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Maternal Child

Maternal Child HealthCCC CornerNovember 2008
OB/GYN CCC Corner - Maternal Child Health for American Indians and Alaska Natives

Volume 6, No. 11, November 2008

News Flash

First International Meeting on Indigenous Women’s Health; Third International Meeting on Indigenous Child Health: Many Voices into One Song

  • March 2009, Albuquerque, NM
  • Women’s Health March 4-6, 2009
  • Children’s Health March 6-8, 2009 (The 6th is an overlap day with both groups participating!)

Direct Links to Topic Content

Links to Topic Summaries on This Page

Contents

Abstract of the Month

Effectiveness of maternal influenza immunization in mothers and infants

Read More - Abstract of the Month

From Your Colleagues

Richard Church, IHS Headquarters

  • CEO Brief - Issue 7

Joxel Garcia, U.S. Public Health Service

  • Influenza Vaccination for Health Care Personnel

Scott Giberson, IHS Headquarters

  • Call for Abstracts - Third Alaska Native Health Research Conference

Paul Seligman, Food and Drug Administration

  • FDA Creates Web Page with Drug Safety Information for Patients, Health Care Professionals

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • AAP Guidelines Recommend Doubling Children's Vitamin D Intake
  • Interventions in primary care to promote breastfeeding
  • Use of a fan during sleep and the risk of sudden infant death syndrome
  • Support for Comprehensive Sexuality Education: Perspectives from Parents of School-Age Youth
  • First-trimester maternal alcohol consumption and the risk of infant oral clefts

Chronic Illness and Disease

  • Patients and Caregivers Benefit from End-of-Life Discussions
  • Comparative Effectiveness and Safety of Premixed Insulin Analogues in Type 2 Diabetes
  • Smoking cessation interventions for hospitalized smokers
  • Patients with Coronary Heart Disease Benefit from Screening for Depression

Obstetrics

  • Alcohol Use Screening for FASD Prevention among a Cohort of American Indian Women
  • Prevention of Diabetes in Women with a History of Gestational Diabetes: Effects of Metformin and Lifestyle Interventions
  • Perinatal outcomes in low-risk term pregnancies: do they differ by week of gestation?
  • Effect on birth outcomes of a formalised approach to care in hospital labour assessment units: international, randomised controlled trial
  • Peripartum Clostridium difficile infection

Gynecology

  • Pregnancy outcome in women before and after cervical conisation
  • FDA Public Health Notification: Complications with Transvaginal Placement of Surgical Mesh
  • The role of Lactobacillus in restoring the normal vaginal flora after antibiotic treatment of bacterial vaginosis
  • Hormone therapy and the risk of breast cancer in BRCA1 mutation carriers

Read More - Hot Topics

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Features

American College of Obstetricians and Gynecologists

  • Ultrasonography in Pregnancy
  • Use of Progesterone to Reduce Preterm Birth
  • Pregnant Women Reminded to Get Flu Vaccination

American Family Physician

  • Atypical Moles
  • Management of Mastitis

Agency for Healthcare Research and Quality

  • Behavioral Modification Programs Help Obese Children Manage Their Weight
  • Task Force Finds Several Methods Equally Effective for Colorectal Cancer Screening
  • Behavioral Counseling to Prevent Sexually Transmitted Infections
  • AHRQ’s 2008 Guide to Clinical Preventive Services Now Available

Ask a Librarian

  • Medical Clinics of North America issue dedicated to Women’s Health

Behavioral Health Insights

  • Protecting urban American Indian young people from suicide

Breastfeeding

  • A Skinny Little Secret

CCC Corner Digest

Domestic Violence

  • Health outcomes in women with physical and sexual intimate partner violence exposure

Elder Care News

  • Prescription drug misuse/abuse in the elderly

Family Planning

  • Drospirenone for acne treatment

Featured Web Site

  • The Immunization Action Coalition; free resources about vaccination for everyone!

