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Maternal Child

Maternal Child HealthCCC Corner ‹ Feb 2007
OB/GYN CCC Corner - Maternal Child Health for American Indians and Alaska Natives

Volume 5, No. 2, February 2007

New Feature Columnist

Carolyn Aoyama – Women’s Health Headlines

Direct Links to Topic Content

Links to Topic Summaries on This Page

Contents

Abstract of the Month

Low hanging fruit: Promotion of healthy lifestyles during and after pregnancy- less DM

Read More - Abstract of the Month

From Your Colleagues

Steve Holve

  • New Children's Health Services Fellowship available

Sunnah Kim

  • 2nd International Meeting on Indigenous Child Health in Montreal

Judy Thierry

  • How do you manage STI treatment for partners? AIAN and non beneficiary?
  • Training and course work on epidemiology summer-institute
  • Consumer Reports: Only 2 out of 12 infant car seats tested performed well in crash tests
  • AI / AN SIDS kits from CJ foundation available   
  • Overweight in toddlers breastfeeding protective dose dependent effect
  • New Child Health USA Report Released

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Are you interested in acquiring HPV vaccine to provide to 9 – 18 year olds?
  • South Dakota becomes 2nd State in the Nation to Offer Girls Free Cancer Vaccine
  • Rapid flu test trims further tests, treatment
  • Training Available: The Stanford Pediatric Weight Control Program
  • Hepatitis B Vaccine for Infants of HBsAg-Positive Mothers: Cochrane Briefs

Chronic Illness and Disease

  • Sleepiness and sleep deprivation are associated with injury
  • Discourage scheduled work beyond 16 consecutive hours
  • Making and Keeping New Year's Resolutions: Nine Modifiable Cancer Risk Factors
  • High blood glucose is a leading cause of cardiovascular mortality in most world regions
  • Meta-Analysis Confirms Red Meat Consumption Linked to Colorectal Cancer Risk

Obstetrics

  • Teamwork Training: Decision to incision times significantly improved
  • Physical activity in pregnancy: Important determinant of birth weight
  • Fetal injury and death twice as likely to have been born from 11 pm to 8 am
  • VBAC is safer
  • Induction of labor at 41 completed weeks improves birth outcomes: Cochrane

Gynecology

  • Outreach workers should follow women with the most severe PAP abnormalities
  • Pelvic Floor Muscle Therapy May Be Best Option for Urinary Incontinence
  • Closing the vaginal cuff vertically is superior to horizontal closure for vaginal length
  • TVT and the transobturator tension- free vaginal tape procedures perform equally
  • Prophylactic Oophorectomy in Young Women Carries Increased Mortality Risk

Read More - Hot Topics

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Features

American College of Obstetricians and Gynecologists

  • Universal Screening for Down Syndrome: Regardless of age
  • Hemoglobinopathies in Pregnancy
  • Commercial Enterprises in Medical Practice
  • Professional Responsibilities in Obstetric–Gynecologic Education

American Family Physician

  • Childhood and Adolescent Depression

Agency for Healthcare Research and Quality

  • Women's self-report of mammography use conflicts with verified reports using claims data
  • Free blood glucose monitors for patients with diabetes encourages self-management

Ask a Librarian

  • Diet of Pregnant American Indians: Different than Whites?

Breastfeeding

  • Supporting employee breastfeeding is easier than it sounds
  • Simple antenatal intervention improves breastfeeding until 6 months postpartum

CCC Corner Digest

  • Organizational silence threatens patient safety
  • The 2nd International Meeting on Indigenous Child Health
  • Shoulder dystocia: Only 43% participants could achieve delivery before training
  • HPV vaccine is effective: Why do we not provide it to most AI/AN?
  • Why do disparities in infant mortality persist between AIAN and white infants?
  • Firearm Safety in Homes with Adolescents
  • Treatment With Selective Serotonin Reuptake Inhibitors During Pregnancy
  • Levothyroxine Reduces Preterm Birth in Euthyroid Women
  • Flu season and Breastfeeding
  • Improving the Health Care Response to Domestic Violence in AI/AN Communities
  • Bone Loss With Use of Depot Medroxyprogesterone Acetate Slows After 2 Years
  • The IHS Breastfeeding Home Page is live!
  • Patent Wellness Handout
  • A nurse, a doctor, and an epidemiologist were standing by the river . . .
  • A boy has been born in Chile with a fetus in his stomach
  • Start ‘Em Young for Future Success and Maybe No One Will Be Left Behind
  • GYN Spotlight: Endometrial ablation
  • Nurses less satisfied than physicians or nurse managers: Perceptions of teamwork
  • Reduction in Teen Pregnancies
  • 97 cesarean deliveries (NNT) prevent serious morbidity / mortality in second twins
  • Less than half of parents with HIV tell their children about the diagnosis
  • Diabetes Prevention Study: Participants Still Benefiting Three Years Later

