Taking selective serotonin reuptake inhibitors while pregnant raises a woman's risk of miscarriage, preterm birth and neonatal complications, researchers from Beth Israel Deaconess Medical Center reported. They said there isn't strong data showing benefits, either for mothers or infants, and advised women to discuss use of the medications with their health care practitioner.
Electronic medical records have a huge potential to improve health care and even save money but nurses and physicians say they also increase the risk of mix-ups and confusion, which could affect patient safety. Mayo Clinic has worked for years to get its three main electronic records systems to communicate with each other.
Nurses have a vital role to play in neonatal rescue in the NICU, said University of Arizona in Tucson assistant professor Sheila Gephart. Staffing ratios, standardized documentation procedures and advanced training are ways hospitals can work to improve neonatal rescue services.
U.S. researchers assessed 377 twin pregnancies and found significantly improved perinatal outcomes among those delivered at 38 weeks of gestation compared with deliveries at 36 or 37 weeks. They did not find substantial differences in outcomes between those born at 38 weeks and those born at 39 weeks or later. The findings appear in the American Journal of Obstetrics & Gynecology.
Robin Knobel of Duke University School of Nursing said her work at a NICU neonatal nurse practitioner alerted her to the problem of keeping premature, low-birth-weight infants warm. Less stimulation and incubators help infants retain warmth, and Knobel says research is showing monitoring abdominal and foot temperatures provide a good gauge of a baby's thermal status. Knobel shared her research at NANN's recent 28th Annual Educational Conference in Palm Springs, Calif.