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Maternal Child

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

Volume 4, No. 11, November 2006

Direct Links to Topic Content

Links to Topic Summaries on This Page

Contents

Abstract of the Month

Regular Cola Intake Reduces Bone Mineral Density in Women

Read More - Abstract of the Month

From Your Colleagues

Carolyn Aoyama

  • Learn Quick Health Data Online with us
  • New Women’s Health Work Group Forming: Looking for interested volunteers

Burt Attico

  • Remembering Bill Carlile

Scott Giberson

  • Funding Opportunity: Alcohol Abuse and HIV/AIDS

Wanda Jones

  • Hyperemesis gravidum can be devastating to women

Brenda Neufeld

  • Fish Intake, Contaminants, and Human Health

 

Chuck North

  • Interested in a New England winter experience? Here is a great TDY

Ron Pust

  • At Highest Risk: Birthing in the Andes

Judy Thierry

  • AI/AN Candidates in college are encouraged to apply – deadline 15 December 2006
  • SIDS: Train the Trainer Sessions available
  • Archived METH Web cast available
  • Perinatal oral health screening: Provider response and interface with oral health care

Dawn Wyllie

  • Perinatal depression evidence based care
  • Many other Depression resources

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Early adolescents worry more as they age. . . .
  • Overweight Adolescent Girls Have Increased Mortality Risk
  • Adolescent overweight and obesity: Effect of maternal smoking during pregnancy
  • Public Cost of Adolescent Childbearing- By the Numbers
  • Dietary calcium intervention in adolescent mothers increases bone mineralization

Chronic Illness and Disease

  • Health Behaviors among American Indian/Alaska Native Women, 1998–2000 BRFSS
  • Raloxifene did not significantly affect the risk of CHD
  • Rifampin Has Improved Adherence, Less Toxicity Than Isoniazid for Latent Tuberculosis 
  • Prophylactic Surgery Reduces Ovarian Cancer Risk
  • Seasonal Affective Disorder

Obstetrics

  • Magnesium sulfate tocolysis: time to quit
  • Uterine rupture cannot be predicted with any combinations of clinical factors
  • Drugs for treatment of very high blood pressure during pregnancy: Dealer’s choice
  • VBAC is safer than repeat cesarean delivery if patient has had a prior vaginal delivery
  • Sphincter injuries: Overlap repair lower risks for fecal urgency and anal incontinence

Gynecology

  • ‘No touch’ hysteroscopy much better tolerated
  • Hot water bottles do work: Active Warming Cuts Pelvic Pain in Pre-hospital Setting 
  • Early catheter removal post-op: Early ambulation and early discharge -Abnormal Uterine Bleeding: A Management Algorithm: Evidenced-Based Clinical Medicine
  • Suppressive Therapy for Recurrent Bacterial Vaginosis Reduces Recurrences

Read More - Hot Topics

Back to table of contents

Features

American College of Obstetricians and Gynecologists

  • Umbilical Cord Blood Gas and Acid-Base Analysis
  • Menstruation in Girls and Adolescents: Using the Menstrual Cycle as a Vital Sign
  • Overweight Adolescent: Prevention, Treatment, and Obstetric– Gynecologic Implications
  • Breast Concerns in the Adolescent
  • Using Preimplantation Embryos for Research

American Family Physician

  • No Stirrups Preferred for Pelvic Examinations

Agency for Healthcare Research and Quality

  • Over 1 million U.S. babies are delivered by Cesarean delivery
  • Bone protection shifted to nonestrogen anti-osteoporosis medicine after WHI

Ask a Librarian

  • Want to keep up with evidence-based medicine?

Breastfeeding

  • It is official, breastfeeding counts
  • Breast-Feeding Protects Against Obesity in Children of Diabetic, Overweight Mothers
  • Herbal Medicines in Pregnancy and Lactation
  • Infants Born During Who Were Ever Breastfed, by Race / Ethnicity of Mother

CCC Corner Digest

  • Routine HIV Screening in 13- 64 year olds: Scott Giberson
  • 40 years in partnership: American Academy of Pediatrics and Indian Health
  • Can a 29% Cesarean Delivery Rate Possibly Be Justified?
  • Out with Clomid? Here come the Aromatase inhibitors for ovulation induction
  • Fetal injury at cesarean delivery: Indication and type of uterine incision
  • Aspirin to Prevent Heart Attack and Stroke: What’s the Right Dose? 160 mg/day
  • Postcoital Bleeding and Cervical Cancer Risk only 1/220
  • Amnioinfusion Does Not Prevent Meconium Aspiration Syndrome
  • Exercise and Pregnancy; Preclampsia Drugs; Calcium Supplementation
  • Do you have breastfeeding questions? The new IHS Breast feeding site has the answers
  • Ortho Evra Patch Linked to Risk for Venous Thromboembolism
  • New Breastfeeding Web Page for the Indian Health System
  • Maternal survival worldwide: consensus and controversies
  • The words ‘bizarre’ and ‘atypia’ in the same pathology report sentence…hmmm…
  • External Fetal Monitors - Can you kick the habit?
  • Asthma in Pregnancy
  • Fracture risk among First Nations people
  • A.) Fetal Lung Maturity B.) Blood test for pre-eclampsia? C.)  Fish oil for the brain
  • Causes of Type 2 Diabetes: Old and New Understandings
  • Prevalence of HPV Infection among Men: A Systematic Review of the Literature
  • No improvement in fetal outcome, increased maternal morbidity: Who pays for this?
  • Special Care Clinic – Phoenix Indian Medical Center
  • Heard about prenatal and postpartum care? Here is something on Internatal Care

