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Maternal Child

Maternal Child HealthCCC Corner ‹ April 2007
OB/GYN CCC Corner - Maternal Child Health for American Indians and Alaska Natives

Volume 5, No. 4, April 2007

News Flash(s)

New CCC Corner Columnists

  • Violence Against Native Women
    • Rachel Locker
    • Denise Grenier

Direct Links to Topic Content

Links to Topic Summaries on This Page

Contents

Abstract of the Month

Quadrivalent Human Papillomavirus Vaccine: Final ACIP Recommendations
Comments by Amy Groom

Read More - Abstract of the Month

From Your Colleagues

Gordon Belcourt

  • Project Safe Neighborhoods
  • Recent changes affecting maternal mortality data
  • What is known about the outcomes of school health programs?

Stephen Heath

  • When Things Go Wrong: Responding to Adverse Events

Scott Giberson

  • HHS National HIV/AIDS Mobilization Campaign

Rhonda Johnson

  • The Disparities Solution Center: Disparities Leadership Program

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Newborn male circumcision: Improved outcomes with pediatric hospitalists
  • Eleven medications account for one-third of errors that harm hospitalized children
  • Croup: Single dose of prednisolone less effective than single dose of dexamethasone
  • Use of Child Restraints in 2006: New NHTSA Research Note
  • Failure to thrive: No associations found with social class or parental education

Chronic Illness and Disease

  • New Findings Support Fetal Overnutrition Hypothesis
  • Obesity surgeries have jumped dramatically since 1998, AHRQ
  • High BP in Pregnancy Increases Risk for Future Atherosclerosis
  • Switching from tamoxifen to aromatase inhibitor improves survival in breast cancer
  • Telephone Counseling Improves Smoking Cessation Rates

Obstetrics

  • GPRA Reporting: HIV Prenatal Screening by Brigg Reilley / Scott Giberson
  • Obstetric Causes of Cerebral Palsy Are Uncommon
  • Significantly higher rehospitalization rates and costs with planned cesareans
  • Fish During Pregnancy May Boost Childrens' IQ
  • Induction after 41 completed weeks or later is associated with fewer perinatal deaths

Gynecology

  • Ultrasonography Detects Malignant Adnexal Masses
  • High rates of complications after sling surgery suggest the need for quality improvement
  • Surgery versus medical therapy for heavy menstrual bleeding
  • Inside-out for transobturator tape placement was closer to neurovascular structures
  • Monsel's paste and fulguration with ball electrode appear be equally effective

Read More - Hot Topics

Back to table of contents

Features

American College of Obstetricians and Gynecologists

  • Ob-Gyns Encouraged to Help Reduce Colorectal Cancer Deaths in Women
  • Medical Futility - Committee Opinion

American Family Physician

  • Treatment of the Common Cold
  • Cough: Diagnosis and Management: Practice Guidelines
  • Common Oral Lesions: Part I. Superficial Mucosal Lesions
  • Common Oral Lesions: Part II. Masses and Neoplasia
  • Iron Deficiency Anemia

Agency for Healthcare Research and Quality

  • Diagnostic errors are typically the result of multiple individual and system breakdowns
  • Some pregnant women are still prescribed medications with the potential to harm the fetus
  • Shifting from a culture of blame to a culture of safety could help prevent medical errors

Ask a Librarian

  • The CDC website should be bookmarked: Pelvic Inflammatory Disease

Breastfeeding

  • Inquiring families want to know - what about breastfeeding and . . .
  • Breast-Feeding Enhances Vision Development in Infants
  • Simple antenatal preparation to improve breastfeeding practice: RCT
  • Longer duration of lactation associated with favorable changes in metabolic risk factors
  • Postpartum Mastitis and Community-Acquired Methicillin-Resistant S. Aureus

