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Volume 4, No. 2, February 2006
News Flash(s)
- Please change your bookmark to the new MCH Portal url
The MCH website(s) were completely re-designed:
http://www.ihs.gov/MedicalPrograms/MCH/index.cfm -
New Vaginal Birth After Cesarean Delivery CME/CEU module
(see Featured Web sites below)
Direct Links to Topic Content: Abstract of the Month | From Your Colleagues | Hot Topics | Features
| Links to Topic Summaries: |
Contents
Abstract of the Month
Results of a Well-Defined Protocol for a Trial of Labor After Cesarean
Read More - Abstract of the Month
From Your Colleagues
Carolyn Aoyama
- AHRQ expands women's health program to include gender-based research
- 2nd Annual Summer Institute in Maternal-Fetal Pharmacology (Summer Institute)
- Three Women's Health Awards
Nancy Brannin
- Oral misoprostol for cervical priming in non-pregnant women
Phil Smith
- 18th Annual IHS Research Conference
Judy Thierry
- Please Welcome Roy Hoffman: Roy is working on Children with Special Health Care Needs
- Data to improve the health of mothers and infants: PRAMS
- Western Tobacco Prevention Project - NPAIHB Tribal Tobacco Policy Workbook
- 2005 NPAIHB Tobacco Policy on Pregnant Women
- WIC participant characteristics: Aggregate AIAN data
Judy Whitecrane
- 13th Annual Mayo Clinic Nicotine Dependence Conference
- 3rd Annual Spit Tobacco Summit, Mayo Clinic
Read More - From Your Colleagues
Hot Topics
- Term breech trial: The original term breech trial recommendations should be re-evaluated
- Late postpartum eclampsia: a preventable disease?
- Ensure that newborn infants are protected from hepatitis B virus (HBV) infection, CDC
- Ginger is effective means for reducing postoperative nausea and vomiting: Meta-analysis
- Obstetric Characteristics Predict Risk of Sudden Infant Death Syndrome
- and more….
- Superiority of Liquid-Based Cytology for Cervical Screening Questioned
- LEEP: Treatment of Cervical Neoplasia Linked to Preterm Births
- Restricted activities after gynecologic surgery: No greater impact than rising from a chair
- Continued frequent screening of women with normal pap: Costly and benefits
- Protective Effect of Progesterone or Estrogen: Ovarian Cancer
- and more….
- Broad-spectrum antibiotics during labor linked to late-onset serious infections in infants
- Over Bundling: Winter and SIDS
- Your female patient athletes: Treatment of stress fractures: the fundamentals
- Screening and Counseling for Obesity in Children
- AAP Recommendations for Treating Children After a Disaster
- Dietary intervention alone of little benefit in preventing disease
- Cardiovascular Disease in American Indians and Alaska Natives
- Cold Sores: Famciclovir for the Treatment of Recurrent Genital and Labial Herpes Lesions
- Percentage of Persons Aged >18 Years Reporting Severe Headache or Migraine
- Substandard preventive care for diabetes more likely: Multiple low priority visits
- and more….
Features
- Vaginal Birth after Cesarean (continued)
- No Difference Among New Antidepressants
- Are Alpha-glucosidase Inhibitors Effective for Control of Type 2 Diabetes?
- Gabapentin for Pain: Balancing Benefit and Harm
American College of Obstetricians and Gynecologists
- Patient Safety in the Surgical Environment
Agency for Healthcare Research and Quality
- Nearly half of urban AI/AN travel back to their reservation to visit during the year
- Women with moderate PID: Similar reproductive outcomes - inpatient and outpatient care
- Misconceptions about cancer screening may be common among women
- Women who suffer from obesity less likely to undergo Pap testing
- Women who are at high risk of developing preeclampsia: Cytokine genotypes may identify
- Birth News Highlights: Young mothers; VBACs down; Early Prenatal Care; Low birth weight
- Dose-dependent association between duration of breastfeeding and risk of overweight
- ACOG, AAP Develop First Collaborative Physician-Focused Breastfeeding Handbook
- Quality of consumer related breastfeeding education: Web Site evaluates
- Health LITERACY: Breastfeeding is to be seen as normative
- GAO recommends removal of WIC logo from any formula marketing
- Link between GDM and Type 2 DM can be broken
- Integrating prevention of mother-to-child HIV transmission into routine antenatal care
- Bed Rest for pregnancy related hypertension: Not recommended
- Prior Function and Relationship, More Than Hormones, Affect Sexual Function in Midlife
- Oral Contraceptives and Dysmenorrhea in Adolescents: RCT
- Waking up to Sleep Deprivation: Countermeasures for Daytime Sleepiness
- New studies shows a 15% reduction for the risk of diabetes for every year of lactation
- Emergency Contraception Use Not Associated With Risky Sexual Behavior
- Vaginal Birth after Cesarean New Perinatology Corner Module – 2 credits
- CC: I feel really cold and my side hurts, plus I am shaking all over
- Shoulder Dystocia Prevention: plus the ‘CCC Deliver Through Maneuver’
- Depo-Provera available in a lower dose: limited data to assess 104mg SQ vs. 150mg IM
- Should Pregnant Women Be Tested for Herpes Susceptibility?
