Maternal Child Health ‹ CCC Corner ‹ March 2008
Volume 6, No. 3, March 2008
Direct Links to Topic Content
Links to Topic Summaries on This Page
Contents
Minorities underrepresented in both public and private umbilical cord blood banking
Read More - Abstract of the Month
Burt Attico
- More advantages with folic acid supplementation in pregnancy
Sally Bremner
- MRSA in the Community: A Growing Threat to Young People
Scott Giberson
- Antiretroviral Corner Articles
- Division of Behavioral Health HIV/AIDS Collaborative Regional Trainings 2008
- IHS HIV/AIDS Work Plan Released
- Early Planning Resources for National Native HIV/AIDS Awareness Day
- IHS HIV Podcast: Collaboration between DHHS Office of HIV/AIDS Policy and IHS HIV Program
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Melissa Toffolon-Weiss
- HPV brochure for AI/AN: available for broad dissemination
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Read More - From Your Colleagues
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Child Health
- Sex education: Providers need to fill gaps in adolescent knowledge: Comment by Beth Crow
- Physical Activity Twice Weekly Helps Prevent Teens From Becoming Overweight Adults
- Early menarche associated with increased all-cause mortality
- School-Associated Student Homicides --- United States, 1992—2006
- Mediterranean diet in pregnancy helps ward off childhood asthma and allergy
Chronic Illness and Disease
- Diuretics most effective blood pressure medicine for people with metabolic syndrome
- 'Aspirin resistance' linked to increased cardiovascular events and death
- Chantix (varenicline)- Associated With Reports Of Changes In Behavior: FDA
- Older Women More Susceptible to Depression Than Older Men
- Chronic constipation more pronounced in women and the elderly
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Obstetrics
- Evidence Favors Late Cord Clamping in Infants
- Continuous suturing for perineal closure vs interrupted methods - Less pain
- Minor trauma in pregnancy: Commonly used measures not predictive
- Amphetamine hospitalizations doubled: Familiarize yourself with the adverse outcomes
- Pregnant smokers reluctant to use smoking cessation medications recommended
Gynecology
- Biofeedback Reduces Psychological Burden in Older Women With Urge UI
- Not enough evidence to evaluate routine antibiotic prophylaxis with SAB: Cochrane
- Intracervical catheter placement: Less pain during an saline infusion sonohysterography
- Acupuncture in dysmenorrhea: improvements in pain and quality of life
- The diagnosis and management of endometrial cancer are reviewed
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Read More - Hot Topics
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American College of Obstetricians and Gynecologists
- Fatigue and Patient Safety
- ACOG Statement on Home Births
- Alcohol and Pregnancy: Know the Facts
- Asthma in Pregnancy
- Surrogate Motherhood
American Family Physician
- Treating Eating Disorders in Primary Care
- End-of-Life Care: Guidelines for Patient-Centered Communication
- CDC Reports on Lead Exposure in Women of Childbearing Age
- Dietary Supplements for Osteoarthritis
Agency for Healthcare Research and Quality
- Providers want to learn from mistakes but say current error-reporting systems are inadequate
- Maternal, baby, and episiotomy factors contribute to high rates of maternal birth trauma in Iowa
- Effectiveness of Second-Generation Antidepressants in Pharmacologic Treatment
- Nurse midwives deliver more babies in hospitals than homes in Washington State
- Study of young Head Start children links overweight to worsened asthma
Ask a Librarian
- Cervical Cancer Community-Based Research Project in a Native American Community
Behavioral Health Insights
- PTSD: A technique that works for me
Breastfeeding
- Promoting, Protecting, Supporting
CCC Corner Digest
Domestic Violence
- IHS-sponsored training in sexual assault forensic examination
- Report cites high rate of violence against Native women
- Resource for interrupting the cycle violence
- Affects of cueing on providers discussion of intimate partner violence
- Women who have had physical abuse during pregnancy: risk of preterm delivery
Elder Care News
Family Planning
- Ringing Endorsement: Women Prefer Contraceptive Ring Over Patch
- Misconceptions About OCPs Among Adolescents and Providers
- Copper containing IUDs are more effective for contraception than other IUDs: Cochrane
- Ortho Evra Contraceptive Transdermal Patch: Higher risk of serious blood clots
- Levonorgestrel / Ethinyl Estradiol (Lybrel) for Continuous Contraception
Featured Web Site
Frequently asked questions
- How can we actually reduce infant mortality in AI/AN?
