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Maternal Child

Maternal Child HealthCCC CornerOctober 2008
OB/GYN CCC Corner - Maternal Child Health for American Indians and Alaska Natives

Volume 6, No. 10, October 2008

News Flash

First International Meeting on Indigenous Women’s Health; Third International Meeting on Indigenous Child Health: Many Voices into One Song

  • March 2009, Albuquerque, NM
  • Women’s Health March 4-6, 2009
  • Children’s Health March 6-8, 2009 (The 6th is an overlap day with both groups participating!)

Direct Links to Topic Content

Links to Topic Summaries on This Page

Contents

Abstract of the Month

Diabetes mellitus and birth defects

Read More - Abstract of the Month

From Your Colleagues

Jean Howe, CCC – Ob/Gyn

  • First International Conference for Indigenous Women’s Health/Third International Conference for Indigenous Child Health; Albuquerque, March 4-8, 2009

Robert McSwain, IHS Director

  • Susan V. Karol, MD, named IHS Chief Medical Officer

Sheila Warren, Headquarters

  • Joint Commission Resources is Challenging YOUR HOSPITAL to Increase Health Care Worker Vaccination against the Flu

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children
  • Ibuprofen more effective than acetaminophen for treating fever in children
  • Identifying postpartum depression: are 3 questions as good as 10?

Chronic Illness and Disease

  • Incidence and Risk Factors for Stroke in American Indians; The Strong Heart Study
  • Expanded Recommendations for Hepatitis B Screening
  • Association of Urinary Bisphenol A Concentration with Medical Disorders and Laboratory Abnormalities in Adults
  • Alcohol-Attributable Deaths and Years of Potential Life Lost Among American Indians and Alaska Natives --- United States, 2001--2005
  • Should the window for thrombolytic use be extended for stroke?

Obstetrics

  • Electronic Fetal Monitoring: Update on Definitions and Interpretation
  • Bariatric surgery linked to improved perinatal outcomes
  • A randomized, controlled trial of magnesium sulfate for the prevention of cerebral palsy
  • Gestational weight gain and risk of overweight in the offspring at age 7 y in a multicenter, multiethnic cohort study

Gynecology

  • Methicillin-resistant Staphylococcus aureus as a common cause of vulvar abscesses
  • Hysterectomy Complication Rates Decline Significantly
  • Prevalence of symptomatic pelvic floor disorders in U.S. women
  • Behavioral therapy to enable women with urge incontinence to discontinue drug treatment: a randomized trial
  • Success rates <1% following fresh assisted reproduction treatment in women aged 45 years and older

Read More - Hot Topics

Back to table of contents

Features

American College of Obstetricians and Gynecologists

  • Fetal Lung Maturity
  • Depot Medroxyprogesterone Acetate and Bone Effects
  • The Uninsured
  • Addressing Health Risks of Noncoital Sexual Activity
  • Prenatal and Perinatal Human Immunodeficiency Virus Testing: Expanded Recommendations

American Family Physician

  • Health maintenance for postmenopausal women

Agency for Healthcare Research and Quality

  • US Surgeon General Issues "Call to Action" on DVT and PE

Ask a Librarian

  • BMJ Clinical Evidence Adds Medical Conditions

Behavioral Health Insights

  • Antipsychotics – The Old versus the New - What Should I Use?
  • SAMHSA Awards More Than $16 Million to Tribes/Tribal Organizations for Youth Suicide Prevention and Early Intervention Programs

Breastfeeding

  • Mastitis and Plugged Ducts

CCC Corner Digest

Domestic Violence

  • Break the Silence: Stop the Violence; new video addresses teen dating violence

Elder Care News

  • Less Sleep May Equal Greater Risk of Falling in Elderly Women 

Family Planning

  • ACOG Press Release: Bone Mineral Density Concerns Should Not Discourage Use of Contraceptive Shot
  • Management of Breakthrough Bleeding with Continuous Use of the Transvaginal Contraceptive Ring

Featured Web Site

  • Welcome to WIN, The Weight-control Information Network

Frequently asked questions

  • Can a patient receive outpatient cervical ripening?

