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Volume 4, No. 1, January 2006
News Flash
- Suzan Murphy, PIMC: New regular columnist - Breastfeeding column
- Vaginal Birth after Cesarean - New Perinatology Corner Module – 2 credits
Direct Links to Topic Content: Abstract of the Month | From Your Colleagues | Hot Topics | Features
| Links to Topic Summaries: |
Contents
Abstract of the Month
Link between GDM and Type 2 DM: Can be Broken
Read More - Abstract of the Month
From Your Colleagues
Carolyn Aoyama
- Gestational Diabetes: ACOG / IHS Obstetrics, Neonatal and Gynecologic Care
Burt Attico
- Vitamin D Levels During Pregnancy Affect Childhood Bone Mass
Chuck North
- Chew Your Fowl Carefully
Judy Thierry
- Maternal weight gain during pregnancy - archived web cast
- April Conference - AIAN children with educational needs - parents, advocates
Tom and Edie Welty
- Integrating prevention of mother-to-child HIV transmission into routine antenatal care
Read More - From Your Colleagues
Hot Topics
- Bed Rest for pregnancy related hypertension: Bed rest should not be recommended
-
Simulation training improves resident performance of a simulated vaginal breech delivery
-
Women Coached To Push During Labor Have Little Advantage Over Women Not Coached
-
Follow-up on Paroxetine change from Class C to Class D
-
Sufficient evidence to support implementing first-trimester Down syndrome risk: NIH
-
and more….
- Prior Function and Relationship, More Than Hormones, Affect Sexual Function in Midlife
- HPV-16 vaccine provides high-level protection against CIN for at least 3.5 years
- Have you had trouble clearing up vaginal condyloma or CIN?
- Rectocele xenograft repair: Unsatisfying anatomical cure rate 3 years postoperatively
- Patient-Administered Analgesic Gas Helpful During Colposcopy
- and more….
- Cerebral Palsy: An Overview
- Oral Contraceptives and Dysmenorrhea in Adolescents
- Controlling Obesity: School, Work, and Leisure
- Screening and Interventions for Overweight in Children and Adolescents: USPSTF
- Waking up to Sleep Deprivation
- Medications for Migraine Prophylaxis
- Aromatase inhibitors--a triumph of translational oncology
- Regular Walking Slows Decline in Patients With Peripheral Arterial Disease
Features
- IVF Therapy for Unexplained Infertility - Cochrane for Clinicians
American College of Obstetricians and Gynecologists
- Vaginal Birth Not Associated With Incontinence Later in Life
- Research Finds 40% of Pregnancy-Related Deaths Potentially Preventable
Agency for Healthcare Research and Quality
- Younger women more satisfied when a reproductive health specialist is their primary provider
- Uterine artery embolization for uterine fibroids is a low-risk procedure
- More high-quality studies needed to gauge safety of induced labor with prior cesarean deliveries
- Some State-level policies are associated with women's mortality rates for certain diseases
- Clinicians are more likely to counsel youth diagnosed with obesity about diet and exercise
- Interested in Maternal and Child Health topics?
- Duration of Lactation and Incidence of Type 2 Diabetes
- Special Editorial: Suzan Murphy, new CCCC columnist
- New studies shows a 15% reduction for the risk of diabetes for every year of lactation
- Routine screening for protein and glucose at each prenatal visit should be abandoned
- How do you know when you have a false positive HIV test in pregnancy?
- Paroxetine’s pregnancy category changed from C to D
- Editorial: Vaccine prevents cervical cancer, Gardasil: Preliminary results 100% effective
- Handle abnormal Pap smears differently in adolescents
- Quick Assessment of Literacy in Primary Care: The Newest Vital Sign
- Inappropriate use of the terms fetal distress and birth asphyxia
- New studies shows a 15% reduction for the risk of diabetes for every year of lactation
- New cigarettes with flavors that appeal to youth
- CC: I feel really cold and my side hurts, plus I am shaking all over
- WHI clinical trial revisited: Imprecise methodology disqualifies the study's outcomes
- Post Partum Hemorrhage is the most common cause of maternal mortality worldwide
- Liability in Triage: Management of EMTALA Regulations and Common Obstetric Risks
- MRSA presents new challenges in treating skin and soft-tissue infections, including in pregnancy…
- Many new additions to the Indian Health Guidelines / Patient Education web page
- Meconium Happens
- Cardiology Topics for Primary Care Providers – February 15, 2006
- High-Risk HPV Associated with Chlamydia trachomatis with Female Adolescents
- Type 2 diabetes mortality in women: Same as a "coronary heart disease equivalent"
- 21st Annual Midwinter Indian Health OB / PEDS Conference January 27-29, 2006
- Sexual Assault Services Delivered by SANES
- The Truth About Rape, CDC
- Post-traumatic Stress Disorder - Clinical Evidence Concise
- Anticholinergic Drugs for Overactive Bladder - Cochrane for Clinicians
- Emergency Contraception Use Not Associated With Risky Sexual Behavior
- FDA Safety Changes: ParaGard Copper T 380A
- Hysteroscopic Sterilization May Offer Advantages Over Laparoscopic Procedure
- Emergency Contraception: AAP Review
- Vaginal Birth after Cesarean, New Perinatology Corner Module – 2 credits
- What factors effect when we should we start colon cancer screening in low risk adults?
