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DPHHS WMHS Newsletter

In This Issue
The Term Pregnancy Redefined
What Every Woman Needs to Know about Hepatitis B and C
Women, WIC, and HIV
Reproductive Life Plans
Cost of Unintended Prengancies
Shout Out for Birth Control Day
NTC Training Alert
Recommended Training for Family Physicians
Health Educators and Clinicians Differ in Knowledge about LARCs
Adolescent Condom Use
Life is Short - Smile!
Calendar of Events
11/11- Veteran's Day (state holiday)
11/12- I&E Conference Call
11/21-MFPA Conference Call
11/28- Thanksgiving Holiday
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October 30, 2013

Quote of the Week 

The oldest and strongest emotion of mankind is fear, and the oldest and strongest kind of fear is fear of the unknown.
~ H. P. Lovecraft
The Term Pregnacy Redefined
'Term Pregnancy' Redefined

By Kelly Young

 

The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine are discouraging use of the word "term" to describe infants born between 37 and 42 weeks' gestation since there's a wide range of outcomes in infants born during this period.

 

Instead, the group is recommending the following classification system:

*             early term: 37 weeks through 38 weeks, 6 days

*             full term: 39 weeks through 40 weeks, 6 days

*             late term: 41 weeks through 41 weeks, 6 days

*             postterm: 42 weeks and later

  
What Every Woman Needs to Know About Hepatitis B and C
The Webinar: "What Every Woman Needs to Know about Hepatitis B and C"

 

 Thursday November 7, 2013

2:30 PM - 4:00 PM EST

Co-hosted by the Office of Women's Health and the Office of HIV/AIDS and Infectious Disease Policy, U.S. Department of Health and Human Services

  

To register for this event:
 
1. Go to the URL listed below and choose Web RSVP under Join Events.
2. Enter the conference number and pass-code.
3. Provide your information for the event leader and then click submit

https://www.mymeetings.com/emeet/rsvp/index.jsp?customHeader=mymeetings&Conference_ID=5488150&passcode=7608129
Conference number: 5488150 and Pass-code: 7608129


Women, WIC and HIV: Why and Why Now?
Women, WIC and HIV: Why and Why Now? 
  

When
Wednesday November 13, 2013 from 1:00 PM to 2:30 PM MST

 

The Mountain Plains Region of the USDA Food and Nutrition Service is a member of the Region VIII Federal National HIV/AIDS Strategy workgroup and is committed to ensuring that health issues related to women, infants, and children are addressed. Speakers presenting in this webinar will discuss the current situation of HIV/AIDS in women, and the important role that WIC and MCH programs can play in reducing the spread of HIV as well as better support those who are positive.   

 

Register Now!

Reproductive Life Plans
Colorado's Evaluation of a Reproductive Life Plan Tool

By By Mandy Bakulski, RD Maternal Wellness & Early Childhood Supervisor; Children, Youth and Families Branch; Colorado Department of Public Health and Environment

A reproductive life plan is a set of goals determined by an individual to improve personal health, decide how many children to have, when to have them and how to prevent getting pregnant until they are ready. An individual creates their reproductive life plan based on personal values and beliefs. [more]

 

Reproductive Life Planning Tools: Stories from EWSE Pilot Sites

By Erin K. McClain, MA, MPH
Research Associate, University of North Carolina, Center for Maternal & Infant Health

Every Woman Southeast is a coalition of leaders in Alabama, Florida, Georgia, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, and Tennessee, who are building multistate, multilayered partnerships to improve the health of women and infants in the southeast. [more]

Cost of Unintended Pregnancies

New Guttmacher Report Shows Cost of Unintended Pregnancies to Public
 

On Tuesday, October 22, 2013, the Guttmacher Institute released a new report entitled "Public Costs from Unintended Pregnancies and the Role of Public Insurance Programs in Paying for Pregnancy and Infant Care: Estimates for 2008" which provided important data on the cost of unintended pregnancies across the United States. This report further demonstrates the ongoing need for publicly funded health insurance programs, including Medicaid and the Children's Health Insurance Program (CHIP). 

 

Key highlights from the report include:

  • Nationally, 65% of the 1.7 million births resulting from unintended pregnancies in 2008 were paid for by public insurance programs (Medicaid, CHIP, and the Indian Health Service), compared with 48% of all births and 36% of births resulting from intended pregnancies.
  • There were 2 million publicly funded births in 2008; of those, 1.1 million, or 53%, resulted from unintended pregnancies; by comparison, 1.7 million out of 4.2 million births nationwide-39%-resulted from unintended pregnancies.
  • In 15 US jurisdictions, at least 70% of births resulting from unintended pregnancies were paid for by public programs. Mississippi was the state with the highest proportion (83%). All but three of those 15 jurisdictions are in the South (as categorized by the US Census Bureau), a region with high levels of poverty.
  • Of the $12.5 billion in government expenditures spent on births resulting from unintended pregnancies in 2008, $7.3 billion were federal expenditures and $5.2 billion were state expenditures.
  • In seven states, public costs related to births from unintended pregnancies exceeded half a billion dollars. California ($1.5 billion) and Texas ($1.3 billion) spent the most.
The full report is available online at the Guttmacher Institute website.
Shout Out for Birth Control Day

The National Campaign's Shout Out for Birth Control Day November 12
 

The National Campaign to Prevent Teen and Unplanned Pregnancy is coordinating a "Shout Out for Birth Control Day" on November 12. It is asking for national partners and stakeholders to help start a more positive conversation about birth control and mobilize others to do so as well. They have provided key facts and resources you can share via social media. They are also asking for organizations and community leaders to submit op-eds to be published on November 12. The National Campaign has asked that any participation in the day or publicizing of the day remain embargoed until the 12th to have a larger impact. For more information and examples of how to participate, visit The National Campaign's "Thanks Birth Control" webpage.

