Maternal Child

Abstract of the Month

• Women's greater risk of dying after surgery: Transfusion-related immunosuppression

From Your Colleagues

Mike Engel

• The spread of obesity in a large social network over 32 years

Scott Giberson

• 2007 National HIV Prevention Conference

Elaine Locke

• 2008-09 Packer Fellowships: Deadline Extended

Shannon Myers

• 2008 APN/PA conference is already being planned. Any ideas?

Chuck North

• Ann Bullock is the new Chief Clinical Consultant for Family Medicine

Robert Pittman

• Questions about DEA or controlled substance policy

Ros Singleton

• Immunization errors in Tdap and DTaP vaccine administration: ALERT -VACCINE UPDATE

Hot Topics

Child Health

• Educate parents about new pre-adolescent vaccine recommendations
• Fact sheet focus on adolescent HPV vaccination issues and opportunities
• Tobacco Smoke Exposure During Pregnancy Increases Blood Pressure in Infants 
• Body composition, physical activity and insulin sensitivity in adolescents
• Updated AAP Guidelines on Newborn Screening and Tx for Congenital Hypothyroidism

Chronic Illness and Disease

• Exposing the Great Bottled Water Scam
• Soda consumption linked with metabolic syndrome
• Antiretroviral Prophylaxis for Occupational Exposure to HIV
• Does Consuming Red Meat Increase Risk of Breast Cancer?
• AHA Releases Statement on Physical Activity Interventions?

Obstetrics

• Low-dose aspirin has benefits when used for prevention of pre-eclampsia
• Oral Antidiabetic Agents in Pregnancy and Lactation: A Paradigm Shift
• Preventive Approach to Cutting Cesarean Delivery Rates Appears Feasible
• No advantage to bulking agent after primary repair of obstetric anal sphincter injury
• Prepregnancy obesity, overweight raise risk of birth defects

Gynecology

• Human papillomavirus, vaccines and women's health: questions and cautions
• HPV, Vaccines, and Gender: Policy Considerations
• Liquid prep no more accurate than conventional cytology, RCT
• Laparoscopically guided minilaparotomy reduces intraperitoneal spillage
• Quadrivalent HPV Recombinant Vaccine (Gardasil) for the Prevention of Cervical Cancer

Features

American College of Obstetricians and Gynecologists

• Prevention of Deep Vein Thrombosis and Pulmonary Embolism
• Sexual Misconduct
• Nalbuphine Hydrochloride Use for Intrapartum Analgesia
• Expert Testimony
• Brand Versus Generic Oral Contraceptives

American Family Physician

• Screening and Treatment for Sexually Transmitted Infections in Pregnancy
• Recommendations for Preconception Care
• Turner Syndrome: Diagnosis and Management
• Varenicline (Chantix) for Smoking Cessation
• CDC Publishes Statement on Cough and Cold Medications in Children

Agency for Healthcare Research and Quality

• Women: Stay Healthy at Any Age, Your Checklist for Health
• Today's teen smokers more likely to engage in risky behaviors than teens in the 1990s
• Inadequate communication of mammogram results may prevent benefits from screening
• Prophylactic antibiotics are more timely if given in the operating room
• Some diabetes drugs offer important advantages, though similar glucose control

Ask a Librarian

• Prevent Fetal Alcohol Spectrum Disorders: A Toolkit

Breastfeeding

• Progress toward achieving Healthy People 2010 objective for breastfeeding
• Cup feeding not be recommended over bottle feeding as a supplement to breastfeeding
• Despite the benefits of early breastfeeding, many women find it difficult and painful
• New IHS Breast feeding Family Support web page: Have pictures to share?
• What to do when Mom says, “My newborn likes the bottle better.”

CCC Corner Digest

• Within the Hidden Epidemic: STDs and HIV/AIDS Among AI/AN
• American Indian / Alaska Native population has the shortest timeline HIV to AIDS
• VBAC: Smaller attributable risk than previously reported
• LEEP doubles risk of preterm delivery: Patients need to be informed
• Physical Activity Alone May Not Reduce Obesity in Children
• Teratogenicity of SSRIs--serious concern or much ado about little?
• Management of Herpes in Pregnancy: Practice Bulletin
• Scopus ™: A New Database
• What to do when: Mom says, “My newborn likes the bottle better.”
• IHS-ACF DV Project: Conference CD: Patient Education, Safety Planning, etc . . .
• Waiting until the menses to start hormonal contraceptives: Needless Obstacle
• Can oral or sublingual misoprostol be used for postpartum hemorrhage?
• Integrated case management software application release
• Maternal survival redux: a view from Malawi - Failure of justice
• Who needs liquor stores when parents will do?
• Taking a harder line on blood transfusions
• Nausea and Vomiting in Pregnancy
• Hormone Replacement Therapy Linked to Ovarian Cancer 
• Midwifery’s approach to pre-labor SROM supported by professional organization’s journal
• The evolution of management of Actinomyces on a Pap report
• Health Care Without Harm: Nurses Take Action
• Preconception Health of Women Delivering Live-Born Infants — Oklahoma, 2000–2003
• Anemia in Pregnancy: The Common to the Unusual – including IV therapy
• Chronic Renal Disease: How is Primary Care Effected?
• Updated Screening for Chlamydial Infection Recommendations, USPSTF
• (How) can we prevent type 2 diabetes?
• Why do Native American women have the poorest 5-year survival for breast cancer?

