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Maternal Child

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

Volume 6, No. 9, September 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!)

Direct Links to Topic Content

Links to Topic Summaries on This Page

Contents

Abstract of the Month

HIV incidence in the United States

Read More - Abstract of the Month

From Your Colleagues

Donald Berwick, Institute for Healthcare Improvement

  • "A transatlantic review of the NHS at 60"

Ann Bullock, Cherokee, NC

  • Advances in Indian Health Conference

David Gahn, Kabul, Afghanistan

  • Afghanistan Update:  Assistant Secretary for Health ADM Joxel Garcia, MD, FACOG visits Kabul

Fabian Kennedy, Northern Plains Tobacco Prevention Program

  • Updated Website/Tobacco Control Activities Event Page

Brigg Reilley, Division of Epidemiology

  • Indian Health Service Prenatal HIV Screening: Gaps and Best Practices

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Association between Maternal Diabetes in Utero and Age of Offspring's Diagnosis with Type 2 Diabetes
  • No increase in long-term mortality after simple febrile seizures
  • Duration of intrapartum prophylaxis and concentration of penicillin G in fetal serum at delivery
  • Blood pressure variability and classification of prehypertension and hypertension in adolescence
  • Care of the adolescent sexual assault victim

Chronic Illness and Disease

  • Naltrexone alone and with sertraline for the treatment of alcohol dependence in Alaska natives and non-natives residing in rural settings: a randomized controlled trial
  • Comprehensive treatment of extensively drug-resistant tuberculosis
  • Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet
  • Screening for type 2 diabetes mellitus in adults with hypertension: U.S. Preventive Services Task Force recommendation statement
  • Effect of PCI on Quality of Life in Patients with Stable Coronary Disease

Obstetrics

  • Highlights from the International Workshop Conference on Gestational Diabetes Diagnosis and Classification held June 11-13, 2008
  • Preeclampsia and the risk of end-stage renal disease
  • Recurrence of group B streptococci colonization in subsequent pregnancy
  • Maternal death in the 21st century: causes, prevention, and relationship to cesarean delivery
  • Guidelines for computed tomography and magnetic resonance imaging use during pregnancy and lactation

Gynecology

  • Health and economic implications of HPV vaccination in the United States
  • Recurrent dysplasia as high as 7% after hysterectomy for cervical dysplasia
  • Ovulation triggers in anovulatory women undergoing ovulation induction
  • Higher Levels of Physical Activity Needed to Maintain Weight Loss in Overweight Women

Read More - Hot Topics

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Features

American College of Obstetricians and Gynecologists

  • Alternatives to Hysterectomy in the Management of Leiomyomas
  • Routine Human Immunodeficiency Virus Screening
  • Aromatase Inhibitors in Gynecologic Practice
  • Age-Related Fertility Decline
  • Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome and Women of Color
  • Rapid human immunodeficiency virus testing on labor and delivery

American Family Physician

  • Spontaneous Vaginal Delivery
  • Evaluation and Treatment of Enuresis

Agency for Healthcare Research and Quality

  • New AHRQ Tool Helps Hospitals Evaluate Disaster Drills

Ask a Librarian

  • Soy and male infertility; unexplained infertility; library resources

Behavioral Health Insights

  • Psychiatric disorders in pregnant and postpartum women in the United States

Breastfeeding

  • Infant Feeding in Disasters

CCC Corner Digest

Domestic Violence

  • Injury and Violence Prevention within the Mission of Maternal and Child Health

Elder Care News

  • Hospitalization increases fracture risk in elderly

Family Planning

  • Beyond the 6 week postpartum check; try 3 weeks instead…

Featured Web Site

  • NICHCY-National Dissemination Center for Children with Disabilities

Frequently asked questions

  • What is the most effective way to monitor thyroid changes in pregnancy?
  • Should we obtain a TSH, FT4, FT3 q 4 weeks, or just follow TSH q 6 weeks?