- Recommendation for Universal Influenza Immunization in Children Age 6 to 23 Months
- Hepatitis A Vaccine: Nice Success Story - New Recommendations
- Native American Child Health Advocacy Award – Call for Nominations
- Just out: IHS Information Technology News – January 2006
- Family Medicine Patients’ Use of the Internet for Health Information
- Association Between Reproductive Health-Related Medical Claims and Criminal Activity or
- Experience of Abuse among Medicaid-enrolled Adolescent Females
- Reproductive Health Claims and Risk of Abuse among Medicaid-enrolled Adolescent Females
- Girl Talk: Choices and Consequences of Underage Drinking
- CC: I feel really cold and my side hurts, plus I am shaking all
- WHI Trial Seen Flawed; Alternative Hormone Replacement Regimen Proposed
- Shoulder Dystocia
- The ‘CCC Deliver Through’ maneuver for Shoulder Dystocia Prevention
- Hurricane-Related Information for Pregnant and Breastfeeding Women
- System errors in intrapartum electronic fetal monitoring: a case review
- Depo-Provera available in a lower dose: limited data to assess 104mg SQ vs. 150mg IM
- Who do you contact in Navajo Area for MCH issues?
- Fetal Alcohol Syndrome: Nursing Perspective
- Seeking Executive Nurse Leaders
- Oral Fluid Rapid HIV Antibody Tests Being Investigated: Current protocols should continue to be followed
- Who do you contact in Oklahoma Area for MCH issues?
- Exercise, Calcium Supplementation May Improve BMD in Postmenopausal Women
- Diabetes and Pregnancy Frequently Asked Questions, CDC
- Cognitive Therapy for Depression: What You Should Know
- Cerebral Palsy in Children: What You Should Know
- Medicines to Prevent Migraine Headaches
- Medicines to Prevent Migraine Headaches
- Cardiology Topics for Primary Care Providers – February 15, 2006
- Clinician-Delivered Intervention During Routine Clinical Care Reduces Unprotected Sexual Behavior
Barbara Stillwater, Alaska Dibaetes Prevention and Control
- High- Normal Fasting Blood Sugar Above 87 mg/dL Could Signal Diabetes Risk
- Antidepressants Are No Match for Poverty
- Now science allows us all an extra 7lb of fat - at no extra risk
- New Guidelines Available to Raise HDL Cholesterol
- Coffee consumption may reduce breast cancer risk
- and more….
What’s new on the ITU MCH web pages
Vaginal Birth after Cesarean
New Perinatology Corner Module – 2 credits
This is a new edition of our previous module of the same name. The main changes include a new risk factor grading system, plus how to apply that information to clinical practice. http://www.ihs.gov/MedicalPrograms/MCH/M/VB01.cfm
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
Sudden Infant Death Syndrome (SIDS), Sudden Unexplained Death in Childhood (SUDC)
- February 23-26, 2006
- Philadelphia , Pennsylvania
- http://www.cjsids.com/
Advances in Indian Health, 6 th Annual
- May 2-6, 2006
- Albuquerque , NM
- Save the dates brochure
http://www.ihs.gov/MedicalPrograms/MCH/F/CN01.cfm#May06
Native Peoples of North America HIV/AIDS Conference
- May 3–6, 2006
- Anchorage , Alaska
- Embracing Our Traditions, Values, and Teachings www.embracingourtraditions.org
- National Institutes of Health (NIH), DHHS http://www.ou.edu/rec/pdf/Native_Fact_Sheet.pdf
ACOG 2006 Annual Clinical Meeting (ACM)
- May 6-10, 2006
- Washington , DC
- Save the dates brochure http://www.acog.org/abstract%2Dsubmission/
I.H.S. / A.C.O.G. Obstetric, Neonatal, and Gynecologic Care Course
- May 6-10, 2006
- September 17 – 21, 2006
- Denver , CO
- Contact YMalloy@acog.orgor call Yvonne Malloy at 202-863-2580
- Last year’s brochure link below (2005 Brochure) (PDF 145k)
- http://www.ihs.gov/MedicalPrograms/MCH/M/Documents/FinalACOGBrochure.pdf
- NEONATAL RESUSCITATION PROGRAM available
Did you miss something in the last OB/GYN Chief Clinical Consultant Corner?
