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Maternal Child

Maternal Child HealthCCC Corner ‹ October 2006
OB/GYN CCC Corner - Maternal Child Health for American Indians and Alaska Natives

Volume 4, No. 10, October 2006

News Flash(s)

New Breast Feeding page just released

  • See Breastfeeding section below - Suzan Murphy
  • See Featured website section below – David Gahn

Direct Links to Topic Content

 

Links to Topic Summaries on This Page

Contents

Abstract of the Month

CDC Advocates for Routine Voluntary Testing of HIV

Read More - Abstract of the Month

From Your Colleagues

Carolyn Aoyama

  • Grants for Nursing

Jim Galloway

  • Do you need nutrition services at your site?

Sunnah Kim, AAP (with comments by Elaine Locke, ACOG)

  • Forty years in partnership: the American Academy of Pediatrics and Indian Health

Judy Thierry

  • Smoking Cessation for Pregnancy and Beyond
  • Northern Plains Tobacco Prevention Project - Smoke Free Families Campaign
  • Latest AI/AN birth and fertility data from NCHS, 2004
  • Literature on feeding beliefs and attitudes in AIAN/indigenous populations requested
  • Release of IDEA 2004 Part B Regulations Links to forms and tool kits for IEPS FSPs

Myra Tucker, CDC

  • Analyzing and Mapping Health Inequities to Impact Policies for Eliminating Disparities

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Fetal injury at cesarean delivery: Related to the indication and type of uterine incision
  • Youth Exposure to Alcohol Advertising on Radio
  • YOUTH: 3 complementary resources: Needs based…asset mapping…resiliency…
  • TeenScreen Conference: Second Annual
  • Adolescent Death Rates by Race/Ethnicity and Sex

Chronic Illness and Disease

  • Aspirin to Prevent Heart Attack and Stroke: What’s the Right Dose? 160 mg/day
  • Benefits of Eating Fish Greatly Outweigh the Risks
  • Daily Weighing and Quick Action Keeps Pounds Off, Study Shows
  • F as in Fat and Failing: How Obesity Policies are Failing in America, 2006
  • Regular exercise and keeping weight in check decreases breast-cancer risk factors

Obstetrics

  • Can a 29% Cesarean Delivery Rate Possibly Be Justified?
  • Stricter VBAC Guideline Does Not Improve Mortality
  • Dose-response pattern in the risk of previa, with increasing number of cesarean deliveries
  • 12 and 24 hours of MgSO4: Similar course in postpartum mild preeclampsia
  • Oral misoprostol Can Reduce PPH When Given Prophylactically

Gynecology

  • A new era in ovula tion induction: Aromatase inhibitors
  • Preventing Postoperative Nausea and Vomiting
  • Flexible-dosing with anticholinergics: Simple and effective for overactive bladder
  • HPV and HPV Vaccine: Information for Healthcare and for the general public
  • MR imaging: Excellent at excluding appendicitis in pregnancy when not visualized at US

Read More - Hot Topics

Back to table of contents

Features

American Family Physician

  • Postcoital Bleeding and Cervical Cancer Risk
  • Metformin May Help Children Lose Weight
  • Lubiprostone (Amitiza) for Chronic Idiopathic Constipation

American College of Obstetricians and Gynecologists

  • Amnioinfusion Does Not Prevent Meconium Aspiration Syndrome
  • Postpartum Hemorrhage (Technical Bulletin)
  • Vulvodynia

Agency for Healthcare Research and Quality

  • What processes are in place for same last name awareness?
  • Do Not Resuscitate in the OR, but What About Afterwards?
  • Prevalence, impact, and disclosure of domestic violence among women
  • Premature infants born at 30 to 34 wks gestation suffer substantial problems
  • Bariatric obesity surgery complication rates are higher over time

Ask a Librarian

  • Updated Cochrane Systematic Reviews…
  • Aerobic Exercise and Pregnancy
  • Calcium Supplementation Safe and Cheap
  • Preclampsia Drugs: No Clear Choice

Breastfeeding

  • Do you have breastfeeding questions? The new Breast feeding site has the answers

    and

  • Lactation Support in the Indian Health Workplace: New Circular

CCC Corner Digest

September 2006 Highlights include:

