Maternal Child

Abstract of the Month

• Hospital brought rapid cesarean delivery times into range of 10.9 minutes: Can you?

From Your Colleagues

Kelly Acton

• The the exciting launch of the NIKE Air Native N7 Shoes

Michael Berryhill

• OB/GYN offering services at greatly reduced salary

Scott Giberson

• USCA to Honor Native AI/AN at Opening Plenary and “Celebration of Life” Event

Amy Groom

• Let’s clear up any confusion over the availability of the HPV vaccine

Elaine Locke

• State Maternal Mortality Review: Accomplishments of Nine States: Now Available

Alan Waxman

• Mark your calendar! Ask for leave! Thnk snow! Telluride Conference - February 8-10, 2008

Hot Topics

Child Health

• Traumatic events and alcohol use disorders among American Indian adolescents
• Viracept Use Should Be Limited in Children and Pregnant Women
• Statement Updated for Screening and Treatment of Teens at Risk for Suicide 
• Medication errors made during half of care for children seen at emergency departments
• Maternal Weight Tied to Child's Body Composition at Age 9

Chronic Illness and Disease

• Aging and prevalence of CVD risk factors in American Indians: the Strong Heart Study
• Both coping and communication-enhancing and supportive counseling work after cancer
• Opioid Analgesia During Evaluation of Acute Abdominal Pain
• Does Screening Mammography Benefit Women in Their 40s?
• CDC Updates Guidelines for Use of Influenza Vaccine and Antiviral Agents

Obstetrics

• SBE prophylaxis not recommended for cesarean delivery or other genitourinary tract procedures
• A preventive approach to lower the cesarean delivery rate in a rural hospital
• 1 of every 6 women studied had filled a class D or X prescription
• Risk of uterine rupture with a prior cesarean delivery much lower than expected: 0.3%
• Women who quit smoking before pregnancy benefit from reduced risk of abruption

Gynecology

• 2006 ASCCP consensus guidelines for abnormal cervical cancer screening, CIN, AIS
• Effectiveness of two tinidazole regimens in treatment of bacterial vaginosis: RCT
• Minimally invasive strategy for large cysts: Laparoscopically guided minilaparotomy
• Tailored mesh significantly reduced the rate of recurrence of anterior vaginal wall prolapse
• Botulinum toxin injections for adults with overactive bladder syndrome

Features

American College of Obstetricians and Gynecologists

• Viral Hepatitis in Pregnancy
• Disclosure and Discussion of Adverse Events
• Routine Thyroid Screening Not Recommended for Pregnant Women
• Fetal Monitoring Prior to Scheduled Cesarean Delivery
• Evaluation of Stillbirths and Neonatal Deaths

American Family Physician

• Repeat Cesarean Delivery vs. Planned Induction of Labor: Cochrane Briefs
• Hyperthyroidism
• Bell's Palsy: Diagnosis and Management
• Peptic Ulcer Disease
• Respiratory Distress in the Newborn

Agency for Healthcare Research and Quality

• Childbirth preferences after prior cesarean delivery: Information affects future choices
• Colorectal cancer screening is not just for symptoms: Primary care providers should clarify
• Three characteristics double risk of hysterectomy for women with common pelvic conditions
• Three-fourths of low-income women dissatisfied with their body size 6 months after giving birth
• Women receive worse care than men for cardiovascular disease and diabetes

Ask a Librarian

• In Search of a Research Article?

Breastfeeding

• Breastfeeding Promotion: Good Public Health Policy
• Early skin-to-skin contact for mothers and their newborn infants improves outcomes
• Breast milk: Greater mental development and fewer re-hospitalizations

CCC Corner Digest

• Group Prenatal Care Improves Pregnancy Outcomes at No Additional Cost
• Rebuilding Iraq one patient at a time: You can be part of the solution
• Do Unsutured Second-Degree Perineal Lacerations Affect Postpartum Outcomes?
• Cervical cancer differences disappear in rural women after controlling for poverty and race
• How to improve psychosocial problems at well child care visits?
• Why Hasn't This Patient Been Screened for Colon Cancer?
• Management of Delivery of a Newborn With Meconium-Stained Amniotic Fluid
• In Search of a Research Article?
• A pacifier by any other name . . .
• October is Domestic Violence Awareness Month: Materials available
• Advance Provision for Emergency Oral Contraception Reduces Post Coital Interval
• What's the first course of action for this couple that's trying to conceive?
• Bar code medication administration changes nurses' work
• Prevention of Mother-to-Child HIV Transmission: An Innovative Program in Cameroon
• AI / AN researchers on perinatal depression requesting names of interested individuals
• Endometriosis: Where is the real truth?
• Estrogen Protects Women’s Brains Prior to Menopause
• Piercing the veil: the marginalization of midwives in the United States
• Evaluation of the pregnant patient for non-obstetric surgery
• Memories, As a Public Health Nurse on the Navajo*
• Common Questions about HPV and Cervical Cancer: For Women Who Have HPV
• Fracture Outcomes in Women Discontinuing Alendronate
• Procedure-related complications of amniocentesis and CVS are small
• Chronic Renal Disease is Part of Primary Care
• Call for re-evaluation of gestational diabetes diagnosis and treatment criteria- Ovarian Cancer: Pinn Point on Women’s Health

