A study published in The Lancet found ventilated patients in shock did not benefit from early enteral nutrition and were more likely to have gastrointestinal complications than patients given early parenteral nutrition. Patients on enteral nutrition had higher risks of vomiting, diarrhea, bowel ischemia and acute colonic pseudo-obstruction.
The Eskenazi Health Critical Care Recovery Center, a geriatric care model developed for dementia in older adults, may help patients recover from cognitive impairments associated with an ICU stay, researchers reported in the journal Best Practices in Mental Health. Data from the initial 51 former ICU patients seen at the center showed 88% had cognitive impairment and almost 60% showed signs of depression.
The use of antibiotics linked to the risk of Clostridium difficile infection may increase the likelihood of severe sepsis within 90 days of hospital discharge, researchers reported in Clinical Infectious Diseases. Patients given four or more antibiotic classes, and who were on antibiotic therapy for 14 days or more, had more than twice the risk for severe sepsis than those who were not given antibiotics.
The MHS Genesis EHR system is now live at four medical facilities, officials from the Department of Defense announced last week. DOD officials said the new EHR system will provide "seamless" patient care and allow clinicians to access a patient's medical history in real time and use decision-support tools.
An analysis of data from 126 hospitals in New York state found women giving birth at facilities where more than 40% of births are attended by midwives had lower rates of cesarean delivery and episiotomy, compared with hospitals that had no midwife-attended births, researchers wrote in the Journal of Midwifery and Women's Health. "This study is contributing to a body of research which shows that good outcomes for women at low risk in childbirth go hand-in-hand with lower use of medical procedures," said researcher Laura Attanasio.
A study in the journal Fertility and Sterility found regular exposure to smog was associated with a 10% increase in risk of miscarriage. Researcher Pauline Mendola of the National Institute of Child Health and Human Development said air pollution could harm fetal or placental development or interfere with implantation in the uterus.
Conception through in vitro fertilization is associated with about 80% increased rates of spontaneous preterm birth, according to a study in Ultrasound in Obstetrics and Gynecology. Researchers said placental development may be a factor and recommended ultrasound cervical screening and preventive strategies.
Obese women were more likely to give birth to infants who have longer thigh and upper arm bones and a birth weight above the 90th percentile, compared with women who are not obese, a study in JAMA Pediatrics found. A researcher said the study highlights the importance of having a healthy body weight before pregnancy.
Pregnant women face danger and uncertainty giving birth during natural disasters, such as hurricanes, and certified nurse-midwife Robbie Prepas, who co-chairs the Disaster Preparedness and Response Caucus for the American College of Nurse-Midwives, is concerned about what happens to women who are cut off from their families. Prepas said some aid groups provide birthing kits during a disaster and families can make their own, but there still can be complications and post-birth problems.
ACNM's charitable arm -- The A.C.N.M Foundation, Inc. -- just celebrated its 50th birthday on Nov. 16. This #GivingTuesday, help celebrate this remarkable 50-year history of promoting excellence in health care for women and families worldwide through the support of midwifery! Read more.