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Maternal Child

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

Volume 5, No. 6, June/July 2007

Direct Links to Topic Content

Links to Topic Summaries on This Page

Contents

Abstract of the Month

A new diagnostic category: ‘First Trimester GDM’

Read More - Abstract of the Month

From Your Colleagues

Gordon Belcourt

  • FTC Releases Reports on Cigarettes and Smokeless Tobacco

Ben Garnett

  • Control over schedule: Most important predictor of provider work-life balance and burnout

Scott Giberson

  • Names-Based Reporting for All U.S. States by End of 2007
  • Medicare Part D still has to make improvements for HIV patients and providers
  • U.S. AIDS Drug Assistance Program Waiting Lists growing
  • HRSA’s Special Projects of National Significance
  • Behavioral Health HIV/AIDS Collaborative Training

Roberta Ward

  • FDA Proposes New Warning Labeling About Suicidal Thinking / Behavior In Young Adults

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Forty percent of 3-month-olds watch TV, DVDs, or videos
  • Guidelines for School-Based STD Screening in Indian Country
  • Urinary symptoms in adolescent females: STI or UTI?
  • Sexually transmitted infections in preadolescent children
  • Adjustments in opthalmia neonatorum (ON): Gonorrhea in pregnancy

Chronic Illness and Disease

  • Malabsorption of Oral Antibiotics in Pregnancy after Gastric Bypass Surgery
  • Sleeping Poorly ... and Maybe Depressed: Co morbidity in Formal Sleep Studies
  • Barriers to Smoking Cessation Services in Underserved Communities
  • Management of Hypertriglyceridemia
  • AHA Guidelines for CVD Prevention in Women Focus on Lifetime Risk Factors

Obstetrics

  • Placental problems with previous caesarean delivery: Abruptio, previa
  • Late Pregnancy Bleeding (ALSO serialization)
  • Admission for nephrolithiasis during pregnancy: 80% risk of preterm delivery
  • Postpartum Depression Screening: Recommendations for Practice
  • Fetal or infant death a traumatic event for parents: Assist grieving parents

Gynecology

  • Discharge 24 Hours After Vaginal Hysterectomy Safe, Acceptable
  • Laparoscopic and fixed multiple dose methotrexate most effective for ectopic
  • Extended Oral Contraceptives Decrease Premenstrual Symptoms
  • Fluoroquinolones No Longer Recommended for Treatment of Gonococcal Infections
  • Interventions to Reduce Hemorrhage During Myomectomy for Fibroids

Read More - Hot Topics

Back to table of contents

Features

American College of Obstetricians and Gynecologists

  • Endometrial ablation. ACOG Practice Bulletin
  • Seeking and Giving Consultation
  • Disruptive Behavior
  • Patents, Medicine, and the Interests of Patients

American Family Physician

  • Therapies for Overactive Bladder- Nonpharmacologic vs. Anticholinergic
  • Exercise Is an Effective Intervention in Overweight and Obese Patients
  • Evaluation and Treatment of Acute Low Back Pain
  • Restless Legs Syndrome: Pramipexole

Agency for Healthcare Research and Quality

  • AHRQ breastfeeding evidence review

Ask a Librarian

  • Quick Check for Drugs and Lactation

Breastfeeding

  • Long-Term Breastfeeding among Native American Women
  • Systematic review and meta-analysis confirms long-term positive effects of breastfeeding
  • FAQs - Breastfeeding and maternal illness
  • RCT of very early mother-infant skin-to-skin contact and breastfeeding status

