MCH Frequently Asked Questions
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Links to I FAQs
- I.H.S. Maternal Child Health policy chapter. [8/01]
- Indian Child Adoption
- Induction of labor, various methods of cervical ripening
- Infertility Services in Indian Health
- Intrathecal anesthesia
- Intrauterine Device (IUD) and Chlamydia.
- Intrauterine growth restriction.. Continuing education module (Fetal Growth Restriction) in this site's Perinatology Corner section.
- Intrauterine Fetal Demise (IUFD) – Antenatal testing.
- Intermittent auscultation: adequacy in fetal monitoring. [11/01]
- Isoimmunization (Rh), effect on fetus and newborn. [4/02]
- Isoniazid therapy in pregnancy and lactation
- I.U.D.: Is antibiotic prophylaxis recommended for all insertions? [12/01]
- IUD insertion postpartum or after abortion
- IUD insertion with misoprostol
I FAQs
Q. In various frustrating situations, how many times have you heard,"It's I.H.S. policy."? [8/01]
A. Well, here is the actual I.H.S. M.C.H. policy chapter...
I.H.S. Manual Chapter 13: Maternal Child Health, 1992 Revision (current version; update due)
This on-line resource contains information on: Maternal and Neonatal Services, Obstetric Anesthesia Services, Nurse Midwifery, Perinatal and Infant Mortality Reviews, Care of the Infant and Child, Child Abuse and Neglect, Sexual Abuse, School Health, Care of the Adolescent, Preventive Health Services for Women, Family Planning Services, Hysterectomies Resulting in Sterilization, Abortion Services. View on the I.H.S. Web site in Acrobat Reader format (.PDF)
Q. What are some methods of cervical ripening and Induction of Labor?
A. The AFP presents a review of the topic.
Q. What is the cost effectiveness for the use of cytotec or any other induction agents?
A. Misoprostol is more cost-effective than the comparable commercial agents. (WORD 35k)
Q. When should antenatal testing start after an IUFD? 34 weeks? or prior to the gestational age of the IUFD?
A. Probably neither, unless you know the exact etiology of the prior IUFD, but there is more. (WORD 40k)
Q. Is intermittent auscultation adequate for monitoring of fetal well being? [11/01]
A. Yes, intermittent auscultative monitoring is an acceptable monitoring method in low risk pregnancies. This downloadable file reviews a number or references on the subject: MS Word (.DOC) 28K | Acrobat Reader (.PDF) 20K.
Q. How does Rh isoimmunization affect a fetus and a newborn? [4/02]
A. John T. Queenan, MD from Contemporary OB/GYN presents many answers to the issue of isoimmunization.
Q. Do we have an Indian Health policy on positive skin tests in pregnancy for TB--and treatment?
A. Yes, here is a discussion on screening and treatment during pregnancy and lactation. (WORD 94k).
Q. Is antibiotic prophylaxis recommended for all I.U.D. insertions? [12/01]
A. No. The cost effectiveness of screening for gonorrhea and chlamydia before I.U.D. insertion is unclear; in women screened and found to be negative, prophylactic antibiotics appears to provide no benefit. A.C.O.G. Practice Bulletin #23, 'A' Recommendation. (Link for A.C.O.G. members only.
Q. Is there any help or assistance with infertility through the Indian Health System?
A. Yes, basic infertility services are provided in the ITU system. (WORD 47k)
Q. Is repetitive intrathecal anesthesia a good alternative to epidural anesthesia in labor?
A. Continuous epidural anesthesia is often the more satisfactory approach. See details. (WORD 59k)
Q. If a patient has an IUD and develops a Chlamydia infection, should you remove the IUD?
A. The safest approach is to remove the IUD, but you can keep the IUD in certain cases. (WORD 50k)
Q. Can you place an IUD after a term delivery or abortion (SAB or induced)?
A. Yes, but there are special precautions you should take (WORD 207k)
Q. Does misoprostol aid prior to IUD insertion?
A. Yes, misoprostol appears to soften the cervix and decrease complications. (WORD 129k)
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