Indian Child Health Notes

  • Universal screening for hearing loss in newborns: US Preventive Services Task Force
  • Pediatric Practice-based Versus an Agency-Based Model of Care Coordination for Children and Youth with Special Health Care Needs

Information Technology

  • RPMS iCare Population Management Immunization Patch Released

International Health

  • Preventing and treating HIV/AIDS in Thai prisons

MCH Alert

  • Social, Emotional, and Physical Health and Workplace Challenges of Women in the Postpartum Period
  • Opportunities to Improve Adolescent Health and Prevent Cardiovascular Disease
  • Special Notice: New Name Signals an Expanded Focus for The National Sudden Infant Death Syndrome and Other Infant Death (SIDS/ID) Cooperative Agreement Program
  • Partners Engage in Focused Effort to Improve the Oral Health of Pregnant Women

MCH Headlines

  • New American Academy of Pediatrics (AAP) Resources for Vaccination
  • Preventing Alcohol, Tobacco, and Other Substance-exposed Pregnancies: A Community Affair

Medical Mystery Tour

  • Fetal Heart Monitoring: The answers applied

Medscape

Menopause Management

  • Cochrane Update: Oestrogens for Preventing Recurrent Urinary Tract Infection in Postmenopausal Women

Midwives Corner

  • The conflict and compromises between how we want to practice midwifery and how we do practice midwifery in the hospital setting

Navajo News

  • Navajo Area Women’s Health Provider Meeting

Nurses Corner

  • Nursing Leadership; An Excerpt from the IHS CEO Brief
  • MEDCOM has added Obstetrical Series to the Course Catalog

Office of Women’s Health, CDC

  • Emergency Planning Tips If You're Pregnant or Have Young Children
  • Electronic Media and Youth Violence: A CDC Issue Brief for Educators and Caregivers
  • Increasing Prevalence of Gestational Diabetes and Pregnancy-Related Hypertension in Los Angeles County, California, 1991–2003

Osteoporosis

  • Pharmacologic treatment of low bone density or osteoporosis to prevent fractures: a clinical practice guideline from the American College of Physicians

Patient Education

  • The Eagle Book Animation Series

Perinatology Picks

  • Correlation of catheterized and clean catch urine protein/creatinine ratios in preeclampsia evaluation
  • A randomised controlled trial of early versus delayed oxytocin augmentation to treat primary dysfunctional labour in nulliparous women
  • Do Mechanical Methods of Cervical Ripening Increase Infectious Morbidity? A Systematic Review
  • QuickStats: Rates* of Cesarean Deliveries --- Selected Countries,† 2005

Primary Care Discussion Forum

STD Corner

  • Trends in HIV- and STD-Related Risk Behaviors Among High School Students --- United States, 1991--2007

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Small Steps, Big Rewards for Families with a History of Gestational Diabetes
  • Healthcare Cost and Utilization Project

Women’s Health Headlines

  • Differentiation among Types of Intimate Partner Violence: Research Update and Implications for Interventions

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

First International Meeting on Indigenous Women’s Health/Third International Meeting on Indigenous Child Health Conference; Many Voices into One Song


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

Medical Providers’ Best Practices Conference, 3rd Annual

  • November 18-19, 2008; Sacramento, CA
  • California Area Indian Health Service
  • More information: 916.930.3937 or IHS-CAOGPRA@ihs.gov

2008 Indian Health Information Management Conference, “Managing Health Information Technology to Improve Performance and Outcomes”

First International Meeting on Indigenous Women’s Health/Third International Meeting on Indigenous Child Health Conference; Many Voices into One Song

 Advances in Indian Health Conference

  • April 21-24, 2009 in Albuquerque, NM 
  • Indian Health's conference for primary care providers and nurses
  • 28 hours of CME/CE credit
  • Optional Diabetes track
  • Contact the Course Director, Dr. Ann Bullock, at annbull@nc-cherokee.com for more information.