CCC Corner Digest

  • Social Change Might Save More Lives Than Medical Advances
  • New HPV Brochures for Clinicians, CDC
  • More stillbirths after previous cesarean delivery
  • Young women with CIN: Any treatment increases preterm delivery - LEEP
  • Public Opinion vs. Science Concerning Sex Education
  • New Guideline for Screening Mammography for Women 40 to 49 Yrs
  • Premature Rupture of Membranes, Practice Bulletin
  • Quick Check for Drugs and Lactation
  • Breastfeeding - it’s all about synergy
  • Extended OCP Regimen; Acceptable Breakthrough Bleeding
  • Must See Website: Indian Health Service HIV-AIDS Program
  • Ethics of medicine with economically vulnerable populations: 2nd in series
  • Do you walk around your vehicle before getting in it? You should
  • Which Indian Health facilities lead the U.S. in national benchmarks?
  • Emergence of a range of nonhormonal treatments for vasomotor symptoms
  • Ultrasound affects mice brains in negative ways
  • BTL: Nearly 1/2 of women under 25 yo request information on reversal
  • Two summer programs for high school students
  • Calcium Supplementation May Not Benefit Healthy Children
  • Preconception counseling for women with DM and HTN: Which meds?
  • Electronic Health Record (EHR) Implementation: Worth the effort?
  • HIV/AIDS among AI/AN Fact Sheet
  • New recommendations for gestational weight gain may be required
  • Weaving it all together: 2007 Behavioral Health Conference

Domestic Violence

  • The failure to protect Indigenous women from sexual violence in the USA
  • Adverse sequelae of physical and sexual abuse in adulthood
  • WH Pregnancy and DV education online session
  • Domestic Violence and Your Patient's Health: Asking the Right Questions

Elder Care News

  • Gynecologic Assessment of the Elderly Patient

Family Planning

  • Reasons for unprotected intercourse
  • Adolescent sexual behavior: Strategies for reducing pregnancy and childbearing
  • Effect of Medicaid Family Planning Expansions on Unplanned Births
  • Guidelines for Selection of Contraception in Women with Rheumatic Diseases

Featured Web Site

  • MCHB Launches Web Site to Increase Awareness of Perinatal Depression

Frequently asked questions

  • What are the Unnecessary Tests done in Obstetrics and Gynecology?

Indian Child Health Notes

  • Acute pain relief in children
  • Pertussis: Secular Trends in the United States
  • Persistence of racial disparities in fatal injuries to very young children

Information Technology

  • How can we improve HIV screening in pregnancy? Preliminary GPRA Related Results

International Health

  • Social context of maternal deaths and morbidity

MCH Alert

  • Progress toward meeting Healthy People 2010 Maternal, Infant, and Child objectives
  • Mental disorders and nicotine dependence among pregnant women

MCH Headlines

  • Improve the system - Improve the care: Underpinnings
  • Drive It Right Kits
  • Have you heard of: ‘the Baby bottle tooth decay germ’ aka Streptococcus mutans? 
  • Newly completed Pregnancy and Postpartum Quitline Toolkit
  • K-12 Oral Health Education Curriculum

Medical Mystery Tour

  • Which Indian Health facilities lead the entire U.S. in obstetric benchmarks?

Medscape

  • Urinary Tract Infections: A Primer for Clinicians
  • Management of Breast Cysts Revisited
  • CDC Issues New Treatment Recommendations for Gonorrhea 
  • Optimizing Once-Daily Antiretroviral Regimens for Treatment-Naive Patients With HIV

Menopause Management

  • Earlier hormone therapy closer to menopause tended to have reduced CHD risk
  • Low dose transdermal estradiol gel effective for postmenopausal symptoms
  • Updated Statement on Hormone Therapy 

Midwives Corner

  • Ultrasound affects mice brains in negative ways: First, do no harm

Navajo News

  • Adjustable Urethral Slings Offer Hope for Complex Incontinence Problems

Nurses Corner

  • Personal Digital Assistants: Practical Advice for Nurses in 2007

Office of Women’s Health, CDC

  • CDC’s Pregnancy Information Center
  • Lead Exposure Among Females of Childbearing Age

Oklahoma Perspective

  • Cesarean Delivery on Maternal Request

Osteoporosis

  • Let’s put DEXA and other radiation risks into perspective
  • Cortisol Levels and BMD Among Premenopausal Women With Depression 

