Maternal Child

Abstract of the Month

• Regular Cola Intake Reduces Bone Mineral Density in Women

From Your Colleagues

Carolyn Aoyama

• Learn Quick Health Data Online with us
• New Women’s Health Work Group Forming: Looking for interested volunteers

Burt Attico

• Remembering Bill Carlile

Scott Giberson

• Funding Opportunity: Alcohol Abuse and HIV/AIDS

Wanda Jones

• Hyperemesis gravidum can be devastating to women

Brenda Neufeld

• Fish Intake, Contaminants, and Human Health

Chuck North

• Interested in a New England winter experience? Here is a great TDY

Ron Pust

• At Highest Risk: Birthing in the Andes

Judy Thierry

• AI/AN Candidates in college are encouraged to apply – deadline 15 December 2006
• SIDS: Train the Trainer Sessions available
• Archived METH Web cast available
• Perinatal oral health screening: Provider response and interface with oral health care

Dawn Wyllie

• Perinatal depression evidence based care
• Many other Depression resources

Hot Topics

Child Health

• Early adolescents worry more as they age. . . .
• Overweight Adolescent Girls Have Increased Mortality Risk
• Adolescent overweight and obesity: Effect of maternal smoking during pregnancy
• Public Cost of Adolescent Childbearing- By the Numbers
• Dietary calcium intervention in adolescent mothers increases bone mineralization

Chronic Illness and Disease

• Health Behaviors among American Indian/Alaska Native Women, 1998–2000 BRFSS
• Raloxifene did not significantly affect the risk of CHD
• Rifampin Has Improved Adherence, Less Toxicity Than Isoniazid for Latent Tuberculosis 
• Prophylactic Surgery Reduces Ovarian Cancer Risk
• Seasonal Affective Disorder

Obstetrics

• Magnesium sulfate tocolysis: time to quit
• Uterine rupture cannot be predicted with any combinations of clinical factors
• Drugs for treatment of very high blood pressure during pregnancy: Dealer’s choice
• VBAC is safer than repeat cesarean delivery if patient has had a prior vaginal delivery
• Sphincter injuries: Overlap repair lower risks for fecal urgency and anal incontinence

Gynecology

• ‘No touch’ hysteroscopy much better tolerated
• Hot water bottles do work: Active Warming Cuts Pelvic Pain in Pre-hospital Setting 
• Early catheter removal post-op: Early ambulation and early discharge -Abnormal Uterine Bleeding: A Management Algorithm: Evidenced-Based Clinical Medicine
• Suppressive Therapy for Recurrent Bacterial Vaginosis Reduces Recurrences

Features

American College of Obstetricians and Gynecologists

• Umbilical Cord Blood Gas and Acid-Base Analysis
• Menstruation in Girls and Adolescents: Using the Menstrual Cycle as a Vital Sign
• Overweight Adolescent: Prevention, Treatment, and Obstetric– Gynecologic Implications
• Breast Concerns in the Adolescent
• Using Preimplantation Embryos for Research

American Family Physician

• No Stirrups Preferred for Pelvic Examinations

Agency for Healthcare Research and Quality

• Over 1 million U.S. babies are delivered by Cesarean delivery
• Bone protection shifted to nonestrogen anti-osteoporosis medicine after WHI

Ask a Librarian

• Want to keep up with evidence-based medicine?

Breastfeeding

• It is official, breastfeeding counts
• Breast-Feeding Protects Against Obesity in Children of Diabetic, Overweight Mothers
• Herbal Medicines in Pregnancy and Lactation
• Infants Born During Who Were Ever Breastfed, by Race / Ethnicity of Mother

CCC Corner Digest

• Routine HIV Screening in 13- 64 year olds: Scott Giberson
• 40 years in partnership: American Academy of Pediatrics and Indian Health
• Can a 29% Cesarean Delivery Rate Possibly Be Justified?
• Out with Clomid? Here come the Aromatase inhibitors for ovulation induction
• Fetal injury at cesarean delivery: Indication and type of uterine incision
• Aspirin to Prevent Heart Attack and Stroke: What’s the Right Dose? 160 mg/day
• Postcoital Bleeding and Cervical Cancer Risk only 1/220
• Amnioinfusion Does Not Prevent Meconium Aspiration Syndrome
• Exercise and Pregnancy; Preclampsia Drugs; Calcium Supplementation
• Do you have breastfeeding questions? The new IHS Breast feeding site has the answers
• Ortho Evra Patch Linked to Risk for Venous Thromboembolism
• New Breastfeeding Web Page for the Indian Health System
• Maternal survival worldwide: consensus and controversies
• The words ‘bizarre’ and ‘atypia’ in the same pathology report sentence…hmmm…
• External Fetal Monitors - Can you kick the habit?
• Asthma in Pregnancy
• Fracture risk among First Nations people
• A.) Fetal Lung Maturity B.) Blood test for pre-eclampsia? C.)  Fish oil for the brain
• Causes of Type 2 Diabetes: Old and New Understandings
• Prevalence of HPV Infection among Men: A Systematic Review of the Literature
• No improvement in fetal outcome, increased maternal morbidity: Who pays for this?
• Special Care Clinic – Phoenix Indian Medical Center
• Heard about prenatal and postpartum care? Here is something on Internatal Care

