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Maternal Child

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

Volume 6, No. 6, June 2008

News Flash

IHS Sexual Assault Nurse Examiner (SANE/SAFE) Trainings Open for Registration:

  • Navajo Area - June
  • Aberdeen Area - July
  • Oklahoma - August
  • See Save the Date Section For Details

Direct Links to Topic Content

Links to Topic Summaries on This Page

Contents

Abstract of the Month

Metformin vs. Insulin for the Treatment of Gestational Diabetes

Read More - Abstract of the Month

From Your Colleagues

Scott Giberson

  • National HIV Testing Mobilization Campaign

Elaine Locke

  • ACOG / IHS Denver Course Now in Salt Lake City, Utah

Charles North

  • Effects of optimizing blood pressure and cholesterol levels in diabetic patients; the SANDS trial

Ty Reidhead

  • Chronic Care Initiative Readiness Curriculum

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Breastfeeding Promotion for Type 2 Diabetes Prevention in Native American Communities
  • Epidemiology of Invasive Group B Strep Disease
  • Smoking Cessation in Adolescents
  • Intensive Care for Extreme Prematurity

Chronic Illness and Disease

  • Awareness of Stroke Warning Signs
  • Mammography; alone or with ultrasound?
  • Once Daily vs. Prandial Insulin
  • Arthritis as a Potential Barrier to Physical Activity among Adults with Diabetes

Obstetrics

  • HAPO Study Group: Hyperglycemia and adverse pregnancy outcomes
  • Prevention of Pertussis, Tetanus and Diphtheria among Pregnant and Postpartum Women
  • Prevalence of Self-Reported Postpartum Depressive Symptoms
  • The Pfannenstiel incision as a source of chronic pain
  • Increasing exposure to angiotensin-converting enzyme inhibitors in pregnancy

Gynecology

  • Management of Trichomonas vaginalis with Metronidazole hypersensitivity
  • Levonorgestrel-releasing IUDs in patients with adenomyosis
  • Treatment of vulvar intraepithelial neoplasia with topical imiquimod

Read More - Hot Topics

Back to table of contents

Features

American College of Obstetricians and Gynecologists

  • Diagnosis and Management of Vulvar Skin Disorders
  • Osteopenia and Fracture Risk
  • Ovarian Tissue and Oocyte Cryopreservation
  • Coping with the Stress of Medical Professional Liability Litigation

American Family Physician

  • A Practical Approach to Neonatal Jaundice
  • Physical Activity Counseling
  • Oral Health during Pregnancy

Agency for Healthcare Research and Quality

  • Outcomes of Maternal Weight Gain
  • Helping Smokers Quit; A Guide for Clinicians

Ask a Librarian

  • Women’s Health Resources

Behavioral Health Insights

  • Cutters-Understanding Intentional Self-Injury

Breastfeeding

  • Supporting Breastfeeding with money or a lot of time

CCC Corner Digest

Domestic Violence

  • “Keeping the Circle Strong”

Elder Care News

  • Landmark Study on Treatment of Hypertension in the Very Old

Family Planning

  • Fact Sheet on States’ Efforts to Safeguard Adolescents’ Confidentiality

Featured Web Site

  • Donald Coustan: Gestational Diabetes
  • Donald Coustan: Use of Oral Antidiabetic Agents in Obstetrics: Workshop
  • Diabetes and Pregnancy Online Resources

Frequently asked questions

  • Who should be offered first trimester Down syndrome (DS) screening?

Indian Child Health Notes

  • Autism Articles of Interest
  • Child Health Infectious Disease Update

Information Technology

  • iCare Training

International Health

  • Fistulas and Ethics

MCH Alert

  • Brief Highlights Key Findings on Breastfeeding in the United States
  • New Edition of Overweight and Obesity Knowledge Path Available
  • Cultural and Linguistic Competence in the Diagnosis and Treatment of Depression

MCH Headlines

  • New Lead Screening Requirements from CMS
  • Children and Youth Programs Newsletter

Medical Mystery Tour

  • A diabetic patient who is finally losing weight

Medscape

Menopause Management

  • Gabapentin for the treatment of menopausal hot flashes

Midwives Corner

  • Midwives Gathering

Navajo News

  • SANE/SAFE Training

Nurses Corner

  • No Relief from National Nursing Shortage

Office of Women’s Health, CDC

  • Availability of Cefixime Tablets

Oklahoma Perspective

  • Meet Dr. George Chiarchiaro, Oklahoma MCH Coordinator

Osteoporosis

  • Screening for Osteoporosis in Men

Patient Information

  • Physical Activity

Perinatology Picks

  • Who returns for postpartum glucose screening?
  • BMI and weight gain prior to pregnancy; a risk for gestational diabetes?
  • Fetal outcome in motor-vehicle crashes
  • VBAC; clinical risk factors for adverse outcome