Domestic Violence

  • Measuring Intimate Partner Violence Victimization and Perpetration: A Compendium
  • Physical Dating Violence Among High School Students – United States, 2003

Elder Care News

  • Risk of Poor Outcomes From Bariatric Surgery May Be Greater in Elderly

Family Planning

  • Continuous Contraceptive Therapy Safely Abolishes Menstrual Cycles
  • FDA Questions and Answers: Ortho Evra
  • Access to emergency contraceptive enhances use but not reduce unintended pregnancy

Featured Web Site

  • Vaccine Preventable Diseases

Frequently asked questions

  • Are varicella titers necessary prior to immunization?

Indian Child Health Notes

  • Needle size: “less is more” versus “more is less”
  • 2007 Childhood and Adolescent Immunization Schedules: Evolution or Intelligent Design?
  • Embracing a Common Destiny: Health for All.

Information Technology

  • Computerized Public Health Activity Data System, Version 1.0 Announcement

International Health

  • What does the future hold in store?

MCH Alert

  • School based care: 3 articles - Obesity, exercise, and vaccinations

Medical Mystery Tour

  • A boy has been born in Chile with a fetus in his stomach

Medscape

Menopause Management

  • Local estrogen just as effective for vaginal atrophy in postmenopausal women
  • Life After WHI: Postmenopausal Symptoms and Use of Alternative Therapies After HRT
  • Conjugated Equine Estrogen Treatment May Not Increase Breast Cancer Risk

Midwives Corner

  • The Blessed Perineum: PubMed

Navajo News

  • GYN Spotlight: Endometrial ablation

Nurses Corner

  • Getting Your Patient Back to Work: Return-to-Work Restrictions After Illness or Injury

Office of Women’s Health, CDC

  • I have to go really far just to exercise…..er…. actually no you don’t
  • OWH - Year End Re-cap of Available Resources from CDC

Oklahoma Perspective

  • What do patients recall from our counseling?

Osteoporosis

  • Steroidal contraceptives influence fracture risk cannot be determined from existing data
  • Strontium ranelate decreases fractures in the spine and slightly decreases other fractures

Patient Education

  • Health literacy and depression: Literacy education improves self-efficacy scores
  • Depression in Children and Teens

Perinatology Picks

  • Fish Oil Supplements During Pregnancy Are Safe and Beneficial
  • Planned cesarean delivery doubles rate of NICU and the risk for pulmonary disorders
  • Health of children born as a result of IVF was worse than that of singletons
  • Preterm birth is significantly associated with antenatal depression
  • Hydroxychloroquine in lupus pregnancy: continuation recommended

Primary Care Discussion Forum

  • Adolescent with knee pain February 1, 2007

STD Corner

  • First Indian Health Special Issue on Methamphetamine is now available online
  • Key Trainers for Rural HIV Providers
  • How do you manage STI treatment for partners? AIAN and non beneficiary?
  • Routine HIV Screening Deemed Cost-Effective in Average-Risk Populations
  • Genital Warts: Best Practices for Diagnosis and Management CME/CE

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Diabetic Moms' Babies Have Impaired Sucking Reflexes
  • HbA1c Early in Diabetic Pregnancy Predicts Outcomes
  • Prenatal Multivitamins for Undernourished Women May Reduce Risk of Low Birth Weight

Women’s Health Headlines

  • What Causes Breast Cancer?
  • Women’s History Month: March 2007
  • Hormone replacement therapy and survival after colorectal cancer diagnosis
  • New Report on the Detection and Treatment of Ovarian Cancer
  • ACOG Releases Revised Recommendations for Women's Health Screenings and Care

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

Andy Narva moved to NIH, but is still our Renal CCC

Diabetes: Understandings About the Causes of Type 2 - Old / New


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?