- Cardiology Topics for Primary Care Providers – February 15, 2006
- Clinician-Delivered Intervention During Routine Care Reduces Unprotected Sexual Behavior
- Antidepressants Are No Match for Poverty
- Child Abuse Prevention for Nurses, Psychologists, Social Services, and Community
- Euthanasia: The Dutch Experience
- Over active bladder therapies on CNS functioning in elderly patients: First-line therapies
- Progestin-Releasing IUDs for Women with Diabetes
- Emergency Contraception- Women with two children who need 30 years of family planning
- Maternal Child Health Website Gets a Facelift
- New Vaginal Birth After Cesarean Delivery CME/CEU module
- Should a urine test be performed on every pregnant patient each prenatal visit?
- Can we use medical therapy in the setting of spontaneous abortion (SAB)?
- How do I manage patients with recurrent vulvovaginal candidiasis?
- Does IHS have any policy on distribution of the morning after pill?
- Does the IHS have a procedure for payment in pregnancy termination?
- and more….
- To Bag or Not to Bag: Is a bag urine specimen ever reliable?
- An updated immunization for Native Americans from Dr. Singleton
- The latest literature reviews from Dr. Esposito
- What is the latest on an OB/GYN solution for the PCC, PCC+ and EHR?
- Patient Safety and Health IT - Exploring and Expanding the Intersections, AHRQ
- New PCC PATCH released
- National Release - BMC Referred Care Information System, Version 4.0
- Summer opportunity for undergraduate students
- Attitudes toward the use of quarantine in a public health emergency in four countries
- Cultural Competency into Medical Education and Training
- Potential Environmental Risks to Women
- How not to give Acetaminophen: Listen up any parents or grandparents
- American Heart Association Does Not Recommend Isoflavone Supplements
- Black cohosh / St. John's wort combined: Decreases psychological climacteric complaints
- Nonhormonal Therapies for Hot Flashes in Menopause
- When Should We Clamp the Umbilical Cord? Preterm vs Term Infants
- Liability in triage: management of EMTALA regulations and common obstetric risks
- Withholding coaching during maternal pushing is not harmful
- Injuries to the Brachial Plexus: Mechanisms and Management
- Centering Association National Conference
- and more….
- Who do you contact in Navajo Area for MCH issues?
- New Mexico Indian Nurses Association Annual Symposium 2006
- Drugs containing PHENYLPROPANOLAMINE are being recalled
- Trends in Spina Bifida and Anencephalus in the United States, 1991-2003
- Community Based Cancer Control: A Seminar for AI/AN Health Advocates
- Who do you contact in Oklahoma Area for MCH issues?
- Cost-effectiveness of Drug Treatment for Osteopenia
- Vitamin D Levels During Pregnancy Affect Childhood Bone Mass
- Non-hormonal Options for Hot Flashes
- Vertigo: What You Should Know
- Keeping Your Heart Healthy Through Good Nutrition and Exercise
- Focus on preventable causes of stillbirth: 3 articles
- ‘Integrated Screening’ is the most efficient: Risk cutoff levels determine strategies
- Emergency cervical cerclage improves perinatal outcome compared with bed rest
- Cervical cerclage: Can the patient who could benefit from this procedure be identified?
- Prophylactic cerclage of a short cervix according to interleukin-8 in cervical mucus
- Cardiology Topics for Primary Care Providers – February 15, 2006
- Efficacy and safety of azithromycin for treatment of C. trachomatis in pregnancy
- Hormonal contraception use and risk of STIs: A systematic review
- New National Women and Girls HIV/AIDS Awareness Day: March 10, 2006
- 2006 Price Fellowships for HIV Prevention Program
- A clinician’s guide to condoms, spermicides, microbicides, and lubricants
Barbara Stillwater, Alaska Dibaetes Prevention and Control
- The underlying pathology for heart disease in women
- Waist-to-Hip Ratio Is a Better Predictor for MI Than BMI
- Sulfonylureas Linked to Heart Deaths
- Getting Sufficient Sleep Helps Reduce Weight Gain
- Intensive Monitoring and Treatment Required for Gestational Diabetes
- and more….
