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# 

# Friday Jan 27 

> 7:30 am Headquarters Update: Maternal and Child Health in Indian
> Country
>
> Carolyn Aoyama, Steve Holve, Neil Murphy, Diana Hu, Jean Howe

9:30 am Break

4:15 pm Contraception for the medically complicated patient Tony Ogburn

5:00 pm Childhood Asthma Mark Brown

> 5:45 pm In defense of the perineum: Results of the INTACT study Laura
> Migliaccio 6:30 Adjourn for the evening

# Saturday Jan 28 

7:30 am A Diabetes management plan for women in I.H.S. Lani Desaulniers

8:30 Management of gestational diabetes in Indian Country Neil Murphy
9:30 Break

4:30 pm Prenatal exposure to methamphetamine: Implications for children
and families Andrew Hsi

5:30 pm Update in Maternity Care: Controversies and Cutting Edge
Practices Sarah Gopman

6:30 Adjourn for the evening

# Sunday Jan 29

*Gyn breakout*

7:30 --8:15 Obstetric fistulas:International perspective / implications
for IHS Jeffrey Wilkinson

8:15 -- 8:45 Extended indications for the IUD Eve Espey

8:45 -- 9:30 Modern management of miscarriage Kirsten Lund

## *Peds Breakout*

7:30 -- 8:30 Palivizumab use and the treatment of bronchiolitis Mark
Brown

8:30 -- 9:30 Case studies in Pediatrics Steve Holve

9:30 Adjourn

##### 

##### 

##### Faculty:

Carolyn Aoyama, CNM

IHS Women's Health/APN Consultant

Rockville, MD

Mark Brown, MD

Dept. of Pediatrics

Division of Pediatric Pulmonary Medicine

University of Arizona

Tucson, AZ

Lani Desaulniers, MD

Medical Director, Diabetes Program

Albuquerque Indian Health Center

Albuquerque, NM

Eve Espey, MD

Dept. of Obstetrics & Gynecology

University of New Mexico

Albuquerque, NM

Sarah Gopman, MD

Dept. of Family Medicine

University of New Mexico

Albuquerque, NM

Andrew Hsi, MD

Dept. of Pediatrics

University of New Mexico

Albuquerque, NM

Steven Holve, MD

IHS Chief Clinical Consultant for Pediatrics

Tuba City Regional Medical Center

Tuba City , AZ

Jean Howe, MD

NAIHS Chief Clinical Consultant for Ob/Gyn

Chinle Comprehensive Health Care Facility

Chinle, AZ

Diana Hu, MD

Acting Chief, Maternal Child Health, NAIHS

Tuba City Regional Medical Center

Tuba City, AZ

Kirsten Lund, MD

Dept. of Obstetrics & Gynecology

University of Colorado

Denver, CO

Laura Migliaccio, CNM

Dept. of Obstetrics & Gynecology

University of New Mexico

Albuquerque, NM

Neil Murphy, MD

IHS Chief Clinical Consultant, Ob/Gyn

Alaska Native Medical Center

Anchorage, AK

Jeffrey Wilkinson, MD\
Dept. of Obstetrics and Gynecology

Division of Urogynecology

Duke University Medical Center

Durham, NC

Tony Ogburn, MD

Dept. of Obstetrics & Gynecology

University of New Mexico

Albuquerque, NM

# Program Director

Alan G. Waxman, MD, MPH

Dept. of Obstetrics & Gynecology

University of New Mexico

Albuquerque, NM

**[Educational Objectives:]{.underline}**

At the conclusion of this meeting, attendees will be able to:

-   List four program issues important to the healthcare of women and
    children in Indian country

-   Discuss the management of gestational diabetes

-   Review the role of glyceride in the management of gestational
    diabetes

-   Integrate reproductive health care into the general medical care of
    women with diabetes, prediabetes, metabolic syndrome, PCOS and
    obesity.

-   Identify and address diabetes risk in the context of women's health
    care throughout the reproductive cycle

-   List contraceptive options for women with hypertension

-   Review the limitations of use of hormonal contraceptives in women
    with diabetes

-   List two long term sequellae of neonatal ventillatory support

-   Review the effects of prenatal methamphetamine use on developing
    fetuses, infants and children and pregnant women

-   Discuss interventions to address the effects if prenatal
    methamphetamine use.

-   Compare integrated screening for Down Syndrome with mid trimester
    multiple marker screening

-   Contrast the pros and cons of primary elective cesarean section

-   Discuss use of the Levonorgestrel IUS for the management of uterine
    bleeding

-   Contrast the benefits of perineal support in the second stage of
    labor with a "hands-off" approach

-   Compare the risks and benefits of Misoprostol vs. MVA for management
    of miscarriage

-   List two obstetrical causes of recto-vaginal fistula

-   Review the management of childhood asthma

**[Faculty Disclosure Statements:]{.underline}**

All faculty of this course have completed the disclosure process and
have indicated that they have no financial relationships or affiliations
with any product or commercial manufacturer that might constitute a
conflict of interest with the following exception:

Mark Brown is on Speakers Bureaus for Glaxo Smith Kline, Astra Zeneca,
and MedImmune

In addition, each faculty member has indicated that he or she will
identify any experimental or "off label" uses of any medications, and
will use generic names or multiple trade names when discussing
medications.

**[Accreditation:]{.underline}**

The Indian Health Service Clinical Support Center is accredited by the
Accreditation Council for Continuing Medical Education to sponsor
continuing medical education for physicians.

The Indian Health Service Clinical Support Center is accredited as a
provider of continuing education in nursing by the American Nurses
Credentialing Center Commission on Accreditation.

[Program Committee:]{.underline}

Alan Waxman, MD, MPH

Diana Hu, MD

Jean Howe, MD

Laura Migliaccio, RN, CNM

[Sponsors:]{.underline}

Indian Health Service Clinical Support Center

Univ. of New Mexico Dept. of Obstetrics and Gynecology

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