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Maternal Child

Maternal Child HealthCCC Corner ‹ November 2007
OB/GYN CCC Corner - Maternal Child Health for American Indians and Alaska Natives

Volume 5, No. 10, November 2007

Direct Links to Topic Content

Links to Topic Summaries on This Page

Contents

Abstract of the Month

Hospital brought rapid cesarean delivery times into range of 10.9 minutes: Can you?

Read More - Abstract of the Month

From Your Colleagues

Kelly Acton

  • The the exciting launch of the NIKE Air Native N7 Shoes

Michael Berryhill

  • OB/GYN offering services at greatly reduced salary

Scott Giberson

  • USCA to Honor Native AI/AN at Opening Plenary and “Celebration of Life” Event

Amy Groom

  • Let’s clear up any confusion over the availability of the HPV vaccine

Elaine Locke

  • State Maternal Mortality Review: Accomplishments of Nine States: Now Available

Alan Waxman

  • Mark your calendar! Ask for leave! Thnk snow! Telluride Conference - February 8-10, 2008

Read More - From Your Colleagues

Back to table of contents

Hot Topics

Child Health

  • Traumatic events and alcohol use disorders among American Indian adolescents
  • Viracept Use Should Be Limited in Children and Pregnant Women
  • Statement Updated for Screening and Treatment of Teens at Risk for Suicide 
  • Medication errors made during half of care for children seen at emergency departments
  • Maternal Weight Tied to Child's Body Composition at Age 9

Chronic Illness and Disease

  • Aging and prevalence of CVD risk factors in American Indians: the Strong Heart Study
  • Both coping and communication-enhancing and supportive counseling work after cancer
  • Opioid Analgesia During Evaluation of Acute Abdominal Pain
  • Does Screening Mammography Benefit Women in Their 40s?
  • CDC Updates Guidelines for Use of Influenza Vaccine and Antiviral Agents

Obstetrics

  • SBE prophylaxis not recommended for cesarean delivery or other genitourinary tract procedures
  • A preventive approach to lower the cesarean delivery rate in a rural hospital
  • 1 of every 6 women studied had filled a class D or X prescription
  • Risk of uterine rupture with a prior cesarean delivery much lower than expected: 0.3%
  • Women who quit smoking before pregnancy benefit from reduced risk of abruption

Gynecology

  • 2006 ASCCP consensus guidelines for abnormal cervical cancer screening, CIN, AIS
  • Effectiveness of two tinidazole regimens in treatment of bacterial vaginosis: RCT
  • Minimally invasive strategy for large cysts: Laparoscopically guided minilaparotomy
  • Tailored mesh significantly reduced the rate of recurrence of anterior vaginal wall prolapse
  • Botulinum toxin injections for adults with overactive bladder syndrome

Read More - Hot Topics

Back to table of contents

Features

American College of Obstetricians and Gynecologists

  • Viral Hepatitis in Pregnancy
  • Disclosure and Discussion of Adverse Events
  • Routine Thyroid Screening Not Recommended for Pregnant Women
  • Fetal Monitoring Prior to Scheduled Cesarean Delivery
  • Evaluation of Stillbirths and Neonatal Deaths

American Family Physician

  • Repeat Cesarean Delivery vs. Planned Induction of Labor: Cochrane Briefs
  • Hyperthyroidism
  • Bell's Palsy: Diagnosis and Management
  • Peptic Ulcer Disease
  • Respiratory Distress in the Newborn

Agency for Healthcare Research and Quality

  • Childbirth preferences after prior cesarean delivery: Information affects future choices
  • Colorectal cancer screening is not just for symptoms: Primary care providers should clarify
  • Three characteristics double risk of hysterectomy for women with common pelvic conditions
  • Three-fourths of low-income women dissatisfied with their body size 6 months after giving birth
  • Women receive worse care than men for cardiovascular disease and diabetes

Ask a Librarian

  • In Search of a Research Article?