The National Campaign will be holding a webinar on October 30 at 2 p.m. ET which you can join to learn more about being part of the campaign by registering at the registration webpage

  
NTC Training Alert
 

NTC Training Alert

November 2013

This November, the Family Planning National Training Centers offer a question-and-answer session with the Centers for Disease Control and Prevention's Dr. Tara Cleary Jatlaoui, MD, MPH. In addition, plan now to attend the 2014 National Family Planning Symposium and the National Reproductive Health Conference.

  

 

Upcoming Trainings

November 12, 2013

US Medical Eligibility Criteria Update Q&A, 2:30-3:00pm (ET)

Dr. Cleary Jatlaoui will be online to answer your questions about the US MEC. Listen to the archived US MEC Update webinar here.

Recommended Training in Contraceptive Services for Family Physicians
ACGME Recommends Training in Contraceptive Services for Family Physicians 

 

The Accreditation Council for Graduate Medical Education (ACGME) recently released new Family Medicine Residency Training Guidelines which will take effect July 2014. The new guidelines now mandate training for family physicians in contraceptive care and options counseling. This is a welcome reversal from last year's decision to strip the requirement that family medicine residents learn about comprehensive contraception practices. 

 

In April, NFPRHA and several other women's health and provider organizations submitted comments to ACGME urging the organization to reconsider not recommending that family physicians be trained in basic family planning services. The guidelines do not include training in uterine aspiration and IUD implant/removal as NFPRHA and others asked, but do state that family physicians must be trained in appropriate diagnostic and therapeutic procedures. 

 

These changes are positive developments towards protecting and expanding access to quality sexual and reproductive health services.

 

ACGME is responsible for the accreditation of post-MD medical training programs in the US. They are one of the largest and most respected private accrediting agencies in the world, with approximately 9,200 residency education programs in their charge. 

 

 
Health Educators and Clinicians Differ in Knowledge about LARCs

Health Educators and Clinicians Differ in Knowledge and Practices About Long-Acting Reversible Contraceptives

 

A survey conducted at 40 Planned Parenthood clinics in 2011-2012, among 410 staff members, has shown differences between health educators' and clinicians' practices regarding the provision of long-acting reversible contraceptives (LARC). According to "Counseling for IUDs and Implants: Are Health Educators and Clinicians on the Same Page?" by Kirsten M.J. Thompson of the University of California, San Francisco, et al., health educators considered a smaller proportion of their clients eligible to use LARC than did clinicians (57% vs. 77%), and they were less likely to consider offering IUDs to teenagers (79% vs. 96%), women who had never had children (82% vs. 98%) and unmarried women (90% vs. 99%).

 

Additionally, the researchers found that 64% of health educators and 40% of clinicians desired additional LARC training.

 

The researchers conclude that even in clinics that specialize in reproductive health care, health educators are less likely than clinicians to apply current evidence-based information in counseling their clients about LARC methods. They note that health educators are often the first -and sometimes the main-source of contraceptive counseling in such clinics, which makes it essential that these staff provide high-quality and evidence-based contraceptive counseling. They suggest that when possible, health educators and clinicians be trained together to ensure consistency in counseling and method provision.

 

"Counseling for IUDs and Implants: Are Health Educators and Clinicians on the Same Page?" is currently available online and will appear in the December issue of Perspectives on Sexual and Reproductive Health.


EARLY VIEW: Selected articles from upcoming issues of Perspectives are available to subscribers through the Early View feature, at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1931-2393. Click here to sign up for e-mail notifications of new releases in Early View.

  
Adolescent Codom Use
Pediatrics Academy Issues Statement on Adolescent Condom Use

By Joe Elia

 

The American Academy of Pediatrics has issued a policy statement, "Condom Use by Adolescents," in Pediatrics.

Among the recommendations are the following:

*  Abstaining from intercourse should be encouraged as the "most effective" way to lower risk for sexually transmitted infections.

*  Clinicians should promote communication between adolescents and their parents about healthy sexual development.

*  They should "actively support and encourage the consistent and correct use of condoms."

*  Clinicians should help raise awareness that making condoms available "does not increase the onset or frequency of adolescent sexual activity."

*  Condoms should be available for free or at low cost where possible.

*  Schools should be considered appropriate sites for condom availability.

  
Life is Short - Smile!

     
      

Please forward this on to any parties that may be interested.