MCH Frequently Asked Questions
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Links to A FAQs
- Abortion, spontaneous, medical therapy
- Abortion, IHS payment procedure - pregnancy termination
- Abruptio placenta, recurrent
- A.C.O.G. Fellows : opportunities to work in Indian Hospitals. [9/01]
- Active management of the third stage of labor
- Adolescent rights : state-by-state info (note: two Q&A listings here). [12/01]
- Adolescents with Cervical Intraepithelial Neoplasia Adoption, Native American Children
- Advanced Practice Nursing Women’s Health texts
- AIDS in pregnancy . Continuing education module in this site's Perinatology Corner section. [4/02]
- Alcohol detoxification, pregnancy
- Alpha-fetoprotein, Elevated MSAFP - antenatal testing or not
- Alternative Therapies for Diabetes in Pregnancy
- Alternative therapy for bacterial vaginosis
- Alternative to Oral Glucose Tolerance Tests
- Ambien (Zolpidem): Relaxation in pregnancy
- Amnioinfusion : practical aspects. [4/02]
- Antenatal corticosteroids . Repeat courses: NIH consensus. [12/01]
- Antenatal testing, Elevated MSAFP
- Antenatal testing, IUFD
- Antenatal testing, twins
- Antepartum fetal evaluation issues. [4/02]
- Antibody Screen Positive: Rh Disease and Other Atypical Antibodies
- Antibiotic prophylaxis:
- Recommended with all hysterectomies ? [12/01]
- Recommended for all I.U.D. insertions ? [12/01]
- Recommended with all hysterosalpingograms (H.S.G.) ? [12/01]
- Antiphospholipid antibodies : practical aspects of management. [4/02]
- Aspirin, prevention of preeclampsia
- Dr. Attico's F.A.Q.s cover a broad range of M.C.H.-related issues. [11/01]
A FAQs
Q. Can we use Zolpidem for relaxation in pregnancy?
A. Yes, we use Zolpidem for relaxation in pregnancy. Here are more details (WORD 75 k)
Q. What are the issues involved in adoption of an American Indian or Alaska Native child?
A. One would need to contact the ICWA worker at each specific tribe. Here are some details (WORD 31k)
Q. I am a Fellow of A.C.O.G. How can I sign up to work in an Indian Hospital? [12/01]
A. Contact Yvonne Malloy or Elaine Locke: 202-863-2580. For more I.H.S. OB/GYN information. For I.H.S. Job Opportunities. For the A.C.O.G. main page.
Q. Does the active management of the third stage of labor really work?
A. Yes, active management of the third stage of labor decreases blood loss. See details (WORD 66k)
Q.What is the best approach for providing reproductive services to minors?
A. It is best done with parental knowledge. If that is not possible, here are some alternatives. (WORD 42k)
Q. Is routine antenatal surveillance indicated with an elevated maternal serum alpha-fetoprotein (MSAFP)?
A. #1 No, it is not routinely recommended. (WORD 52k) #2 There may be a role in certain high risk patients. (WORD 52k)
Q. What are some of the practical aspects of amnioinfusion? [4/02]
A. Catherine Y. Spong, MD from Contemporary OB/GYN answers some of the practical questions about amnioinfusion.
Q. What does the N.I.H. Consensus say about repeat courses of antenatal corticosteroids? [12/01]
A. The current benefit and risk data are insufficient to support routine use of repeat or rescue courses of antenatal corticosteroids in clinical practice.
Q. Is routine antenatal surveillance indicated with an elevated maternal serum alpha-fetoprotein (MSAFP)?
A. #1 No, it is not routinely recommended. (WORD 52k) #2 There may be a role in certain high risk patients. (WORD 52k)
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. What is the best antenatal surveillance regimen for twin gestations?
A. One can consider beginning at 38 weeks, though start earlier in higher risk groups.(WORD 51k).
Q. What are some of the issues with Antepartum fetal evaluation? [4/02]
A. Roger K. Freeman MD, from Contemporary OB/GYN presents some practical issues of antepartum fetal evaluation.
Q. Is antibiotic prophylaxis recommended with all hysterectomies? [12/01]
A. Yes, A.C.O.G. practice Bulletin #23 gives an 'A' Recommendation to antibiotic prophylaxis for BOTH abdominal and vaginal hysterectomy. (Link for A.C.O.G. members only.)
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 antibiotic prophylaxis recommended with all hysterosalpingograms (H.S.G.)?
A. No, but if you find dilated tubes, then prophylaxis should be given to reduce post H.S.G. P.I.D. From: A.C.O.G. Practice Bulletin #23, 'B' Recommendation. (Link for A.C.O.G. members only.
Q.What are some of the practical aspects of managing antiphospholipid antibodies? [4/02]
A. Charles J. Lockwood, MD from Contemporary OB/GYN presents some the practical aspects of managing antiphospholipid antibodies.
Q. What kind of information does Dr. Attico's page offer? [11/01]
A. Dr. Attico has collated material from A.C.O.G., C.D.C., A.M.A. , A.C.O.E.M., A.A.P., N.I.H., and other sites to provide material on many maternal child health issues. His F.A.Q.s begin about one screen down on his main page.
Q. What are some good paper based women’s resources for Advanced Practice Nurses?
A.Here are some good paper based and web based resources for Advanced Practice Nurses (WORD 47k)
Q. Can we use medical therapy in the setting of spontaneous abortion (SAB)?
A. Yes, you can use misoprostol in either complete or incomplete SAB (WORD 43k)
Q. Does the IHS have a procedure for payment in pregnancy termination?
A. IHS provides support for abortion services in three selected cases (WORD 44k)
Q. My patient with bacterial vaginosis is allergic to metronidazole. What else can I use?
A. First make sure it is bacterial vaginosis, and then consider one of these other regimens. (WORD 86k)
Q. Are there any clinical pointers for alcohol withdrawal in pregnancy?
A. Pregnant women shouldn’t be excluded from detoxification programs. See details (WORD 112k)
Q. How should we manage a patient with a previous abruptio placenta?
A. There are significant risks after 2 abruptions or if fetal death (see detals) (WORD 46k)
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