CCC Corner Digest

  • Healing words: The power of 'I'm sorry' in medical practice
  • Ryan White HIV / AIDS Treatment Modernization Act of 2006
  • GDM Guidelines: Major discrepancies to identify GDM and predict pregnancy outcome
  • Cystocoele Repair: The Mesh Controversy
  • Review and Comment: Newborn record form IHS-298 and its revision
  • Does Delay in Diagnosis of Breast Cancer Impact Prognosis?
  • ACOG Opposes Sex Selection for Family Planning Purposes
  • ACOG Calls on Employers to Support Breastfeeding
  • Abstinence counseling vs family planning: Which is more effective?
  • The MCH Coordinators Site has a clean new look, plus new functionality
  • How many rubella vaccines does a mother really need to get?
  • Sexual behavior in context: A public health perspective
  • Scrub Club
  • Prolonged second stage with an epidural
  • Maternal positioning and pain relief: Promoting effective pushing
  • Clomiphene “bests” Metformin in a NEJM study
  • A "Small Fall" and a Trip to the Emergency Department
  • Indian Health Surveillance Report—Sexually Transmitted Diseases 2004
  • Ultrasound is better at finding Neural Tube Defects than AFP
  • Adolescent with knee pain, Web M+M, Terry Cullen - Moderator
  • A First: STD Rates Available by IHS Area
  • Fertility rises as weight drops
  • Women's Health Week will be celebrated May 13-19, 2007
  • 2 nd methamphetamine issue of the IHS Primary Care Provider online

Domestic Violence

  • Violence Threatens the Health of Pregnant Women and Newborns
  • Intimate Partner Violence in Pregnancy: Clinicians Guidelines Tutorial, CDC
  • Health Cost Higher for Survivors of Domestic Violence

Elder Care News

  • Guidelines for Palliative Care Services in the Indian Health: Now Online
  • 3rd annual American Indian and Alaska Native Long Term Care Conference
  • Disability among older Americans continues significant decline

Family Planning

  • Non-latex versus latex male condoms for contraception
  • Population effect of increased access to emergency contraceptive pills

Featured Web Site

  • Indian Health Service Methamphetamine Initiative Site

Frequently asked questions

  • Does misoprostol aid prior to IUD insertion?
  • What are Pilates?

Indian Child Health Notes

  • Iron deficiency in infancy may have permanent cognitive effects
  • Same health issues facing the developing world are in force in Indian Country

Information Technology

  • 2007 Physician Quality Reporting Initiative Webpage Is Now Available
  • HIPPA mandated standard unique identifiers for health care providers: NPPES

International Health

  • Testing New Drugs on the World’s Poorest Patients

MCH Alert

  • How science has revolutionized the understanding of drug addiction
  • Disparities in Fetal and Perinatal Mortality

MCH Headlines

  • Training opportunity – Infant mental health
  • The Magic of Play
  • Cervical Cancer in America
  • A MUST tool for multidisciplinary teams reviewing infant / child deaths
  • Remember the car seat video I sent out in the past year about being 4’9” tall?

Medical Mystery Tour

  • Prolonged second stage with an epidural

Medscape

  • Exercise in the Age of Evidence-Based Medicine: A Clinical Update
  • Genital Warts: Best Practices for Diagnosis and Management
  • Routine Testing for HIV Infection: CDC Screening Recommendations
  • Preventing STD-Related Cancers: An Update on Vaccination Strategies
  • How to Optimize the Management of Acid-Peptic Disorders

Menopause Management

  • Oral, not Transdermal, Estrogen Increases Risk for VTE in Women 
  • New low dose estradiol transdermal gel for postmenopausal symptoms
  • Unopposed estradiol: Anticipate uterine bleeding and endometrial biopsy
  • Nonhormonal therapies for menopausal hot flashes: systematic review

Midwives Corner

  • The spirituality of presence in midwifery care
  • History and Evidence Base for Normal Birth

Navajo News

  • Sharing strategies to meet ACOG standards with limited resources

Nurses Corner

  • Adverse Drug Events Among Patients in a Tertiary Care Medical Center
  • Family Support in Patient-Centered Care: New Guidelines Issued
  • A Call to Action for Caregivers and Patients: Imaging X-rays Cause Cancer
  • Role of Exercise in Treating Postpartum Depression: A Review