Indian Child Health Notes
- Honey, dextromethorphan, and no treatment on nocturnal cough and sleep quality
- Respiratory syncytial virus season and hospitalizations in the Alaskan Yukon-Kuskokwim Delta
- Health disparities persisting and in some cases, sadly widening.
Information Technology
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International Health
- Good intentions and unintended consequences
- Peanuts +Vegetable oil +milk powder+vitamins + minerals = Plumpynut
- CCGHE Launches Online HIV Training Course in Zambia
- Stunting In First Two Years Of Life Leads To Huge Negative Consequences In Later Life
MCH Alert
- Maternal depression as a risk factor affecting child readiness and school readiness
- Role of nurses in oral health of children and women
- Relationship between air pollution and postneonatal infant mortality
- Influence of multiple social risk factors on children’s health
- Findings from the National Survey of Children's Health includes Native Americans
- Medicaid Reimbursement for Car Seats Is Cost-Effective Health Policy
- 2008 MCH EPI Grand Rounds Schedule 7 one-hour calls
- St. John's wort for depression in a young woman: The answers
Medscape
Menopause Management
- Calcium supplements may increase heart attacks in older women
- Postmenopausal Systemic Hormone Therapy: Putting Risks Into Perspective
- Black Cohosh and Menopausal Symptoms
Midwives Corner
- Perineal warm packs reduce 3 rd and 4 th degree lacerations, pain and urinary incontinence
- The Business of Being Born
- Factors for the fear of childbirth in first-time mothers
- Women’s fear of childbirth boosts cesareans
Navajo News
- Adnexal Masses during Pregnancy
Nurses Corner
- Integrating Nursing and Behavioral Health
- UCLA post-doc program for nurses
- New Report on American Indian/Alaskan Native Disparity & Strengths from RWJ
- Creating a Healing Community: Partnerships to Improve the Care of Indian People
- Fraud - SPAM
Office of Women’s Health, CDC
- Cervical Cancer Awareness
- United States Life Tables, 2004
Oklahoma Perspective
- Cesarean Delivery: What are the risks and benefits?
Osteoporosis
- SSRI Use and Bone Loss in Older Women
- Nonpharmacologic Management of Osteoporosis to Minimize Fracture Risk
- Supplementation With Calcium and Vitamin D: Efficacy Against Fracture and Total Mortality
- The Impact of Adherence and Persistence in the Pharmacological Management of Osteoporosis
Patient Information
- Assuring Quality Care for People With Limited Health Literacy
- Knowing Importance of Prenatal Folic Acid May Affect Neural Tube Defect Incidence
- Anorexia and Bulimia: What You Should Know
Perinatology Picks
- Usefulness of middle cerebral artery Doppler of the fetus at risk for anemia
- Results indicate the presence of dyslipidemia in women with spontaneous preterm birth
- High maternal weight increases risk of neonatal mortality, especially after preterm PROM
- Caffeine intake during pregnancy increases the risk of miscarriage
- Prognosis of fetal cystic hygroma detected during the first trimester is poor, NT is crucial
Primary Care Discussion Forum
- Mental health issues in children and adolescents – Starts March 2008
STD Corner
- Routine HIV Screening in the Emergency Department
- New Updates to U.S. HIV Treatment Guidelines
- SAMHSA opportunity for funding community based organizations
- IHS HIV Program and SAMHSA sign Memorandum of Understanding (MOU) on Jan 16, 2008
- FDA Approves Etravirine (TMC125)
Barbara Stillwater, Alaska Dibaetes Prevention and Control
- Diabetes A Stronger Risk Factor For Death In Women than In Men
- Pedometers help people lose weight even without changes in diet
- New Position Statement for Glucose Intolerance in PCOS
- Low-Carbohydrate Diets Rich in Vegetable Sources of Fat and Protein: Reduce Diabetes
Women’s Health Headlines
- Women and HIV/AIDS: PINN POINT ON WOMEN’S HEALTH
- APN brochures
- Knowing What Works in Health Care: A Roadmap for the Nation
