Maternal Child

Abstract of the Month

• Within the Hidden Epidemic: STDs and HIV/AIDS Among AI/AN

From Your Colleagues

Scott Giberson

• Rapid HIV testing in emergency departments
• Treating Antiretroviral-Experienced Patients: Case-based CME Program
• Stop the Silence

James Holsinger Jr, Surgeon General Nominee

• Physician professionalism for a new century

Favian Kennedy

• How long does it take Nicotine to reach your brain after inhaling?
• Northern Plains Tobacco Prevention Project: Spring Newsletter available online

Roberta Ward, Anchorage

• All you need to know about food safety during pregnancy, FDA

Hot Topics

Child Health

• Physical Activity Alone May Not Reduce Obesity in Children
• Obese Young Adults Face High Diabetes Risk
• Increased risk of autism: associated with parental age and obstetric conditions
• Physician Prompting Improves Asthma Preventive Care
• Child adiposity at 3 years: New recommendations for gestational weight gain required?

Chronic Illness and Disease

• Teratogenicity of SSRIs--serious concern or much ado about little?
• American Native Suicide
• Depression: Deadlier in the Spring
• Rosiglitazone: seeking a balanced perspective
• How much does exercise help in weight loss?

Obstetrics

• VBAC: Labor induction outcome dependent on history of vaginal delivery and cervix
• New Recommendation for Varicella Vaccine: Prenatal Assessment and Postpartum Vaccination
• Postpartum Labial Adhesions
• Administration of cefazolin prior to skin incision is superior to cefazolin at cord clamping
• Simulation-based, hands-on training can identify recurring errors in emergencies

Gynecology

• LEEP doubles risk of preterm delivery: Patients need to be informed
• Treatment of bleeding irregularities induced by progestin only contraceptives: Effective
• Clinic management of early pregnancy failure: Safe, cost-effective
• Short-term superiority of effectiveness of transobturator tape reported
• Women in their 50s: fecal incontinence not associated with parity or mode of delivery

Features

American College of Obstetricians and Gynecologists

• Management of Herpes in Pregnancy
• Management of Adnexal Masses
• Sterilization of Women, Including Those With Mental Disabilities
• The Role of Cystourethroscopy in the Generalist Obstetrician Gynecologist Practice
• Adoption

American Family Physician

• Screening for Breast Cancer: Current Recommendations and Future Directions
• ACS Recommendations on MRI and Mammography for Breast Cancer Screening
• Ginger: An Overview
• CDC Changes Treatment Guidelines for Gonorrhea
• Headache (Chronic Tension-Type)

Agency for Healthcare Research and Quality

• Use of high-risk medications by pregnant women is not uncommon
• GI complaints in young women of low to normal weight may indicate eating disorders
• Contribution of mammography and therapy to reducing breast cancer deaths from 1975 to 2000
• PEDS with more knowledge of identifying and managing child abuse more likely to identify abuse
• Oncologists communicate differently with breast cancer patients: age, race, education, income

Ask a Librarian

• Scopus ™ : A New Database

Breastfeeding

• My newborn likes the bottle better: What to do when
• New IHS Breast feeding Family Support web page: Have pictures to share?
• Cup feeding not be recommended over bottle feeding as a supplement to breastfeeding
• Despite the benefits of early breastfeeding, many women find it unexpectedly difficult and painful

CCC Corner Digest

• A new management category: ‘First Trimester GDM’
• Control over schedule: Most important predictor of staff work-life balance / burnout
• Placental problems with previous caesarean delivery: Abruptio, previa
• Discharge 24 Hours After Vaginal Hysterectomy Safe, Acceptable
• Guidelines for School-Based STD Screening in Indian Country
• Malabsorption of Oral Antibiotics in Pregnancy after Gastric Bypass Surgery
• Seeking and Giving Consultation
• Long-Term Breastfeeding among Native American Women
• The failure to protect Indigenous women from sexual violence in the USA
• Reasons for unprotected intercourse
• What are the Unnecessary Tests?
• Improve HIV screening in pregnancy? Preliminary GPRA Related Results
• Social context of maternal deaths and morbidity
• Improve the system - Improve the care: Underpinnings
• Which Indian Health facilities lead the U.S. in national benchmarks?
• Earlier hormone therapy closer to menopause tended to have reduced CHD risk
• Adjustable Urethral Slings: Hope for Patients with Complex Incontinence
• Personal Digital Assistants: Practical Advice for Nurses in 2007
• Placental cultures and histology poor predictors of infectious amniotic fluid
• Electronic Health Record (EHR) Implementation: Worth the effort?
• Fluoroquinolones No Longer Recommended for Gonococcal Infections
• High rate of DM among indigenous people ?not due to thrifty gene
• Women’s Early Drinking Problems More Likely to Escape Diagnosis

Domestic Violence

• IHS-ACF DV Project: Conference CD
• Family Violence Prevention Funds Screen to End Abuse Video
• Perceptions of Adult Patients’ History of Child Abuse
• Study finds connection between teenage violence and domestic violence
• SANE: Is there a center near you?