What’s new on the ITU MCH web pages
Maternal Child Health Website Gets a Facelift
In response to your requests for a more useable and access-friendly website…the OIT staff, with assistance from the websites content coordinators, have redesigned the Maternal Child Health Websites. (See Featured Website above)
I invite you to browse through the pages and let me know how useful they are in both your clinical practice and other research and HP/DP programs. The pages are updated regularly with up to date clinical information you are sure to find beneficial for our patients. David Gahn, M.D.
http://www.ihs.gov/MedicalPrograms/MCH/index.cfm
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
18th Annual IHS Research Conference
- April 24-26, 2006
- Albuquerque , NM
- Discovering Pathways to Better Health for AI/AN
http://www.ihs.gov/MedicalPrograms/ClinicalSupportCenter/index.cfm
Advances in Indian Health, 6 th Annual
- May 2-6, 2006
- Albuquerque , NM
- Save the dates brochure
http://www.ihs.gov/MedicalPrograms/MCH/M/CN01.cfm#May06
Native Peoples of North America HIV/AIDS Conference
- May 3–6, 2006
- Anchorage , Alaska
- Embracing Our Traditions, Values, and Teachings www.embracingourtraditions.org
- National Institutes of Health (NIH), DHHS http://www.ou.edu/rec/pdf/Native_Fact_Sheet.pdf
ACOG 2006 Annual Clinical Meeting (ACM)
- May 6-10, 2006
- Washington , DC
- Save the dates brochure http://www.acog.org/abstract%2Dsubmission/
I.H.S. / A.C.O.G. Obstetric, Neonatal, and Gynecologic Care Course
- September 17 – 21, 2006
- Denver , CO
- Contact YMalloy@acog.org or call Yvonne Malloy at 202-863-2580
- http://www.ihs.gov/MedicalPrograms/MCH/F/documents/ACOG_06brochR1_1.pdf
- NEONATAL RESUSCITATION PROGRAM available
Did you miss something in the last OB/GYN Chief Clinical Consultant Corner?
January 2006 OB/GYN CCC Corner
Volume 4, No. 1, January 2006
Abstract of the Month
- Link between GDM and Type 2 DM: Can be Broken
From Your Colleagues
Carolyn Aoyama
- Gestational Diabetes: ACOG / IHS Obstetrics, Neonatal and Gynecologic Care
Burt Attico
- Vitamin D Levels During Pregnancy Affect Childhood Bone Mass
Chuck North
- Chew Your Fowl Carefully
Judy Thierry
- Maternal weight gain during pregnancy - archived web cast
- April Conference - AIAN children with educational needs - parents, advocates
Tom and Edie Welty
- Integrating prevention of mother-to-child HIV transmission into routine antenatal care
Hot Topics
- Bed Rest for pregnancy related hypertension: Bed rest should not be recommended
- Simulation training improves resident performance of a simulated vaginal breech delivery
- Women Coached To Push During Labor Have Little Advantage Over Women Not Coached
- Follow-up on Paroxetine change from Class C to Class D
- Sufficient evidence to support implementing first-trimester Down syndrome risk: NIH
- and more…
- Prior Function and Relationship, More Than Hormones, Affect Sexual Function in Midlife
- HPV-16 vaccine provides high-level protection against CIN for at least 3.5 years
- Have you had trouble clearing up vaginal condyloma or CIN?
- Rectocele xenograft repair: Unsatisfying anatomical cure rate 3 years postoperatively
- Patient-Administered Analgesic Gas Helpful During Colposcopy
- and more…
- Cerebral Palsy: An Overview
- Oral Contraceptives and Dysmenorrhea in Adolescents
- Controlling Obesity: School, Work, and Leisure
- Screening and Interventions for Overweight in Children and Adolescents: USPSTF
- Waking up to Sleep Deprivation
- Medications for Migraine Prophylaxis
- Aromatase inhibitors--a triumph of translational oncology
- Regular Walking Slows Decline in Patients With Peripheral Arterial Disease
Features
- IVF Therapy for Unexplained Infertility - Cochrane for Clinicians
American College Of Obstetricians and Gynecologists
- "Do Not Use" Abbreviations
- Vaginal Birth Not Associated With Incontinence Later in Life
- Research Finds 40% of Pregnancy-Related Deaths Potentially Preventable
Agency for Healthcare Research and Quality
- Younger women more satisfied when a reproductive health specialist is their primary provider
- Uterine artery embolization for uterine fibroids is a low-risk procedure
- More high-quality studies needed to gauge safety of induced labor with prior cesarean deliveries
- Some State-level policies are associated with women's mortality rates for certain diseases
- Clinicians are more likely to counsel youth diagnosed with obesity about diet and exercise
- Interested in Maternal and Child Health topics?