Frequently asked questions

  • Q. Should we treat asymptomatic trichomonas found on a Pap smear?
  • Q. Should we withhold contraception from a woman who is not ‘current’ on her pap?

Indian Child Health Notes

  • Alcohol-Attributable Deaths and Years of  Potential Life Lost Among American Indians and Alaska Natives
  • Effectiveness of Maternal Influenza Immunization in Mothers and Infants

Information Technology

  • Alpha Testing to Start on the EHR Version of the Well Child Module

International Health

  • Disease risks of premastication as an infant feeding practice

MCH Alert

  • MCH Library Releases New Edition of Domestic Violence Knowledge Path
  • Article Assesses Smoking Patterns and Use of Cessation Interventions During Pregnancy

MCH Headlines

  • Native American Action Plan: Addressing Tobacco Abuse among Pregnant and Postpartum Women
  • Cough and Cold Medications Not Recommended for Children Under 4 Years of Age
  • Breastfeeding Mini-Grant Opportunity

Medical Mystery Tour

  • Test your knowledge on Polycystic Ovarian Syndrome (PCOS)

Medscape

Menopause Management

  • Hot flashes and subclinical cardiovascular disease

Midwives Corner

  • Centering Pregnancy ListServe Revived

Navajo News

  • Navajo Area Women’s Health Provider Meeting

Nurses Corner

  • Strategies to prevent healthcare-associated infections in acute care hospitals

Office of Women’s Health, CDC

  • What Works to Promote Cancer Screening

Osteoporosis

  • Serum 25-hydroxyvitamin D and functional outcomes in the elderly

Patient Education

  • Free Flu Materials from the CDC

Perinatology Picks

  • Cesarean delivery for the second twin
  • Accuracy of ultrasonographic fetal weight estimation in twin pregnancies
  • Nicotine gum for pregnant smokers: a randomized controlled trial
  • Risk of development of diabetes mellitus after diagnosis of gestational diabetes

Primary Care Discussion Forum

  • Geriatric Medication Issues

STD Corner

  • Innovative uses of technology that are being used to prevent STDs/HIV

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Postpartum screening after GDM affected pregnancies - room for improvement
  • The association between low birth weight and type 2 diabetes

Women’s Health Headlines

  • A web-based resource for oral health providers on screening for domestic violence

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

First International Meeting on Indigenous Women’s Health/Third International Meeting on Indigenous Child Health Conference; Many Voices into One Song


There are several upcoming Conferences

and Online CME/CEU resources, etc . . .

and the latest Perinatology Corners (free online CME from IHS)

. . . or just take a look at the What’s New page

Save the Dates: Upcoming events of interest

2008 Indian Health Information Management Conference, “Managing Health Information Technology to Improve Performance and Outcomes”

Telluride Midwinter Conference on Maternal and Child Health

First International Meeting on Indigenous Women’s Health/Third International Meeting on Indigenous Child Health Conference; Many Voices into One Song

 Advances in Indian Health Conference

  • April 21-24, 2009 in Albuquerque, NM 
  • Indian Health's conference for primary care providers and nurses
  • 28 hours of CME/CE credit
  • Optional Diabetes track
  • Contact the Course Director, Dr. Ann Bullock, at annbull@nc-cherokee.com for more information.

Back to table of contents

Did you miss something in the last OB/GYN Chief Clinical Consultant Corner?

Volume 6, No. 10, October 2008

Abstract of the Month

Diabetes mellitus and birth defects

Read More - Abstract of the Month

From Your Colleagues

Jean Howe, CCC – Ob/Gyn

  • First International Conference for Indigenous Women’s Health/Third International Conference for Indigenous Child Health; Albuquerque, March 4-8, 2009

Robert McSwain, IHS Director

  • Susan V. Karol, MD, named IHS Chief Medical Officer

Sheila Warren, Headquarters

  • Joint Commission Resources is Challenging YOUR HOSPITAL to Increase Health Care Worker Vaccination against the Flu

Read More - From Your Colleagues

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Hot Topics

Child Health

  • Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children
  • Ibuprofen more effective than acetaminophen for treating fever in children
  • Identifying postpartum depression: are 3 questions as good as 10?