Primary Care Discussion Forum

  • Conclusion of the adolescent behavioral health on-line discussion

STD Corner

  • Predicting Adolescent Condom Use
  • Missed Opportunities for Chlamydia Screening

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Trends in DM/GDM

Women’s Health Headlines

  • Funding for DV Programs

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

2007 Native Women’s Health and MCH Conference Meeting Notes


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

“Keeping the Circle Strong: Celebrating Native Women’s Health and Well-Being”

2008 Conference

Sexual Assault Nurse Examiner/Forensic Examiner (SANE/SAFE) Training Course

Sexual Assault Nurse Examiner/Forensic Examiner (SANE/SAFE) Training Course

  • July 21-25, 2008
  • Aberdeen , South Dakota
  • 40 hour didactic portion of SANE/ SAFE training
  • For additional information contact Lisa Palucci, lisa.palucci@ihs.gov, at the IHS Clinical Support Center

Community Health Representative National Educational Meeting

Sexual Assault Nurse Examiner/Forensic Examiner (SANE/SAFE) Training Course

  • August 18-22 , 2008
  • Oklahoma City , Oklahoma
  • 40 hour didactic portion of SANE/ SAFE training
  • For additional information contact Lisa Palucci, lisa.palucci@ihs.gov, at the IHS Clinical Support Center

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

Back to table of contents

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

Volume 6, No. 5, May 2008

Abstract of the Month

How to increase usage of the HPV vaccine? Let’s ask our patients and their family

Read More - Abstract of the Month

From Your Colleagues

Ben Garnett

  • Antimicrobial prophylaxis for surgery

Scott Giberson

  • Upcoming CDC Rapid HIV Testing Training through SAMHSA and IHS
  • Educate State Officials and Policy Makers about Prevention of STDs and AIDS

Amy Groom

  • 2008 IHS Immunization Awards

Favian Kennedy

  • From Collective Consciousness to Written Policy

Elaine Locke

  • ACOG / IHS Denver Course Now in Salt Lake City, Utah

Cathy Stueckemann

  • Community Health Representative National Educational Meeting

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Preemies Face Risks As They Grow Up
  • Cognitive and Neuromotor Impairments Seen at 5 Years in Children Born Preterm
  • Is Short-term Therapy Effective for Treating Latent TB in Children?

Chronic Illness and Disease

  • FDA Approves Alternative Dosing Schedule for Combined Hepatitis Vaccine
  • Lower targets for blood pressure and LDL cholesterol on atherosclerosis in diabetes: RCT
  • All drugs containing PHENYLPROPANOLAMINE are being recalled

Obstetrics

  • Pregnant Women Who are Obese Linked with Greater Health Care Services Use
  • New Evidence Report on Management and Postpartum Follow-Up of Gestational Diabetes
  • High caffeine consumption during pregnancy may increase the risk of miscarriage
  • Grief subsequent to an early miscarriage
  • Stillbirth: Good differential Dx plus an uncommon presentation of a common disease

Gynecology

  • Non-surgical treatment of incontinence and prevention of urinary and fecal incontinence
  • Ultrasonography differentiated between benign and malignant: Improved outcomes
  • Saffron effective in the treatment of premenstrual syndrome: a double-blind, RCT
  • Biofeedback Reduces Psychological Burden in Older Women With Urge UI

Read More - Hot Topics

Back to table of contents

Features

American College of Obstetricians and Gynecologists

  • Use of Psychiatric Medications During Pregnancy and Lactation
  • End-of-Life Decision Making
  • Late-Preterm Infants

American Family Physician

  • Abstinence- Plus Programs for Prevention of HIV
  • Evaluation of Acute Abdominal Pain in Adults
  • Expanded Newborn Screening: Information and Resources
  • Subclinical Hypothyroidism
  • Colonoscopy Surveillance After Polypectomy and Colorectal Cancer Resection

Agency for Healthcare Research and Quality

  • Adolescents are willing to have chlamydial screening by pediatricians during urgent care visits
  • Antidepressants during pregnancy increases preterm birth and serious infant problems
  • Maternal asthma is associated with lower birth weight
  • Noncancerous pelvic problems linked to poor quality of life and sexual functioning
  • Studies examine pediatricians' and parents' attitudes toward childhood obesity

Ask a Librarian

  • Women's Health Resources

Behavioral Health Insights

  • School Refusal

Breastfeeding

  • What Do High Performance Cars and Near Term Neonates Have In Common?