  • FDA OTC Access for Plan B for 18 and Older: A ‘Catch-22’ for AI/AN patients?
  • USPSTF Best Practices - Breast and Cervical Cancer Screening, plus Helpful Tips
  • Cesarean delivery: Increased risks versus vaginal delivery - 4 articles
  • See and treat: HPV positive, HSIL cytology, and a HG impression at 2nd colposcopy
  • Metformin Useful for Treating PCOS in Adolescents
  • Varenicline was significantly more efficacious for smoking cessation
  • Human Papillomavirus Vaccination: ACOG Committee Opinion
  • Engorgement - It only feels like it is going to last forever
  • Adolescent perception of sexual abstinence: A complete disconnect
  • HIV Management System, v1.0 - National Release
  • Health care and indigenous peoples: the other side of the planet
  • First trimester screening: How would you counsel this patient?
  • Postpartum Care: Still the neglected step child of perinatal services?
  • Implanon- A single rod contraceptive implant…
  • Harm Resulting from Inappropriate Telephone Triage in Primary Care
  • How important is maternal intratpartum glucose to neonatal hypoglycemia?
  • Must Honor Advance Directives - Palliative Medicine's Role in the Continuity of Care
  • Sexual Education / HIV Education and youth
  • Weight Loss Should be the Primary Intervention for Risk of Diabetes

Domestic Violence

  • A must WEB site for CHILD Abuse care and practice info

Elder Care News

  • Palliative Care Training
  • How is the Indian Health System providing palliative and end-of-life care?
  • The Last Hours of Living: Practical Advice for Clinicians

Family Planning

  • Ortho Evra Patch Linked to Risk for Venous Thromboembolism

Featured Web Site

  • New Breastfeeding Web Page for the Indian Health System

Frequently asked questions

  • Is my first trimester patient always hyperthyroid if her labs are abnormal?

Indian Child Health Notes - September 2006 Highlights

  • Early prednisone therapy in Henoch-Schonlein purpura
  • Physician documentation of neonatal risk assessment for perinatal infections.
  • The Alaska Hib type b experience: lessons in controlling a vaccine-preventable disease

Information Technology

  • New patient wellness handout

International Health

  • Maternal survival worldwide: consensus and controversies

    and

  • An Entire Issue of Can J Public Health Dedicated to Health Policy

MCH Alert

  • What is the contribution of preterm birth to infant mortality rates?
  • Increased efforts are needed for states to achieve all eight HP 2010 objectives
  • Portal to Maternal and Child History Materials
  • Children’s Opportunity Depends on Their Parent’s Opportunity

Medical Mystery Tour

  • The words ‘bizarre’ and ‘atypia’ in the same pathology report sentence…hmmm….

Medscape

Menopause Management

  • Associations between night sweats and other sleep disturbances
  • Combination Estrogen-Progestin Hormone Prescribed by Age Group
  • Unopposed Estrogen Therapy Increases Breast Cancer Risk

Midwives Corner

  • External Fetal Monitors - Can you kick the habit?
  • EMTALA language changes addresses certification of false labor

Navajo News

  • Great, low-cost, fun CME opportunity

Nurses Corner

  • Improving Perinatal Outcomes: Reliably Using Elective Induction and Labor Augmentation

Office of Women’s Health, CDC

  • Preconception Care: Science, Practice, Challenges and Opportunities
  • October is Breast Cancer Awareness Month

Oklahoma Perspective

  • Asthma in Pregnancy

Osteoporosis

  • Fracture risk among First Nations people

Patient Education

  • Assessment of Adult Health Literacy
  • Is patient education really working? GDM patients smoke more and eat less vegetables
  • HPV Vaccine: What You Need to Know
  • Stress: How to Cope with Life's Challenges
  • Anxiety and Panic: Getting Control over Your Feelings

Perinatology Picks

  • Fetal Lung Maturity Assessment
  • Can a blood test predict pre-eclampsia? and will it help us?
  • Fish oil for fetal brain development, hypertensive disorders, and depression?
  • Maternal oxygen administration for fetal distress
  • A nuchal translucency measurement where there is no benefit from first trimester screening

Primary Care Discussion Forum

  • Causes of Type 2 Diabetes: Old and New Understandings

STD Corner

  • Prevalence of HPV Infection among Men: A Systematic Review of the Literature
  • FDA Approves the First Once-a-Day Three-Drug Combination Tx of HIV-1
  • NIH launches new HIV Vaccine awareness campaign

