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Maternal Child

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

Volume 6, No. 8, August 2008

News Flash

First International Meeting on Indigenous Women’s Health; Third International Meeting on Indigenous Child Health: Many Voices into One Song

  • March 2009, Albuquerque, NM
  • Women’s Health March 4-6, 2009
  • Children’s Health March 6-8, 2009 (The 6th is an overlap day with both groups participating)
  • See From Your Colleagues for initial announcement and mark your calendar now!

Direct Links to Topic Content

Links to Topic Summaries on This Page

Contents

Abstract of the Month

Colorectal Cancer Screening and Surveillance
What to do with patients with polyps – Hope Baluh, MD

Read More - Abstract of the Month

From Your Colleagues

Theresa Cullen, MD, Chief Information Officer, IHS

  • 2008 Indian Health Information Management Conference, “Managing Health Information Technology to Improve Performance and Outcomes”

David Gahn, MD Kabul, Afghanistan

  • Afghanistan Update

Lois Goode, Whiteriver , AZ

  • Scott Gaustad named next Physical Rehabilitation Services Chief Clinical Consultant

Elaine Locke and Yvonne Malloy, ACOG

  • ACOG/IHS Postgraduate Course on Obstetric, Neonatal and Gynecologic Care

Neil Murphy, MD Alaska Native Medical Center

  • Welcome Jean Howe, MD, MPH as the new OB/GYN Chief Clinical Consultant

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Universal newborn hearing screening: systematic review to update the 2001 US Preventive Services Task Force Recommendation
  • Children at High Risk Should Be Screened for Elevated Cholesterol
  • Cardiovascular Risk Factors and the Metabolic Syndrome in Pediatric Nonalcoholic Fatty Liver Disease
  • Epidemiology and treatment of painful procedures in neonates in intensive care units

Chronic Illness and Disease

  • Prevalence and Correlates of Subclinical Atherosclerosis in Alaska Eskimos; The GOCADAN Study
  • Diabetes and Depression Linked
  • Hearing Loss More Common with Diabetes
  • Management of Non–ST-Elevation Acute Coronary Syndromes in Men vs. Women; A role for conservative management in low risk women
  • Topiramate Improves Quality of Life and Physical Health in Alcohol-Dependent Adults

Obstetrics

  • Improving neonatal outcome through practical shoulder dystocia training
  • Progesterone for the prevention of preterm birth: a systematic review
  • Effect of Timing of Umbilical Cord Clamping at Birth of Term Infants on Mother and Baby Outcomes (Cochrane Update)
  • Length of rupture of membranes in the setting of premature rupture of membranes at term and infectious maternal morbidity
  • How physicians cope with stillbirth or neonatal death: a national survey of obstetricians

Gynecology

  • The relationship of bleeding patterns to daily reproductive hormones in women approaching menopause
  • Bilateral oophorectomy and depressive symptoms 12 months after hysterectomy
  • Two-year outcomes after sacrocolpopexy with and without Burch to prevent stress urinary incontinence
  • Comparison of the treatment outcome of pubovaginal sling, tension-free vaginal tape, and transobturator tape for stress urinary incontinence with intrinsic sphincter deficiency

Read More - Hot Topics

Back to table of contents

Features

American College of Obstetricians and Gynecologists

  • ACOG Practice Bulletin #95 Anemia in Pregnancy

American Family Physician

  • The Mirror Lies: Body Dysmorphic Disorder

Agency for Healthcare Research and Quality

  • USPSTF Reaffirms Recommendation for Screening Pregnant Women for Asymptomatic Bacteriuria

Ask a Librarian

  • Health Services Research Library (HSRL); a branch of the National Institutes of Health Library - Your information partner

Behavioral Health Insights

  • Percentage of Adults with Symptoms of Serious Psychological Distress
  • Conference Information/OBOT (Buprenorphine) Certification Training

Breastfeeding

  • The Case of the Dwindling Milk Supply

CCC Corner Digest

  • Did you miss something? A link to last month’s issue

Domestic Violence

  • SBIRT Program to Screen for Substance Abuse, Domestic Violence in Pregnant Women in Louisiana

Elder Care News

  • No Upper Age Limit for Benefit from Screening Mammography for Women without Significant Comorbidities

Family Planning

  • Cochrane Database - Interventions for Emergency Contraception
  • IGT, Breastfeeding, and Contraception

Featured Web Site

  • The Joint Commission (formerly JCAHO);
  • Sentinel Event Alert on Behaviors that Undermine a Culture of Safety

Frequently asked questions

  • Q. How to Strengthen Your Patient’s Pelvic Floor Muscles?

