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Maternal Child

Maternal Child HealthCCC Corner ‹ Jan 2008
OB/GYN CCC Corner - Maternal Child Health for American Indians and Alaska Natives

Volume 6, No. 1, January 2008

News Flash

Two News Flashes:

  • Welcome our new columnist, Peter Stuart, IHS Psychiatry Consultant
    See Behavioral Health Insights

  • New Perinatology Corner Module: Preconception Counseling for Women with Diabetes and Hypertension
    See Featured Website

Direct Links to Topic Content

Links to Topic Summaries on This Page

Contents

Abstract of the Month

What happens if a patient hears their results are Negative? Positive? Normal? Abnormal?

Read More - Abstract of the Month

From Your Colleagues

David Gahn

  • You can make a big difference in women’s and children’s lives

Scott Giberson

  • Second annual Native HIV/AIDS Awareness Day coming March 20, 2008
  • Updated U.S. DHHS Guidelines for Treatment of Adults and Adolescents with HIV
  • Funding opportunity for HIV Prevention programs through CDC

Steve Holve

  • Update on Pedvax Hib

Mary Wachacha

  • Seeking 2 Physicians for national IHS Patient Education Protocols and Codes Committee

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Rapid response team: Implications of findings on mortality rates for children are dramatic
  • What are the effects of lifestyle interventions for the treatment of childhood obesity?
  • Newborn Screening. ACOG Committee Opinion

Chronic Illness and Disease

  • Reconsider use of rosiglitazone
  • Therapy Insight: Management of Graves' Disease During Pregnancy
  • Antithrombotic therapy and pregnancy: consensus report and recommendations
  • Cholesterol <10th population percentile was strongly associated with preterm delivery
  • Cisplatin with RT improves long-term progression-free survival in 1B cervical carcinoma

Obstetrics

  • Cesarean delivery on request not recommended if desiring several children, ACOG
  • Sense of coherence and symptoms of post-traumatic stress after emergency caesarean
  • Late-preterm (34-36 weeks) infants have higher mortality rate than term at one year of age
  • Spinal analgesia increases the success rate of external cephalic version from 32% to 67%
  • Milk consumption during pregnancy is associated with increased infant size at birth

Gynecology

  • Early feeding within the first 24 hours after major abdominal gynecologic surgery is safe
  • Abnormal Uterine Bleeding: A Management Algorithm
  • Addition of HPV to Pap test to screen in mid-30s for cervical cancer reduces in CIN 2 or 3
  • Medical Therapy for Ectopic Pregnancy
  • A cautionary case: Balloon occlusion of internal iliac arteries for abnormal placentation

Read More - Hot Topics

Back to table of contents

Features

American College of Obstetricians and Gynecologists

  • Human Immunodeficiency Virus
  • Ethical Decision Making in Obstetrics and Gynecology
  • Invasive Prenatal Testing for Aneuploidy

American Family Physician

  • Patient-Controlled Analgesia for Postoperative Pain: Cochrane Briefs
  • ASA and Clopidogrel Decreases Cardiovascular Events in Acute Coronary Syndrome

Agency for Healthcare Research and Quality

  • Women leaving the hospital AMA after delivering should be targeted for more services
  • Full disclosure of medical errors to patients is becoming more and more transparent
  • Colorectal cancer screening can be improved at primary care practices
  • Family-centered, high quality primary care linked to fewer nonurgent ED visits by children

Ask a Librarian

  • Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity
  • The Healthy Heart Handbook for Women '07 - 20th Anniversary Edition

Behavioral Health Insights

  • Teens, Depression, Black Box Warnings and Suicide

Breastfeeding

  • Breastfeeding, it is not just about the baby
  • Milk pollution due to alcohol
  • Special journal issue offers guidance on promoting and supporting breastfeeding
  • Lactation complicated by overweight and obesity: Many challenges

CCC Corner Digest

Domestic Violence

  • Improving Domestic Violence Law Enforcement Response on the Tohono O'odham Nation
  • Child abuse funding offered: CCTV / Recording Technology Grant Program

Elder Care News

  • Training in Palliative and End of Life Care – Offered twice - SAVE THE DATES
  • Physician-pharmacist collaboration reduces inappropriate drug prescribing in elderly