Breastfeeding

  • Breastfeeding Promotion: Good Public Health Policy
  • Early skin-to-skin contact for mothers and their newborn infants improves outcomes
  • Breast milk: Greater mental development and fewer re-hospitalizations

CCC Corner Digest

  • Group Prenatal Care Improves Pregnancy Outcomes at No Additional Cost
  • Rebuilding Iraq one patient at a time: You can be part of the solution
  • Do Unsutured Second-Degree Perineal Lacerations Affect Postpartum Outcomes?
  • Cervical cancer differences disappear in rural women after controlling for poverty and race
  • How to improve psychosocial problems at well child care visits?
  • Why Hasn't This Patient Been Screened for Colon Cancer?
  • Management of Delivery of a Newborn With Meconium-Stained Amniotic Fluid
  • In Search of a Research Article?
  • A pacifier by any other name . . .
  • October is Domestic Violence Awareness Month: Materials available
  • Advance Provision for Emergency Oral Contraception Reduces Post Coital Interval
  • What's the first course of action for this couple that's trying to conceive?
  • Bar code medication administration changes nurses' work
  • Prevention of Mother-to-Child HIV Transmission: An Innovative Program in Cameroon
  • AI / AN researchers on perinatal depression requesting names of interested individuals
  • Endometriosis: Where is the real truth?
  • Estrogen Protects Women’s Brains Prior to Menopause
  • Piercing the veil: the marginalization of midwives in the United States
  • Evaluation of the pregnant patient for non-obstetric surgery
  • Memories, As a Public Health Nurse on the Navajo*
  • Common Questions about HPV and Cervical Cancer: For Women Who Have HPV
  • Fracture Outcomes in Women Discontinuing Alendronate
  • Procedure-related complications of amniocentesis and CVS are small
  • Chronic Renal Disease is Part of Primary Care
  • Call for re-evaluation of gestational diabetes diagnosis and treatment criteria- Ovarian Cancer: Pinn Point on Women’s Health

Domestic Violence

  • Coaching Boys into Men, AI/AN poster
  • Aberdeen requesting DV and sexual assault pamphlets or CD-ROM resources
  • Patient Self-Administered Report Effective to Screen for Domestic Violence 
  • DV victims have higher health care use and costs, even long after the abuse has ended

Elder Care News

  • Moderate- and High-Intensity Resistance Training Improves Cognitive Function in Elderly
  • Fall Injury Episodes Among Non-institutionalized Older Adults: United States, 2001–2003
  • Maintenance Antidepressant Treatment Improves Well-Being in Late-Life Depression
  • The Last Hours of Living: Practical Advice for Clinicians
  • Principles of Effective Pain Management at the End of Life

Family Planning

  • Transdermal hormonal contraception: benefits and risks
  • Oral Contraceptive Use Linked to Cancer Risk

Featured Web Site

  • It was low hanging fruit before: Now it is even easier - Perinatology Corner

Frequently asked questions

  • How can we best manage Jehovah’s Witnesses during pregnancy?

Indian Child Health Notes

  • Challenges in Pediatric Rheumatic Disease: Special Issues with Native Children
  • Study of Virus Etiologies of Respiratory Hospitalizations in Alaska Native children
  • Native American genetic resources and the concept of cultural harm
  • Widening socioeconomic disparities in US childhood mortality, 1969-2000

Information Technology

  • National Release - RPMS Electronic Health Record, Version 1.1
  • National Release - BI Immunization System, Version 8.2

International Health

  • Treating schizophrenia in poorer countries: Old dilemmas and new directions

MCH Alert

  • Having more family meals during adolescence is associated with improved diet quality
  • Telemedicine Meeting the Health Care Needs of Children
  • Challenges in the prevention of mother to child HIV transmission
  • Supplement examines influences on obesity and healthy adolescent behavior

MCH Headlines

  • Child passengers are exposed to secondhand smoke
  • 26th Annual “Protecting Our Children”
  • Child Poverty in Nonmetropolitan Areas by State including New Mexico 
  • Substance Use Treatment Among Women of Childrearing Age
  • Number one killer of youth: MVAs - Great set of slides to pick and choose from

Medical Mystery Tour

  • Endometriosis: Where is the real truth? (Answer to last month's quiz)

Medscape

  • Prevention of Influenza in a Family Setting to Reduce Transmission to Individuals at Risk
  • 78-year-old woman, is seen in consultation for chronic neck pain
  • Epidemiology and Prevalence of Breast Cancer in the US
  • Important Considerations for Treating Epilepsy in a Woman of Middle Age
  • Individualized Preventive Management of Hereditary Breast Ovarian Cancer Syndrome