Patient Education

  • Hypertriglyceridemia: What You Should Know
  • Low Back Pain

Perinatology Picks

  • Placental cultures and histology poor predictors of infectious status of the amniotic fluid
  • Free beta-HCG outperforms intact HCG in a multimarker protocol
  • Forum: Periodontal Health and Birth Outcomes - HRSA MCHB
  • PREMAG inconclusive, but improvements of outcome are of potential significance
  • Insulin Glargine Use During Pregnancy Not Linked to Fetal Morbidity

Primary Care Discussion Forum

  • Electronic Health Record (EHR) Implementation: Worth the effort?

STD Corner

  • Guidelines for School-Based STD Screening in Indian Country
  • Fluoroquinolones No Longer Recommended for Treatment of Gonococcal Infections
  • Let's talk about HIV counseling and testing – New Facilitators' guide
  • Does your lab have capacity to culture N gonorrhoeae for treatment failures? 
  • Urinary symptoms in adolescent females: STI or UTI?

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • High rate of diabetes among indigenous people not due to thrifty gene
  • Aspirin may be less effective heart treatment for women than men
  • Cholesterol Could be Key to Treating Fetal Alcohol Syndrome
  • Apples during pregnancy could reduce asthma risk in offspring

Women’s Health Headlines

  • Women’s Early Drinking Problems More Likely to Escape Diagnosis
  • Women and Health Coverage: The Affordability Gap
  • WomenHeart Symposium 2007
  • Save the Dates: Upcoming events of interest page 59
  • What’s new on the ITU MCH web pages page 59
  • Implementation and Use of an Electronic Health Record within IHS

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

Implementation and Use of an Electronic Health Record within the Indian Health Service

J Am Med Inform Assoc. 2007 March-April
http://www.ihs.gov/MedicalPrograms/MCH/F/documents/Sequist4207.doc


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

Native Women’s Health and MCH Conference

  • August 15 -17, 2007
  • Albuquerque , NM
  • Questions? Contact nmurphy@scf.cc

http://www.ihs.gov/MedicalPrograms/MCH/F/CN01.cfm#Aug07

3rd Annual American Indian and Alaska Native Long Term Care Conference

I.H.S. / A.C.O.G. Obstetric, Neonatal, and Gynecologic Care Course

  • September 16 – 19, 2007
  • Denver , CO
  • Contact Yvonne Malloy at 202-863-2580 or YMalloy@acog.org

Back to table of contents

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

May 2007 OB/GYN CCC Corner

Volume 5, No. 5, May 2007

Abstract of the Month

  • Social Change Might Save More Lives Than Medical Advances

From Your Colleagues

Scott Giberson

  • Stop The Silence
  • HIV/AIDS Among American Indians and Alaska Natives: CDC Fact Sheets available
  • Opportunity to obtain technical and capacity building assistance
  • Fluoroquinolones No Longer Recommended for Treatment of Gonococcal Infections

Amy Groom

  • New HPV Brochures for Clinicians, CDC

Hot Topics

Child Health

  • Public Opinion vs. Science Concerning Sex Education
  • Young Native-American Children at Higher Risk of Fatal Accidents
  • What fluoride varnish are you using? Please respond
  • New Guidelines Recommend Against Drug Testing of Teens in School, Home
  • Association between adolescent dieting behaviors and weight gain over time

Chronic Illness and Disease

  • Smoking Ban Has Health Benefits for Workers
  • New Guideline for Screening Mammography for Women 40 to 49 Years of Age
  • MRI Detects Breast Cancer Missed by Mammography
  • Low-Dose Aspirin Linked to Lower Risk for All-Cause Mortality in Women
  • Intensive Smoking Cessation Intervention Reduces Mortality in High-Risk Smokers 

