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Maternal Child

Maternal Child HealthCCC Corner ‹ September 2006
OB/GYN CCC Corner - Maternal Child Health for American Indians and Alaska Natives

Volume 4, No. 9, September 2006

Direct Links to Topic Content

Links to Topic Summaries on This Page

Contents

Abstract of the Month

FDA Approves OTC Access for Plan B for 18 and Older: A ‘Catch-22’ for AI/AN patients?

Read More - Abstract of the Month

From Your Colleagues

Carolyn Aoyama

  • USPSTF Best Practices - Cervical Cancer Screening
  • USPSTF Breast Cancer Screening Guidelines
  • Tips for Improving Access to Mammography

Burt Attico

  • Congenital Anomalies Linked to NSAID Use in First Trimester

Judy Thierry

  • Influenza is coming: Are you ready?

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Metformin Useful for Treating PCOS in Adolescents
  • Should Pacifier Use in Infants Be Discouraged?
  • Opportunities to prevent injury among children and adolescents: New fact sheet
  • Early-Onset and Late-Onset Neonatal Group B Streptococcal Disease
  • Prolonged Bottle-feeding and Iron Deficiency Anemia

Chronic Illness and Disease

  • Varenicline was significantly more efficacious for smoking cessation
  • Clinical Prediction Rule for Stratifying Patients with PE
  • Predicting Four-Year Mortality Risk in Older Adults
  • Criteria for Diabetes Testing in Asymptomatic Adults
  • Light Therapy vs. Fluoxetine for Treatment of SAD
  • and more…..

Obstetrics

  • Cesarean delivery: Increased risks / costs plus poor postpartum outcomes – 4 articles
  • S. aureus colonization in pregnant women is 17.1%, MRSA found in the vaginal-rectal area
  • Controlling pregnancy weight gain: adverse neonatal outcomes – 2 articles
  • Electronic fetal monitoring has no effect on perinatal morbidity or mortality: A Review
  • Two-stage protocol for placenta accreta: US first, and then MRI for inconclusive US

Gynecology

  • See and treat: HPV positive, HSIL cytology, and a high-grade impression at 2 nd colposcopy
  • Activity Restriction After Pelvic Floor Surgery?
  • Urinary incontinence and age at the first and last delivery
  • TVT is effective: Recurrent stress urinary incontinence and/or previous prolapse surgery
  • Diagnosis and Management of Endometriosis
  • And more…

Read More - Hot Topics

Back to table of contents

Features

American Family Physician

  • Acupressure vs. Physical Therapy for Low Back Pain
  • Naltrexone and Counseling Reduce Alcohol Dependence

American College of Obstetricians and Gynecologists

  • Human Papillomavirus Vaccination
  • HPV Vaccine Shows Promise, at Least in Short Term

Agency for Healthcare Research and Quality

  • Surgeons vary widely in their approaches to disclosing medical errors to their patients
  • Case management dramatically reduces care use for minority children on Medicaid
  • NICU babies are frequently at risk for misidentification

Ask a Librarian

  • Daily Health Policy News Summaries - New on Your Library Website

Breastfeeding

  • Engorgement - It only feels like it is going to last forever
  • Breastfeeding: Data and Statistics: Breastfeeding Practices — Results from 2005 Survey

CCC Corner Digest

August 2006 Highlights include:

  • Uterine rupture rate hasn’t changed for 20 years – Why have our practices?
  • New Women’s Health Work Group Forming: Looking for interested volunteers
  • Update your standing post partum discharge orders: Tdap in pregnancy
  • ACOG Releases HPV Vaccine Recommendations for Ob-Gyns
  • Emergency Contraception: A Primer for Pediatric Providers
  • Antidepressant Discontinuation Syndrome
  • Norethindrone More Effective for Menses Suppression
  • Induction of Labor for Vaginal Birth After Cesarean Delivery
  • Early Milk Supply Issues
  • Randomized trial: Screening for intimate partner violence in health settings
  • Is 75 Years an Appropriate Upper Age Limit for Mammography?
  • Addressing Depression in Family Planning Services
  • HIV/AIDS in Latin America and the Caribbean
  • First trimester screening: How would you counsel this patient?
  • VBAC: Pendulums and Ecstasy
  • Native Alaskan and American Indian Nurses Scholarship Opportunity
  • The indications for IUD use have vastly expanded
  • Glyburide flows from fetus to mother by placental transport system
  • September 1, 2006: Palliative Medicine's Role in the Continuity of Care
  • Condom Use and the Risk of Genital HPV Infection in Young Women
  • Obese Girls: 3 x Risk for Early Death than Slim Counterparts

Domestic Violence

  • Randomized trial assesses screening for intimate partner violence in health settings

Elder Care News

  • Where is the Indian Health System when it comes to providing palliative / end-of-life care?

Family Planning

  • Adolescent perception of sexual abstinence

Featured Web Site

  • The Indian Health MCH Frequently Asked Question (FAQ) site

Frequently asked questions

  • Are there any cultural barriers/among Native Americans to becoming cord blood donors?