Menopause Management

  • Hormone therapy has no effect on memory but increases sexual interest
  • Continuous HRT combined therapy vs sequential therapy and endometrial cancer risk
  • There are benefits to the introduction of hormone therapy on exercise
  • Strength Training Helps Prevent Fat Gain in Overweight, Obese Premenopausal Women

Midwives Corner

  • If you gotta use something, nitrous oxide might be better than narcotics and epidurals
  • Repeat HIV testing in pregnancy identifies opportunities for antiretroviral prophylaxis
  • Nei-Guan point acupressure is a useful treatment for relieving hyperemesis gravidarum
  • One in Seven Women are Depressed Before, During, or After Pregnancy

Navajo News

  • Acute Appendicitis and Pregnancy

Nurses Corner

  • Nurses and physicians have different perspectives in medical decisions

Office of Women’s Health, CDC

  • Church-Based Breast Cancer Screening Education: Impact of Two Approaches

Oklahoma Perspective

  • Training for Shoulder Dystocia

Osteoporosis

  • Ordinary Doses of Vitamin D Linked to Lower Mortality
  • Home health care following hip fracture limits osteoporosis progression

Patient Education

  • Unsafe drugs during pregnancy: Frequency of birth control services with prescriptions
  • Improved health literacy should address literacy, language, and cultural barriers
  • Health literacy is not associated with how minorities perceive their physical or mental health
  • Bell's Palsy: What You Should Know
  • Peptic Ulcers: What You Should Know

Perinatology Picks

  • The Dating Game (No, I don’t mean TV show the Dating Game)
  • Prevention is the most effective evidence-based management to avoid recurrence of FGR
  • 3 criteria of oligohydramnios in identifying peripartum complications
  • Oxytocin agonists for preventing postpartum haemorrhage
  • Features of metabolic syndrome increase risk of a child with a NTD

Primary Care Discussion Forum

  • Chronic Kidney Disease: CKD is Part of Primary Care!

STD Corner

  • American Indian women, HIV/AIDS, and health disparity
  • Adolescents’ Discussions About Contraception Or STDs with Partners Before First Sex
  • Using clinical classifcation trees to identify risk of STDs during pregnancy
  • Exam room reminders / provider feedback can improve screening for chlamydia in young women
  • Genital Herpes: Framing the Problem, Diagnosing the Disease

Barbara Stillwater, Alaska Dibaetes Prevention and Control

  • Magic Pill Improves Glycemic Control and Decreases Death by 25% for Type 2's
  • Laugh Your Way to Normal Blood Sugars
  • Maternal Weight Gain Series (Six articles)
  • True or False:  The largest at-risk group for sleep-related crashes is commercial drivers
  • PRESENT Diabetes, an Online Clinical Conference any time day or night

Women’s Health Headlines

  • Planning Group - conference on midwifery models of care
  • Are women being scared away from math, science, and engineering fields?

Read More - Features

Back to table of contents

What’s new on the ITU MCH web pages

How can we best manage Jehovah’s Witnesses during pregnancy?


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

2007 National HIV Prevention Conference

23nd Annual Midwinter Indian Health OB/PEDS Conference

  • February 8 - 10, 2008
  • For providers caring for Native women and children
  • Telluride, CO
  • Contact AWaxman@salud.unm.edu

26th Annual “Protecting Our Children”

  • April 20-23, 2008
  • Minneapolis , MN
  • National American Indian Conference on Child Abuse and Neglect
  • http://www.nicwa.org/

Back to table of contents

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

October 2007 OB/GYN CCC Corner

Volume 5, No. 10, October 2007

Abstract of the Month

  • Group Prenatal Care Improves Pregnancy Outcomes at No Additional Cost

From Your Colleagues

Michael Berryhill

  • Interested in a subinternship / externship / observership

Scott Giberson

  • New items on IHS HIV website

Amy Groom

  • 2007-2008 Influenza Vaccine

Craig Vanderwagen

  • Rebuilding Iraq one step at a time: You can be part of the solution

Roberta Ward

  • First trimester screening for Down Syndrome

Hot Topics

Child Health

  • How to improve psychosocial problems at well child care visits?
  • Is Ibuprofen Appropriate for Pain Control in Children?
  • School based intervention to lower incidence of disordered weight control behavior
  • Management of Type 2 Diabetes in Youth: An Update
  • Are babies born to short, primiparous, or thin mothers "normally" or "abnormally" small?