Family Planning

  • Intrauterine Device and Adolescents, ACOG Committee Opinion
  • Prescription contraceptive use increased reflecting state mandates on private insurers
  • Advance provision of EC does not reduce pregnancy rates, nor affect sexual behavior
  • Ethinyl Estradiol/Drospirenone for the Symptoms of Premenstrual Dysphoric Disorder

Featured Web Site

  • Preconception Counseling for Women with Diabetes and Hypertension: New module

Frequently asked questions

  • How should we manage a patient with a previous abruptio placenta?
  • Frequently Asked Questions about Infant Feeding Choice

Indian Child Health Notes

  • No more cough syrup says the FDA
  • No more cavities says Dr. Esposito
  • Not enough Hib vaccine says Dr. Singleton

Information Technology

  • iCare Training

International Health

  • Disparities, Inequalities, or Inequities?

MCH Alert

  • Insights on Implementing Cultural and Linguistic Competence in MCH

MCH Headlines

  • Oral Health for Head Start Children: Best Practices
  • Safer infant sleep environment through crib giveaways and education
  • Alcohol Screening Brief Intervention: Cooperative Agreement announcement by SAMHSA
  • Child abduction Amber Alert Article
  • Childhood Obesity: AMA expert committee recommendations released

Medical Mystery Tour

  • What is the presenting part?

Medscape

  • Making Sense of the Complex:Point of Care Approach to Chronic Pelvic Pain / Interstitial Cystitis
  • Management of Premenstrual Dysphoric Disorder: A Series of Interactive Cases
  • Commonly Administered Vaccines and Associated Illnesses
  • Understanding Triglycerides: Beyond LDL Cholesterol

Menopause Management

  • Treating Sexual Difficulties in Menopause

Midwives Corner

  • ACNM seeks Midwifery Expertise on an as-needed basis

Navajo News

  • Which caused more deaths in the United States in 2005, MRSA or HIV?

Nurses Corner

  • Scope of Practice and the Nurse Practitioner: Regulation, Competency, and Expansion
  • Overweight Children and Adolescents - National Association of School Nurses

Office of Women’s Health, CDC

  • Cancer in American Indians and Alaska Natives
  • Vaccination of Pregnant Women (2007 Update)
  • ACIP Releases 2007-08 Adult Immunization Schedule

Oklahoma Perspective

  • Methicillin-resistant Staphylococcus aureus in women’s health

Osteoporosis

  • Effects of Steroidal and Nonsteroidal Aromatase Inhibitors on Markers of Bone Turnover

Patient Education

  • Assessing Health Literacy in Clinical Practice
  • Pregnant or Thinking About Getting Pregnant?
  • Pregnancy Loss: What You Should Know
  • Caring for Your Premature Baby
  • Meth Abuse: What You Should Know

Perinatology Picks

  • Less errors with more standardization of corticosteroid regimens
  • Conservative checklist protocol for oxytocin: improves maternal and newborn outcomes
  • Does the dose of oxytocin affect uterine rupture in candidates for VBAC?
  • Terbutaline provided more tocolysis with less impact on BP than NTG in resuscitation
  • Exam-indicated cerclage prolongs gestation / improves survival vs expectant management

Primary Care Discussion Forum

  • Traditional AI/AN Medicine: Incorporating Into I/T/U Clincial Practice

STD Corner

  • Screening for Chlamydial Infection: Recommendation Statement, USPSTF

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Family History more relevant to risk of GDM in nulliparous women than in parous subjects
  • Hypertensive disorders of pregnancy are predictive of diabetes mellitus 21 years later
  • Continuous subcutaneous insulin: No improvement in pregnant diabetic outcomes
  • A fetal weight estimation at 29-34 weeks in diabetic pregnancies: Can it predict LGA?
  • The Reproductive Phenotype in Polycystic Ovary Syndrome 

Women’s Health Headlines

  • Making a business case for investing in Maternal and Child Health
  • Depression and Initiation of Cigarette, Alcohol, and Other Drug Use among Young Women

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

Preconception Counseling for Women with Diabetes and Hypertension: New Module


There are several upcoming Conferences

and Online CME/CEU resources, etc . . .

and the latest Perinatology Corners (free online CME from IHS)

. . . or just take a look at the What’s New page

Save the Dates: Upcoming events of interest

23nd Annual Midwinter Indian Health OB/PEDS Conference

  • February 8 - 10, 2008
  • For providers caring for Native women and children
  • Telluride, CO
  • Contact AWaxman@salud.unm.edu

Training in Palliative and End of Life Care

Keeping Native Women & Families Healthy & Strong

IHS Basic Colposcopy Course

IHS Colposcopy Update & Refresher Course

Training in Palliative and End of Life Care

Back to table of contents

Did you miss something in the last OB/GYN Chief Clinical Consultant Corner?