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • No improvement in fetal outcome, plus increased maternal morbidity: Who pays for this?
  • Who Responds to Glyburide for Gestational Diabetes?
  • Nearly one out of two women with gestational diabetes also have periodontal disease
  • Mothers Who Gain Weight Between Pregnancies Experience Pregnancy Complications
  • The growing trends in maternal obesity

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

Special Care Clinic – Phoenix Indian Medical Center (PPT)

Heard about prenatal care and postpartum care? Here is something on Internatal care (PPT)


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

Best Practices and GPRA Tracking

22nd Annual Midwinter Indian Health OB/PEDS Conference

  • For providers caring for Native women and children
  • January 26-28, 2007
  • Telluride, CO
  • Contact Alan Waxman awaxman@salud.unm.edu

TeenScreen Conference: Second Annual

2nd International Meeting on Indigenous Child Health

2007 Indian Health MCH and Women’s Health National Conference

  • August 15 -17, 2007
  • Albuquerque , NM
  • THE place to be for anyone involved in care of AI/AN women, children
  • Internationally recognized speakers
  • Save the dates. Details to follow
  • 10 months away and counting
  • Want a topic discussed? Contact nmurphy@scf.cc

Back to table of contents

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

September 2006 OB/GYN CCC Corner

Volume 4, No. 8, August 2006

Abstract of the Month

  • FDA Approves OTC Access for Plan B for 18 and Older: A ‘Catch-22’ for AI/AN patients?

From Your Colleagues

Carolyn Aoyama

  • USPSTF Best Practices - Cervical Cancer Screening
  • USPSTF Breast Cancer Screening Guidelines
  • Tips for Improving Access to Mammography

Burt Attico

  • Congenital Anomalies Linked to NSAID Use in First Trimester

Judy Thierry

  • Influenza is coming: Are you ready?

Hot Topics

Child Health

  • Metformin Useful for Treating PCOS in Adolescents
  • Should Pacifier Use in Infants Be Discouraged?
  • Opportunities to prevent injury among children and adolescents: New fact sheet
  • Early-Onset and Late-Onset Neonatal Group B Streptococcal Disease
  • Prolonged Bottle-feeding and Iron Deficiency Anemia

Chronic Illness and Disease

  • Varenicline was significantly more efficacious for smoking cessation
  • Clinical Prediction Rule for Stratifying Patients with PE
  • Predicting Four-Year Mortality Risk in Older Adults
  • Criteria for Diabetes Testing in Asymptomatic Adults
  • Light Therapy vs. Fluoxetine for Treatment of SAD
  • and more…..

Obstetrics

  • Cesarean delivery: Increased risks / costs plus poor postpartum outcomes – 4 articles
  • S. aureus colonization in pregnant women is 17.1%, MRSA found in the vaginal-rectal area
  • Controlling pregnancy weight gain: adverse neonatal outcomes – 2 articles
  • Electronic fetal monitoring has no effect on perinatal morbidity or mortality: A Review
  • Two-stage protocol for placenta accreta: US first, and then MRI for inconclusive US

Gynecology

  • See and treat: HPV positive, HSIL cytology, and a high-grade impression at 2 nd colposcopy
  • Activity Restriction After Pelvic Floor Surgery?
  • Urinary incontinence and age at the first and last delivery
  • TVT is effective: Recurrent stress urinary incontinence and/or previous prolapse surgery
  • Diagnosis and Management of Endometriosis
  • And more…

Features

American Family Physician

  • Acupressure vs. Physical Therapy for Low Back Pain
  • Naltrexone and Counseling Reduce Alcohol Dependence

American College of Obstetricians and Gynecologists

  • Human Papillomavirus Vaccination
  • HPV Vaccine Shows Promise, at Least in Short Term

Agency for Healthcare Research and Quality

  • Surgeons vary widely in their approaches to disclosing medical errors to their patients
  • Case management dramatically reduces care use for minority children on Medicaid
  • NICU babies are frequently at risk for misidentification

Ask a Librarian

  • Daily Health Policy News Summaries - New on Your Library Website

Breastfeeding

  • Engorgement - It only feels like it is going to last forever
  • Breastfeeding: Data and Statistics: Breastfeeding Practices — Results from 2005 Survey