Indian Child Health Notes - September 2006 Highlights

  • Thank you Captain Obvious - Meta analysis shows that drinking sugar sweetened beverages is linked to obesity
  • If you cant beat 'em sue 'em: The intersection of obesity and public health law
  • Pneumococcal vaccine has decreased the rates of otitis media and PE tube placement in AI/AN children
  • Cancer data for adolescent Native Americans
  • Mystery person gives $100,000 to the Committee on Native American Child Health - Help us decide how to spend it
  • Survey Monkey in this issue - let us know what you want

Information Technology

  • HIV Management System, v1.0 - National Release, BKM

International Health

  • Health care and indigenous peoples: the other side of the planet
  • Planes, trains, automobiles and asthma in China

MCH Alert

  • Adolescents’ Use of Contraception
  • New website provides easy access to information on SIDS and infant death

Medical Mystery Tour

  • First trimester screening: How would you counsel this patient?

Medscape

Menopause Management

  • Clonidine and Gabapentin Effective for Hot Flashes
  • Estrogen Alone Does Not Increase Breast Cancer Risk

Midwives Corner

  • Postpartum Care: Still the neglected step child of perinatal services?
  • Midwives applaud new false labor EMTALA regulations

Navajo News

  • Implanon- A single rod contraceptive implant…

Nurses Corner

  • Harm Resulting from Inappropriate Telephone Triage in Primary Care

Office of Women’s Health, CDC

  • Trends in HIV-Related Risk Behaviors Among High School Students

Oklahoma Perspective

  • The indications for IUD use have vastly expanded

Osteoporosis

  • Calcium during pregnancy: Higher maternal Vit. D / folate and newborn Wt / mineralization

Patient Education

  • Endometriosis: What You Should Know

Perinatology Picks

  • How important is maternal intratpartum glucose to neonatal hypoglycemia?
  • Adverse outcomes with DM are 3-9 times worse vs normal and not improved in 15 years
  • 17 hydroxyprogesterone caproate results in cost-savings in women with prior PTD
  • No difference in pregnancy loss: Chorionic villus sampling vs amniocentesis, 1998 to 2003
  • Vitamin Supplements Do Not Prevent Preeclampsia

Primary Care Discussion Forum

  • Palliative Medicine's Role in the Continuity of Care – Ongoing

STD Corner

  • Sexual Education / HIV Education and youth

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Weight Loss Should be the Primary Intervention for Risk of Diabetes

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

USPSTF Best Practices - Cervical Cancer Screening

http://www.ihs.gov/MedicalPrograms/MCH/W/CanCerv.cfm#USPSTF

USPSTF Breast Cancer Screening Guidelines

http://www.ihs.gov/MedicalPrograms/MCH/W/documents/bestpractices-breastcancerscreening.doc

Tips for Improving Access to Mammography

http://www.ihs.gov/MedicalPrograms/MCH/W/documents/tipstoimprovingaccesstomammography.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

Best Practices and GPRA Tracking

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

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?

August 2006 OB/GYN CCC Corner

Volume 4, No. 8, August 2006

Abstract of the Month

  • Rate of uterine rupture hasn’t changed for 20 years – Why have our practices changed?

From Your Colleagues

Carolyn Aoyama

  • New Women’s Health Work Group Forming: Looking for interested volunteers
  • AHRQ’s  “Women’s Health 2006: Translating Research into Practice”

Jean Howe

  • Adults with Self-Assessed Symptoms of Serious Psychological Distress, by Sex and Race

Judy Thierry

  • Providers should conduct psychosocial screening of all women in pregnancy

Hot Topics

Child Health

  • Emergency Contraception: A Primer for Pediatric Providers
  • Role of subthreshold symptoms on major depressive disorder in adolescents

Chronic Illness and Disease

  • Antidepressant Discontinuation Syndrome
  • Are laxatives effective for the treatment of symptomatic hemorrhoids in adults?
  • Interventions to Facilitate Smoking Cessation
  • Exercise and Older Patients: Prescribing Guidelines

Obstetrics

  • Update your standing post partum discharge orders: Tdap in pregnancy / postpartum
  • Repeat Cesarean Deliveries Raise Risk of Maternal Morbidity
  • Membrane Sweeping at 41 Weeks Helps Prevent Post-Term Pregnancy
  • Most Stillbirths Worldwide Are Preventable
  • Sudden infant death syndrome and complications in other pregnancies

Gynecology

  • ACOG Releases HPV Vaccine Recommendations for Ob-Gyns
  • Sensitivity of colposcopy in ASCUS / LGSIL improves with more than two biopsies
  • HPV-Based Triage May Result in Excess Colposcopies in Young Women
  • Urodynamics-based detrusor overactivity diagnoses may be insufficiently reliable
  • Pessaries Helpful in Pelvic Organ Prolapse Patients
  • And more…

Features

American Family Physician

  • Norethindrone More Effective for Menses Suppression
  • Fecal Occult Blood Testing in Healthy Patients Does Not Reduce Mortality
  • Mammography Results in Overdiagnosis of Breast Cancers
  • Omega-3 Fats Do Not Affect Mortality Rates
  • Screening for Iron Deficiency Anemia for Children and Pregnant Women

