Maternal Child

Abstract of the Month

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

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

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

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

Save the Dates: Upcoming events of interest

What’s new on the ITU MCH web pages