Chronic Illness and Disease

  • Why Hasn't This Patient Been Screened for Colon Cancer?
  • Migraine With Aura Increases Risk for Ischemic Stroke
  • US Dietary Guidelines Effectively Limit Insulin Resistance in Women
  • The Choice of a Metabolic Syndrome Generation: Soft Drinks
  • ACIP Recommends the Use of Tdap in Adults

Obstetrics

  • Do Unsutured Second-Degree Perineal Lacerations Affect Postpartum Outcomes?
  • Treating Gestational Diabetes May Reduce Childhood Obesity
  • Increased still birth among obese mothers
  • Neonatal sepsis increases linearly with membrane rupture up to 36 hours
  • Extraabdominal uterine repair at cesarean: Increased patient discomfort, nausea, vomiting

Gynecology

  • Cervical cancer differences disappear in rural women after controling for poverty and race
  • Improvements in outcome with subtotal hysterectomy not confirmed
  • Cost effectiveness of home based population screening for Chlamydia trachomatis

Features

American College of Obstetricians and Gynecologists

  • Pelvic Organ Prolapse
  • Management of Delivery of a Newborn With Meconium-Stained Amniotic Fluid
  • ACOG Advises Against Cosmetic Vaginal Procedures: Safety and Efficacy Data
  • Research Involving Women

American Family Physician

  • Counseling Women About Mammography: Benefits vs. Harms
  • Guidelines on Screening for Fetal Chromosomal Abnormalities

Agency for Healthcare Research and Quality

  • Maternal and fetal labor and delivery complications increase beyond 39 weeks
  • Midwife practices vary greatly in compensation and employment structures
  • Pediatricians recognize most overweight or obese children without using weight curves
  • Gender of both the child and parent affect a child's participation during visits to the doctor
  • Pertussis vaccination in adults can be cost-effective depending on incidence rates

Ask a Librarian

  • In Search of a Research Article?

Breastfeeding

  • A pacifier by any other name . . . *
  • Medications: Information for Pregnant and Breastfeeding Women
  • Breastfeeding Trends and National Health Objectives for Exclusive Breastfeeding

CCC Corner Digest

  • Women's greater risk of dying after surgery: Transfusion-related immunosuppression
  • Ann Bullock is the new Chief Clinical Consultant for Family Medicine
  • Low-dose aspirin has benefits when used for prevention of pre-eclampsia
  • Human papillomavirus, vaccines and women's health: questions and cautions
  • Educate parents about new pre-adolescent vaccine recommendations
  • Exposing the Great Bottled Water Scam
  • Prevention of Deep Vein Thrombosis and Pulmonary Embolism  Practice Bulletin
  • Prevent Fetal Alcohol Spectrum Disorders: A Toolkit
  • Various Implantable Contraceptives Equally Effective in Preventing Pregnancy
  • Moderate morning sickness only partially responding to doxylamine and pyridoxine
  • Don’t use Google, use Blackle instead and save 750 mega watts/hour per year
  • Sex, Soap & Social Change - The Sabido Methodology
  • Motor vehicle restraint use in American Indian children: Meaningful interventions
  • Nausea and Vomiting in Pregnancy
  • Study Supports HRT Use for Short Term, but Little Benefit in Older Women
  • Group prenatal care reduces preterm births and increases breastfeeding initiation: RCT
  • Evaluation of the pregnant patient for non-obstetric surgery
  • Nursing education scholarship opportunities
  • Decision Rules Useful for Selecting Women for Bone Mineral Density Testing
  • Nausea and Vomiting of Pregnancy
  • Chronic Renal Disease is Part of Primary Care
  • Culture, context, and sexual risk among Northern Plains American Indian Youth
  • Within eight years, 75% of adults will be obese or overweight
  • APN scope of practice: colonoscopy?

Domestic Violence

  • Domestic Violence Awareness Month: October
  • Health Cares About Domestic Violence Day: October 10, 2007
  • Victim Advocates And Tribal Law Enforcement: October 17-18, 2007
  • Location of shelters impacts the incidence of violence against homeless women

Elder Care News

  • Daily Back Pain May Have Adverse Health Effects in Elderly Women
  • Estrogens May Modify Course of Parkinson's Disease in Women

Family Planning

  • Advance Provision for Emergency Oral Contraception

Featured Web Site

  • State trends on uninsured children

Frequently asked questions

  • What's the first course of action for this couple that's trying to conceive?

