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February 15, 2023


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.AWHONN UPDATES









A project to implement use of 40% dextrose gel for transient neonatal
hypoglycemia
Implementation of a neonatal hypoglycemia protocol including use of 40% dextrose
gel was associated with a reduced number of neonates transferred to a higher
level of care for treatment of hypoglycemia.



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Integrative review of lower extremity nerve injury during vaginal birth
Lower extremity nerve injury is uncommon after childbirth and is considered
preventable, but care providers tend to be unaware of its incidence, causes, and
prevention.



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 SPONSORED VIDEO

Provide Comprehensive Perinatal Bereavement Care
Help parents understand the grief process, make time-sensitive decisions, and
learn about their postpartum recovery—all with sensitivity to their loss. Each
booklet includes a web app with personal video stories and support resources.
 * Get a free preview
   
 * Learn about the standalone web app



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 SPONSORED CONTENT

Promoted by STANLEY Healthcare
Discover How Lee Health Upgraded from Limited Patient Security to
Enterprise-Wide Protection Legacy Hugs Customers: Here’s What You Need to Know


Why baby needs a full 40 weeks of pregnancy
Every week counts in pregnancy; help patients remain patient and wait for labor
to start on its own for the best birth possible.



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Last chance to support Every Woman, Every Baby through AmazonSmile
Make a difference through Monday, February 20, 2023, by choosing AWHONN as your
charity on AmazonSmile. AWHONN receives an Amazon donation to our Every Woman,
Every Baby fund to support nurses with scholarships, research grants, and
professional development.



DONATE NOW


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.Headlines From The Field





The impact of COVID-19 on breastfeeding rates: An international cross-sectional
study
Midwifery
Breastfeeding promotes children's health and is associated with positive effects
to maternal physical and mental health. Uncertainties regarding SARS-CoV-2
transmission led to worries experienced by women and health professionals which
impacted breastfeeding plans. Researchers aimed to investigate the impact of
self-reported and country-specific factors on breastfeeding rates during the
COVID-19 pandemic. This study shows that mother's COVID-19 diagnosis and changes
in healthcare and birth/postnatal plans did not influence breastfeeding rates.
Virtual support groups help women manage breastfeeding, particularly when their
experiencing a first child and for those under psychiatric treatment.



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 SPONSORED VIDEO

TurtleTub® Infant Bathing System
Explore a better way to bathe infants in the hospital.

Decreased stress and crying More stable heart rate Thermoregulation Increased
parent satisfaction and involvement
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Point of care obstetric ultrasound knowledge retention among midwives following
a training program
BMC Pregnancy and Childbirth
Obstetric ultrasound has become a routine part of antenatal care in many parts
of the world, including low income settings. However, there is a shortage of
radiologists and sonographers to perform routine obstetric scans in many areas
especially in the rural settings of low income countries, despite having
equipment available to do this. As a result, point of care ultrasound has been
suggested to bridge this gap by training other health workers such as midwives
to perform basic obstetric ultrasound as part of their clinical care. This pilot
study has demonstrated that training midwives in point of care obstetric
ultrasound can result into acceptable levels of knowledge retention that assist
the midwives to apply this knowledge when making routine clinical decisions in
relation to pregnant women.



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 SPONSORED CONTENT

Promoted by PeriGen
Free CE Webinar - Spoiler Alert! We’re Trending in the Wrong Direction [U.S.
Maternal and Morbidity] Looking Back, Moving Forward [2022 Year in Review]
Memora Health and PeriGen Partner to Deliver Innovative Solutions in Maternal
and Infant Care BJOG: Can AI Augmented Fetal Monitoring Prevent Intrapartum
Stillbirth and Neonatal Death in a Low-Income Setting?


Breastfeeding: Crucially important, but increasingly challenged in a
market-driven world
The Lancet
In this Series paper, researchers examine how mother and baby attributes at the
individual level interact with breastfeeding determinants at other levels, how
these interactions drive breastfeeding outcomes, and what policies and
interventions are necessary to achieve optimal breastfeeding.



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Supporting pregnant and parenting women who use alcohol during pregnancy
Women's Health
The aim of this study was to synthesize peer-reviewed research regarding how
trauma-informed approaches can be used and are helpful for pregnant and
parenting women, specifically those using alcohol. As such, authors recognize
how alcohol use and mothering are uniquely positioned, stigmatized, and
represented in public discourse. In this study, researchers briefly discuss how:
(1) relationships and trust are central to trauma-informed care; (2) how alcohol
differs from other substances in applying trauma-informed care, but also how the
trauma-informed approaches and practices in the context of populations are not
well-represented in the literature; and (3) how trauma-informed care is an
inherent part of culturally safe practices.



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 SPONSORED CONTENT

Promoted by National Certification Corporation
See NCC’s nationally released collaborative PSA - Certified Nurses Make a
Difference Certification Counts! Learn about the impact of certification for
patients, families, nurses and institutions. All NCC’s accredited certifications
are Magnet approved – Learn about upcoming changes to Magnet. Spotlight on
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Certified Nurses Day – March 19th


Pregnancy-associated cancer, timing of birth and clinical decision making
BMC Pregnancy and Childbirth
The incidence of pregnancy-associated cancer, comprising cancer diagnosed during
pregnancy or within one year postpartum, is increasing. Women with PAC are more
likely to have serious maternal complications. While their babies are not at
increased risk of perinatal mortality, they are more likely to experience poorer
perinatal outcomes associated with preterm birth. The higher rate of birth
intervention among women with gestational cancers reflects the complexity of
clinical decision-making in this context.