CCC Corner Digest

August 2006 Highlights include:

  • Uterine rupture rate hasn’t changed for 20 years – Why have our practices?
  • New Women’s Health Work Group Forming: Looking for interested volunteers
  • Update your standing post partum discharge orders: Tdap in pregnancy
  • ACOG Releases HPV Vaccine Recommendations for Ob-Gyns
  • Emergency Contraception: A Primer for Pediatric Providers
  • Antidepressant Discontinuation Syndrome
  • Norethindrone More Effective for Menses Suppression
  • Induction of Labor for Vaginal Birth After Cesarean Delivery
  • Early Milk Supply Issues
  • Randomized trial: Screening for intimate partner violence in health settings
  • Is 75 Years an Appropriate Upper Age Limit for Mammography?
  • Addressing Depression in Family Planning Services
  • HIV/AIDS in Latin America and the Caribbean
  • First trimester screening: How would you counsel this patient?
  • VBAC: Pendulums and Ecstasy
  • Native Alaskan and American Indian Nurses Scholarship Opportunity
  • The indications for IUD use have vastly expanded
  • Glyburide flows from fetus to mother by placental transport system
  • September 1, 2006: Palliative Medicine's Role in the Continuity of Care
  • Condom Use and the Risk of Genital HPV Infection in Young Women
  • Obese Girls: 3 x Risk for Early Death than Slim Counterparts

Domestic Violence

  • Randomized trial assesses screening for intimate partner violence in health settings

Elder Care News

  • Where is the Indian Health System when it comes to providing palliative / end-of-life care?

Family Planning

  • Adolescent perception of sexual abstinence

Featured Web Site

  • The Indian Health MCH Frequently Asked Question (FAQ) site

Frequently asked questions

  • Are there any cultural barriers/among Native Americans to becoming cord blood donors?

Indian Child Health Notes - September 2006 Highlights

  • Thank you Captain Obvious - Meta analysis shows that drinking sugar sweetened beverages is linked to obesity
  • If you cant beat 'em sue 'em: The intersection of obesity and public health law
  • Pneumococcal vaccine has decreased the rates of otitis media and PE tube placement in AI/AN children
  • Cancer data for adolescent Native Americans
  • Mystery person gives $100,000 to the Committee on Native American Child Health - Help us decide how to spend it
  • Survey Monkey in this issue - let us know what you want

Information Technology

  • HIV Management System, v1.0 - National Release, BKM

International Health

  • Health care and indigenous peoples: the other side of the planet
  • Planes, trains, automobiles and asthma in China

MCH Alert

  • Adolescents’ Use of Contraception
  • New website provides easy access to information on SIDS and infant death

Medical Mystery Tour

  • First trimester screening: How would you counsel this patient?

Medscape

Menopause Management

  • Clonidine and Gabapentin Effective for Hot Flashes
  • Estrogen Alone Does Not Increase Breast Cancer Risk

Midwives Corner

  • Postpartum Care: Still the neglected step child of perinatal services?
  • Midwives applaud new false labor EMTALA regulations

Navajo News

  • Implanon- A single rod contraceptive implant…

Nurses Corner

  • Harm Resulting from Inappropriate Telephone Triage in Primary Care

Office of Women’s Health, CDC

  • Trends in HIV-Related Risk Behaviors Among High School Students

Oklahoma Perspective

  • The indications for IUD use have vastly expanded

steoporosis

  • Calcium during pregnancy: Higher maternal Vit. D / folate and newborn Wt / mineralization

Patient Education

  • Endometriosis: What You Should Know

Perinatology Picks

  • How important is maternal intratpartum glucose to neonatal hypoglycemia?
  • Adverse outcomes with DM are 3-9 times worse vs normal and not improved in 15 years
  • 17 hydroxyprogesterone caproate results in cost-savings in women with prior PTD
  • No difference in pregnancy loss: Chorionic villus sampling vs amniocentesis, 1998 to 2003
  • Vitamin Supplements Do Not Prevent Preeclampsia

Primary Care Discussion Forum

  • Palliative Medicine's Role in the Continuity of Care – Ongoing

STD Corner

  • Sexual Education / HIV Education and youth

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Weight Loss Should be the Primary Intervention for Risk of Diabetes

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: Tuesday October 31, 2006  7:19 AM