- Duration of Lactation and Incidence of Type 2 Diabetes
- Special Editorial: Suzan Murphy, new CCCC columnist
- New studies shows a 15% reduction for the risk of diabetes for every year of lactation
- Routine screening for protein and glucose at each prenatal visit should be abandoned
- How do you know when you have a false positive HIV test in pregnancy?
- Paroxetine’s pregnancy category changed from C to D
- Editorial: Vaccine prevents cervical cancer, Gardasil: Preliminary results 100% effective
- Handle abnormal Pap smears differently in adolescents
- Quick Assessment of Literacy in Primary Care: The Newest Vital Sign
- Inappropriate use of the terms fetal distress and birth asphyxia
- New studies shows a 15% reduction for the risk of diabetes for every year of lactation
- New cigarettes with flavors that appeal to youth
- CC: I feel really cold and my side hurts, plus I am shaking all over
- WHI clinical trial revisited: Imprecise methodology disqualifies the study's outcomes
- Post Partum Hemorrhage is the most common cause of maternal mortality worldwide
- Liability in Triage: Management of EMTALA Regulations and Common Obstetric Risks
- MRSA presents new challenges in treating skin and soft-tissue infections, including in pregnancy…
- Many new additions to the Indian Health Guidelines / Patient Education web page
- Meconium Happens
- Cardiology Topics for Primary Care Providers – February 15, 2006
- High-Risk HPV Associated with Chlamydia trachomatis with Female Adolescents
- Type 2 diabetes mortality in women: Same as a "coronary heart disease equivalent"
- 21st Annual Midwinter Indian Health OB / PEDS Conference January 27-29, 2006
- Sexual Assault Services Delivered by SANES
- The Truth About Rape, CDC
- Post-traumatic Stress Disorder - Clinical Evidence Concise
- Anticholinergic Drugs for Overactive Bladder - Cochrane for Clinicians
- Emergency Contraception Use Not Associated With Risky Sexual Behavior
- FDA Safety Changes: ParaGard Copper T 380A
- Hysteroscopic Sterilization May Offer Advantages Over Laparoscopic Procedure
- Emergency Contraception: AAP Review
- Vaginal Birth after Cesarean, New Perinatology Corner Module – 2 credits
- What factors effect when we should we start colon cancer screening in low risk adults?
- Recommendation for Universal Influenza Immunization in Children Age 6 to 23 Months
- Hepatitis A Vaccine: Nice Success Story - New Recommendations
- Native American Child Health Advocacy Award – Call for Nominations
- Just out: IHS Information Technology News – January 2006
- Family Medicine Patients’ Use of the Internet for Health Information
- Association Between Reproductive Health-Related Medical Claims and Criminal Activity or
- Experience of Abuse among Medicaid-enrolled Adolescent Females
- Reproductive Health Claims and Risk of Abuse among Medicaid-enrolled Adolescent Females
- Girl Talk: Choices and Consequences of Underage Drinking
- CC: I feel really cold and my side hurts, plus I am shaking all
- WHI Trial Seen Flawed; Alternative Hormone Replacement Regimen Proposed
- Shoulder Dystocia
- The ‘CCC Deliver Through’ maneuver for Shoulder Dystocia Prevention
- Hurricane-Related Information for Pregnant and Breastfeeding Women
- System errors in intrapartum electronic fetal monitoring: a case review
- Depo-Provera available in a lower dose: limited data to assess 104mg SQ vs. 150mg IM
- Who do you contact in Navajo Area for MCH issues?
- Fetal Alcohol Syndrome: Nursing Perspective
- Seeking Executive Nurse Leaders
- Oral Fluid Rapid HIV Antibody Tests Being Investigated: Current protocols should continue to be followed
- Who do you contact in Oklahoma Area for MCH issues?
- Exercise, Calcium Supplementation May Improve BMD in Postmenopausal Women
- Diabetes and Pregnancy Frequently Asked Questions, CDC
- Cognitive Therapy for Depression: What You Should Know
- Cerebral Palsy in Children: What You Should Know
- Medicines to Prevent Migraine Headaches
- Medicines to Prevent Migraine Headaches
- Cardiology Topics for Primary Care Providers – February 15, 2006
- Clinician-Delivered Intervention During Routine Clinical Care Reduces Unprotected Sexual Behavior
Barbara Stillwater, Alaska Dibaetes Prevention and Control
- High- Normal Fasting Blood Sugar Above 87 mg/dL Could Signal Diabetes Risk
- Antidepressants Are No Match for Poverty
- Now science allows us all an extra 7lb of fat - at no extra risk
- New Guidelines Available to Raise HDL Cholesterol
- Coffee consumption may reduce breast cancer risk
- and more….
Save the Dates: Upcoming events of interest
What’s new on the ITU MCH web pages
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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