Back to table of contents

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

Volume 6, No. 9, September 2008

Abstract of the Month

HIV incidence in the United States

Read More - Abstract of the Month

From Your Colleagues

Donald Berwick, Institute for Healthcare Improvement

  • "A transatlantic review of the NHS at 60"

Ann Bullock, Cherokee, NC

  • Advances in Indian Health Conference

David Gahn, Kabul, Afghanistan

  • Afghanistan Update:  Assistant Secretary for Health ADM Joxel Garcia, MD, FACOG visits Kabul

Fabian Kennedy, Northern Plains Tobacco Prevention Program

  • Updated Website/Tobacco Control Activities Event Page

Brigg Reilley, Division of Epidemiology

  • Indian Health Service Prenatal HIV Screening: Gaps and Best Practices

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Association between Maternal Diabetes in Utero and Age of Offspring's Diagnosis with Type 2 Diabetes
  • No increase in long-term mortality after simple febrile seizures
  • Duration of intrapartum prophylaxis and concentration of penicillin G in fetal serum at delivery
  • Blood pressure variability and classification of prehypertension and hypertension in adolescence
  • Care of the adolescent sexual assault victim

Chronic Illness and Disease

  • Naltrexone alone and with sertraline for the treatment of alcohol dependence in Alaska natives and non-natives residing in rural settings: a randomized controlled trial
  • Comprehensive treatment of extensively drug-resistant tuberculosis
  • Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet
  • Screening for type 2 diabetes mellitus in adults with hypertension: U.S. Preventive Services Task Force recommendation statement
  • Effect of PCI on Quality of Life in Patients with Stable Coronary Disease

Obstetrics

  • Highlights from the International Workshop Conference on Gestational Diabetes Diagnosis and Classification held June 11-13, 2008
  • Preeclampsia and the risk of end-stage renal disease
  • Recurrence of group B streptococci colonization in subsequent pregnancy
  • Maternal death in the 21st century: causes, prevention, and relationship to cesarean delivery
  • Guidelines for computed tomography and magnetic resonance imaging use during pregnancy and lactation

Gynecology

  • Health and economic implications of HPV vaccination in the United States
  • Recurrent dysplasia as high as 7% after hysterectomy for cervical dysplasia
  • Ovulation triggers in anovulatory women undergoing ovulation induction
  • Higher Levels of Physical Activity Needed to Maintain Weight Loss in Overweight Women

Read More - Hot Topics

Back to table of contents

Features

American College of Obstetricians and Gynecologists

  • Alternatives to Hysterectomy in the Management of Leiomyomas
  • Routine Human Immunodeficiency Virus Screening
  • Aromatase Inhibitors in Gynecologic Practice
  • Age-Related Fertility Decline
  • Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome and Women of Color
  • Rapid human immunodeficiency virus testing on labor and delivery

American Family Physician

  • Spontaneous Vaginal Delivery
  • Evaluation and Treatment of Enuresis

Agency for Healthcare Research and Quality

  • New AHRQ Tool Helps Hospitals Evaluate Disaster Drills

Ask a Librarian

  • Soy and male infertility; unexplained infertility; library resources

Behavioral Health Insights

  • Psychiatric disorders in pregnant and postpartum women in the United States

Breastfeeding

  • Infant Feeding in Disasters

CCC Corner Digest

Domestic Violence

  • Injury and Violence Prevention within the Mission of Maternal and Child Health

Elder Care News

  • Hospitalization increases fracture risk in elderly

Family Planning

  • Beyond the 6 week postpartum check; try 3 weeks instead…

Featured Web Site

  • NICHCY-National Dissemination Center for Children with Disabilities

Frequently asked questions

  • What is the most effective way to monitor thyroid changes in pregnancy?
  • Should we obtain a TSH, FT4, FT3 q 4 weeks, or just follow TSH q 6 weeks?