Office of Women’s Health, CDC

  • QuickStats: Birth Rates* Among Females Aged 15--19, by State
  • Fetal and Perinatal Mortality, United States, 2003

Oklahoma Perspective

  • Cesarean Delivery on Maternal Request

Osteoporosis

  • Bisphosphonate Related Osteonecrosis of the Jaws

Patient Education

  • Anemia: When Low Iron Is the Cause
  • Iron Deficiency Anemia in Infants and Children: How to Prevent It
  • Does Diabetes Run in Your Family?  
  • Canker Sores: What Are They and What Can You Do About Them?
  • The Common Cold: What You Should Know

Perinatology Picks

  • What is the best management plan for the woman with suspected preterm labor?
  • Short Interval Between Pregnancy and Cervical Conization May Raise Preterm Birth Risk
  • Concern about women taking bromocriptine long term for hyperprolactinemia?
  • Results caution against a repeat dose of glucocorticoid in high-risk pregnancies
  • If normal ultrasound at 22-24 weeks the risk of developmental delay is not increased

Primary Care Discussion Forum

  • Electronic Health Record (EHR) Implementation: Worth the effort?

STD Corner

  • HPV Vaccine FAQs
  • Updated CDC Guidelines for the Treatment of STDs
  • CDC Releases Data on HIV-Related Risk Behaviors in U.S. High School Students

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Northern Women at Most Risk: Vitamin D Deficiency Widespread During Pregnancy

Women’s Health Headlines

  • Can you dispense birth control agents to minors without parental consent?
  • Welcome to the Indian Health Service Methamphetamine Initiative Site

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

Can one dispense birth control agents to minors without parental consent? (WORD)

Are birthing center regulations less restrictive than hospitals? (WORD)

How many rubella vaccines does a mother really need to get? (WORD)


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

Advances in Indian Health

2007 IHS APN/PA Meeting

Training Course in MCH Epidemiology

Native Women’s Health and MCH Conference

  • August 15 -17, 2007
  • Albuquerque , NM
  • Questions? Contact nmurphy@scf.cc

http://www.ihs.gov/MedicalPrograms/MCH/F/CN01.cfm#Aug07

3rd Annual American Indian and Alaska Native Long Term Care Conference

Back to table of contents

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

March 2007 OB/GYN CCC Corner

Volume 5, No. 3, March 2007

Abstract of the Month

  • Healing words: The power of 'I'm sorry' in medical practice

From Your Colleagues

Amy Groom

  • Q&A vaccines, safety contraindications, allergies: Children’s Hospital of Philadelphia site

Burt Attico

  • Consumer Reports has withdrawn its study on infant safety seats

Gordon Belcourt

  • Cervical Cancer in America

Scott Giberson

  • Ryan White HIV / AIDS Treatment Modernization Act of 2006
  • March 21 st: First Annual National Native HIV/AIDS Awareness Day

Favian Kennedy

  • Northern Plains Tobacco Policy Workshop March 8th and 9th, 2007

Sunnah Kim

  • 2007 Native American Child Health Advocacy Award
  • Oral Health AIAN Preceptorship Award RFP
  • Large data Catalog Available: Health / Well-Being of AI / AN, and Other Native Americans
  • Registration is now open for the 2nd International Meeting on Indigenous Child Health

Roberta Ward

  • Common Skin Conditions During Pregnancy

Hot Topics

Child Health

  • Review and Comment: Newborn record form IHS-298 and its revision
  • Importance of media in adolescent girls' physical and emotional health and weight loss
  • Does Swaddling Reduce Excessive Crying in Infants?
  • Autonomic function or dysfunction and its role in Sudden Infant Death Syndrome
  • Premature Infants Are Susceptible to SSRI, Venlafaxine Exposure In Utero 

Chronic Illness and Disease

  • Does Delay in Diagnosis of Breast Cancer Impact Prognosis?
  • Mammographic density and the risk and detection of breast cancer
  • Estradiol showed benefit during menstrual migraine, but offset by estrogen withdrawal
  • Mental disorders among primiparous mothers increased several months after childbirth
  • Melanoma unabated: One-time melanoma screen at age 50 deemed cost effective