Indian Child Health Notes

  • Blood Lead Screening in American Indian/Alaska Native Children
  • Pentacel® : A new Vaccine not Suitable for American Indian/Alaska Native Infants
  • Asthma prevalence among US children in underrepresented minority populations

Information Technology

  • iCare Population Management GUI version 1.1 Released

International Health

  • Cervical cancer screening where resources are scarce

MCH Alert

  • Safety of Dental Treatment in Pregnant Women
  • Impact of a Prenatal Substance Abuse Treatment Program on Perinatal Outcomes
  • Annual Study Released on Women’s Health Outcomes in U.S. Hospitals
  • HRSA Report Studies Safety Net Health Centers

MCH Headlines

  • Three Maternal Risk Factors Associated with Elevated Risk of Postneonatal Mortality among Alaska Native Population
  • What Every Parent Needs to Know About... Inhalant Abuse
  • Pediatric Environmental Health Toolkit Available for Download
  • Preventing Alcohol, Tobacco, and Other Substance-exposed Pregnancies: A Community Affair

Medical Mystery Tour

  • Fetal Heart Monitoring

Medscape

  • A sample of recent free CME offerings and other resources on Medscape:

Menopause Management

  • Gallbladder Disease Risk Lower with Transdermal vs. Oral Hormone Therapy

Midwives Corner

  • Including the Non-rational in Midwifery

Navajo News

  • Survey of Full-Scope Navajo OB Sites

Nurses Corner

  • Screening, Brief Intervention, and Referral to Treatment (SBIRT) Endorsed by National Emergency Nurses Association

Office of Women’s Health, CDC

  • Impact of Periodic Follow-Up Testing Among Urban American Indian Women with Impaired Fasting Glucose

Oklahoma Perspective

  • Meet Dr. George Chiarchiaro, Oklahoma MCH Coordinator

Osteoporosis

  • National Osteoporosis Foundation Releases New Clinical Recommendations for Low Bone Mass and Osteoporosis Incorporating Absolute Fracture Risk

Patient Information

  • The Risk of Death by Age, Sex, and Smoking Status in the United States

Perinatology Picks

  • Protein/Creatinine ratio in preeclampsia: a systematic review
  • Delivery mode and severe intraventricular hemorrhage in single, very low birth weight, vertex infants
  • Signal ambiguity resulting in unexpected outcome with external fetal heart rate monitoring
  • Fetomaternal hemorrhage during external cephalic version

Primary Care Discussion Forum

  • New Topic coming soon

STD Corner

  • Frequency of Adolescent Self-Cutting As A Predictor of HIV Risk

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Why young adults hold the key to assessing the obesity epidemic in children

Women’s Health Headlines

  • Dating Violence and Abuse Affecting Young Adolescents
  • Family Violence Prevention Fund; National Conference on Health and Domestic Violence New Orleans, Louisiana

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

About Todd Baughman, Deputy CCC, Physician Assistants


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

Sexual Assault Nurse Examiner/Forensic Examiner (SANE/ SAFE) Training Course

  • August 18-22 , 2008
  • Oklahoma City , Oklahoma
  • 40 hour didactic portion of SANE/ SAFE training
  • For additional information contact Lisa Palucci, lisa.palucci@ihs.gov, at the IHS Clinical Support Center

Postgraduate Course on Obstetric, Neonatal and Gynecologic Care

  • September 14-18, 2008
  • Salt Lake City , Utah
  • Comprehensive Women’s Health Update for Nurses, Advanced Practice Nurses, and Physicians
  • NRP offered as pre-conference session
  • Contact Yvonne Malloy, ymalloy@acog.org, for more information

