MCH Frequently Asked Questions
If your question is not
listed on this page, check out the Other
FAQ pages section or contact
njmurphy@SouthCentralFoundation.com.
Please also see this note
about the nature and uses of material on this page.
Menus: All A B C D E F G H I J K L M N O PQ R S T UV WXYZ
- 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]
- Bacterial vaginosis, alternative therapy
- Barriers to contraception: None
- Beta strep prevention
- Biochemical Markers for Osteoporosis
- Biofeedback: strengthen the pelvic musculature to help control urinary incontinence. [12/01]
- Birthing center regulations
- Bloodless medicine in OB/GYN
- Bone loss: with Depo Provera (depot medroxyprogesterone acetate)
- Breakfast Tolerance Tests
- Breast cancer: See Cancer, breast below
- Breast Cancer risk assessment
- Bilateral tubal ligation: [Also see more info on this site's Family Planning page]
- Bilateral Tubal ligation: Benefits and Risks of Sterilization, A C O G
- Bilateral Tubal ligation: Reports of forced sterilization not substantiated
- Bilateral tubal ligation: Sterilization Electronic Code of Federal Regulations
- Consent: missing or untimely witness signature. [8/01]
- Consent: patient's age (#2). [8/01]
- Consent: patient in-hospital. [8/01]
- Consent: time interval, and ligation after delivery. [8/01]
- Consent: time interval, and patient's age. [8/01]
- Consent: timing and full term. [8/01]
- Consent: What is a 'premature delivery' on the BTL form?. [8/01]
- Essure, hysterscopic coil procedure
- Is the provider obligated to perform a BTL on a 21 y.o.?: Is the provider obligated? [8/01]
- Is there such a thing as post-tubal ligation syndrome? [10/01]
- Menstrual irregularities - are they caused by tubal ligations? [4-02]
- Ovarian cancer risk reduced with BTL
- Reversals: available in I.H.S./Tribal /Urban facilities? [11/01]
- Sterilization: Electronic Code of Federal Regulations
- Sterilization procedures for non-Native partners
- Breast exam, clinical
- Calcium in Postpartum Hemorrhage
- Calcium, prevention of preeclampsia
- Cancer: [Also see more info on the Women's Health Cancer page]
- Breast cancer:
- Cancer, Breast
- Nurse based breast cancer screening
- Reconsidering use of mammography? [2/02]
- Silicone implants and breast cancer risk. [10/01]
- Cervical cancer screening:
- Cervical Cancer Screening in Low Resource Settings
- Cervical Cancer Screening: Managment of CIN 2
- Colposcopy certification for non-OB/GYN
- Bethesda System 2001 final report, discussion. [4/02]
- Bethesda System 2001 - terminology. [4/02]
- New screening technologies: Should we be using them? Two answers, [9/01 and 4/02]
- Nurse Based Cervical Cancer Screening
- Pap smears: evidence to supports one interval versus another. [9/01]
- Pap smears: proper interval. [9/01]
- Evidence-based screening guidelines: 20 latest. [8/03]
- Cervical cancer- other:
- DES exposure
- Following patients with cervical cancer. [2/02]
- Colon cancer screening:
- Colon cancer screening: latest evidence. [8/01]
- Endometrial cancer:
- Following patients with endometrial cancer. [2/02]
- Ovarian cancer:
- Following patients with ovarian cancer. [2/02]
- Outpatient methods and cost effectiveness
- Candidiasis, recurrent vulvovaginal
- Cervical priming in non-pregnant patients, misoprostol
- Cesarean delivery:
- Chaperone policy
- Chickenpox in pregnancy. Continuing education module in this site's Perinatology Corner section.
- Child sexual assault: training resources available. [12/01]
- Chlamydia:
- Latest screening recommendations. [12/01]
- Screen all women? [12/01]
- Chlamydia re-testing in pregnancy.
- Chlamydia with IUD in place.
- Cholestasis in pregnancy, AI/AN
- Clerkships
- Clinic staffing ratios
- Colposcopy certification for non-OB/GYN
- Consent for Minor's Reproductive Services
- Cord Blood Stem Cell Storage
- Credentials and Privileges
- Credentials: How many deliveries are OK?
- Cystic fibrosis. [12/01]
- Dating ultrasound criteria
- Day care risks in pregnancy
- Depo Provera: See the Family Planning section.