- SAMHSA Compendium of primary mental health activities now online
- DV Announcements: Grants, trainings and resources shared by various project faculty
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Read More - Features
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Meeting notes now online: 2007 Native Women’s Health and MCH Conference
http://www.ihs.gov/MedicalPrograms/MCH/F/lecNotes.cfm#wHealthConf
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
Keeping Native Women & Families Healthy & Strong
IHS Basic Colposcopy Course
IHS Colposcopy Update & Refresher Course
Training in Palliative and End of Life Care
Advances in Indian Health (AIH) Conference
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Did you miss something in the last OB/GYN Chief Clinical Consultant Corner?
Volume 6, No. 2, February 2008
Contents
Concern for rising Cesarean rates in Native American populations
Read More - Abstract of the Month
Sally Bremner
- Hospital-Acquired Infections: What You Should Know
Shannon Meyers
- Save the Dates!! Earn up to 28 hours of CME/CE specific to Indian Health
Sunnah Kim
- 2008 Native American Child Health Advocacy Award
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Chuck North
- Partnership with Mountain and Plains Educational Resource Center
Jennifer Staple
- Unite For Sight Volunteer Abroad Opportunities:
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Read More - From Your Colleagues
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Child Health
- 11th Annual Patty Iron Cloud National Native American Youth Initiative
- Secondhand smoke during infancy linked in dose-response fashion with allergies
- Oral health of Aboriginal children
- ACIP Releases 2008 Child and Adolescent Immunization Schedules
Chronic Illness and Disease
- 'Awake' during surgery: Examining intraoperative awareness
- 5-day course of nitrofurantoin is effective fluoroquinolone-sparing treatment of cystitis
- Cardiovascular disease and pre-eclampsia related. Pre-eclampsia and cancer are not
- Factors Related to Cardiovascular Disease Risk Reduction in Midlife and Older Women
- Herbal and Dietary Supplement-Drug Interactions in Patients with Chronic Illnesses
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Obstetrics
- Knowledge of cervical length / fetal fibronectin associated with shorter evaluation and PTB
- Sublingual misoprostol associated with higher patient satisfaction compared with vaginal
- Management of shoulder dystocia: trends in incidence and morbidity
- CDC Issues Guidelines for Preconception Care of Women
- Guidelines Recommend Universal Prenatal Screening for Down Syndrome
Gynecology
- Misoprostol in the setting of incomplete abortion
- Hysterectomy vs LNG-IUS
- Intracervical balloon placement for saline sonohysterography superior vs intrauterine
- PCA, scheduled intravenous, and scheduled subcutaneous: None appears to be superior
- Liquid-based cervical cytology neither more sensitive nor more specific vs conventional
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Read More - Hot Topics
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American College of Obstetricians and Gynecologists
- Elective and risk–reducing salpingo-oophorectomy
- Surgery and Patient Choice
- Intraperitoneal Chemotherapy for Ovarian Cancer
American Family Physician
- Prevention and Treatment of Sexually Transmitted Diseases: An Update
- CDC Reports a Decrease in the Incidence of Breast Cancer
- Recommendations for Follow-up after Early Breast Cancer Diagnoses
- CDC Evaluates the Effect of Revised Guidelines on Group B Streptococci Disease
- Premenstrual Syndrome
Agency for Healthcare Research and Quality
- Intervention programs that focus on already violent youth are more effective
- Some women with breast cancer do not receive recommended adjuvant treatments
- Use of antidepressants by low-income pregnant women up twofold: Fetal risks?