December 2005 OB/GYN CCC Corner
Volume 3, No. 12, December 2006
Abstract of the Month
- Routine screening for protein and glucose at each prenatal visit should be abandoned
From Your Colleagues
Carolyn Aoyama
- Breast cancer in Native American women treated at an urban-based Indian health center
Burt Attico
- Asian Descent: Diabetic Women Have High Rates of Adverse Pregnancy Outcomes
Bonnie Bishop-Stark
- How do you know when you have a false positive HIV test in pregnancy?
Terry Cullen
- Northwest Portland Area Indian Health Board recruiting new EpiCenter Director
Lani Desaulniers
- 5th International Workshop-Conference on Gestational Diabetes
Kate Landis
- HPV and Cervical Cancer: Update on Prevention Strategies, is now available on DVD
Leslie Randall
- PHN visits, maternal EtoH use, and layers of clothing are important risk factors for SIDS among Northern Plains Indians
Ty Reidhead
- Updated and revised IHS Clinical Guidelines, IHS Clinical Forms, Patient Education sites
Judy Thierry
- What a great library resource! …and it is available to ALL ITU staff for free
- Do you want to increase your funding for the care of children?
- MCH tribal epidemiology on WIC data
- Sudden Infant Death Syndrome (SIDS), Sudden Unexplained Death in Childhood (SUDC)
- Upcoming Theme: Health Care Systems – The Key to Complete Women’s Health Care
- …and more
Myra Tucker
- An invitation to Submit Manuscripts to the Maternal and Child Health Journal
Alan Waxman
- Vaccine prevents cervical cancer, Gardasil: Preliminary results 100% effective
Judy Whitecrane
- Teen Birth Rate Continues to Decline, but Slowl
Hot Topics
- Paroxetine’s pregnancy category changed from C to D
- Do you work with a low HIV prevalence population? Here is a strategy to keep it that way
- Evidence-based surgery for cesarean delivery
- Umbilical cord blood is a proven source of hematopoietic stem cells: You can bank on it
- Women with a prior cesarean should be offered VBAC, esp. with prior vaginal delivery
- …and more
- Urinary incontinence: Familial association stronger than that of vaginal delivery
- Handle abnormal Pap smears differently in adolescents
- Simplifying the Diagnosis of Bacterial Vaginosis
- Certain factors predict chronic pelvic pain after pelvic inflammatory disease
- Uterine artery embolization: Low complication rate, reduced length stay
- …and more
- Two RCTs show promising results with hypothermia for neonatal encephalopathy
- Guidelines for Identifying and Referring Persons with Fetal Alcohol Syndrome
- National Conference on Juvenile Issues
- AAP Report on Assessment of Sexual Abuse in Children
- Heads Up: Concussion in High School Sports
- …and more
- Quick Assessment of Literacy in Primary Care: The Newest Vital Sign
- Stroke preventive treatments are well understood and widely available: Why isn’t it used?
- USPHS Releases Updated Guidelines for Management of Occupational Exposure to HIV
- Moderate Exercise Improves Breast Cancer Outcomes
- Management of Active Tuberculosis
- …and more
Features
- Duration of Therapy for Women with Uncomplicated UTI: Cochrane Briefs
- Metformin Increases Fertility in Patients with PCOS
- Intrapartum fetal heart rate monitoring. ACOG Practice Bulletin
- Inappropriate use of the terms fetal distress and birth asphyxia
- Vaginal Birth Not Associated With Incontinence Later in Life-Update on Carrier
- Screening for Cystic Fibrosis: Committee Opinion
- Two American Indian tribes with different rates of smoking, but similarly high life traumas
- Shortage of radiologists and certified mammography technologists in U.S. communities
- Obesity Before Pregnancy Linked to Childhood Weight Problems
- New studies shows a 15% reduction for the risk of diabetes for every year of lactation
- Infant feeding choice collection tool
- Women in the US Need More Breastfeeding Support
- Evidence does not justify routine use: Magnesium sulfate prophylaxis - mild pre-eclampsia
- Medical Staff Credentialing and Privileging Guide, 3rd Edition: Now available
- Two handy ‘Best Practice’ checklists now available: DM or HTN in pregnancy
- Have you ever had problems with a stenotic cervix? Here’s an easy solution
- Advanced skills practitioner not needed at uncomplicated elective cesarean delivery
- Beyond Red Lake - The persistent crisis in American Indian Health Care
- Low Testosterone Not Linked with Female Sexual Dysfunction
- USPSTF Releases Updated Guide to Clinical Preventive Services
- Exciting news: All clinicians involved with Indian Health are now invited: Tribal, urban, etc..