Domestic Violence

• Coaching Boys into Men, AI/AN poster
• Aberdeen requesting DV and sexual assault pamphlets or CD-ROM resources
• Patient Self-Administered Report Effective to Screen for Domestic Violence 
• DV victims have higher health care use and costs, even long after the abuse has ended

Elder Care News

• Moderate- and High-Intensity Resistance Training Improves Cognitive Function in Elderly
• Fall Injury Episodes Among Non-institutionalized Older Adults: United States, 2001–2003
• Maintenance Antidepressant Treatment Improves Well-Being in Late-Life Depression
• The Last Hours of Living: Practical Advice for Clinicians
• Principles of Effective Pain Management at the End of Life

Family Planning

• Transdermal hormonal contraception: benefits and risks
• Oral Contraceptive Use Linked to Cancer Risk

Featured Web Site

• It was low hanging fruit before: Now it is even easier - Perinatology Corner

Frequently asked questions

• How can we best manage Jehovah’s Witnesses during pregnancy?

Indian Child Health Notes

• Challenges in Pediatric Rheumatic Disease: Special Issues with Native Children
• Study of Virus Etiologies of Respiratory Hospitalizations in Alaska Native children
• Native American genetic resources and the concept of cultural harm
• Widening socioeconomic disparities in US childhood mortality, 1969-2000

Information Technology

• National Release - RPMS Electronic Health Record, Version 1.1
• National Release - BI Immunization System, Version 8.2

International Health

• Treating schizophrenia in poorer countries: Old dilemmas and new directions

MCH Alert

• Having more family meals during adolescence is associated with improved diet quality
• Telemedicine Meeting the Health Care Needs of Children
• Challenges in the prevention of mother to child HIV transmission
• Supplement examines influences on obesity and healthy adolescent behavior

MCH Headlines

• Child passengers are exposed to secondhand smoke
• 26th Annual “Protecting Our Children”
• Child Poverty in Nonmetropolitan Areas by State including New Mexico 
• Substance Use Treatment Among Women of Childrearing Age
• Number one killer of youth: MVAs - Great set of slides to pick and choose from

Medical Mystery Tour

• Endometriosis: Where is the real truth? (Answer to last month's quiz)

Medscape

• Prevention of Influenza in a Family Setting to Reduce Transmission to Individuals at Risk
• 78-year-old woman, is seen in consultation for chronic neck pain
• Epidemiology and Prevalence of Breast Cancer in the US
• Important Considerations for Treating Epilepsy in a Woman of Middle Age
• Individualized Preventive Management of Hereditary Breast Ovarian Cancer Syndrome

Menopause Management

• Hormone therapy has no effect on memory but increases sexual interest
• Continuous HRT combined therapy vs sequential therapy and endometrial cancer risk
• There are benefits to the introduction of hormone therapy on exercise
• Strength Training Helps Prevent Fat Gain in Overweight, Obese Premenopausal Women

Midwives Corner

• If you gotta use something, nitrous oxide might be better than narcotics and epidurals
• Repeat HIV testing in pregnancy identifies opportunities for antiretroviral prophylaxis
• Nei-Guan point acupressure is a useful treatment for relieving hyperemesis gravidarum
• One in Seven Women are Depressed Before, During, or After Pregnancy

Navajo News

• Acute Appendicitis and Pregnancy

Nurses Corner

• Nurses and physicians have different perspectives in medical decisions

Office of Women’s Health, CDC

• Church-Based Breast Cancer Screening Education: Impact of Two Approaches

Oklahoma Perspective

• Training for Shoulder Dystocia

Osteoporosis

• Ordinary Doses of Vitamin D Linked to Lower Mortality
• Home health care following hip fracture limits osteoporosis progression

Patient Education

• Unsafe drugs during pregnancy: Frequency of birth control services with prescriptions
• Improved health literacy should address literacy, language, and cultural barriers
• Health literacy is not associated with how minorities perceive their physical or mental health
• Bell's Palsy: What You Should Know
• Peptic Ulcers: What You Should Know

Perinatology Picks

• The Dating Game (No, I don’t mean TV show the Dating Game)
• Prevention is the most effective evidence-based management to avoid recurrence of FGR
• 3 criteria of oligohydramnios in identifying peripartum complications
• Oxytocin agonists for preventing postpartum haemorrhage
• Features of metabolic syndrome increase risk of a child with a NTD

Primary Care Discussion Forum

• Chronic Kidney Disease: CKD is Part of Primary Care!

STD Corner

• American Indian women, HIV/AIDS, and health disparity
• Adolescents’ Discussions About Contraception Or STDs with Partners Before First Sex
• Using clinical classifcation trees to identify risk of STDs during pregnancy
• Exam room reminders / provider feedback can improve screening for chlamydia in young women
• Genital Herpes: Framing the Problem, Diagnosing the Disease

Barbara Stillwater, Alaska Dibaetes Prevention and Control

• Magic Pill Improves Glycemic Control and Decreases Death by 25% for Type 2's
• Laugh Your Way to Normal Blood Sugars
• Maternal Weight Gain Series (Six articles)
• True or False:  The largest at-risk group for sleep-related crashes is commercial drivers
• PRESENT Diabetes, an Online Clinical Conference any time day or night

Women’s Health Headlines

• Planning Group - conference on midwifery models of care
• Are women being scared away from math, science, and engineering fields?

Save the Dates: Upcoming events of interest

What’s new on the ITU MCH web pages