Chronic Illness and Disease

  • Incidence and Risk Factors for Stroke in American Indians; The Strong Heart Study
  • Expanded Recommendations for Hepatitis B Screening
  • Association of Urinary Bisphenol A Concentration with Medical Disorders and Laboratory Abnormalities in Adults
  • Alcohol-Attributable Deaths and Years of Potential Life Lost Among American Indians and Alaska Natives --- United States, 2001--2005
  • Should the window for thrombolytic use be extended for stroke?

Obstetrics

  • Electronic Fetal Monitoring: Update on Definitions and Interpretation
  • Bariatric surgery linked to improved perinatal outcomes
  • A randomized, controlled trial of magnesium sulfate for the prevention of cerebral palsy
  • Gestational weight gain and risk of overweight in the offspring at age 7 y in a multicenter, multiethnic cohort study

Gynecology

  • Methicillin-resistant Staphylococcus aureus as a common cause of vulvar abscesses
  • Hysterectomy Complication Rates Decline Significantly
  • Prevalence of symptomatic pelvic floor disorders in U.S. women
  • Behavioral therapy to enable women with urge incontinence to discontinue drug treatment: a randomized trial
  • Success rates <1% following fresh assisted reproduction treatment in women aged 45 years and older

Read More - Hot Topics

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Features

American College of Obstetricians and Gynecologists

  • Fetal Lung Maturity
  • Depot Medroxyprogesterone Acetate and Bone Effects
  • The Uninsured
  • Addressing Health Risks of Noncoital Sexual Activity
  • Prenatal and Perinatal Human Immunodeficiency Virus Testing: Expanded Recommendations

American Family Physician

  • Health maintenance for postmenopausal women

Agency for Healthcare Research and Quality

  • US Surgeon General Issues "Call to Action" on DVT and PE

Ask a Librarian

  • BMJ Clinical Evidence Adds Medical Conditions

Behavioral Health Insights

  • Antipsychotics – The Old versus the New - What Should I Use?
  • SAMHSA Awards More Than $16 Million to Tribes/Tribal Organizations for Youth Suicide Prevention and Early Intervention Programs

Breastfeeding

  • Mastitis and Plugged Ducts

CCC Corner Digest

Domestic Violence

  • Break the Silence: Stop the Violence; new video addresses teen dating violence

Elder Care News

  • Less Sleep May Equal Greater Risk of Falling in Elderly Women 

Family Planning

  • ACOG Press Release: Bone Mineral Density Concerns Should Not Discourage Use of Contraceptive Shot
  • Management of Breakthrough Bleeding with Continuous Use of the Transvaginal Contraceptive Ring

Featured Web Site

  • Welcome to WIN, The Weight-control Information Network

Frequently asked questions

  • Can a patient receive outpatient cervical ripening?

Indian Child Health Notes

  • Universal screening for hearing loss in newborns: US Preventive Services Task Force
  • Pediatric Practice-based Versus an Agency-Based Model of Care Coordination for Children and Youth with Special Health Care Needs

Information Technology

  • RPMS iCare Population Management Immunization Patch Released

International Health

  • Preventing and treating HIV/AIDS in Thai prisons

MCH Alert

  • Social, Emotional, and Physical Health and Workplace Challenges of Women in the Postpartum Period
  • Opportunities to Improve Adolescent Health and Prevent Cardiovascular Disease
  • Special Notice: New Name Signals an Expanded Focus for The National Sudden Infant Death Syndrome and Other Infant Death (SIDS/ID) Cooperative Agreement Program
  • Partners Engage in Focused Effort to Improve the Oral Health of Pregnant Women

MCH Headlines

  • New American Academy of Pediatrics (AAP) Resources for Vaccination
  • Preventing Alcohol, Tobacco, and Other Substance-exposed Pregnancies: A Community Affair