- We need your expertise: Breast Feeding Best Practices in Indian Country
- FDA Updates Labeling for Ortho Evra Contraceptive Patch
- DMPA bone mass loss is reversible
- The HCG curve has been redefined. How about ultrasound?
- Bioidentical Hormones: No scientific evidence to support claims of increased efficacy
- Trends in umbilical cord care: Scientific Evidence for Practice
- Once a day gentamicin dosing intrapartum may provide better coverage for the fetus
- Stressful workplaces and unfair bosses can raise cardiac risks
- Shoulder dystocia
- Many new additions to the Indian Health Guidelines / Patient Education web page
- Estrogen supplementation may be protective of BMD in adolescents who use DMPA
- Medical Management of Early Pregnancy Failure – Use Misoprostol
- Daily suppressive therapy is recommended for HSV-2 seropositive individuals
- Just an additional 3200 steps a day, not 10,000 shows fitness gains
- “Dating & Violence Should Never Be a Couple” Preventing Teen Dating Violence
- Funding for Legal Services to Victims of DV, Sexual Assault, Stalking & Dating
- Violence-Project about Adult Native American and Alaska Native Women and Sexual Assault
- Women with DM had about 25% higher prevalence of incontinence
- Treatment of Constipation in Older Adults-Older Patients with Caregivers and
- Assistance for Activities of Daily Living: 1998 and 2000
- Women who attend a postpartum visit 3x more likely to use postpartum contraception
- Ortho Evra Contraceptive Patch Linked to Increased Estrogen Exposure
- The Indian Health Women’s Health pages are getting a facelift and needs input
- Should we perform a routine urine screen at each prenatal visit?
- Antibiotics: Overused in America? Meds strep throat infections, otitis media
- Dr Singelton: Prevnar vaccine may increase of non vaccine serotypes of Strep pneumoniae
- Dr.Esposito: MVA rates in AI/ANs and increased risk of retinopathy of prematurity in AI/AN
- National Release Notice - Clinical Reporting System, Version 6.0
- Cross-Cultural Medicine
- New cigarettes with flavors that appeal to youth
- I feel really cold and my side hurts, plus I am shaking all over
- WHI clinical trial revisit: imprecise methodology disqualifies the study's outcomes
- WHI response to Ostrzenski and Ostrzenska
- Mechanisms of Premature Menopause
- Liability in Triage: Management of EMTALA Regulations and Common Obstetric Risks
- Post Partum Hemorrhage is the most common cause of maternal mortality worldwide
- Motherhood a "rite of passage" for some teens
- A trial should focus on women at low risk for failed trial or uterine rupture and should not be limited to a restrictive evaluation of short-term complications
- Midwifery Measures in Stage Two: Reduction of Genital Tract Trauma at Birth
- MRSA presents new challenges in treating soft-tissue infections, including in pregnancy
- Seeking Executive Nurse Leaders
- Cigarette Smoking in the United States, 2004
- Who do you contact in Oklahoma for MCH issues?
- Screening and treatment for osteoporosis low among patients taking glucocorticoids
- FDA Patient Education page- paroxetine changed for Class C to Class D
- The Eagle’s Nest: Safe (online) place for youth to learn more about living healthy with DM
- Constipation: What You Should Know
- Taking Care of Yourself After Having a Baby
- Tuberculosis: What You Should Know
- Meconium Happens
- Since the amnio is immature today, should we re-tap in a week or just deliver then?
- Cardiology Topics for Primary Care Providers – February 15, 2006
- High-Risk HPV Associated with Chlamydia trachomatis with Female Adolescents
- Financial support for I/T/U staff to attend STD/HIV training in FY2006
- Screening for HIV: Recommendation Statement USPSTF
- HIV-Prevention Research in Minority Communities Program Accepting Applications
Barbara Stillwater, Alaska Dibaetes Prevention and Control
- Type 2 diabetes mortality in women: Same as a "coronary heart disease equivalent"
- Homocysteine: Risk factor for the development of diabetes in women with previous GDM
- Protein and Unsaturated Fats Lowers BP, Improves Lipids, and May Reduce CVD
- Glycemic Index online
Save the Dates: Upcoming events of interest
What’s new on the ITU MCH web pages
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.asp
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.
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