- DES exposure
- Detoxification - Alcohol, pregnancy
- Diabetes and diet
- Diabetes: Glargine in pregnancy
- Glyburide: Diabetes in Pregnancy
- Diabetes in pregnancy, one step GDM screening
- Diabetes in pregnancy, screening cut-off
- Diabetes management in pregnancy, Lispro
- Down Syndrome:
- Drugs:
- Drug testing in pregnant patients. [10/01]
- Medical drug use during pregnancy: practical issues. [4/02]
- Drug Screening and Testing
- Eligibility for care in Indian Health System
- Emergency contraception: See the Family Planning section below.
- Emergency delivery, neonatal resuscitation staff
- Endometrial cells on pap smear
- Essure, hysterscopic coil procedure
- Excess hair: Hirsutism or Polycystic Ovarian Syndrome. [2/02]
- Exercise in Pregnancy
- 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
- Gail model of breast cancer risk assessment
- Gestational diabetes mellitus
- Glyburide: Diabetes in Pregnancy
- Glycemic Index
- Group B Strep prevention
- Guidelines, Forms, Pt. Ed materials, Resources
- Hand, foot, and mouth disease in pregnancy
- Hepatitis
- Hepatitis C:
- Need for prenatal testing. [9/01]
- Need for testing of children born to HCV-positive mothers. [9/01]
- Need for testing long-term steady sex partners. [9/01]
- Hirsutism. [2/02]
- H.I.V. infection:
- Hormone replacement, difficulties in management
- Hormone replacement questions
- Hyperthermia in pregnancy, Sweat lodge
- Hyperthyroidism in pregnancy vs abnormal labs
- Hysterectomy: antibiotic prophylaxis recommended in all cases? [12/01]
- Hysterosalpingogram: antibiotic prophylaxis recommended in all cases? [12/01]
- Hysterscopic coil procedure, Essure
- 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
- Kegel exercises for urinary incontinence. [12/01]
- Latex Exposure in Pregancy
- LEEP, Risks of Prematurity
- Lispro use in pregnancy
- Listeriosis: effects in pregnancy. [12/01]
- Local Anesthesia for Cesarean Delivery
- Loss of urine. [10/01]
- Magnesium Reversal in Hemorrhage
- Mammacare
- Mammography: reconsider it's use? [2/01]
- Maternal drug testing. [10/01]
- Maternal serum multiple markers: triple testing in the second trimester. Continuing education module in this site's Perinatology Corner section.
- Medical student rotations
- Membrane stripping, risks.
- post-Menopausal osteoporosis.
- Menometrorrhagia: see Family Planning / progesterone-containing I.U.D.s
- Menopausal symptoms
- Migraine in pregnancy
- Minor's Rights to Reproductive Services : state-by-state info
- Minor's Rights to Reproductive Services
- Misoprostol: ACOG Statement [12/01]
- Misoprostol, adverse effects
- Misoprostol for cervical priming in non-pregnant patients
- Misoprostol in Asthma patients
- Misoprostol cervical ripening, cost effectiveness
- Misoprostol for IUD insertion
- Misoprostol for spontaneous abortion
- Morning-after pill: see emergency contraception.
- Multiple gestation: practical aspects of managing multiple pregnancy. [4/02]
- Nausea and Vomiting in Pregnancy
- Neural tube defects:
- Offering preconception folic acid. [10/01]
- Triple testing in the second trimester. Continuing education module in this site's Perinatology Corner section.
- Nurse based cervical and breast screening
- Nursing ratios in labor and delivery
- Nuva Ring: Sustained release of combination hormonal agents
- Repair of Obstetric Lacerations: How does one repair obstetric lacerations? [11/03]
- Operative Vaginal Delivery Opiate Addiction in Pregnancy
- Opportunities to provide health care
- Oral sex: Is it safe? [4/02]
- Ortho Evra patch: FDA labeling change
- Osteoporosis, Biochemical Markers
- Osteoporosis: see Postmenopausal osteoporosis.
