Health Education: Reproductive Options Resources

Showing posts with label Reproductive Options Resources. Show all posts

<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgPnTDJ2NF_oICMsBOfVdkeeR2nKWOvU5PUB3Fn0dZnGo6pV4F129K2azHvToH-J5Qn4Z7yNWPobjIjUE0pPRW7igGsnNglJBrvrwtOYakZ45FA4mJe0Z00XPKpK8FktJuKF997pEEqUI2O/s1600/pregnant+white+lady.jpg" imageanchor="1" style="clear: left; cssfloat: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" hea="true" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgPnTDJ2NF_oICMsBOfVdkeeR2nKWOvU5PUB3Fn0dZnGo6pV4F129K2azHvToH-J5Qn4Z7yNWPobjIjUE0pPRW7igGsnNglJBrvrwtOYakZ45FA4mJe0Z00XPKpK8FktJuKF997pEEqUI2O/s200/pregnant+white+lady.jpg" width="160" /></a></div>MORE INFO ON COMMUNICATING REPRODUCTION OPTIONS Provide clear, easy to understand information of complex genetic techniques and normal anatomic changes in pregnancy is a physician literacy skill. Despite the challenge of learning the jargon and concepts, consider how you would discuss this with someone who is a physicist, an engineer or an administrative aide. Getting at the right place where you and the patient are on the same page is an incredibly important skill to work on. This right place might feel too reductionistic or be too 'cartoony' - so it is not the 'right place' for you, rather it is the 'right place' for you patient. Below is an example of a clear, user friendly tool that is called a decision support instrument. Click on the caption to see the whole tool at the site. <table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiJn1C1pJeMe0RZQh9pUvGjlU5WgpmygyvDk8O4SSHRk7wdA7UQpnmE_kH89lZ9m9bhkUnbu316oljuHCchBeEvX8OX-OAHEw5F82StkaVWUS4reeeLF7741HKFNzC0jNbwI4yQTIA7DzGJ/s1600/PrenataltestingpatienteducUCSF.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" hea="true" height="204" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiJn1C1pJeMe0RZQh9pUvGjlU5WgpmygyvDk8O4SSHRk7wdA7UQpnmE_kH89lZ9m9bhkUnbu316oljuHCchBeEvX8OX-OAHEw5F82StkaVWUS4reeeLF7741HKFNzC0jNbwI4yQTIA7DzGJ/s320/PrenataltestingpatienteducUCSF.png" width="320" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;"><a href="http://www.panastream.com/_internal/pdfs/PTP_decisionsupport.pdf">http://www.panastream.com/_internal/pdfs/PTP_decisionsupport.pdf</a></td></tr></tbody></table> <table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggdeOYKit-uPe1OKIkke2HrZpDLXrK93DcEqp26s8xR2Q6YhhiUyRFMHC-bpZ0E32nHVkesrTmw_ZEJmStjdAAqLpfp38sQJ-Zp6JlV0DawxYJcRWNeYVKNirJZGX1tZLe4L3kLzP6tzNt/s1600/prenataldecisiontoolpage2ucsf.