Obstetrics

  • More stillbirths after previous cesarean delivery
  • Pregnant Moms' Weight Affects Toddlers
  • Neonatal Pneumothorax Risk Increased After Early Elective Cesarean Delivery
  • Walking is popular, practical: Predictors of physical activity during and after pregnancy
  • Preterm low birth weight and maternal periodontal status: A likely association

Gynecology

  • Young women with CIN: Any treatment increases the risk of preterm delivery - LEEP
  • Women with C. glabrata show higher mycological cure with boric acid
  • Is Pelvic Organ Prolapse Caused by Vaginal Delivery?
  • Chance of woman undergoing a hysterectomy can now be accurately predicted
  • Insulin-sensitising drugs versus the combined oral contraceptive pill for PCOS

Features

American College of Obstetricians and Gynecologists

  • Premature Rupture of Membranes
  • Patient Testing: Ethical Issues in Selection and Counseling

American Family Physician

  • Prevention and Management of Postpartum Hemorrhage
  • ACOG Releases Guidelines on Antibiotic Prophylaxis for Gynecologic Procedures
  • Estimating 10-Year Mortality Risk
  • Infertility (see also Patient Education)
  • ACOG Releases Opinion on Inducing Labor for VBAC

Agency for Healthcare Research and Quality

  • AHRQ and the Ad Council encourage patients to ask questions and get more involved
  • Primary care office / quality improvement strategies substantially affect the cost of care

Ask a Librarian

  • Quick Check for Drugs and Lactation

Breastfeeding

  • Breastfeeding - it’s all about synergy
  • Editorial comments on last month’s column
  • NOMOGRAM from Alcohol and Breast Feeding

CCC Corner Digest

  • HPV Vaccine: Newest ACIP Recommendations - Comments by Amy Groom
  • When Things Go Wrong: Responding to Adverse Events
  • HIV Prenatal Screening Can Saves Lives– B. Reilley / S. Giberson
  • Surgery versus medical therapy for heavy menstrual bleeding
  • Newborn circumcision: Improved outcomes with pediatric hospitalists
  • Obesity surgeries expanding dramatically since 1998, AHRQ
  • All Encouraged to Help Reduce Colorectal Cancer Deaths in Women
  • Inquiring families want to know - what about breastfeeding and . . .
  • Violence Threatens the Health of Pregnant Women and Newborns
  • Guidelines for Palliative Care Services: Now Online
  • Welcome to the Indian Health Methamphetamine Initiative Site
  • Does misoprostol aid prior to IUD insertion?
  • Testing New Drugs on the World’s Poorest Patients
  • The Magic of Play
  • Prolonged second stage: The rest of the story
  • Being Present: The spirituality of presence in midwifery care
  • Oral, not Transdermal, Estrogen Increases Risk for VTE in Women 
  • Prenatal screening: It is recommended for ALL ages
  • Assessment of Adverse Drug Events in a Tertiary Care Medical Center
  • Cesarean Delivery on Maternal Request
  • Bisphosphonate Related Osteonecrosis of the Jaws
  • What is the best management plan for preterm labor?
  • Electronic Health Record (EHR) Implementation: Worth the effort?
  • HPV Vaccine Frequently Asked Questions
  • Northern Women at Most Risk: Vit. D Deficiency Widespread in Pregnancy
  • Can you dispense birth control to minors without parental consent?
  • How many rubella vaccines does a mother really need to get?

Domestic Violence

  • Intimate partner abuse has no age limit
  • Domestic Violence and Your Patient's Health: Asking the Right Questions

Elder Care News

  • Pain reliever propoxyphene associated with hip fracture in elderly

Family Planning

  • Oral Contraception Regimen and Breakthrough Bleeding
  • Prescribing a one-year supply of OCs contributes to more continuous use and lower costs
  • Does Oral Contraceptive Use Affect Breast Cancer Risk?