Volume 5, No. 11, December 2007

Contents

Abstract of the Month

30 minute rule not a requirement and ‘immediately available’ defined locally

Read More - Abstract of the Month

From Your Colleagues

Burt Attico

  • Random glucose test would have
  • missed 5 of 6 women with GDM

Gordon Belcourt

  • Infant Mortality Disparities

Terry Cullen

  • Call for Presentation Abstracts Announced for U.S. Public Health Symposium

Tony Dekker

  • IHS Comprehensive Updates in Substance Abuse and Dependence

Scott Giberson

  • HEAR ME Project: HIV/AIDS Story-Writing/Video Competition

Sheila Mahoney

  • Round out the VBAC debate
  • Increased Cesareans in Women at No Medical Risk
  • The Business of Being Born

Caroline Peck

  • Want to improve maternal morbidity / mortality and maternal mental health?

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Long-term prognosis for infants after massive fetomaternal hemorrhage
  • Increasing hyperglycemia in pregnancy associated with increased childhood obesity
  • Family-Based Strategies for Controlling Childhood Obesity
  • Effectiveness of a Novel Infant Tooth Wipe in High Caries-risk Babies 8 to 15 Months Old
  • ACIP Recommendations for the Prevention of Varicella

Chronic Illness and Disease

  • Heart Disease Kills More Younger Women
  • Low-Carbohydrate Diet Effective in Women
  • Does Aspirin Use Affect Mortality in Women?
  • High suicide and heart disease deaths with bariatric surgery
  • Hypertension in Pregnancy: An Emerging Risk Factor for Cardiovascular Disease

Obstetrics

  • Risk and benefits of cesarean delivery and other cesarean delivery articles
  • Clear liquids in limited quantities does not increase labor complications
  • Preterm birth and its recurrence increases with short interpregnancy intervals
  • Maternal obesity is associated with an increased risk of stillbirth
  • Optimal Gestational Weight Gain Improves Obstetric and Neonatal Outcomes

Gynecology

  • HPV test beats Pap in detecting cervical cancer and other screening aticles
  • New Guidelines for Assessing Gynecologic Cancer Predispositions
  • Which Factors Influence Progression of Pelvic Prolapse?
  • Despite shorter length of stay TVH / LAVH far less common than TAH for benign disease
  • Abdominal sacrocolpopexy: Lower rate of recurrent vault prolapse than SSLS

Read More - Hot Topics

Back to table of contents

Features

American College of Obstetricians and Gynecologists

  • Use of Psychiatric Medications During Pregnancy and Lactation
  • Cesarean Delivery on Maternal Request
  • Colonoscopy and Colorectal Cancer Screening and Prevention
  • The Limits of Conscientious Refusal in Reproductive Medicine
  • Supracervical Hysterectomy

American Family Physician

  • Predicting the Likelihood of Successful Vaginal Birth After Cesarean Delivery
  • Effectiveness of Insulin Sensitizing Drugs for Polycystic Ovary Syndrome
  • Second Trimester Pregnancy Loss
  • AAFP and ACP Publish Recommendations on Diagnosis and Management of VTE
  • Methamphetamine Abuse

Agency for Healthcare Research and Quality

  • Study documents the health costs of being a woman
  • Death and complications after breast cancer surgery rare: Wound infection most common
  • Women suffer fewer postoperative problems after vascular surgery at VA hospitals
  • Skin condition may identify young patients at risk for developing type 2 diabetes

Ask a Librarian

  • The Healthy Heart Handbook for Women '07 - 20th Anniversary Edition

Breastfeeding

  • Getting it Right - Breastfeeding Promotion: Good Public Health Policy (Part 2 of 2)
  • Rare Side-Effect of Codeine in Nursing Mothers: Ultra-rapid metabolizers
  • Nicotine In Breast Milk Disrupts Infants’ Sleep Patterns
  • Formula free zone - Sion Baby Friendly Hospital
  • The yeast connection: is Candida linked to breastfeeding associated pain?