Medical Mystery Tour

  • Fetal Heart Monitoring: The answers applied

Medscape

Menopause Management

  • Cochrane Update: Oestrogens for Preventing Recurrent Urinary Tract Infection in Postmenopausal Women

Midwives Corner

  • The conflict and compromises between how we want to practice midwifery and how we do practice midwifery in the hospital setting

Navajo News

  • Navajo Area Women’s Health Provider Meeting

Nurses Corner

  • Nursing Leadership; An Excerpt from the IHS CEO Brief
  • MEDCOM has added Obstetrical Series to the Course Catalog

Office of Women’s Health, CDC

  • Emergency Planning Tips If You're Pregnant or Have Young Children
  • Electronic Media and Youth Violence: A CDC Issue Brief for Educators and Caregivers
  • Increasing Prevalence of Gestational Diabetes and Pregnancy-Related Hypertension in Los Angeles County, California, 1991–2003

Osteoporosis

  • Pharmacologic treatment of low bone density or osteoporosis to prevent fractures: a clinical practice guideline from the American College of Physicians

Patient Education

  • The Eagle Book Animation Series

Perinatology Picks

  • Correlation of catheterized and clean catch urine protein/creatinine ratios in preeclampsia evaluation
  • A randomised controlled trial of early versus delayed oxytocin augmentation to treat primary dysfunctional labour in nulliparous women
  • Do Mechanical Methods of Cervical Ripening Increase Infectious Morbidity? A Systematic Review
  • QuickStats: Rates* of Cesarean Deliveries --- Selected Countries,† 2005

Primary Care Discussion Forum

STD Corner

  • Trends in HIV- and STD-Related Risk Behaviors Among High School Students --- United States, 1991--2007

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Small Steps, Big Rewards for Families with a History of Gestational Diabetes
  • Healthcare Cost and Utilization Project

Women’s Health Headlines

  • Differentiation among Types of Intimate Partner Violence: Research Update and Implications for Interventions

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

First International Meeting on Indigenous Women’s Health/Third International Meeting on Indigenous Child Health Conference; Many Voices into One Song


There are several upcoming Conferences

and Online CME/CEU resources, etc . . .

and the latest Perinatology Corners (free online CME from IHS)

. . . or just take a look at the What’s New page

Save the Dates: Upcoming events of interest

Medical Providers’ Best Practices Conference, 3rd Annual

  • November 18-19, 2008; Sacramento, CA
  • California Area Indian Health Service
  • More information: 916.930.3937 or IHS-CAOGPRA@ihs.gov

2008 Indian Health Information Management Conference, “Managing Health Information Technology to Improve Performance and Outcomes”

First International Meeting on Indigenous Women’s Health/Third International Meeting on Indigenous Child Health Conference; Many Voices into One Song

 Advances in Indian Health Conference

  • April 21-24, 2009 in Albuquerque, NM 
  • Indian Health's conference for primary care providers and nurses
  • 28 hours of CME/CE credit
  • Optional Diabetes track
  • Contact the Course Director, Dr. Ann Bullock, at annbull@nc-cherokee.com for more information.

Back to table of contents

Past CCC Corners

The CCC Corner is good way to inform ITU providers about recent updates, while decreasing the number of e-mail messages.

Let me know if you want to add something to next month's CCC Corner at jean.howe@ihs.gov or (928) 674-7422 (with voicemail).

*The opinions expressed in the OB/GYN CCC Corner are strictly those of the authors, and not necessarily those of the Indian Health System, or the editor of this newsletter.

OB/GYN

Jean Howe, MD, MPH is the Obstetrics and Gynecology Chief Clinical Consultant (OB/GYN C.C.C.). Dr. Howe is very interested in establishing a dialogue and/or networking with anyone involved in women's health or maternal child health, especially as it applies to American Indian and Alaska Native women and also indigenous peoples around the world. Please don't hesitate to contact her by e-mail (jean.howe@ihs.gov) or phone at (928) 674-7422.

Next: Abstract of the Month

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