December 2006/January 2007OB/GYN CCC Corner

Volume 4, No. 12, December 2006/January 2007

Abstract of the Month

  • Organizational silence threatens patient safety

From Your Colleagues

Carolyn Aoyama

  • Diabetes on the rise in young Native Americans

Burt Attico

  • Reducing Cardiovascular Risk: Science, Treatment, and Culture

Steve Holve

  • The 2nd International Meeting on Indigenous Child Health

Judy Thierry

  • Menstruation in girls and adolescents: using the menstrual cycle as a vital sign
  • ACOG Releases Revised Recommendations for Women's Health Screenings and Care
  • Smoking During Pregnancy May Influence Children's Smoking: 14 yr cohort study
  • Should a 1 year old be exposed to TV?
  • US map with state health facts links on the following topics:

Hot Topics

Child Health

  • Why do disparities in infant mortality continue to persist between AIAN and white infants?
  • US Adults Prefer Comprehensive Teaching of Sex Education in Public Schools
  • Supersize This: Large entree portions may constitute an "obesigenic" influence
  • Perspectives on Confidential Care for Adolescent Girls
  • 61% of SIDS cases among smokers were attributable to maternal smoking

Chronic Illness and Disease

  • Firearm Safety in Homes with Adolescents
  • Breast Cancers Within 1 Year of a Normal Screening Mammogram: How Are They Found?
  • Diabetic complications in 40 or older with undiagnosed DM is similar to diagnosed DM
  • Statins Should Be a Part of Preventive Management in Stroke Patients 
  • Herniated Disk Improves With Either Surgical or Nonsurgical Treatment 

Obstetrics

  • Emergency Simulation Practice: It’s a Win x3
  • Short course of hydrocortisone: Effective for intractable hyperemesis
  • Majority of women with GDM not tested for glucose intolerance after delivery
  • Fetal Oximetry Plus Electronic Fetal Monitoring Does Not Reduce Cesarean Delivery
  • Leaner Women at Reduced Risk of Cesarean Delivery

Gynecology

  • HPV vaccine is effective: Why do we not provide it to most AI/AN?
  • LEEP in adolescents, overly aggressive: High incidence of F/U abnormal cytology
  • Levonorgestrel-releasing intrauterine device (LNG-IUD) for symptomatic endometriosis
  • Overactive Bladder: the Importance of New Guidance 
  • Preventing Eating Disorders in College-Age Women

Features

American College of Obstetricians and Gynecologists

  • Treatment With Selective Serotonin Reuptake Inhibitors During Pregnancy
  • Routine Cancer Screening
  • Primary and Preventive Care: Periodic Assessments
  • Innovative Practice: Ethical Guidelines
  • Vaginal Agenesis: Diagnosis, Management, and Routine Care

American Family Physician

  • Levothyroxine Reduces Preterm Birth in Euthyroid Women
  • Opioids for Management of Breakthrough Pain in Cancer Patients

Agency for Healthcare Research and Quality

  • Maternal psychological distress / use of seat belts: Children's low use of vehicle restraints

Ask a Librarian

  • Want to keep up with evidence-based medicine?

Breastfeeding

  • Flu season and Breastfeeding
  • Breast-Feeding Offers Resilience Against Psychosocial Stress in Children
  • More Evidence Showing Breastfeeding Protects Against Type 2 Diabetes

CCC Corner Digest

  • Regular Cola Intake Reduces Bone Mineral Density in Women
  • Perinatal depression evidence based care
  • Magnesium sulfate tocolysis: time to quit
  • ‘No touch’ hysteroscopy much better tolerated
  • Hot water bottles do work: Active Warming Cuts Pelvic Pain in Pre-hospital Setting
  • Early adolescents worry more as they age. . . .
  • Health Behaviors among American Indian/Alaska Native Women, 1998–2000 BRFSS
  • Please Get Umbilical Cord Blood Gas and Acid-Base Analysis When Possible
  • No Stirrups Preferred for Pelvic Examinations
  • Want to keep up with evidence-based medicine?
  • It is official, breastfeeding counts
  • EC: Did not affect incidence of either pregnancy or STIs
  • Telehealth Opportunity: Do you need nutrition services at your site?
  • Anthropology in the clinic: the problem of cultural competency and how to fix it
  • The rest of the story RE: ‘bizarre’ and ‘atypia’ in the same sentence . . . hmmm . . .
  • What Women Want
  • Prevalence of diabetes: Diagnosed Diabetes Among AI/AN Aged <35 Years
  • Preoperative Evaluation
  • Assessment of Adult Health Literacy
  • Be Prepared: The Boy Scout motto…er…the Maternity Care Provider motto, too
  • Causes of Type 2 Diabetes: Old and New Understandings
  • IHS Consent Form 509 for an HIV Antibody Test is Hereby Cancelled
  • Gestational Diabetes Linked to High Prevalence of Periodontal Disease