Domestic Violence

• Measuring Intimate Partner Violence Victimization and Perpetration
• CDC Reports Prevalence of Dating Violence in High School Students

Elder Care News

• Diagnosis of Acute Abdominal Pain in Older Patients
• Indian Health Service History Project

Family Planning

• Maximizing access to EC not affect incidence of either pregnancy or STIs
• EC: Progesterone receptor modulator CDB-2914 as effective as levonorgestrel
• Monophasic oral contraceptives preferred over biphasic for contraception
• One year's supply of OCPs: Higher continuation, improved screening, and lowered costs

Featured Web Site

• Check out our new IHS STD website
• New web site focuses on the history and legacy of maternal child health

Frequently asked questions

• Is an informed consent necessary for all x-rays in pregnant women?

Indian Child Health Notes

• Tall Girls: When being tall was a disease - how culture shapes and defines medical care
• Viral gastroenteritis in AI/AN children - do we have more than everyone else? Surprising findings
• Prevalence of mental health disease in AI/AN children

Information Technology

• Telehealth Opportunity: Do you need nutrition services at your site?
• AHRQ Launches Electronic Preventive Services Selector Tool for Primary Care Clinicians

International Health

• Anthropology in the clinic: the problem of cultural competency and how to fix it
• Cesarean Delivery: Both Overused and Underused in Developing Countries
• Risk of formula feeding to infants in sub-Saharan Africa: Need for alternative strategies

MCH Alert

• Child Health USA 2005 Released

Medical Mystery Tour

• The words ‘bizarre’ and ‘atypia’ in the same pathology report sentence…hmmm….

Medscape

Menopause Management

• High-Dose Gabapentin Equal to Estrogen for Hot Flashes: POEM
• Hormone Therapy in Postmenopausal and Perimenopausal Women
• Alendronate May Be Best Choice for Postmenopausal Osteoporosis
• Estrogen only trial WHI: Significantly lower rates of any arthroplasty
• Progestin in HRT Linked to Hearing Loss in Postmenopausal Women

Midwives Corner

• What Women Want
• Delayed cord clamping: Benefits in settings with high levels of neonatal anemia

Navajo News

• Prevalence of diabetes: Diagnosed Diabetes Among AI/AN Aged <35 Years
• Great, low-cost, fun CME opportunity

Nurses Corner

• Exclusively for Nurses: IHS has a Biomedical Librarian / Informationist dedicated to I/T/U
• Executive Nurse Fellows Program, R obert Wood Johnson

Office of Women’s Health, CDC

• Measuring HIV Risk in the U.S. Population Aged 15-44
• HPV and HPV Vaccine: Information for Healthcare (Revised)

Oklahoma Perspective

• Preoperative Evaluation

Osteoporosis

• Potassium Citrate Beneficial for Osteopenia

Patient Education

• November is National Diabetes Month: Focus on gestational diabetes (GDM)
• It's Never Too Early to Prevent Diabetes: Tip Sheets for Women and Health Care Providers

Perinatology Picks

• Be Prepared: The Boy Scout motto…er…the Maternity Care Provider motto, too
• Adverse neonatal outcomes associated with antenatal dexamethasone vs betamethasone
• Metformin Exposure During First Trimester Seen Safe for Fetus
• Predicting glyburide failure is difficult, not associated with adverse pregnancy outcomes
• The current pregnancy loss rate after amniocentesis is closer to 1 in 1,600
• Treatment of periodontitis: Is it a case of association does not imply causation?

Primary Care Discussion Forum

• Causes of Type 2 Diabetes: Old and New Understandings

STD Corner

• IHS Consent Form for an HIV Antibody Test is Hereby Cancelled
• Check out our new IHS STD website
• Adapting condoms to community values in Native American communities: Snag bags
• Barriers to condom purchasing: Effects of product positioning on reactions to condoms
• Interventions for Molluscum Contagiosum: Cochrane Briefs

Barbara Stillwater, Alaska Dibaetes Prevention and Control

• Gestational Diabetes Linked to High Prevalence of Periodontal Disease
• Physical activity before pregnancy or during pregnancy reduces gestational diabetes
• Mothers with type 2 diabetes during pregnancy can transmit risk factors to their children
• Does coffee reduce the risk of type 2 diabetes in individuals with impaired glucose?
• Every kilogram of weight loss resulted in 16% reduction of diabetes risk

Save the Dates: Upcoming events of interest

What’s new on the ITU MCH web pages