- Other F.A.Q. pages:
- Dr. Attico's F.A.Q.s cover a broad range of M.C.H.-related issues. [11/01]
- FDA: Information for Women on Food Safety, Nutrition and Cosmetics
. [12/01] - Medem
Medical Library. [2/02]
- Medical Algorithms Project - more than 3000 algorithms
. [12/01]
- National Institute of Arthritis and Musculoskeletal and Skin Diseases
. [2/02]
- N.W.H.I.C site - rich resource of F.A.Q.s on women's health. [11/01]
- OBGYN.Net
- global physician-reviewed network for doctors and women with a wide variety of resources. [11/01]
- Obstetrix offers answers to many common maternal fetal medicine, pregnancy and early infancy issues:
- Maternal fetal medicine
. [2/02]
- General pregnancy and early infancy issues
. [2/02]
- Southcentral Foundation Health Topics A-Z
. [10/01
- UpToDate. Vast clinical resource on the following topics: Obstetrics
, Gynecology, Women's health
. [12/01
- Ovarian cancer risk reduced with BTL
- Pap smear with endometrial cells
- Patient Education materials,Guidelines, Forms, Resources
- Patient safety: length of shifts, other safety practices. [8/01]
- Pelvic muscle electrical stimulation for urinary incontinence. [12/01]
- Percutaneous drainage, tuboovarian abscess
- Perinatal drug testing. [10/01]
- Peyote in pregnancy
- Polycystic Ovarian Syndrome. [2/02]
- Postmenopausal osteoporosis: [Also see more info on the Women's Health Mature Women page]
- Latest evidence on diagnosis and treatment. [8/01]
- Osteoporosis in American Indians and Alaska Natives. [10/01]
- Multiple items on assessing risk, diagnosing, treating, and suggesting exercise. [12/01]
- Postmenopausal urinary incontinence. [10/01]
- Postpartum Hemorrhage. [10/01]
- Postpartum Hemorrhage, Calcium Reversal
- Post-tubal ligation syndrome. [10/01]
- Preconception counseling:
- Offering folic acid. [10/01]
- Preconception counseling. [12/01]
- Pre-eclampsia: Urinary protein to creatinine ratio
- Pregnancy:
-
- Abruptio placenta, recurrent
- Active management of the third stage of labor
- For Alcohol detoxification, pregnancy
- Amnioinfusion: practical aspects. [4/02]
- 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
- Antiphospholipid antibodies: practical aspects of management. [4/02]
- Aspirin, prevention of preeclampsia
- Calcium, prevention of preeclampsia
- Cesarean section: vaginal birth after cesarean.
- Chlamydia re-testing in pregnancy
- Cholestasis in pregnancy, AI/AN
- Chronic hypertension in pregnancy: evidence for management. [8/01]
- Day care risks in pregnancy
- Diabetes in pregnancy, one step GDM screening
- Diabetes in Pregnancy: Part 1 - Screening and Diagnosis
- Diabetes in Pregnancy: Part 2 - Management and postpartum
- Diabetes in pregnancy, follow-up testing
- Diabetes in pregnancy, glargine use or not?
- Diabetes in pregnancy, screening cut-off
- Down syndrome markers: association with thyroid antibodies?
- Drug Screening and Testing Emergency delivery, neonatal resuscitation staff
- Exercise in Pregnancy
- Fetal growth restriction Continuing education module in this site's Perinatology Corner section
- Folic acid: offering it preconception. [10/01]
- Group B Streptococcal disease in the perinatal period
- Hand, foot, and mouth disease in pregnancy
- H.I.V. infection in pregnancy.
- HIV screening procedures
- Hypertensive complications of pregnancy, part 1:Mild pre-eclampsia.
- Hypertensive complications of pregnancy, part 2:Severe pre-eclampsia.
- Hypertensive complications of pregnancy, part 3:Gestational hypertension and chronic hypertensionin pregnancy.
- Hyperthyroidism in pregnancy vs abnormal labs
- Intrathecal anesthesia.
- Medical drug use during pregnancy: practical issues. [4/02]
- Migraine in pregnancy
- Misoprostol in Asthma patients
- Multiple Births: Twins assessment and management
- Multiple gestation: practical aspects of managing multiple pregnancy. [4/02]
- Nausea and Vomiting in Pregnancy
- Nutrition: How much fish is it safe to eat? [7/02]
- Opiate Addiction in Pregnancy
- Peyote in pregnancy
- Post-term pregnancy and induction of labor
- Pregnancy termination - IHS payment procedure
- Prenatal Genetic Screening –Serum and Ultrasound
- Preterm Labor and Preterm Premature Rupture of Membranes
- Preterm labor: evidence for management. [8/01]
- Prodromal labor management
- Progesterone caproate for Preterm Labor
- Protein dipstick urine screening
- Quadruple Marker Test
- Relaxation in pregnancy, Zolpidem
- Retinal detachment in pregnancy
- Rubella vaccine in pregnancy
- Screening Test for GDM. Result>185 mg/dL
- Sweat lodge in pregnancy
- Syphilis in Pregnancy
- Thyroid Disorders in Pregnancy
- Tuberculosis screening and therapy in pregnancy and lactation
- Twins: Antepartum assessment and Intrapartum management
- Ultrasound markers for Down Syndrome
- Ultrasound prediction of placenta previa
- Ultrasound screening in pregnancy
- Ultrasound soft markers, Down SyndromeUrine screening, routine prenatal
- Varicella in pregnancy. [1/02]
- V.B.A.C. - Vaginal birth after cesarean - ; Interdelivery Interval Risk, Cesarean vs Vaginal; Surgical availability: What kind is necessary?