Domestic Violence

  • Improving the Health Care Response to Domestic Violence in AI/AN Communities

Elder Care News

  • Moderate Alcohol Consumption May Be Beneficial to Older Women

Family Planning

  • Bone Loss With Use of Depot Medroxyprogesterone Acetate Slows After 2 Years
  • Few young pregnant women know about safety and effectiveness of intrauterine devices
  • Pregnancy Rates Unchanged by Easy Access to Emergency Contraception
  • Scientific accuracy of materials for abstinence-until-marriage education program
  • Oral Contraceptive Use: Small Increased Risk for Premenopausal Breast Cancer

Featured Web Site

  • The IHS Breastfeeding Home Page is live!

Frequently asked questions

  • Is an informed consent necessary for all x-rays in pregnant women?
  • Are there any Cochrane Reviews about problems with Ortho Evra or Nuva Ring?

Indian Child Health Notes

  • Diagnosis and management of bronchiolitis.
  • Lower respiratory tract infections among American Indian and Alaska Native children and the general population of U.S. Children
  • Does in-home water service reduce the risk of infectious disease?
  • Home-visiting intervention to improve child care among American Indian adolescent mothers: a randomized trial
  • Forty years in partnership: the American Academy of Pediatrics and the Indian Health Service

Information Technology

  • Exam Code and Health Factor Manual
  • Self-study Course in Epidemiology Now Available Through CDC Web Site
  • Patent Wellness Handout

International Health

  • A nurse, a doctor, and an epidemiologist were standing by the river……

MCH Alert

  • 2007 Folic Acid Campaign Materials Released
  • Three new programs proven to improve behavioral and mental health in youth
  • 2006 Edition of Women’s Health Data Book Released

Medical Mystery Tour

  • A boy has been born in Chile with a fetus in his stomach

Medscape

  • Female Genital Cutting: Female Empowerment as a Means of Cultural Change
  • Recurrent Pregnancy Loss
  • Evaluation and Treatment of Overactive Bladder

Menopause Management

  • Estradiol less than 5 yrs, estriol, or vaginal estrogens not associated with breast cancer

Midwives Corner

  • Start ‘Em Young for Future Success and Maybe No One Will Be Left Behind

Navajo News

  • GYN Spotlight: Endometrial ablation

Nurses Corner

  • Nurses less satisfied than physicians or nurse managers: Perceptions of teamwork on L/D
  • Nurses play on important role in its detection and can reduce depressive symptoms
  • For Neonatal Nurses- Primer on Antenatal Testing: 2 Parts: Tests of Fetal Well-Being / PTL
  • 6th Annual SUMMER INSTITUTE ON EVIDENCE-BASED PRACTICE ‘07

Office of Women’s Health, CDC

  • HPV Information for Clinicians

Oklahoma Perspective

  • Reduction in Teen Pregnancies

Osteoporosis

  • Significant bone loss: Both low molecular weight heparin and unfractionated heparin
  • Updated Position Statement for Calcium Intake in Postmenopausal Women -Teriparatide is less cost-effective than alendronate for s

Patient Education

  • Preventing Injuries in School-age Children and Teenagers
  • Lactose Intolerance: What You Should Know
  • Myths and Facts About Food Allergies

Perinatology Picks

  • Amniocentesis procedure-related loss risk of approximately 1 in 1600, not prior 1 in 200
  • Second twins: 97 cesarean deliveries (NNT) prevent a single serious morbidity or mortality
  • Iron / folate supplementation: Not replaced by a multiple-micronutrient supplement
  • Treatment of periodontitis does not alter PTB, low birth weight, or fetal growth restriction
  • Preterm babies have an increased risk of asthma compared with term babies

Primary Care Discussion Forum

  • Causes of Type 2 Diabetes: Old and New Understandings - Ongoing Discussion - You still can join in

STD Corner

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Three Years Later, Participants in the Diabetes Prevention Study Still Benefiting
  • Stopping the Clock on Diabetes in Women: Strategies for Prevention and Treatment
  • Multiparity Increase Risk for Type 2 Diabetes
  • New Study Weighs Benefits of Exercise, Diets
  • Low-Carb Diets Reduce Coronary Disease Risk in Women

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.

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