Obstetrics

  • GDM Guidelines: Major discrepancies to identify GDM and predict pregnancy outcome
  • Benefit of cesarean for macrosomic infants weighing 4,000-4,999 g questioned
  • Amount of maternal smoking predicts the risk of spontaneous abortion
  • First delivery by cesarean begins cascade of risks - obstetric and perinatal outcomes
  • Brief motivational intervention decreased the risk of alcohol-exposed pregnancy: RCT

Gynecology

  • Cystocoele Repair: The Mesh Controversy by J ohn Heusinkveld, Shiprock
  • Strong evidence for the efficacy of physical therapy for the treatment for SUI in women
  • Risk of preterm delivery increases after all treatment modalities for CIN
  • Report tracks state progress in cervical cancer prevention strategies
  • The TVT and the TVT-O procedures perform equally

Features

American College of Obstetricians and Gynecologists

  • ACOG Opposes Sex Selection for Family Planning Purposes
  • Pelvic Organ Prolapse. ACOG Practice Bulletin
  • Breastfeeding: Maternal and Infant Aspects. ACOG Committee Opinion

American Family Physician

  • Role of Exercise in Patients with Type 2 Diabetes: Cochrane for Clinicians
  • Acute Uterine Bleeding: Progestin vs. Combination Therapy

Agency for Healthcare Research and Quality

  • AI/AN are difficult to reach by mail for research or health care reasons
  • Women are more likely to suffer health problems and worse quality of life due to obesity
  • Missed opportunities: Few Americans are screened to prevent colorectal cancer
  • Physicians' extended work shifts associated with of medical errors and patient harm
  • Extended resident work hours jeopardize both resident health and patient safety

Ask a Librarian

  • Diet of Pregnant American Indians: Different than Whites?

Breastfeeding

  • ACOG Calls on Employers for Increased Support for Breastfeeding
  • Calcium Important for Nursing Mothers’ Oral Health
  • Call for Breastfeeding Abstracts: AAP
  • Simple Antenatal Preparation Improves Breast-Feeding Practice: RCT

CCC Corner Digest

  • Low hanging fruit: Promotion of healthy lifestyles during and after pregnancy
  • Teamwork Training: Decision to incision times significantly improved
  • Outreach workers should follow women with the most severe PAP abnormalities
  • Are you interested in acquiring HPV vaccine to provide to 9 – 18 year olds?
  • Sleepiness and sleep deprivation are associated with injury
  • Guidelines Recommend Universal Screening for Down Syndrome: Regardless of age
  • Diet of Pregnant American Indians: Different than Whites?
  • Supporting employee breastfeeding is easier than it sounds
  • Continuous Contraceptive Therapy Safely Abolishes Menstrual Cycles
  • Vaccine Preventable Diseases, IHS
  • Are varicella titers necessary prior to immunization?
  • What does the future hold in store?
  • F/U: A boy has been born in Chile with a fetus in his stomach
  • Local estrogen just as effective for vaginal atrophy in postmenopausal women
  • The Blessed Perineum: PubMed
  • Getting Your Patient Back to Work: Return-to-Work Restrictions After Illness / Injury
  • I have to go really far just to exercise . . . er . . . actually no you don’t
  • What do patients recall from our counseling?
  • Planned cesarean delivery doubles rate of NICU and risk for pulmonary disorders
  • Adolescent with knee pain, Web M+M, Terry Cullen - Moderator
  • First Indian Health Special Issue on Methamphetamine is now available online
  • Diabetic Moms' Babies Have Impaired Sucking Reflexes
  • What Causes Breast Cancer?
  • Andy Narva moved to NIH, but is still our Renal CCC
  • Year End Re-cap of Available Resources from CDC – OWH

Domestic Violence

  • Health Care-Based Interventions for Women Who Have Experienced Sexual Violence
  • Child Abuse: Approach and Management

Elder Care News

  • Older American Indians often have a poorer view of their own health than their doctors
  • Selective Serotonin Reuptake Inhibitors Increase Fracture Risk in Older Adults
  • The decision to hospitalize nursing home residents
  • Many nursing home residents suffer from poorly controlled pain

Family Planning

  • Abstinence counseling vs family planning: Which is more effective?

