goto Indian Health Service home page  Indian Health Service:  The Federal Health Program for American Indians and Alaska Natives

 
IHS HOME ABOUT IHS SITE MAP HELP
goto Health and Human Services home page goto Health and Human Services home page
Other Areas of Interest:

Maternal Child Topics

Contact Us

MCH Website Administrator

Required Plugins

These plug-ins
may be required
for the content
on this page:


Link to Adobe Acrobat Plug-in Acrobat
Link to MicroSoft Word Plug-in MS Word
Link to MicroSoft PowerPoint Plug-in PowerPoint

IHS Plug-in Page

Use site contact
if unable to view
a particular file

Maternal Child

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

Volume 6, No. 4, April 2008

Direct Links to Topic Content

Links to Topic Summaries on This Page

Contents

Abstract of the Month

High prevalence of HPV infection in American Indian women of the Northern Plains

Read More - Abstract of the Month

From Your Colleagues

Burt Attico

  • Current management of gestational diabetes mellitus

David Gahn

  • Afghanistan Update

Scott Giberson

  • Women and HIV

 

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Maternal grandmothers’ alcohol use linked to FAS in the Northern Plains
  • Pediatricians often do not pursue answers to questions that arise during medical visits

Chronic Illness and Disease

  • Low-dose aspirin is linked to lower risk for all-cause mortality in women, especially older women
  • How is Your Sleep: A Neglected Topic for Health Care Screening
  • Pedometer-Based Walking Programs Helpful for Overweight, Sedentary Adults
  • Blood Pressure May Predict Incident Type 2 Diabetes in Healthy Women
  • Discussing reconstruction options prior to surgery influences breast cancer treatment choices

Obstetrics

  • Cesarean delivery during nursing change of shift is associated with increased complications
  • No benefit in treating women with average-risk pregnancies for asymptomatic bacterial vaginosis
  • Further risks highlighted for obese pregnant women
  • Early maternal feeding following CD is associated with higher maternal satisfaction
  • Physical abuse during pregnancy present a large increase in the risk of preterm delivery

Gynecology

  • Co-Occurrence of Pelvic Floor Disorders May Be High in Women 
  • The Evolution of Midurethral Slings
  • Acupuncture in dysmenorrhea associated with improved quality of life plus cost-effective
  • Uterine Artery Embolization a Good Alternative to Hysterectomy for Fibroids
  • Overactive Bladder: Diagnosis and Treatment in Primary Care

Read More - Hot Topics

Back to table of contents

Features

American College of Obstetricians and Gynecologists

  • Treatment of Urinary Infections in Nonpregnant Women
  • Technologic Advances to Reduce Medication-Related Errors
  • Relationships With Industry
  • Antenatal Corticosteroid Therapy for Fetal Maturation
  • ACOG Supports Effort to Encourage Electronic Prescribing

American Family Physician

  • Pharmacologic Management of Adult Depression
  • Diagnosis and Treatment of Female Sexual Dysfunction

Agency for Healthcare Research and Quality

  • Care quality is not necessarily better with electronic health records
  • Patients with DM and depression skip self-care behaviors that would help keep their DM in check
  • Rural emergency departments have high rate of medication errors with potential to harm children

Ask a Librarian

  • Women's Health Resources

Behavioral Health Insights

  • School Refusal By Elise Fatimi, MD

Breastfeeding

  • What makes a good idea work?

CCC Corner Digest

Domestic Violence

  • Teens, dating violence, and media use
  • Linking dating violence, peer violence, and suicidal behaviors among high-risk youth
  • Non-condom use among young adolescent male perpetrators of dating violence
  • Domestic Violence Resources
  • American Psychological Association’s Violence Summit

Elder Care News

  • Training in Palliative and End of Life Care

Family Planning

  • Increasing contraceptive use and adherence in adolescents

Featured Web Site

Frequently asked questions

Indian Child Health Notes

  • April 2008 - Highlights
  • Estimating the effectiveness of screening for scoliosis
  • Recent news highlights from the world of vaccines
  • Invasive Pneumococcal Disease in Children 5 Years After Conjugate Vaccine Introduction

Information Technology

  • Seeking input from the field - Clinician’s Information Management Technology Advisory Council
  • HIMSS Davies is proud to announce a new recognition opportunity
  • iCare Training