2008 Indian Health Information Management Conference, “Managing Health Information Technology to Improve Performance and Outcomes”

First International Meeting on Indigenous Women’s Health/Third International Meeting on Indigenous Child Health Conference; Many Voices into One Song

  • Women’s Health March 4-6, 2009
  • Child Health March 6-8, 2009
  • Albuquerque , NM
  • Joint conference of Women’s Health and Children’s Health Providers from Canada and the United States

Back to table of contents

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

Volume 6, No. 7, July 2008

Abstract of the Month

Does a PICC line facilitate treatment of hyperemesis gravidarum?

Read More - Abstract of the Month

From Your Colleagues

Scott Giberson

  • IHS HIV Program and the Native Capacity Building Assistance Network sign MOU
  • Grant opportunities

Steve Holve

  • 3rd International Meeting on Indigenous Child Health: Many Voices Into One Song

Elaine Locke

  • ACOG Committee on American Indian Affairs
  • Haffner Native Women’s Health Award
  • ACOG/IHS Postgraduate Course on Obstetric, Neonatal and Gynecologic Care
  • September 14-18, 2008; Salt Lake City, Utah

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Hypothermia therapy after traumatic brain injury in children not helpful
  • Obesity and type 2 diabetes risk in midadult life: the role of childhood adversity
  • Nearly 1 in 10 Girls Engages in Frequent Binge Eating or Purging
  • Irregular menses linked to vomiting
  • Ocular Trauma Due to a Water-Bottle Cap

Chronic Illness and Disease

  • Intensive Glucose Control Does Not Prevent Major Cardiovascular Events in Type 2 Diabetes
  • A collaborative approach to diabetes care in community health centers can improve care
  • Patient factors account for most of the variance in blood sugar levels among adults with diabetes
  • Antidepressants and therapy may be cost-effective for patients with unexplained symptoms
  • Light and Melatonin May Reduce Dementia Symptoms

Obstetrics

  • Prophylactic antibiotics improve outcomes with 3 rd and 4 th degree repair
  • Episiotomy increases obstetric laceration risk with subsequent pregnancies
  • Maternal Obesity associated with increased risk of neural tube defects
  • Diagnostic accuracy of urinary spot protein:creatinine ratio
  • Cochrane Review: Dietary advice in pregnancy for preventing gestational diabetes mellitus

Gynecology

  • No increased risk with Misoprostol for early pregnancy failure despite previous uterine surgery
  • Cessation of douching may decrease incidence of bacterial vaginosis
  • Green Tea Extract for treatment of external anogenital warts
  • Only 1 in 10 EDs provide comprehensive medical care for victims of sexual assault
  • Women with epilepsy often at risk for unintended pregnancy

Read More - Hot Topics

Back to table of contents

Features

American College of Obstetricians and Gynecologists

  • Medical Management of Ectopic Pregnancy
  • Ethical Issues in Genetic Testing
  • Direct-to-Consumer Marketing of Genetic Testing
  • Professional Liability and Gynecology-Only Practice
  • New interactive site for clinicians serving women with disabilities

American Family Physician

  • Food Allergies: Detection and Management

Agency for Healthcare Research and Quality

  • “Real Men Wear Gowns”

Ask a Librarian

  • Health education materials available online in a variety of languages

Behavioral Health Insights

  • Chronic Pain Management 101 – Saying No to Patients

Breastfeeding

  • A new look at what works to support breastfeeding in hospitals
  • Recall of Mommy’s Bliss Nipple Cream

CCC Corner Digest

  • Did you miss something? A link to last month’s issue

Domestic Violence

  • WHO study links domestic violence and poor health; DV an urgent global health priority

Elder Care News

  • Several factors can quickly identify mortality risk among frail elderly persons
  • Living wills should be updated as preferences for change with health status

Family Planning

  • Injectable contraception: what should the longest interval be for reinjections?
  • Depo Now: preventing unintended pregnancies among adolescents and young adults