Featured Web Site

  • Must See Website: Indian Health Service HIV-AIDS Program

Frequently asked questions

  • What are the actual federal regulations on sterilization? Bilateral tubal ligation, etc…

Indian Child Health Notes

  • Infant deaths associated with Cough and Cold Medications - 2005
  • Pneumococcal Conjugate Vaccine: Contrasting Alaska Natives and Navajo/Apaches
  • Meeting the needs of regional minority groups: increase the AI / AN physician workforce.

Information Technology

  • Electronic Health Record (EHR) Implementation: Worth the effort?

International Health

  • Ethics of medicine with economically vulnerable populations: Second in the series
  • One-Visit Screening for Cervical Cancer May Be Feasible in Developing Countries

MCH Alert

  • Issues that affect adolescent well-being
  • Surgeon General Issues National Call to Action on Underage Alcohol Use
  • Adolescent sexual behavior and strategies for reducing early pregnancy and childbearing

MCH Headlines

  • Do you walk around your vehicle before getting in it? You should
  • WHO publication details evidence for the 10 Steps to Baby Friendly
  • 2nd Round Request for Oral Health Preceptorship Applications
  • Do HIV Testing Rates Improve When Written Consent Is No Longer Required?
  • You are invited to join a Meth PH Forum

Medical Mystery Tour

  • Which Indian Health facilities lead the entire U.S. in national obstetric benchmarks?

Medscape

  • Bone Density Evaluation in Teens Prevents Future Osteoporosis

Menopause Management

  • Emergence of a range of nonhormonal treatments for vasomotor symptoms
  • Early Estrogen Therapy May Reduce Cardiovascular Risks

Midwives Corner

  • Ultrasound affects mice brains in negative ways: First, do no harm

Navajo News

  • BTL: Nearly one half of women under 25 years old request information on reversal

Nurses Corner

  • Two summer programs for high school students
  • Women sacrifice sleep to "Do It All," survey finds
  • How Should We Counsel Women About HPV Testing?
  • 17 Interventions That Work: Lessons Learned from PHNs in the Field
  • Reducing turnover of registered nurses and certified nursing assistants

Office of Women’s Health, CDC

  • Quadrivalent HPV Vaccine: Recommendations of the ACIP

Oklahoma Perspective

  • Cesarean Delivery on Maternal Request

Osteoporosis

  • Calcium Supplementation May Not Benefit Healthy Children
  • Osteoporosis Patients Likely to Pause Medication
  • Impact of Adherence and Persistence in Management of Osteoporosis
  • Role and Importance of Calcium in Preventing and Managing Osteoporosis
  • Putting the Risk for Osteonecrosis of the Jaw Into Perspective

Patient Education

  • Infertility

Perinatology Picks

  • Preconception counseling for women with diabetes and hypertension
  • How should the primary care provider approach medications?
  • Re-visiting the issue of "Amnisure
  • Low-dose dopamine for pre-eclampsia with oliguria should not be used other than in trial
  • Probiotics for preventing preterm labour

Primary Care Discussion Forum

  • Electronic Health Record (EHR) Implementation: Worth the effort?

STD Corner

  • HIV/AIDS among AI/AN Fact Sheet
  • Protective factors among urban American Indian youths: HIV/AIDS
  • HIV-related risk behaviors, perceptions of risk, HIV testing, among urban AI/AN
  • Impact of HPV Immunization on Gynecologic Cancers
  • Increases in Gonorrhea - Eight Western States, 2000-2005

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • New recommendations for gestational weight gain in obesity epidemic
  • Elevated Autoantibodies Linked to Preeclampsia
  • Cholesterol Could be Key to Treating Fetal Alcohol Syndrome

Women’s Health Headlines

  • Weaving it all together: 2007 Behavioral Health Conference
  • CME/CEU - Quadrivalent Human Papillomavirus Vaccine
  • Newly completed Pregnancy and Postpartum Quitline Toolkit
  • How to Best Get the HPV Vaccine Information Sheets signed?
  • Race/ethnicity, socioeconomic status, and lifetime morbidity burden in the WHI

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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