International Health

  • Routes to TB treatment in rural Nepal
  • Unite For Sight Volunteer Abroad Opportunities

MCH Alert

  • New Bullying-Prevention Toolkit Released
  • Chartbook Reports Findings From National Survey of Children with Special Health Care Needs
  • Breastfeeding Improves Prevalence of Metabolic Syndrome Among Women in Midlife

MCH Headlines

  • Maternal, Infant and Child Health Capacity Needs Assessment
  • GHSA and State Farm Partner to Keep 'Tweens and Teens Safe age 8 to 18

Medical Mystery Tour

  • You know how to treat yeast infections? Which of these are true about vulvar pruritus ?

Medscape

  • Overactive Bladder: Diagnosis and Treatment in Primary Care, CME/CE

Menopause Management

  • What Happened to Women in WHI study 3 years after stopping HRT?
  • Associations between subjective night sweats and sleep study findings
  • Beneficial Effect of HT on Mortality and Coronary Heart Disease in Younger Women
  • Black Cohosh and Menopausal Symptoms: Cases in CAM
  • FDA Goes After 'Natural' HRT Claims

Midwives Corner

  • Midwives Excel at Keeping Birth Normal, and Midwife-Provided Acupuncture Helps With PROM
  • Women given sterile water injection experience less labor pain compared to acupuncture
  • Irrespective of treatment, pelvic girdle pain regresses in majority by 12 weeks after delivery
  • Cervical Cancer Screening Practices of Certified Nurse-Midwives in the United States

Navajo News

  • Sexual Assault Nurse Examiner (SANE) Training Course, June 9 – 13, 2008

Nurses Corner

  • Call for nominations of nurses working in Indian health: Deadlines looming
  • Consider nominating our incredible IHS (CO, CS, Tribal) nurses for the following awards too

Office of Women’s Health, CDC

  • April 7 - 13 th is National Public Health Week

Oklahoma Perspective

  • Prenatal Care in Oklahoma

Osteoporosis

  • Drugs that affect bone metabolism

Patient Information

  • Treating Depression: What You Should Know
  • Self-management: Taking Charge of Your Health

Perinatology Picks

  • What is this all about the ‘minor markers’ for Down Syndrome?
  • Tobacco use increases the risk of a SGA infant at term across maternal strata

Primary Care Discussion Forum

  • Mental health issues in children and adolescents

STD Corner

  • USPSTF Recommendations for STI Screening
  • ACS Releases Guidelines for HPV Vaccination
  • Management of HIV Infection in Special Populations

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Link between type 2 DM in adults and type 1 DM or pregnancy-related diabetes in their mothers
  • Joslin Study Finds Restricting Insulin Doses Increases Mortality Risk
  • Low vitamin B12 in the first trimester and high folate in the second predispose insulin resistance
  • Replacing sugar in diet sodas with reduced calorie sweeteners may make weight control harder

Women’s Health Headlines

  • Have the Disparities Between AI/ANs and Caucasians Narrowed?
  • Sacred Circle Handouts, Slides, and Training Materials available

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

Breastfeeding: US Breastfeeding Committee Strategic Plan


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

IHS Basic Colposcopy Course

IHS Colposcopy Update & Refresher Course

Keeping Native Women and Families Healthy and Strong - Bemidji Area MCH Conference

Advances in Indian Health (AIH) Conference

  • April 29-May 2, 2008
  • Albuquerque , NM
  • 28 credits, Indian Country’s Primary Care Conference

http://www.ihs.gov/MedicalPrograms/MCH/F/CN01.cfm#top

Sexual Assault Nurse Examiner (SANE) Training Course

Back to table of contents

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

Volume 6, No. 3, March 2008

Contents

Abstract of the Month

Minorities underrepresented in both public and private umbilical cord blood banking

Read More - Abstract of the Month

From Your Colleagues

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

Melissa Toffolon-Weiss

  • HPV brochure for AI/AN: available for broad dissemination

Read More - From Your Colleagues

Back to table of contents

Hot Topics

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

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

Read More - Hot Topics

Back to table of contents

Features

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

  • iCare Training

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

MCH Headlines

  • 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

Medical Mystery Tour

  • 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

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

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

Save the Dates: Upcoming events of interest

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

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

Back to table of contents

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