Domestic Violence

  • Measuring Intimate Partner Violence Victimization and Perpetration
  • CDC Reports Prevalence of Dating Violence in High School Students

Elder Care News

  • Diagnosis of Acute Abdominal Pain in Older Patients
  • Indian Health Service History Project

Family Planning

  • Maximizing access to EC not affect incidence of either pregnancy or STIs
  • EC: Progesterone receptor modulator CDB-2914 as effective as levonorgestrel
  • Monophasic oral contraceptives preferred over biphasic for contraception
  • One year's supply of OCPs: Higher continuation, improved screening, and lowered costs

Featured Web Site

  • Check out our new IHS STD website
  • New web site focuses on the history and legacy of maternal child health

Frequently asked questions

  • Is an informed consent necessary for all x-rays in pregnant women?

Indian Child Health Notes

  • Tall Girls: When being tall was a disease - how culture shapes and defines medical care
  • Viral gastroenteritis in AI/AN children - do we have more than everyone else? Surprising findings
  • Prevalence of mental health disease in AI/AN children

Information Technology

  • Telehealth Opportunity: Do you need nutrition services at your site?
  • AHRQ Launches Electronic Preventive Services Selector Tool for Primary Care Clinicians

International Health

  • Anthropology in the clinic: the problem of cultural competency and how to fix it
  • Cesarean Delivery: Both Overused and Underused in Developing Countries
  • Risk of formula feeding to infants in sub-Saharan Africa: Need for alternative strategies

MCH Alert

  • Child Health USA 2005 Released

Medical Mystery Tour

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

Medscape

Menopause Management

  • High-Dose Gabapentin Equal to Estrogen for Hot Flashes: POEM
  • Hormone Therapy in Postmenopausal and Perimenopausal Women
  • Alendronate May Be Best Choice for Postmenopausal Osteoporosis
  • Estrogen only trial WHI: Significantly lower rates of any arthroplasty
  • Progestin in HRT Linked to Hearing Loss in Postmenopausal Women

Midwives Corner

  • What Women Want
  • Delayed cord clamping: Benefits in settings with high levels of neonatal anemia

Navajo News

  • Prevalence of diabetes: Diagnosed Diabetes Among AI/AN Aged <35 Years
  • Great, low-cost, fun CME opportunity

Nurses Corner

  • Exclusively for Nurses: IHS has a Biomedical Librarian / Informationist dedicated to I/T/U
  • Executive Nurse Fellows Program, R obert Wood Johnson

Office of Women’s Health, CDC

  • Measuring HIV Risk in the U.S. Population Aged 15-44
  • HPV and HPV Vaccine: Information for Healthcare (Revised)

Oklahoma Perspective

  • Preoperative Evaluation

Osteoporosis

  • Potassium Citrate Beneficial for Osteopenia

Patient Education

  • November is National Diabetes Month: Focus on gestational diabetes (GDM)
  • It's Never Too Early to Prevent Diabetes: Tip Sheets for Women and Health Care Providers

Perinatology Picks

  • Be Prepared: The Boy Scout motto…er…the Maternity Care Provider motto, too
  • Adverse neonatal outcomes associated with antenatal dexamethasone vs betamethasone
  • Metformin Exposure During First Trimester Seen Safe for Fetus
  • Predicting glyburide failure is difficult, not associated with adverse pregnancy outcomes
  • The current pregnancy loss rate after amniocentesis is closer to 1 in 1,600
  • Treatment of periodontitis: Is it a case of association does not imply causation?

Primary Care Discussion Forum

  • Causes of Type 2 Diabetes: Old and New Understandings

STD Corner

  • IHS Consent Form for an HIV Antibody Test is Hereby Cancelled
  • Check out our new IHS STD website
  • Adapting condoms to community values in Native American communities: Snag bags
  • Barriers to condom purchasing: Effects of product positioning on reactions to condoms
  • Interventions for Molluscum Contagiosum: Cochrane Briefs

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Gestational Diabetes Linked to High Prevalence of Periodontal Disease
  • Physical activity before pregnancy or during pregnancy reduces gestational diabetes
  • Mothers with type 2 diabetes during pregnancy can transmit risk factors to their children
  • Does coffee reduce the risk of type 2 diabetes in individuals with impaired glucose?
  • Every kilogram of weight loss resulted in 16% reduction of diabetes risk

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

What medications, foods, and beverages irritate the bladder?

CDC Compendium of Domestic Violence Assessment Tools

Compendium of State Laws Impacting HIV Screening and Treatment


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

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
  • 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?

October 2006 OB/GYN CCC Corner

Volume 4, No. 10, October 2006

Abstract of the Month

  • CDC Advocates for Routine Voluntary Testing of HIV

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

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

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

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: Monday November 13, 2006  11:31 AM