curbed more than 800,000 deaths among youths younger than 5. The report recommended increased funding for breastfeeding programs, stronger implementation of World Health Assembly resolutions, and the inclusion of immediate skin contact and early breastfeeding initiation in national maternal and neonatal care policies.
The American College of Nurse-Midwives, in coordination with other health care organizations, listed 10 reasons why the HHS should rescind a proposed Title X rule. The groups said the proposal puts more than 40% of Title X patients at risk of losing essential care by restricting access, forces providers to omit important medical information that allows patients to make informed decisions, and it regulates how providers talk with patients in a way that restricts their ability to provide their best medical judgment.
Walking at least 6,000 steps per day for seven to 12 weeks was tied to lower casual blood glucose levels in pregnant women with gestational diabetes in their second trimester, compared with those who walked less than 6,000 steps daily, according to a study in The Journal of Obstetrics and Gynaecology Research. Japanese researchers evaluated data from 24 women with gestational diabetes during their second trimester, mean age of 36, and said walking may lead to improved glucose tolerance among women with gestational diabetes.
A study published in the Journal of Pediatrics of 783 neonates with neonatal abstinence syndrome found 11% had torticollis, and two-thirds of those had plagiocephaly. This rate of torticollis was three times that of the regional infant population.
Medscape (free registration) (7/19)
Babies born extremely preterm were more likely to have high systolic blood pressure and hypertension at ages 6 and 7, according to a study in Pediatrics. The children in the study with childhood high systolic blood pressure were more likely to have higher body mass index and were more likely to have been born to women with gestational diabetes.
2 Minute Medicine (7/27)
Researchers polled 2,219 physicians, physician assistants and nurse practitioners in more than 20 medical specialties in the US and found that 20.5% of respondents prefer hospital employment, compared with 32% of those who prefer single-specialty groups/partnerships and 17.4% who prefer a multi-specialty group/partnership. The survey from The Medicus Firm also found that more than 90% of the group’s physician placements have been hospital employment opportunities over the last two years due to a higher number of openings than in private practices.
Becker’s Hospital Review (7/24)
Repositioning a breech fetus at term with an external cephalic version procedure does not increase the risk of adverse outcomes and significantly improves likelihood of vaginal delivery, according to a study in Obstetrics & Gynecology. Among 4,117 patients with singleton pregnancies in breech positions, 1,263 attempts at ECV were made, resulting in 509 successful repositioning’s, 79% of which resulted in vaginal delivery.
Medscape (free registration) (7/19)
Find out more at: https://www.hhhomebirth.com/
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JAELIN STICKELS, CNM, WHNP
PRESIDENT & FOUNDER – SHE IS ONLINE, LLC