Featured Web Site

  • The MCH Coordinators Site has a clean new look, plus new functionality

Frequently asked questions

  • How many rubella vaccines does a mother really need to get?

Indian Child Health Notes

  • A guest editorial for physicians who work with tribal child protective services
  • How will we roll out the new HPV vaccine? Who can we cover?
  • Dr. Esposito gets passionate about poor data and unfounded conclusions

Information Technology

  • Have you visited the CRS Performance Improvement Toolbox web page lately?

International Health

  • Sexual behavior in context: A public health perspective
  • Repair of obstetric vesicovaginal fistulas in Africa
  • Drugs for preventing malaria in pregnant women improve infant outcome
  • Global struggle against poverty

MCH Alert

  • First steps in implementing mental health screening in schools
  • New Organization Focuses on Adolescent Health Care Reform

MCH Headlines

  • Scrub Club
  • Training Course in MCH Epidemiology
  • New Child Health USA Report Released
  • More on car seats, installment and safety on recheck
  • CDC needs feedback on need for Educational resources HPV implementation

Medical Mystery Tour

  • Prolonged second stage with an epidural

Medscape

  • HPV CEU's vaccine indications test your knowledge: 5 minute review
  • Contraception for a Woman With a History of Fibroids

Menopause Management

  • Physical Activity Improves Lipid Profile in Postmenopausal Women 
  • Transdermal Estrogen Suggested for Women With Metabolic Syndrome

Midwives Corner

  • Maternal positioning and pain relief measures: Pomoting effective pushing

Navajo News

  • Clomiphene “bests” Metformin in a NEJM study

Nurses Corner

  • A "Small Fall" and a Trip to the Emergency Department
  • The REACH Program and Alzheimer's Caregivers
  • Monthly Summaries of Nursing Research: Medscape
  • Highlights of NPWH 9th Annual Conference -- Women's Health in the New Millennium

Office of Women’s Health, CDC

  • Indian Health Surveillance Report—Sexually Transmitted Diseases 2004
  • Health , United States , 2006

Oklahoma Perspective

  • What do patients recall from our counseling?

Osteoporosis

  • Early Postmenopausal Hormone Therapy Improves Postural Balance
  • Repeat Bone Mineral Density Measurement May Not Predict Fractures in Older Women 

Patient Education

  • Tips for Using Medicines Wisely
  • Parvovirus B19: What You Should Know

Perinatology Picks

  • Ultrasound is better at finding NTD than AFP
  • Planned cesarean delivery doubles NICU rates and the risk for pulmonary disorders
  • Amniotic Fluid Promising Source of Stem Cells
  • Formula that calculates the estimated risk of respiratory distress syndrome is valid
  • Pregnancy Loss After Amniocentesis and CVS

Primary Care Discussion Forum

  • Adolescent with knee pain – Ongoing discussion

STD Corner

  • A First: STD Rates Available by IHS Area
  • Heterosexual Transmission of Community-Associated Methicillin-Resistant Sttaph. aureus
  • Research Seeks To Expand Understanding of Effects of Alcohol Use on Developing Brain
  • RCT comparing computer-assisted vs face-to-face sexual history taking
  • CDC Releases Survey Results on STD Counseling in Adolescents

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Fertility rises as weight drops
  • FDA Authorizes NovoLog for Pregnant Women With Type 1 Diabetes
  • Mild Gestational Diabetes Raises Risk of Cryptorchidism

Women’s Health Headlines

  • Women's Health Week will be celebrated May 13-19, 2007
  • Menstrual Cycle is a Vital Sign
  • CDC reports decreasing mammogram rates 1999-2002
  • Vulvodynia: a state-of-the-art consensus on definitions, diagnosis and management

Save the Dates: Upcoming events of interest

What’s new on the ITU MCH web pages

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 April 18, 2007  8:58 AM