Featured Web Site

  • IHS Head Start Oral Health Resources

Frequently asked questions

  • Progesterone for the Prevention of Recurrent Spontaneous Preterm Birth

Indian Child Health Notes

  • Cardiovascular Evaluation and Monitoring of Children and Adolescents with Heart Disease Receiving Medications for ADHD
  • Teens and Vaccines; How are we doing?
  • Pertussis-Associated Hospitalizations in American Indian and Alaska Native Infants

Information Technology

  • New RPMS Scheduling Package Released
  • PCC+ v2.6 (Well Child Module) Released

International Health

  • New evidence on lead’s long-term effects

MCH Alert

  • AAP Releases Statement on Strategies to Improve Adolescent Health Care
  • Report Presents Findings from the 2007 National Youth Risk Behavior Survey
  • Panel Reviews National Study on Environmental and Genetic Effects on Health in Children
  • Bright Futures for Women’s Health and Wellness Releases new Tools on Emotional Health

MCH Headlines

  • Bright Futures Web Site Updated
  • Resources and Guidance for Fatherhood Programs (10 Promising Practices)
  • Now Available: Baby Oral Health Program
  • Child Maltreatment Institute: Enhancing Leadership for Child Maltreatment Prevention

Medical Mystery Tour

  • A diabetic patient who is finally losing weight

Medscape

  • A sample of recent free CME offerings and other resources on Medscape:

Menopause Management

  • Low-Dose Estradiol Spray to Treat Vasomotor Symptoms

Midwives Corner

  • Centering Pregnancy Training

Navajo News

  • Forty one (41) Indian Health Care Providers complete SANE/SAFE course in Window Rock

Nurses Corner

  • What Is Forensic Nursing?

Office of Women’s Health, CDC

  • Development of ACIP Recommendations for Vaccination during Pregnancy and Breastfeeding
  • Healthy Eating Index (HEI) Scores among Adults, 60 Years of Age and Over
  • HIV/AIDS Surveillance Slide Sets

Oklahoma Perspective

  • ACOG Committee on Indian Affairs Site Visit

Osteoporosis

  • New evidence that Calcium supplementation may work, at least while you take them

Patient Information

  • New offerings from the AAFP

Perinatology Picks

  • Longer PROM associated with more infections
  • Cesarean Delivery does not improve outcome in very low birthweight vertex fetuses
  • Clostridium difficile-associated diarrhea: an emerging threat to pregnant women
  • Mycophenolate mofetil (MMF) may be linked to congenital anomalies

Primary Care Discussion Forum

  • New Topic coming soon

STD Corner

  • Chlamydia Positivity in American Indian/Alaska Native Women Screened in Family Planning Clinics, 1997-2004

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Stretching exercises may reduce risk of pre-eclampsia during pregnancy

Women’s Health Headlines

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

2007 Native Women’s Health and MCH Conference Meeting Notes


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

Sexual Assault Nurse Examiner/Forensic Examiner (SANE/SAFE) Training Course

  • July 21-25, 2008
  • Aberdeen , South Dakota
  • 40 hour didactic portion of SANE/ SAFE training
  • For additional information contact Lisa Palucci, lisa.palucci@ihs.gov, at the IHS Clinical Support Center

Community Health Representative National Educational Meeting

Sexual Assault Nurse Examiner/Forensic Examiner (SANE/SAFE) Training Course

  • August 18-22 , 2008
  • Oklahoma City , Oklahoma
  • 40 hour didactic portion of SANE/ SAFE training
  • For additional information contact Lisa Palucci, lisa.palucci@ihs.gov, at the IHS Clinical Support Center

Postgraduate Course on Obstetric, Neonatal and Gynecologic Care

  • September 14-18, 2008
  • Salt Lake City , Utah
  • Comprehensive Women’s Health Update for Nurses, Advanced Practice Nurses, and Physicians
  • NRP offered as pre-conference session
  • Contact Yvonne Malloy, ymalloy@acog.org, for more information

International Indiginous Women’s and Children’s Health Meeting

  • March 4-8, 209
  • Albuquerque , NM
  • Joint conference of Women’s Health and Children’s Health Providers from Canada and the United States

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.

Next: Abstract of the Month

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