Indian Child Health Notes

  • Influenza Vaccination
  • Rotavirus Vaccination
  • Youth Risk Behavior Survey

Information Technology

  • Office of Information Technology Newsletter

International Health

  • Active tuberculosis more likely in diabetics: serious global health implications

MCH Alert

  • Relationship between Pre-Pregnancy Maternal Obesity and Risk of Infant Death
  • Alcohol Consumption during Pregnancy and the Risk of Early Fetal Death

MCH Headlines

  • New United States Infant Mortality Statistics Released
  • Smoking during Pregnancy Increases Risk for Birth Defect
  • ”There's No Place like Home... For Sex Education”   

Medical Mystery Tour

  • Fetal Heart Monitoring: The answers

Medscape

Menopause Management

  • HRT May Improve Health-Related Quality of Life in Postmenopausal Women
  • Estrogen and progestogen use in postmenopausal women: July 2008 position statement of The North American Menopause Society

Midwives Corner

  • Centering Pregnancy - A Model of Group Prenatal Care

Navajo News

  • Overview of Navajo Area Gynecology Services

Nurses Corner

  • Nurse Anesthesia (CRNA) Training Opportunity
  • Nurses provide effective, and cost-effective, depression care for cancer patients
  • Registered Nurses' Use of Electronic Health Records: Findings from a National Survey

Office of Women’s Health, CDC

  • Alternative Warm-Up Program Reduces Risk of ACL Injuries for Female College Soccer Players
  • Gardasil Vaccine and Its Safety
  • Preventing Intimate Partner Violence and Sexual Violence in Racial/Ethnic Minority -Communities: CDC's Demonstration Projects

Osteoporosis

  • Low Serum Vitamin D Linked to Increased Hip Fracture Risk in Postmenopausal Women

Patient Information

  • Protect Your Baby from Group B Strep
  • Making Sense of Your HPV and Pap Test Results (Plain language Patient brochure)

Perinatology Picks

  • Methods of delivering the placenta at caesarean section
  • Limit maximum oxytocin doses to 20 mu/min in patients attempting VBAC
  • Acute myocardial infarction associated with pregnancy
  • A national study of the complications of lupus in pregnancy
  • Urinalysis vs urine protein-creatinine ratio to predict significant proteinuria in pregnancy

Primary Care Discussion Forum

STD Corner

  • Take the sex out of STI screening!

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Increased risk of cardiovascular disease in young women following gestational diabetes mellitus

Women’s Health Headlines

  • Dating Violence a significant public health problem for adolescents
  • Colorado Regional Conference on the Health Care Response to Domestic Violence
  • Conference Announcement: Sowing Seeds of Academic Change-Nurturing New Paradigms

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

OB/GYN CCC Transition: Dr. Howe is the new CCC; Dr. Murphy retains yeoman’s role on MCH webpage


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

Postgraduate Course on Obstetric, Neonatal and Gynecologic Care

  • September 14-18, 2008
  • Salt Lake City , Utah
  • Comprehensive Women’s Health Update for Nurses, Advanced Practice Nurses, and Physicians
  • NRP offered as pre-conference session
  • Contact Yvonne Malloy, ymalloy@acog.org, for more information

Medical Providers’ Best Practices Conference, 3rd Annual

  • November 18-19, 2008; Sacramento, CA
  • California Area Indian Health Service
  • More information: 916.930.3937 or IHS-CAOGPRA@ihs.gov

2008 Indian Health Information Management Conference, “Managing Health Information Technology to Improve Performance and Outcomes”

First International Meeting on Indigenous Women’s Health/Third International Meeting on Indigenous Child Health Conference; Many Voices into One Song

  • Women’s Health March 4-6, 2009
  • Child Health March 6-8, 2009
  • Albuquerque , NM
  • Joint conference of Women’s Health and Children’s Health Providers from Canada and the United States

 Advances in Indian Health Conference

  • April 21-24, 2009 in Albuquerque, NM 
  • Indian Health's conference for primary care providers and nurses
  • 28 hours of CME/CE credit
  • Optional Diabetes track
  • Contact the Course Director, Dr. Ann Bullock, at annbull@nc-cherokee.com for more information.

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 jean.howe@ihs.gov or (928) 674-7422 (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 editor of this newsletter.

OB/GYN

Jean Howe, MD, MPH is the Obstetrics and Gynecology Chief Clinical Consultant (OB/GYN C.C.C.). Dr. Howe 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 American Indian and Alaska Native women and also indigenous peoples around the world. Please don't hesitate to contact her by e-mail (jean.howe@ihs.gov) or phone at (928) 674-7422.

Next: Abstract of the Month

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