Indian Child Health Notes

  • Influenza Vaccination
  • Rotavirus Vaccination
  • Youth Risk Behavior Survey

Information Technology

  • Office of Information Technology Newsletter

International Health

  • Active tuberculosis more likely in diabetics: serious global health implications

MCH Alert

  • Relationship between Pre-Pregnancy Maternal Obesity and Risk of Infant Death
  • Alcohol Consumption during Pregnancy and the Risk of Early Fetal Death

MCH Headlines

  • New United States Infant Mortality Statistics Released
  • Smoking during Pregnancy Increases Risk for Birth Defect
  • ”There's No Place like Home... For Sex Education”   

Medical Mystery Tour

  • Fetal Heart Monitoring: The answers

Medscape

Menopause Management

  • HRT May Improve Health-Related Quality of Life in Postmenopausal Women
  • Estrogen and progestogen use in postmenopausal women: July 2008 position statement of The North American Menopause Society

Midwives Corner

  • Centering Pregnancy - A Model of Group Prenatal Care

Navajo News

  • Overview of Navajo Area Gynecology Services

Nurses Corner

  • Nurse Anesthesia (CRNA) Training Opportunity
  • Nurses provide effective, and cost-effective, depression care for cancer patients
  • Registered Nurses' Use of Electronic Health Records: Findings from a National Survey

Office of Women’s Health, CDC

  • Alternative Warm-Up Program Reduces Risk of ACL Injuries for Female College Soccer Players
  • Gardasil Vaccine and Its Safety
  • Preventing Intimate Partner Violence and Sexual Violence in Racial/Ethnic Minority -Communities: CDC's Demonstration Projects

Osteoporosis

  • Low Serum Vitamin D Linked to Increased Hip Fracture Risk in Postmenopausal Women

Patient Information

  • Protect Your Baby from Group B Strep
  • Making Sense of Your HPV and Pap Test Results (Plain language Patient brochure)

Perinatology Picks

  • Methods of delivering the placenta at caesarean section
  • Limit maximum oxytocin doses to 20 mu/min in patients attempting VBAC
  • Acute myocardial infarction associated with pregnancy
  • A national study of the complications of lupus in pregnancy
  • Urinalysis vs urine protein-creatinine ratio to predict significant proteinuria in pregnancy

Primary Care Discussion Forum

STD Corner

  • Take the sex out of STI screening!

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Increased risk of cardiovascular disease in young women following gestational diabetes mellitus

Women’s Health Headlines

  • Dating Violence a significant public health problem for adolescents
  • Colorado Regional Conference on the Health Care Response to Domestic Violence
  • Conference Announcement: Sowing Seeds of Academic Change-Nurturing New Paradigms

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

OB/GYN CCC Transition: Dr. Howe is the new CCC; Dr. Murphy retains yeoman’s role on MCH webpage


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

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

Medical Providers’ Best Practices Conference, 3rd Annual

  • November 18-19, 2008; Sacramento, CA
  • California Area Indian Health Service
  • More information: 916.930.3937 or IHS-CAOGPRA@ihs.gov

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

 Advances in Indian Health Conference

  • April 21-24, 2009 in Albuquerque, NM 
  • Indian Health's conference for primary care providers and nurses
  • 28 hours of CME/CE credit
  • Optional Diabetes track
  • Contact the Course Director, Dr. Ann Bullock, at annbull@nc-cherokee.com for more information.

Back to table of contents

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

Volume 6, No. 8, August 2008

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

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 jean.howe@ihs.gov or (928) 674-7422 (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 editor of this newsletter.

OB/GYN

Jean Howe, MD, MPH is the Obstetrics and Gynecology Chief Clinical Consultant (OB/GYN C.C.C.). Dr. Howe 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 American Indian and Alaska Native women and also indigenous peoples around the world. Please don't hesitate to contact her by e-mail (jean.howe@ihs.gov) or phone at (928) 674-7422.

Next: Abstract of the Month

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