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 PRODUCT SHOWCASE

Expand respiratory care training with Super TORY®
Looking for a realistic neonatal care training solution? Enhance your training
program with Super TORY® - the first newborn simulator designed to simulate
respiratory conditions and support real medical equipment, so your staff can
practice diagnosing and treating Super TORY as they would a real newborn.



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Women's reflections on timing of motherhood
Reproductive Health
In this meta-synthesis, researchers investigated reflections on timing of
motherhood in women who have not yet had children. Women of reproductive age are
aware that they must make a life-changing decision as to if or when to have
children, but they consider having children at "the right time" to be important.
Simultaneously, while some women are reluctant to have children for various
reasons, they express fear that waiting too long could result in their
regretting not having children later in life.



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Reclassification of the etiology of infant mortality with whole-genome
sequencing
JAMA Network Open
What proportion of infant mortality is explained by genetic diseases? In this
cohort study of 112 infant deaths, single-locus genetic diseases were the most
common antecedent of infant mortality. Treatments positively associated with
outcomes were available for 30 percent of these genetic diseases. The study
results suggest that because treatable genetic diseases are associated with
considerable infant mortality, strategies for neonatal diagnosis may be
associated with decreased infant mortality.



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A New, No-Cost, Parent Education Tool

Huggies® Healthcare™ is excited to introduce you to a free tool offered by
CareFree. It is a tablet-based teaching platform entirely designed to engage and
educate parents in caring for baby.


 

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NeoHug® Utility Device Holder!

Add some color to your unit with a smile or a chimp. The outstretched arms bend
to hold a pacifier, suction tip, tape, tubing, and more. Available in C-clip for
use on I.V. poles and with a large suction cup for use on hospital basinet or
incubator. Order your free sample!


 

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Comparing prenatal and postpartum stress among women with previous adverse
pregnancy outcomes and normal obstetric histories
Sexual & Reproductive Healthcare
The aim of this study was to compare subjectively and objectively measured
stress during pregnancy and the three months postpartum in women with previous
adverse pregnancy outcomes and women with normal obstetric histories. Findings
show that women with previous adverse pregnancy outcomes do not suffer from
stress in subsequent pregnancies more than women with normal obstetric
histories. Healthcare professionals need to be aware that interindividual
variation in stress during pregnancy is considerable.



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 PRODUCT SHOWCASE

$200 OFF FD Fetal Dopplers
The FD fetal Dopplers display the fetal heart rate (FHR) and feature advanced
FHR processing and noise reduction to provide crystal clear fetal heart sounds.
The FD1 Doppler includes a 2 MHz fixed, waterproof probe, while the FD3 includes
a 3 MHz for sensitive detection in early gestation. The FD2 Doppler has the
ability to change between 2 MHz, 3 MHz, and vascular probes. The probes are easy
to clean and have a long robust coiled-cable to enable optimum transducer
positions in all circumstances.



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Pre-pregnancy body mass index and adverse perinatal outcomes in the presence of
other maternal risk factors
AJOG Global Reports
High pre-pregnancy body-mass-index is one of the most common risk factors for
adverse perinatal events. The aim of this study was to assess whether the
association between maternal BMI and adverse perinatal outcome is modified by
other concomitant maternal risk factors. Women with elevated pre-pregnancy BMI
are at increased risk of adverse perinatal outcomes, and the magnitude of these
risks differs by concomitant risk factors including pre-pregnancy diabetes
mellitus, chronic hypertension and nulliparity.



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Dr. Brown's Specialty Feeding System

Mother/Baby to Level 4 units should stock the #1 preferred bottle for an infant
born with a cleft palate:
Dr. Brown’s® Zero-Resistance™ Specialty Feeding System Preferred by clinician
and parents Infant-driven feeder 8 narrow nipple flow levels Ease of use BE
READY. You never know when this specialty bottle will be needed.


 

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Get your CNEs with Nurse Blake!

Join Nurse Blake on the Ultimate Nursing Conference sailing to The Bahamas on
April 24-28 aboard Freedom of the Seas! 50+ ANCC-accredited CNEs, dining,
entertainment, and so much more are ALL INCLUDED in the $749 conference fee!
…and, YES, we have the WHOLE ship! You won’t want to miss this!


 

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Adverse pregnancy, delivery and neonatal outcomes across different advanced
maternal ages
European Journal of Obstetrics & Gynecology and Reproductive Biology: X
Pregnancies at AMA are at increased risk for adverse outcomes, particularly for
pregnancy-related hypertensive disorders, hysterectomy, blood transfusion, and
maternal and fetal mortality. In this study, although comorbidities associated
with AMA influence the risk of complications, AMA was demonstrated to be an
independent risk factor for major complications, with its impact varying across
ages.



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 PRODUCT SHOWCASE

Become a Nurse-Midwife Today
Frontier Nursing University's online Nurse-Midwifery program requires two
in-person visits. $646/credit hour and full- or part-time options available.
Small cohorts are admitted throughout the year. Designed for registered nurses
who want to earn their MSN in nurse-midwifery with the option to continue and
complete the DNP program.­ ­



LEARN MORE


Neonatal intensive care admission for term neonates and subsequent childhood
mortality
BMC Medicine
Neonatal intensive care unit admission among term neonates is a rare event. The
aim of this study was to observe the association of the NICU admission of term
neonates on the risk of long-term childhood mortality.



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Influence of different methods for calculating gestational age at birth on
prematurity and small for gestational age proportions
BMC Pregnancy and Childbirth
Recognizing premature newborns and small-for-gestational-age is essential for
providing care and supporting public policies. This systematic review aimed to
identify the influence of the last menstrual period compared to ultrasonography
before 24 weeks of gestation references on prematurity and SGA proportions at
birth.



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Nurse's Station

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