Dear GANM community,
In this week’s edition of the GANM Research Library Brief we would like to share three articles centering around the topics of COVID-19 and pregnancy outcomes, Zika virus, and expanding nursing practice!
Kuehn, B. M. (2021). Pandemic contributes to worse pregnancy outcomes worldwide. JAMA. 2021;325(19):1931. doi:10.1001/jama.2021.6448
In this recent publication in JAMA, the topic of pregnancy outcomes during the pandemic is discussed. Overall, maternal deaths, stillbirths, and surgical intervention rates have increased dramatically during the COVID-19 pandemic. This has been seen much more in low- and middle-income countries, as shown in nearly 40 different studies. Maternal deaths have risen by about 33%, therefore elucidating the need for policy changes to make healthcare more affordable and accessible in the future!
Ferreira, L. L., Aguilar Ticona, J. P., Silveira-Mattos, P. S., … & Antonini, S. R. (2021). Clinical and biochemical features of hypopituitarism among Brazilian children with Zika virus–induced microcephaly. JAMA Network Open, 4(5):e219878. doi:10.1001/jamanetworkopen.2021.9878
Is there a relationship between Zika infection and hormone deficiencies? In this article, researchers sought to answer this question through the use of a cohort study. 65 patients with congenital infections were included, of which most present with brain defects. While there were developmental delays, there was no association with hormone deficiency of either growth hormone or hypothyroidism. Overall the study found that Zika is associated with midline brain abnormalities and optic nerve atrophy, but not hormonal deficiencies.
Stephenson, J. (2021). Expand nurses’ scope of practice, strengthen nursing education to advance health equity, report advises. JAMA Health Forum, 2(5):e211527. doi:10.1001/jamahealthforum.2021.1527
In a recent report the National Academy of Medicine stated that expanding nursing practice and the profession is absolutely necessary in order to promote health equity and develop a diverse workforce. Due to the pandemic, there has been an increased demand on healthcare systems, and this will last long after the pandemic is over. Expanding nursing practice is one way we can curb this high demand. Overall, the report urges policy makers, employers, nursing schools, nursing leaders and nursing associations to aid in achieving this goal.