MCH Frequently Asked Questions
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Links to F FAQs
- Family planning: [Also see more info on this site's Family Planning page]
- Depo Provera: associated with weight gain or diabetes? [8/01]
- Depo Provera, bone loss
- Emergency contraception
- IUD insertion postpartum or after abortion
- IUD insertion with misoprostol
- Minor consent for reproductive services
- Progesterone-containing I.U.D.s, possible advantages. [10/01]
- Withholding contraception for pap
- Fecal incontinence
- Female anatomy. [2/02]
- Female exam, use of chaperones
- Fetal demise: management. [8/01] [Also see more info on this site's Pregnancy page]
- Fetal growth restriction. Continuing education module in this site's Perinatology Corner section.
- Fetal monitoring: adequacy of intermittent auscultation. [11/01]
- Fish: How much is it safe to eat during pregnancy? [12/01]
- Folic acid: offering it preconception. [10/01]
- Food borne illnesses in pregnancy. [12/01]
- Forced Sterilization; Reports of forced sterilization not substantiated Fourth degree laceration, prior
F FAQs
Q. What is the Indian Health policy on use of chaperones?
A. There is no official IHS policy yet, but we strive to honor our patients’ dignity and choice. (WORD 43k)
Q. Is Depo Provera associated with weight gain or diabetes in American Indians and Alaska Natives? [8/01]
A. Use of depot medroxyprogesterone acetate (DMPA) has commonly been associated with weight gain, but not as much as you may expect. (WORD 38k)
Q. Does IHS have any policy on distribution of the morning after pill?
A. Yes, the IHS offers all FDA approved contraceptive agents.(WORD 48k)
Q. Are there any advantages to the new progesterone-containing IUDs? [10/01]
A. There may be advantages to the new progesterone-containing IUDs related to less bleeding. Download a document that explores many of the issues: MS Word (.DOC) 32K | Acrobat Reader (.PDF) 24K.
Q. Is a cesarean delivery indicated after a prior fourth degree laceration?
A. Yes, a decision analysis concluded only two to three elective cesarean deliveries would need to be performed to prevent one case of fecal incontinence (WORD 30k)
Q. Are there are any good sites to learn more about female anatomy? [2/02]
A. Yes, try Visible Woman or Anatomy In Vivo
Q. How should I manage a fetal demise? [8/01]
A. This I.H.S. Primary Provider article discusses the need for investigation of every loss of pregnancy (intrauterine fetal demise [IUFD], or spontaneous abortion), risk factors, possibly early warning signs, aspects of counseling and emotional support, and criteria for protocols. April 1993. Acrobat reader (.PDF) 324K
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. What is a safe amount of fish to eat during pregnancy? [12/01]
A. The FDA recommends women can safely eat 12 ounces per week of cooked fish including shellfish, canned fish, smaller ocean fish or farm-raised fish.
Q. Should we offer preconception folic acid?
To patients with a previously diagnosed neural tube defect?
To patients without a previously diagnosed neural tube defect? [10-01]
A. YES. YES. YES. More info in downloadable file: MS Word (.DOC) 32K | Acrobat Reader (.PDF) 20K.
Q. How can I diagnose and manage food borne illnesses in pregnancy? [12/01]
A. C.D.C.'s primer Diagnosis and Management of Food borne Illnesses. You can also get 3.0 hours of C.M.E
Q. Is a cesarean delivery indicated after a prior fourth degree laceration?
A. Yes, a decision analysis concluded only two to three elective cesarean deliveries would need to be performed to prevent one case of fecal incontinence (WORD 30k)
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)
Q. Can one dispense birth control agents to minors without parental consent?
A. Encourage family communication first. IHS honors State laws and regulations. (WORD 36k)
Q. Should I withhold contraception from a woman who is not ‘current’ on her pap? (WORD - 110K)
A. No, there should be no barriers to the use of FDA approved contraception
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