American College of Obstetricians and Gynecologists

  • Induction of Labor for Vaginal Birth After Cesarean Delivery
  • Management of alloimmunization during pregnancy. ACOG Practice Bulletin
  • Psychosocial Risk Factors: Perinatal Screening and Intervention

Agency for Healthcare Research and Quality

  • More data are needed to better identify health care disparities among AI/AN
  • Increasing cervical cancer screening intervals is cost-effective for women with three consecutive normal Pap smears
  • ACE inhibitors during the first trimester of pregnancy: Increased risk of birth defects

Ask a Librarian

  • New on Your Library Website - Daily Health Policy News Summaries

Breastfeeding

  • Early Milk Supply Issues
  • Breastfeeding Basics: Generalist to Generalist

CCC Corner Digest

  • Refusals by pharmacists to dispense emergency contraception
  • How to address health disparities? One story of success
  • Pendulum swing:  Vaginal breech delivery approved within guidelines
  • CDC’s Advisory Committee Recommends Human Papillomavirus Virus Vaccination
  • New Guidelines for Pediatric and Neonatal Emergency Cardiovascular Care
  • Driving, Other Erratic Behaviors Reported After Taking Zolpidem (Ambien)
  • Planned Early Birth vs. Expectant Management for PROM
  • William H. J. Haffner American Indian / Alaska Native Women’s Health Award
  • Pain is one the reasons that moms quit breastfeeding in the first 2 weeks
  • Injectable Contraception and Skeletal Health
  • Hospital Computer Keyboards Should Be Disinfected Daily
  • Where There is No Doctor & A Book for Midwives
  • Copious post operative mucous secretions: The rest of the story
  • Nuchal cords, somersaults, and the value of a pulsing cord: Nuchal Cord Management
  • Methamphetamine abuse among women on Navajo: Part IV - The “Drop- in” gravida
  • The Association of Nurses in Aids Care
  • IHS Division of Epidemiology and Disease Prevention Launches New Website
  • Osteoporosis Guidelines Updated: North American Menopause Society
  • Only 29% of ACOG recommendations are level A: Good and consistent scientific evidence
  • September 1, 2006: Palliative Medicine's Role in the Continuity of Care
  • Focus on adolescent sexual behavior this month
  • Diabetes Is The Clinical Equivalent of Aging 15 Years

Domestic Violence

  • Randomized trial assesses screening for intimate partner violence in health settings
  • Physical Dating Violence Common Among Teens, Linked to Risky Behaviors
  • After the Crisis - Resource Papers and Issue Briefs
  • Primary care assessment of intimate partner violence and may prevent its recurrence

Elder Care News

  • Is 75 Years an Appropriate Upper Age Limit for Mammography?
  • Performance by Elderly on 400-Meter Walk Predicts Disability and Death
  • Second Annual American Indian and Alaska Native Long Term Care Conference

Family Planning

  • Addressing Depression in Family Planning Services

Featured Web Site

  • Try Michigan’s site. It’s super!

Frequently asked questions

  • The Indian Health MCH Frequently Asked Question (FAQ) site

Indian Child Health Notes - July 2006 Highlights

  • High levels of bilirubin in newborns - more good than bad news
  • The elevated risk of jaundice in AI/AN infants
  • A round up of new vaccines for 2006 by Ros Singleton
  • Mental Health disorders in parents of AI/AN adolescents

Information Technology

  • Hospital Computer Keyboards Should Be Disinfected Daily

International Health

  • HIV/AIDS in Latin America and the Caribbean
  • The next influenza pandemic: what public health measures might help?

MCH Alert

  • AAP encourages implementation of new shopping cart standards to prevent child injury

Medscape

Menopause Management

  • Gabapentin is an effective alternative to estrogen for the treatment of hot flushes
  • AHRQ: Menopausal hormone therapy declined after published WHI trial results

Midwives Corner

  • VBAC: Pendulums and Ecstasy

Navajo News

  • Please See Abstract of the Month

Nurses Corner

  • Native Alaskan and American Indian Nurses Scholarship Opportunity

Office of Women’s Health, CDC

  • Final Births for 2004

Oklahoma Perspective

  • The indications for IUD use have vastly expanded

Osteoporosis

  • Soy Isoflavones Protect Postmenopausal Women From Bone Loss 

Patient Education

  • Antidepressant Discontinuation Syndrome: What You Should Know
  • Tips to Help You Quit Smoking
  • Health Care for Lesbians and Bisexual Women

Perinatology Picks

  • Glyburide flows from fetus to mother by placental transport system
  • Inappropriate Discontinuation of Asthma Medication Common in Early Pregnancy

Primary Care Discussion Forum

  • September 1, 2006: Palliative Medicine's Role in the Continuity of Care

STD Corner

  • Condom Use and the Risk of Genital Human Papillomavirus Infection in Young Women
  • Latest CDC STD Treatment Guidelines Just Released
  • Rapid HIV Test Distribution Picks up Thousands of Infections in US

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Obese Girls: Threefold Risk for Early Death than Slim Counterparts
  • New Recommendations Regarding Exercise and Type 2 Diabetes Issued 
  • Just how effective are diabetes management programs?

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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