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" hea="true" height="146" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggdeOYKit-uPe1OKIkke2HrZpDLXrK93DcEqp26s8xR2Q6YhhiUyRFMHC-bpZ0E32nHVkesrTmw_ZEJmStjdAAqLpfp38sQJ-Zp6JlV0DawxYJcRWNeYVKNirJZGX1tZLe4L3kLzP6tzNt/s640/prenataldecisiontoolpage2ucsf.png" width="640" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">Click on the picture above to enlarge</td></tr></tbody></table>CVS, AMNIO FISH and PCR  - For more visuals Here's a picture of a chorionic villus (which when sampling becomes the 'S' of CVS) <div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjhH1xGKt_q3HMWaopKPzNEclq0eCkV9Pva9eUUE8_U_RslxV_NTIyvNolCqWCTcB5oxlGJ0Or1zRcRrrEJOvOQB3Dz9hLT2ul3FZ-DHqDWx6tJg56Vh-Eh1WSyqfmHzRDrXoZRJ4MGdADY/s1600/230px-Chorionic_villi_-_high_mag.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" hea="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjhH1xGKt_q3HMWaopKPzNEclq0eCkV9Pva9eUUE8_U_RslxV_NTIyvNolCqWCTcB5oxlGJ0Or1zRcRrrEJOvOQB3Dz9hLT2ul3FZ-DHqDWx6tJg56Vh-Eh1WSyqfmHzRDrXoZRJ4MGdADY/s1600/230px-Chorionic_villi_-_high_mag.jpg" /></a></div> Here's a nice example of the use of FISH and PCR (you may have to register your name to watch the short video, but it's worth it!)  click <a href="http://www.phgfoundation.org/tutorials/dna/">here</a>  <div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh3SS0y4Z6WoL5uGgD3waAISuHc7Pf8eP-Ok_l8rT4ZN-Eeh-oiz4FrhqHy1IY9675k31bufR_ac-rKafw0t0JJUK0fRm2Chnwuooc1Z1DJGtmBsbktvEvaTvnXOIDu1jyMLjbN9SAx_Kmd/s1600/PCRphg.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" hea="true" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh3SS0y4Z6WoL5uGgD3waAISuHc7Pf8eP-Ok_l8rT4ZN-Eeh-oiz4FrhqHy1IY9675k31bufR_ac-rKafw0t0JJUK0fRm2Chnwuooc1Z1DJGtmBsbktvEvaTvnXOIDu1jyMLjbN9SAx_Kmd/s320/PCRphg.png" width="320" /></a></div>   Here's a patient information sheet on <a href="http://www.nlm.nih.gov/medlineplus/ency/article/003406.htm">CVS</a> from Medline And <a href="http://www.nlm.nih.gov/medlineplus/tutorials/amniocentesis/htm/_no_50_no_0.htm">here</a> is an interactive tutorial on AMNIOCENTESIS <div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjAYKNualUhoh6wQzjsxhUSIXd3pzPooFIM6_aEgQu8SeISZ4rj24IZIkHtdkTvEGuIRBHHXNiVjfAEdnFd5TbZh0doWPDonkwuZdGy6J9F9QeAbOUtlsa6MMJqhGBJWGeOKte6tKB_nsOC/s1600/amniotutorialmedlineplus.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" hea="true" height="237" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjAYKNualUhoh6wQzjsxhUSIXd3pzPooFIM6_aEgQu8SeISZ4rj24IZIkHtdkTvEGuIRBHHXNiVjfAEdnFd5TbZh0doWPDonkwuZdGy6J9F9QeAbOUtlsa6MMJqhGBJWGeOKte6tKB_nsOC/s320/amniotutorialmedlineplus.png" width="320" /></a></div> I mentioned in class, the image of the nuchal translucency (you can get to it from <a href="http://whepducom.blogspot.com/2010/08/resources-for-reproductive-options.html">here</a>)