Elder Care News

• Reporting Medical Conditions That May Affect Driving Competency: AAN Guidelines
• Elderly patients with low health literacy receive little tangible support for their health care needs

Family Planning

• Waiting until the menses to start hormonal contraceptives: Needless Obstacle
• One In Four with Unplanned Pregnancy Experience Gaps In BCM Or Do Not Use A Method
• Little variation in the frequency of reported symptoms among oral contraceptive pills
• FDA Approves Contraceptive for Continuous Use
• Implanon and bone mineral density

Featured Web Site

• Contraception Online
• Last Special Issue on Methamphetamine in Indian Country: Now online
• Wrong link for National Sexual Violence Resource Center

Frequently asked questions

• Can oral or sublingual misoprostol be used for postpartum hemorrhage?
• How should you greet your patients?
• How can I better counsel my patient to adhere to therapy?
• Should patients use sweat lodges during pregnancy?
• What is recommended about peyote use in pregnancy

Indian Child Health Notes - July 2006 Highlights

• Lactose intolerance in infants, children, and adolescents
• Influenza activity, 2006-7
• Inhalant abuse
• Fatal Injuries Among Children by Race and Ethnicity

Information Technology

• Integrated case management software application release
• iCare Training

International Health

• Maternal survival redux: a view from Malawi - Failure of justice
• Malarial drugs in early pregnancy
• Malaria Preventive Therapy Useful for Pregnant Women Despite Resistance
• Multivitamins should be considered for all pregnant women in developing countries

MCH Alert

• Who needs liquor stores when parents will do?
• Home visiting associated with decreased infant death
• Resident fathers’ prenatal behaviors, pregnancy intentions and involvement with infants
• Office based motivational interviewing to prevent overweight in children
• Association between confidential services and parent adolescent communiciation

MCH Headlines

• Taking a harder line on blood transfusions
• Are you interested in the bigger picture of Indian Health care? Join a listserv
• Do you know your state's teen-driving-laws?
• Program for At-Risk Infants and Mothers Recognized
• Adolescent Pregnancy Prevention Knowledge Path

Medical Mystery Tour

• Nausea and Vomiting in Pregnancy

Medscape

• Public Health Impact of HPV Vaccination: Aligning Policy With Science
• Premenstrual Dysphoric Disorder: A New Treatment Paradigm
• Hormone Therapy Safer in Younger Women? A Best Evidence Review

Menopause Management

• Hormone Replacement Therapy Linked to Ovarian Cancer 
• Menopause Linked to Elevated Fasting Plasma Glucose Levels in Nondiabetic Women
• Exercise Plus Isoflavones May Improve Body Composition in Postmenopausal Women
• Relation of Cortisol Levels and BMD Among Premenopausal Women With Depression 
• New Guidelines Issued for Treatment of Vaginal Atrophy: NAMS

Midwives Corner

• Midwifery’s approach to pre-labor SROM supported by professional organization’s journal
• Let it pulse—the cord that is
• Upright position during the first stage of labor did not contribute towards a shorten labor
• Cesarean rate can be reduced by health workers in analyzing and modifying their practice
• Midwives’ perspectives improves risk assessment in early pregnancy

Navajo News

• The evolution of management of Actinomyces on a Pap report

Nurses Corner

• Health Care Without Harm: Nurses Take Action
• A Complementary Approach to Pain Management

Office of Women’s Health, CDC

• One Test. Two Lives Campaign
• Human Papillomavirus: HPV Information for Clinicians

Oklahoma Perspective

• Preconception Health of Women Delivering Live-Born Infants — Oklahoma, 2000–2003

Osteoporosis

• Dietary calcium is better than supplements at protecting bone health
• Calcium, Vitamin D supplements may help prevent weight gain in postmenopausal women
• Down to the Bone: Issues in the Maintenance and Evaluation of Bone Health: CME

Patient Education

• Heavy Periods (Menorrhagia)

Perinatology Picks

• Anemia in Pregnancy Briefly: The Common to the Unusual – including IV therapy
• Contingent sequential screening is the most cost-effective form of Down syndrome
• Aspirin during pregnancy could reduce risk of pre-eclampsia
• Abnormal Doppler is the best predictor of adverse perinatal outcome in IUGR
• Changes in prepregnancy BMI between the first and second pregnancies and risk of LGA

Primary Care Discussion Forum

• Chronic Renal Disease: How is Primary Care Effected? Andy Narva, September 1 st

STD Corner

• Updated Screening for Chlamydial Infection Recommendations, USPSTF
• Sexually active women benefit from HPV vaccine
• HPV vaccine against human papillomavirus to prevent anogenital diseases
• Vulvar Vaccinia Infection After Sexual Contact with a Military Smallpox Vaccinee
• A Series on Adolescence Sexual Activity

Barbara Stillwater, Alaska Dibaetes Prevention and Control

• -(How) can we prevent type 2 diabetes?
• Prenatal Omega 3 Fatty Acid Consumption Improves Infant Problem Solving
• More Women than Men Having Mid-Life Stroke
• Diabetes Reduces Life Expectancy by 8 Years
• GDM represents a significant risk factor for future DM development regardless of ethnicity

Women’s Health Headlines

• Why do Native American women have the poorest 5-year survival rate for breast cancer?
• Motivational Interviewing training and Promoting Motivational Incentives: NIDA
• Aiming Higher: Results from a State Scorecard on Health System Performance
• Women's emotional health and wellness materials
• Native American Rehabilitation Association: Children, Youth & Family Services Director

Save the Dates: Upcoming events of interest

What’s new on the ITU MCH web pages