CCC Corner Digest

  • Hospital brought rapid cesarean delivery times into range of 10.9 minutes: Can you?
  • Let’s clear up any confusion over the availability of the HPV vaccine
  • SBE prophylaxis not recommended for cesarean delivery and other GU procedures
  • 2006 consensus guidelines for the management of abnormal cervical cancer screening
  • Traumatic events and alcohol use disorders among American Indian adolescents
  • Aging and prevalence of CVD risk factors in American Indians: the Strong Heart Study
  • Viral Hepatitis in Pregnancy
  • The HSR Library- a branch of the NIH Library Provides Access to Many Online Journals
  • Breastfeeding Promotion: Good Public Health Policy
  • Coaching Boys Into Men AI/AN Poster
  • Transdermal hormonal contraception: benefits and risks
  • EHR graphical user interface (GUI) application, version 1.1. – National Release
  • Treating schizophrenia in poorer countries: Old dilemmas and new directions
  • Having more family meals during adolescence is associated with improved diet quality
  • Child passengers are exposed to secondhand smoke
  • Endometriosis: Where is the real truth? It’s here
  • Hormone therapy had no effect on memory, but increases sexual interest
  • If you have to use something, nitrous oxide might be better than narcotics and epidurals
  • Acute Appendicitis and Pregnancy
  • Nurses and physicians have different perspectives in medical decisions
  • Training for Shoulder Dystocia
  • Ordinary Doses of Vitamin D Linked to Lower Mortality
  • No, I don’t mean THAT Dating Game
  • Magic Pill Improves Glycemic Control and Decreases Death by 25% for Type 2's
  • Planning Group - conference on midwifery models of care

Domestic Violence

  • Adolescent primary prevention programs for domestic violence which are school based

Elder Care News

  • Postdischarge management that integrates social care can improve outcomes of elderly
  • Principles of Effective Pain Management at the End of Life

Family Planning

  • A novel acid buffering gel is safe and acceptable and has contraceptive efficacy

Featured Web Site

  • Lack of VZIG and new prenatal assessment of varicella immunity addressed: New CME module

Frequently asked questions

  • Where can I get lecture notes from the 2007 Women’s Health and MCH Conference?

Indian Child Health Notes

  • No more cough syrup says the FDA
  • No more cavities says Dr. Esposito
  • Not enough Hib vaccine says Dr. Singleton

Information Technology

  • Patient-Physician Email Communication May Be Effective
  • Frequently Asked Questions: Clinical Performance Measurement, GPRA and CRS
  • Medicine Dish - Broadcast Schedule

International Health

  • Special Global Issue - Obstetrics and Gynecology
  • Ghana postgraduate training program: 37 or 38 OB/GYNs remained in the country
  • Traditional birth attendant training for improving health behavior and pregnancy outcomes
  • Vaginal and neonatal chlorhexidine wipes applied in home settings are well tolerated
  • Everybody has a story

MCH Alert

  • Tightening the "holes" in the Swiss cheese model of patient safety in obstetrics
  • Electronic resource updates state action on HPV Vaccine
  • Improving the health of women and children benefits an employer’s bottom line
  • Lower socioeconomic status and poor perinatal outcomes: Even with universal access

MCH Headlines

  • Frequently Asked Questions about Infant Feeding Choice
  • First Nations and Inuit Health Health Canada HHS and Indian Health Service MOU
  • New Guidelines on Fish Consumption for Females of Childbearing Age, Young Children
  • 26th Annual "Protecting Our Children"
  • Early child health caries reduction tool kit

Medical Mystery Tour

  • What is the presenting part?

Medscape

  • Recognizing and Treating Excessive Sleepiness: Circadian Rhythm Sleep Disorders
  • Small Steps and Practical Approaches to the Treatment of Obesity
  • Challenges of Treating Tobacco Users in High-Risk Populations
  • Newly Diagnosed Breast Cancer: Moving Toward Individualized Treatment Planning
  • Ageing in Marfan Syndrome

Menopause Management

  • Lowest effective transdermal 17beta-estradiol dose for relief of hot flushes: RCT
  • Low-Fat Diet May Reduce Incidence of Ovarian Cancer in Postmenopausal Women
  • Hormones and heart disease in women: the timing hypothesis

Midwives Corner

  • Vaginal birth after cesarean (VBAC) in rural hospitals: Counterpoint: David Gahn, M.D.

Navajo News

  • Which caused more deaths in the United States in 2005, MRSA or HIV?