CCC Corner Digest

April Headlines

Domestic Violence

  • IPV and Sexual Violence Victimization Assessment Instruments in Healthcare Settings
  • Male Partner Violence Hurts Women's Health Worldwide
  • IHS-ACF DV Project: dental and reconstructive surgery for DV survivors

Elder Care News

  • Landmark Study on Treatment of Hypertension in the Very Old
  • 2008 IHS Long-Term Care Grants Program Is Now Open For Applications

Family Planning

  • Contraceptive agents when initiating breastfeeding

Featured Web Site

Frequently asked questions

  • First Trimester Down Syndrome Testing

Indian Child Health Notes

  • Autism Spectrum Disorders – Guidelines for Identification and Diagnosis
  • Vaccines and Autism – The Courts weigh in – wrongly
  • Child Safety Seats for AI/AN children – how can we get children in safety seats – and more importantly how can we keep them in them

Information Technology

  • RPMS Immunization Package
  • AI health advocates can learn to develop multimedia health projects for rural communities
  • Release of BGP Clinical Reporting System, Version 8.0

International Health

  • Is health a human right?

MCH Alert

  • Adverse Drug Events in Pediatrics

MCH Headlines

  • CDC Releases Study on Abuse & Neglect of Infants
  • Unique status of vaccines as disease prevention “tools”
  • CDC funding 4.4 million to 15 awards oral health HPDP

Medical Mystery Tour

  • You know how to treat yeast infections, right? The right answers

Medscape

  • Expanded HIV Testing in Primary Care: Implementing the CDC Recommendations
  • HIV Opt-out Testing and Primary Care Practice
  • Hirsutism

Menopause Management

  • Estrogen therapy doubles rate of benign breast lumps
  • Postmenopausal Systemic Hormone Therapy: Putting Risks Into Perspective

Midwives Corner

  • Midwives Excel at Keeping Birth Normal, and Midwife-Provided Acupuncture Helps With PROM
  • Women given sterile water injection experience less labor pain compared to acupuncture
  • Irrespective of treatment, pelvic girdle pain regresses in majority by 12 weeks after delivery
  • Cervical Cancer Screening Practices of Certified Nurse-Midwives in the United States

Navajo News

  • Sexual Assault Nurse Examiner (SANE) Training Course, June 9 – 13, 2008

Nurses Corner

  • Staff education and performance feedback

Office of Women’s Health, CDC

  • Factors Associated with Elevated Risk of Postneonatal Mortality Among Alaska Natives

Oklahoma Perspective

  • Prenatal Care in Oklahoma

Osteoporosis

  • Choosing a Drug for Women With Osteoporosis--An Evidence-Based Clinical Perspective 

Patient Information

  • Colon Cancer Screening: What You Should Know

Perinatology Picks

  • Clarification for ‘What is this all about the ‘minor markers’ for Down Syndrome?’
  • Do We Need to do MSAFP Testing after First Trimester Down Syndrome Screening?
  • Physiologic evidence to support levels of anomie and hostility with risk of PTD
  • Higher risk of offspring schizophrenia: Maternal exposure to severe adverse life events

Primary Care Discussion Forum

  • Conclusion of the adolescent behavioral health on-line discussion

STD Corner

  • HIV Screening in Dental Clinics?
  • Racial Disparities Persist Across All Reportable STDs
  • USPSTF Recommendations for STI Screening

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Take the stairs and live longer
  • Possible Way to Detect Gestational Diabetes
  • Periodontal pathogens and gestational diabetes mellitus

Women’s Health Headlines

  • Surgeon General's Conference on Women and Mental Health
  • After School Programs Can Increase Physical Activity of Adolescent Girls
  • Obesity: Pinn Point on Women’s Health
  • Chronic Pelvic Pain

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

Breastfeeding: US Breastfeeding Committee Strategic Plan


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

Community Health Representative National Educational Meeting

  • July 29-31 2008
  • Las Vegas , Nevada
  • 40th anniversary of the CHR Program. 

http://www.nachr.net/conferences/2008/

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
  • Download brochure here:

http://www.ihs.gov/MedicalPrograms/MCH/F/CN01.cfm?module=08&option=9#top

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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