MORE INFO ON COMMUNICATING REPRODUCTION OPTIONS Provide clear, easy to understand information of complex genetic techniques and normal anato...

9:18 AM

Are we PREPPED for PrEP?

<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg-ppGtWhbF1ElYP5k1wdSPoE4XGW1E2ovXtc9d2_cdgZ-PWGhXowjYIBT8g8R_inLTlGUJOxBLvcHNZTBJbAVjFQG2dAABdahsLO9C4gR1vHTX8F29Pmti4dIUv2qzUruyWsaF0C_AgTvK/s1600/aaron_erika.jpg" imageanchor="1" style="clear: right; cssfloat: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" mda="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg-ppGtWhbF1ElYP5k1wdSPoE4XGW1E2ovXtc9d2_cdgZ-PWGhXowjYIBT8g8R_inLTlGUJOxBLvcHNZTBJbAVjFQG2dAABdahsLO9C4gR1vHTX8F29Pmti4dIUv2qzUruyWsaF0C_AgTvK/s1600/aaron_erika.jpg" /></a></div>PrEP is short for Pre-Exposure Prophylaxis of HIV to prevent transmission of disease. Recent studies have demonstrated that a combination medication tenofovir disoproxil fumarate plus emtricitabine (TDF/FTC) and the FDA has approved it's use.  Our own, Infectious Disease clinician, Erika Aarons, RN, CRNP, MSN was on the FDA Advisory panel that evaluated and voted upon approval of this new medication. Read the article <a href="http://www.nejm.org/doi/full/10.1056/NEJMoa1108524#t=article">here</a>. The FDA resport is <a href="http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm312210.htm">here.</a> This news is exciting in that this the first medication combination identified in 30 years that if taken regularly, can result in a 90% reduction in risk of an HIV negative partner acquiring the disease from their HIV positive partner. So, in serodiscordant partners (one with HIV/AIDs, one not) this is an incredible breakthrough. <div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjka_TONZgOdAnJyRCGh-kOUSMdCOCmTM9uELv0DZ2fNW1ejXNHzN1JSxP36cOAcKJfOW4IkPUaIaybdJcntfiMAoecufvflaWvVOaMg3nmY_uKldk0NI_ztn3ecSueJc4N8IsEJFGm7izh/s1600/truvada+chemical+structure.gif" imageanchor="1" style="clear: left; cssfloat: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="176" mda="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjka_TONZgOdAnJyRCGh-kOUSMdCOCmTM9uELv0DZ2fNW1ejXNHzN1JSxP36cOAcKJfOW4IkPUaIaybdJcntfiMAoecufvflaWvVOaMg3nmY_uKldk0NI_ztn3ecSueJc4N8IsEJFGm7izh/s320/truvada+chemical+structure.gif" width="320" /></a></div>Here's a few important issues: *Medicine only was effective at that rate if taken every single day - those who did not have sufficient medication in their blood did not have the same result *HIV transmission in serodiscordant couples occurs outside of a couple in 25-30% of cases (Donnell 2010; Cohen 2011) *Estimated cost of daily therapy is likely to be in excess of $10,000/year. *Lifetime costs (2010 numbers) for HIV treatment is $379,668 (excluding reproductive health related issues) So PrEP is amazing scientifically, yet does it remain a wish versus a reality? This is a great example of the challenges faced when we address paying for prevention. I wonder how expensive or inexpensive an intervention would need to be to get support to prevent Diabetes? HIV at the onset was (fairly) quick and (mostly) deadly disease - with the onset of HAART, HIV can become a chronic disease. At the beginning when there was only one or limited agents, medical science had not demonstrated how sneaky the HIV virus can be. It is now known that to combat disease, people often need three types of anti virals to keep the disease from changing and becoming resistant. I think of it as making a corral for a horse with three fences - keeping it within the triangle. If we use one or two or infrequently use the medicines, HIV learns quickly (becomes resistant) and makes the medicine ineffective.  Regular medicine use is challenged for any medical illness - HIV is no different. But there are some difference with HIV - CDC estimates that 1 in 5 people have disease and are unaware. So in place where there is a lot of HIV, people ages 11 and up and all people sexually active should have HIV screening as part of their routine evaluation. In the Philadelphia Ujima project, we talk about "Know Your Numbers, Own Your Health." Perhaps next steps need to be more medical advances resulting in more medicines that decrease the cost of transmission preventing medicines? <table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0YJf7_lGFkn5VB8VpjXyk1a3Lg4uh6aA31qY6vNgyPtvwtZncRfA5Ho_DxQe-XeMF9MhTcxmH1Nl5UHDpukLB8hz-AmzOB02p2kvhDnBmoBcUfPW8zR6EpYaw0oi11cfXbPvDyHsPAGwb/s1600/numbergirlswomenhiv2008.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="213" mda="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0YJf7_lGFkn5VB8VpjXyk1a3Lg4uh6aA31qY6vNgyPtvwtZncRfA5Ho_DxQe-XeMF9MhTcxmH1Nl5UHDpukLB8hz-AmzOB02p2kvhDnBmoBcUfPW8zR6EpYaw0oi11cfXbPvDyHsPAGwb/s320/numbergirlswomenhiv2008.png" width="320" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">Kaiser Family Foundation. www.statehealthfacts.org. Data Source: Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention-Surveillance and Epidemiology, Special Data Request; 2010 </td></tr></tbody></table>Donnell D, Baeten JM, Kiarie J, et al. Heterosexual HIV-1 transmission after initiation of antiretroviral therapy: a prospective cohort analysis. Lancet 2010;375:2092-2098 Cohen MS, Chen YQ, McCauley M, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med 2011;365:493-505 Kaiser Foundation 2012 Fact Sheet on Women with HIV <a href="http://www.kff.org/hivaids/upload/6092-09.pdf">here</a> Hot Off the Press  Aaron, E., Cohen D. Pre-exposure Prophylaxis for the Prevention of HIV Transmission to Women in the United States AIDS 2012, 26: 000–000