Nurses Corner

  • 2008 LONG TERM TRAINING – NURSE ANESTHESIA – Apply Soon
  • Scope of Practice and the NP: Regulation, Competency, Expansion, and Evolution
  • Overweight Children and Adolescents - National Association of School Nurses

Office of Women’s Health, CDC

  • Cancer in American Indians and Alaska Natives
  • Vaccination of Pregnant Women (2007 Update)
  • ACIP Releases 2007-08 Adult Immunization Schedule

Oklahoma Perspective

  • Methicillin-resistant Staphylococcus aureus in women’s health

Osteoporosis

  • Effects of Aromatase Inhibitors on Bone Turnover in Healthy Postmenopausal Women

Patient Education

  • Pregnant or Thinking About Getting Pregnant?
  • Pregnancy Loss: What You Should Know
  • Caring for Your Premature Baby
  • Meth Abuse: What You Should Know
  • Headaches and Mind-Body Therapy: What You Should Know

Perinatology Picks

  • Detection of intraamniotic infection/inflammation at bedside: Predicts adverse outcomes
  • Ferric carboxymaltose IV corrects postpartum anemia faster than ferrous sulfate PO
  • Alloimmune thrombocytopenia fetus can be safely treated in utero, without cordocentesis
  • Adequate dietary calcium in before and in early pregnancy: Prevent pre-eclampsia
  • A cost decision analysis of 4 tocolytic drugs

Primary Care Discussion Forum

  • Traditional AI/AN Medicine: Incorporating Into I/T/U Clincial Practice - Starts December 3, 2007

STD Corner

  • Special issue of the American Journal of Obstetrics & Gynecology:Achievements, Issues, and Challenges: Prevention of Mother-to-Child HIV Transmission in the United States and in Resource-Limited Settings.
  • Racial Disparities Persist Across All Reportable STDs - CDC’s 2006 STD Surveillance Report

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Hypertension Triples Women's Risk for Diabetes
  • Prenatal programming of childhood overweight and obesity: opportunity for prevention
  • American Dietetic Association: Nutrition and lifestyle for a health pregnancy outcome
  • Researchers Shed Light On Black Box Of Gestational Diabetes
  • Prenatal exposure to alcohol and conduct problems: A clearer link

Women’s Health Headlines

  • Alaska Native Fetal Alcohol Spectrum Disorders and Suicidality in a Healthcare setting
  • ACNM and AWHONN nursing representation educational activities involving women's health
  • Report: State of Women's Health Poor Nationwide
  • Advanced Practice Nursing Brochure Available
  • Women’s Health Data Book Available

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

Where can I get copies of the lecture notes from the 2007 Women’s Health and MCH Conference that was held in Albuquerque on August 15-17th?

New Perinatology Corner Module - Varicella (Chickenpox) in Pregnancy

Frequently Asked Question about Capturing Infant Feeding Choice on RPMS and EHR


There are several upcoming Conferences

and Online CME/CEU resources, etc . . .

and the latest Perinatology Corners (free online CME from IHS)

. . . or just take a look at the What’s New page

Save the Dates: Upcoming events of interest

2007 National HIV Prevention Conference

23nd Annual Midwinter Indian Health OB/PEDS Conference

  • February 8 - 10, 2008
  • For providers caring for Native women and children
  • Telluride, CO
  • Contact AWaxman@salud.unm.edu

Keeping Native Women & Families Healthy & Strong

Back to table of contents

Past CCC Corners

The CCC Corner is good way to inform ITU providers about recent updates, while decreasing the number of e-mail messages.

Let me know if you want to add something to next month's CCC Corner at nmurphy@SouthCentralFoundation.com

or (907) 729-3154 (with voicemail)

*The opinions expressed in the OB/GYN CCC Corner are strictly those of the authors, and not necessarily those of the Indian Health System, or the author of this newsletter. If you have any comments, please share them by joining the Primary Care Discussion Forum where this topic was recently discussed. To join the Primary Care Listserv, click on ‘Subscribe' here MCHdiscuss.cfm

OB/GYN

Dr. Neil Murphy is the Obstetrics and Gynecology Chief Clinical Consultant (OB/GYN C.C.C.). Dr. Murphy is very interested in establishing a dialogue and/or networking with anyone involved in women's health or maternal child health, especially as it applies to Native or indigenous peoples around the world. Please don't hesitate to contact him by e-mail or phone at 907-729-3154.

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This file last modified: Wednesday August 27, 2008  1:29 PM