Indian Child Health Notes - July 2006 Highlights

  • Superhero related injuries in pediatrics
  • Unpublicized nuclear releases in American Indian communities
  • Removable brace versus casting in children with low-risk ankle fractures.
  • Influenza Vaccination for 2007-8
  • The tail end of guinea worm – global eradication without a drug or a vaccine

Information Technology

  • Changes in workflow and tasks with bar code medication administration into nurses' work
  • Commonwealth Fund/Harvard University Fellowship in Minority Health Policy

International Health

  • Prevention of Mother-to-Child HIV Transmission: An Innovative Program in Cameroon

MCH Alert

  • Infant Mortality Awareness Month Toolkit
  • New Edition of Child Health USA Released
  • MCH Library expands availability and access to historical documents

MCH Headlines

  • AIAN researchers on perinatal depression requesting names of interested individuals
  • Protecting America’s Future
  • Alliance for a Healthier Generation Webinar

Medical Mystery Tour

  • Endometriosis: Where is the real truth?

Medscape

  • Hereditary Link to PMDD Identified
  • The Reproductive Phenotype in Polycystic Ovary Syndrome
  • Passive Smoking Increases Risk for Sleep Disturbance During Pregnancy
  • Management of Valvular Heart Disease in Pregnancy

Menopause Management

  • Estrogen Protects Women’s Brains Prior to Menopause
  • Atrophic Vaginitis and Estrogen Treatment - Medscape CME
  • Cholesterol-Related Compound Can Block Estrogen To Prevent Heart Disease

Midwives Corner

  • Nurse Midwife Week October 7-13, 2007
  • Piercing the veil: the marginalization of midwives in the United States
  • Impact of written information on women's use of postpartum services

Navajo News

  • Evaluation of the pregnant patient for non-obstetric surgery: Part Two

Nurses Corner

  • Memories, As a Public Health Nurse on the Navajo

Office of Women’s Health, CDC

  • Common Questions about HPV and Cervical Cancer: For Women Who Have HPV -Prevalence of HPV Infection Among Sexually Active Females
  • Pre-Teen Vaccine Campaign

Oklahoma Perspective

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

Osteoporosis

  • Fracture Outcomes in Women Discontinuing Alendronate
  • Childhood, Teen Restriction of Dairy Foods Lowers Spinal Bone Mineral Content
  • Pharmacologic Treatment of Osteopenia Not Usually Indicated

Patient Education

  • Type 2 Diabetes in Youth: What You Should Know

Perinatology Picks

  • Procedure-related complications of amniocentesis and CVS are small
  • Positive association between hyperemesis gravidarum and Helicobacter pylori infection
  • HgbA1C and GHb for risk of congenital anomaly in women with diabetes
  • Crohn's disease: Preterm birth etc greater with azathioprine /6-mercaptopurine
  • Magnesium sulphate for women at risk of preterm birth for neuroprotection of the fetus

Primary Care Discussion Forum

  • Chronic Kidney Disease: CKD is Part of Primary Care!

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

  • HAPO: Call for re-evaluation of gestational diabetes diagnosis and treatment criteria
  • Children whose mothers are overweight: Higher levels of body fat themselves at age nine
  • Women less likely than men to change habits that increase heart-disease risk
  • Maternal Diabetes Depletes Fetal Iron Stores
  • Gestational diabetes mellitus may increase risk of developing pancreatic cancer

Women’s Health Headlines

  • Ovarian Cancer: Pinn Point on Women’s Health

Save the Dates: Upcoming events of interest

What’s new on the ITU MCH web pages

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 nmurphy@SouthCentralFoundation.com

or (907) 729-3154 (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 author of this newsletter. If you have any comments, please share them by joining the Primary Care Discussion Forum where this topic was recently discussed. To join the Primary Care Listserv, click on ‘Subscribe' here MCHdiscuss.cfm

OB/GYN

Dr. Neil Murphy is the Obstetrics and Gynecology Chief Clinical Consultant (OB/GYN C.C.C.). Dr. Murphy 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 Native or indigenous peoples around the world. Please don't hesitate to contact him by e-mail or phone at 907-729-3154.

Next › Abstract of the Month

 

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This file last modified: Thursday November 29, 2007  2:27 PM