- Regulatory warnings led to decreased use of antidepressants in children and adolescents
Ask a Librarian
- Cervical Cancer Community-Based Research Project in a Native American Community
Behavioral Health Insights
- Autism Screening - Guest editor Joshua Cabrera, MD
Breastfeeding
- Breast Pumps: The good, the bad, and the ugly
CCC Corner Digest
- What happens if your patient hears their results as Negative? Positive? Normal? Abnormal?
- You can make a big difference in women’s and children’s lives
- Cesarean delivery on request not recommended if desiring several children, ACOG
- Early feeding within the first 24 hours after major abdominal gynecologic surgery is safe
- Rapid response team: Implications of findings on mortality rates for children are dramatic
- Reconsider use of rosiglitazone
- Human Immunodeficiency Virus
- Patient-Controlled Analgesia for Postoperative Pain: Cochrane Briefs
- Child and Adolescent Overweight and Obesity Recommendations
- Teens, Depression, Black Box Warnings and Suicide
- Breastfeeding, it is not just about the baby
- Improving Domestic Violence Law Enforcement Response: Tohono O'odham Nation
- Palliative / End of Life Care Training- SAVE THE DATES – March and April Courses
- Intrauterine Device and Adolescents, ACOG Committee Opinion
- Preconception Counseling for Women with DM and HTN: New module
- How should we manage a patient with a previous abruptio placenta?
- Disparities, Inequalities, or Inequities?
- Insights on Implementing Cultural and Linguistic Competence in MCH
- Oral Health for Head Start Children: Best Practices
- What was the presenting part? The answer
- ACNM seeks Midwifery Expertise on an as-needed basis
- Informed Refusal, Leaving Against Medical Advice, and Asking Questions
- Scope of Practice - Nurse Practitioner: Regulation, Competency, and Expansion
- Less errors with standardization of corticosteroid regimens
- Screening for Chlamydial Infection: Recommendation Statement, USPSTF
- Family History more relevant to risk of GDM in nulliparous than in parous women
- Making a business case for investing in Maternal and Child Health
Domestic Violence
- 2008 NICWA Annual Conference
- Family violence in health care and public health settings: Accepting Manuscripts
- National Report: National Indian Child Welfare
- 31st Annual Indian School on Alcohol and Other Drug Related Issues - Save the Date
- Improving Domestic Violence Law Enforcement Response on the Tohono O'odham Nation
Elder Care News
- 2008 Education in Palliative and End-Of-Life Care-Oncology/IHS
- A second training session will be held in Flagstaff AZ April 22-24
- Minimizing Adverse Drug Events in Older Patients
Family Planning
- Continuous OCPs May Not Reduce Bleeding Days, but May Improve Symptoms
- Association of OCP Use, Other Contraceptive Methods, and Infertility with Ovarian Cancer
- Tubal Patency Better With One Dose vs Multiple Methotrexate Doses for Ectopic
Featured Web Site
- New and Improved MCH Conferences page - More user friendly
Frequently asked questions
- Frequently Asked Questions about Infant Feeding Choice
Indian Child Health Notes
- Trajectories of growth among children who have coronary events as adults
- 2008 Childhood Immunization Schedule: Few changes planned
- Pattern of diarrhea-associated hospitalization and outpatient visits for AI/AN children by region
Information Technology
- Four Directions Summer Research Program Applications Online for Summer 2008
- iCare Training
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International Health
- Multiple Chlamydia species pose an unexpected challenge for blindness prevention
MCH Alert
- New edition of Knowledge Path: Preconception and Pregnancy available
- Announcing the 2008 PREVENT Child Maltreatment Institute
- Children with special health care needs: Cultural competence compendium
- St. John's wort for depression in a young woman
Medscape
- PMDD Spotlight: Women With Histories of Abuse: A Clinically Meaningful Subgroup?