Domestic Violence

• Sexual assault among American Indian/Alaska Native women

Elder Care News

• 'What Older Women Want' launches new website for doctors and patients: New Website
• A fall management program improves care and reduces use of physical restraints
• Certain resident and facility characteristics and medications increase the risk of fractures

Family Planning

• Various Implantable Contraceptives Equally Effective in Preventing Pregnancy
• Oral Contraceptives Today: Changes, Challenges, Risks, and Benefits

Featured Web Site

• New Online Training Tool Available for Treatment of Adolescents with HIV

Frequently asked questions

• Moderate morning sickness only partially responding to doxylamine and pyridoxine

Indian Child Health Notes - July 2006 Highlights

• First prophylaxis for infective endocarditis has been written using evidenced based guidelines. The difference is significant.
• RPMS Immunization Package: Version 8.2 coming this summer
• Substance abuse in Native American communities

Information Technology

• Save 750 mega watts/hour per year: It is easy
• iCare Training

International Health

• Sex, Soap & Social Change - The Sabido Methodology
• Arsenic exposure during pregnancy with fetal loss and infant death in Bangladesh

MCH Alert

• Preconception brochure released
• School based programs decrease rates of violence among adolescents

MCH Headlines

• Motor vehicle restraint use in American Indian children: Meaningful interventions
• Toolkit Supports Efforts in Native Communities to Prevent FAS Disorders
• Sister Study seeks more Native women 
• One size doesn't fit all: Helmet Safety Poster
• Get Your Head in the Game

Medical Mystery Tour

• Nausea and Vomiting in Pregnancy

Medscape

• HPV-16/18 Vaccination Should Not Be Used to Treat Prevalent Infections 
• Overactive Bladder in a Menopausal Woman With Complicating Conditions
• Management of Depression and Premenstrual Dysphoria in a Woman Planning Pregnancy
• Management of Premenstrual Dysphoric Disorder Throughout the Ages
• Premenstrual Syndrome/Premenstrual Dysphoric Disorder Treatment: Oral Contraceptives

Menopause Management

• Study Supports HRT Use for Short Term, but Little Benefit in Older Women
• Hormone Therapy Safer in Younger Women? A Best Evidence Review
• Caffeine Reduces Cognitive Decline in Women
• Treatment Options for Insomnia
• NAMS Position Statement on Estrogen and Progestogen in Postmenopausal Women

Midwives Corner

• Group prenatal care reduces preterm births and increases breastfeeding initiation: RCT
• Skin-to-skin care with the father after cesarean: Effect on crying and prefeeding behavior
• Midwifery’s approach to pre-labor SROM supported by professional organization’s journal

Navajo News

• Evaluation of the pregnant patient for non-obstetric surgery

Nurses Corner

• Nursing education scholarship opportunities
• Behavioral and Social Sciences Research: National Assoc. of Clinical Nurse Specialists
• Companion Animals and Human Health Risk: Animal Bites and Rabies

Office of Women’s Health, CDC

• STD Treatment Guidelines - Personal Digital Assistant Version
• Perinatal Group B Streptococcal Disease After Universal Screening Recommendations

Oklahoma Perspective

• Preconception Health of Women Delivering Live-Born Infants — Oklahoma, 2000–2003

Osteoporosis

• Lifestyle Intervention and BMD in Adolescent Girls
• Decision Rules Useful for Selecting Women for Bone Mineral Density Testing
• SSRI Use in Older Women Linked to Accelerated Hip Bone Loss
• Effects of the phytoestrogen genistein on bone metabolism in osteopenia: RCT

Patient Education

• Women's Health Booklets
• STIs in Pregnancy: Protecting Yourself and Your Baby
• Monitoring Your Blood Pressure at Home
• Monitoring Your Blood Sugar at Home
• Insomnia: What You Should Know

Perinatology Picks

• Nausea and Vomiting of Pregnancy
• Miscarriage risk from amniocentesis performed for abnormal maternal serum screening
• Evidence base of predictive markers and therapies (eg, progesterone) for preterm birth
• Noninherited risk factors and congenital cardiovascular defects: AHA / AAP statement
• 1st trimester US of the nasal bone may improve Down syndrome screening

Primary Care Discussion Forum

• Chronic Kidney Disease: CKD is Part of Primary Care! Starts September 4, 2007

STD Corner

• Culture, context, and sexual risk among Northern Plains American Indian Youth
• Sexual Assertiveness among Adolescent Girls: Initiation, Refusal, and Protective Behaviors
• Sexually Transmitted Infections in Preadolescent Children
• Screening for Chlamydial Infection: USPSTF Recommendation Statements
• Home screening for sexually transmitted diseases in high-risk young women: RCT

Barbara Stillwater, Alaska Dibaetes Prevention and Control

• Within eight years, 75% of adults will be obese or overweight
• Regular and Diet Soft Drinks Linked To Increase In Risk Factors For Heart Disease
• Very Low Birth Weight Is Associated With Impaired Glucose

Women’s Health Headlines

• APN scope of practice: colonoscopy?
• Templates for Protocols and Procedures for Maternity Services 2nd Edition

Save the Dates: Upcoming events of interest

What’s new on the ITU MCH web pages