Are we PREPPED for PrEP?

PrEP is short for Pre-Exposure Prophylaxis of HIV to prevent transmission of disease. Recent studies have demonstrated that a combination me...

10:03 AM

Working with WOAR to Educate Teens on Safety in Sexual Health

<div style="text-align: center;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgBlnQCAUHpUOrC08PLY5-BlX06dSNGH5bMAVEEPkCBTxgKNz0426W481OaTD6mTSa6kKTLMSOVrIF75wwvvKtQZf1Gb8ZHGHDUnttCaW3S7VsKoN2nlIOiifBlVpBYQyrcY_TtuU_c-EPy/s1600/JenLee2012.jpg" imageanchor="1" style="clear: left; cssfloat: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="200" lda="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgBlnQCAUHpUOrC08PLY5-BlX06dSNGH5bMAVEEPkCBTxgKNz0426W481OaTD6mTSa6kKTLMSOVrIF75wwvvKtQZf1Gb8ZHGHDUnttCaW3S7VsKoN2nlIOiifBlVpBYQyrcY_TtuU_c-EPy/s200/JenLee2012.jpg" width="160" /></a></div>WHEP ELECTIVE: Women’s Health in the Community </div><div style="text-align: left;">For my Women’s Health in the Community elective, I reached out to the organization Women Organized Against Rape (WOAR). WOAR provides counseling services, advocacy for victims of sexual violence, and educational programs to stop sexual and domestic violence and bullying. As a future gynecologist, I am aware of the dangers of intimate partner violence and sexual assault, and I wanted to better educate myself on the topic. </div><div style="text-align: left;"> </div><div style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; text-align: left;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhukodsAE32ehoph_5zeaiFi3LJWkwQN1G0dYIAEIlZIQKABeonnxqCY8HsspjkNNn6BcbZqOaLz50R4ac7cRcpToxbfrolyk6djC4qFtZveyaP4DTtmaHmkqR4YJi-f8bsbevPaMhhUyl7/s1600/teresawhitewoarteaching.jpg" imageanchor="1" style="clear: right; cssfloat: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" lda="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhukodsAE32ehoph_5zeaiFi3LJWkwQN1G0dYIAEIlZIQKABeonnxqCY8HsspjkNNn6BcbZqOaLz50R4ac7cRcpToxbfrolyk6djC4qFtZveyaP4DTtmaHmkqR4YJi-f8bsbevPaMhhUyl7/s1600/teresawhitewoarteaching.jpg" /></a>Once I got in touch with Teresa White-Walston, Director of Educational Services, we discussed WOAR’s educational programs and how I could contribute. Teresa works closely with local schools, teaching teens about bullying, self-esteem and character building. She saw the need for sexual health education for her students, as many of them become involved in sexual activity before they are ready and, often, are misinformed by their peers on the topic. </div><div style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none;"> I developed a lecture geared toward middle school girls where I covered basic female reproductive anatomy, facts about teen sexual activity, sexually transmitted illnesses (STI) risks and the realities of teen pregnancy. Researching, alone, for this presentation was an eye-opening experience! Here are some interesting facts that stood out to me (AND my students): -43% of teenage girls and 42% of teenage boy have had sexual intercourse, but only 33% are currently sexually active (CDC Youth Risk Behavior Survey) -15-24 year olds account for only 25% of the sexually active population in US, but are nearly 50% of all new STI’s diagnosed annually (CDC) -In 2009, more than 400,000 girls aged 15-19 years old gave birth (CDC) -50% of teen moms have a high school diploma by age 22, compared to 90% of teenage girls who don’t give birth (CDC) As I gave my lecture to classrooms of curious 6th, 7th, and 8th graders, I could see that many of the things I taught were completely new to them. First of all, most of the girls had no idea what body parts they had or what their proper names are. Secondly, my students were surprised to see that only 33% of teens are sexually active. Based on the media and schoolyard