- HPV Vaccines: Beyond Expectations
- Expanding HIV Testing: Practical Screening Cases to Meet New CDC Recommendations
- Sexually Transmitted Infections and Cancer: Breaking the Link Through Vaccination
- Hypertension and Soy: A Best Evidence Review
Menopause Management
- Smoking Status as a Predictor of Hip Fracture Risk in Postmenopausal Women
- Low dose transdermal E2 gel delivered the lowest effective dose
- Vaginal tablets containing 25 mcg or 10 mcg estradiol are effective
- Levonorgestrel intrauterine system (LNG-IUS) reduces endometrial polyps with tamoxifen
- Aromatase Inhibitors: Hormonal Agents for Treatment and Prevention of Breast Cancer
Midwives Corner
- VBACs: Evidence supports them, women want and benefit from them. We need to provide them
- Judy Whitecrane: Tireless Improvement of Care for Native American women
- 53rd ACNM Annual Meeting & Exposition
- ACNM Clinical Bulletin Recommends Intermittent Auscultation
Navajo News
- Biliary Gallstone Disease and Pregnancy
Nurses Corner
- AWHONN – numerous on line courses – materials and fees listed
- The Last Hours of Living
- PhD in Nursing Concentration in Health Policy
Office of Women’s Health, CDC
- Preconception and Interconception Health Status of Women Who Recently Gave Birth
Oklahoma Perspective
- Cesarean Delivery: What are the risks and benefits?
Osteoporosis
- Nonpharmacologic Management of Osteoporosis to Minimize Fracture Risk
- HT and Risk of Cardiovascular Disease by Age and Years Since Menopause
- Depression Associated With Low Bone Mineral Density
Patient Information
- Patients Prefer the Method of "Tell Back- Collaborative Inquiry" to Assess Understanding
- Sexually Transmitted Diseases-Prevention and Treatment for You and Your Partner
Perinatology Picks
- Women with cardiovascular risk factors may be predisposed to pre-eclampsia
- Obstetric outcomes in cancer survivors are reassuring
- Booster dose of betamethasone just before preterm birth: Results caution against
- Conservative management 1 st choice for severe hydronephrosis in pregnancy
Primary Care Discussion Forum
- Mental health issues in children and adolescents: March 2008
STD Corner
- The cervical cancer risk is still increased 25 years after treatment for CIN 3
- HPV Vaccine Acceptance Among Mid-Adult Women
- Adding HPV test to the Pap test to screen in mid-30s reduces grade 2 or 3 CIN and cancer
- New point of care Chlamydia Rapid Test: Bridging the gap between Dx and Treatment
- Recurring C. trachomatis Infections in Young Women
Barbara Stillwater, Alaska Dibaetes Prevention and Control
- Resolving to Lose Weight in the New Year?
- Does being overweight or obese increase subsequent hysterectomy risk?
- Prepregnancy BMI, hypertensive disorders of pregnancy, and long-term maternal mortality
- Glycemic Profiles During Pregnancy Differ Between Type 1 and Type 2 Diabetes
- Miscarriage and abortion triple chances of future low birth weight babies
Women’s Health Headlines
- Women’s Leadership Scholarship
- New Resource from the National Center for Cultural Competence
- Ending Violence Against Native Women Training Institute and scholarship opportunity
- Native Women's Health and Well-Being Conference
- Women's History Month: March 2008
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Read More - Features
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How to strengthen pelvic floor muscles?
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
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
Advances in Indian Health (AIH) Conference
- April 29 – May 2, 2008
- Albuquerque , New Mexico
- 28 credits, Indian Country’s Primary Care Conference
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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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