- Viability, neonatal
- Prevention: evidence that it works. [12/01]
- Privileges and Credentials
- Privileges: How many deliveries are OK?
- Prodromal labor management
- Progesterone caproate for Preterm Labor
- Prostaglandins for Postpartum Hemorrhage
- Protein to creatinine ratio: pre-eclampsia
- Rash like chickenpox in early pregnancy (WORD 35k)
- Recurrent Abruptio placenta
- Recurrent yeast vaginitis
- Regionalization of care: Birthing center status
- Repair of Obstetric Lacerations: How does one repair obstetric lacerations? [11/03]
- Reproductive health and rights, state by state. [12/01]
- Reproductive rights of minors: state-by-state info (note: two Q&A listings here). [12/01]
- Resident rotations in OB/GYN in I.H.S / Tribal / Urban (I/T/U) facilities. [8/01] (see also Medical Student rotations and contact lists)
- Resources for Advanced Practice Nurses
- Resources, Guidelines, Forms, Pt. Ed materials
- Re-testing Chlamydia in pregnancy
- Retinal detachment in pregnancy
- Rh isoimmunization, effect on fetus and newborn. [4/02]
- Risk for providers? Tribal courts. [11/01]
- Rubella vaccine in pregnancy
- Safer sex: Is oral sex safe? [4/02]
- Seat Belts in pregnancy
- Second trimester prenatal screening
- Sexual assault: resources available for child sexual assault training. [12/01]
- Sexually transmitted diseases (S.T.D.s):
- Chlamydia (see other)
- Shift work: See patient safety
- Smallpox
- Smallpox-pregnancy
- Sterilization. See bilateral tubal ligation
- Smoking in Pregnancy
- Spontaneous abortion, medical therapy
- Staff nursing ratios in labor and delivery
- Staffing ratios
- Stem Cell Storage
- Streptococcus disease prevention in neonate
- Survival, neonatal
- Sweat lodge in pregnancy
- Teenage Pregnancy
- Test of cure, Chlamydia re-testing in pregnancy
- Third stage of labor, active management
- Thyroid antibodies: Association with Down syndrome?
- Tobacco: sources of help to quit smoking. [11/01]
- Tobacco use in Pregnancy
- Toxoplasmosis
- Tribal courts: liability risk for providers? [11/01]
- Trichomonas, treatment of asymptomatic patient
- Triple test in the second trimester
- Nurse based cervical and breast screening.
- Thyroid disease in pregnancy: Hyperthyroidism vs abnormal labs
- Tubal ligation. See bilateral tubal ligation above.
- Tuberculosis screening and therapy in pregnancy and lactation
- Tuboovarian abscess, drainage
- Umbilical cord blood storage
- Ultrasound dating criteria
- Ultrasound markers for Down Syndrome
- Ultrasound prediction of placenta previa
- Ultrasound screening in pregnancy
- Ultrasound soft markers, Down Syndrome
- Urinary incontinence:
- Post-menopause. [10/01]
- Pelvic muscle strengthening. [12/01]
- Long term success
- Urinary protein to creatinine ratio: Pre-eclampsia
- Urine Drug Testing
- Urine screening, routine prenatal
- Uterus: [Also see more info on the Women's Health General Topics page]
- Bleeding: see Family Planning / progesterone-containing I.U.D.s
- Common uterine conditions: patient education material. [8/01]
- Uterine fibroids: management. [8/01]
- Vacuum Vaginal Delivery
- Varicella in pregnancy.
- Varicella rash in early pregnancy.(WORD 35k)
- VBAC
- Consent for X-rays in pregnancy
- Withholding contraception for pap
- X-rays in pregnancy, consent
- Yeast, reccurent vulvovaginal
- Zolpidem: Relaxation in pregnancy
Note: nature and uses of material on this page
The answers given on this Frequently Asked Questions page are prepared with the advice of the IHS OB/GYN Chief Clinical Consultant and her/his clinical Advisory Panel. Material for each topic has been developed by this Advisory Panel based on that person's clinical judgment and experience as an expert in that field. The answers to the Frequently Asked Questions do not represent official policy or recommendations of the Indian Health Service. Their publication should not be construed as excluding other acceptable methods of handling similar problems.