gossip, they thought the number was closer to 80 or 90-percent! I’m glad I could show them otherwise. The information I gave the students about STI’s seemed to hit the kids from left field. Sure, they’ve heard of HIV and how bad it is. But they didn’t know about all of the other STI’s or how many people have them. I shocked many when I informed them that some sexually-transmitted infections are life-long and could have serious consequences like cancer and infertility. As for the pregnancy part of the lecture, it seemed like each of the students knew someone who got pregnant and gave birth before she was ready. I ended each lecture with a discussion on the magnitude of engaging in sexual activity, the importance of waiting until one is ready, and what a responsible teenager should do when she is. <div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1_80UigkmSW_xh35ixONlhn6poHW93dvJxHhZA8gbWSZa7PVFFuu-fDNhoiTYw5uNm2q1Mt6IQ67IvlP-uaRVJawSiiinYwpEV1QYF2p_FP7mxpCuyW-J3ykbJAjKNGG53KQy2T2DsE6x/s1600/morehopehealtheduc.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" lda="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1_80UigkmSW_xh35ixONlhn6poHW93dvJxHhZA8gbWSZa7PVFFuu-fDNhoiTYw5uNm2q1Mt6IQ67IvlP-uaRVJawSiiinYwpEV1QYF2p_FP7mxpCuyW-J3ykbJAjKNGG53KQy2T2DsE6x/s320/morehopehealtheduc.jpg" width="320" /></a></div>I hope the information I gave these girls empowered them to stand up against peer pressure and wait until they are truly ready and fully educated to be sexually active, as there are many consequences to consider and protect against. I hope I prepared them with a good foundation on reproductive health and safety. In the end, it is each girl’s responsibility to protect herself, and I hope these girls rise to the challenge to take care of her health and future. Teresa was terrific. In addition to teaching, she took the time to give me some training for crisis counseling. We discussed the issues surrounding sexual and domestic violence and how to empower victims. She even took me to the Philadelphia Sexual Assault Response Center, so that I could see where a rape victim is treated and what she must go through. Unfortunately, my time with WOAR has come to an end. However, Teresa and the schools I visited would love to have more Drexel students come through and do similar work to what I had been doing. As medical students, we offer more medical information than Teresa and her volunteers can give to their students, and there is a great need for strong role models at these schools. Please consider working with WOAR either through a Women’s Health elective or as a volunteer. You will be able to reach out to many young girls who need your expertise, and you will probably learn a few things along the way as well. If you are interested, email WHEP at mnickens@drexelmed.edu. To learn more about WOAR, check out their website: <a href="http://www.woar.org/">www.woar.org</a>. <div style="text-align: center;">Submitted by Jennifer Lee, Class of 2012</div></div>

Working with WOAR to Educate Teens on Safety in Sexual Health

WHEP ELECTIVE: Women’s Health in the Community For my Women’s Health in the Community elective, I reached out to the organization Women Orga...

8:38 AM

Resources for Reproductive Options Counseling

Here's an example of nuchal translucency on ultrasound <div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgmFfe2le-WhCv-m4SMkdX9hc7-B_JSy0wFTYcz_iJ2LajIt3vHI0b3VNyT7rmqb1BGrf0DI_sS_2nZCoki5laig7aSkwYOOUG9xtnDwKMMKZYt99l8uHxe5AD8Ci-_Cv2RrBn5w7ZORVsG/s1600/nuchaltranslucency.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" ox="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgmFfe2le-WhCv-m4SMkdX9hc7-B_JSy0wFTYcz_iJ2LajIt3vHI0b3VNyT7rmqb1BGrf0DI_sS_2nZCoki5laig7aSkwYOOUG9xtnDwKMMKZYt99l8uHxe5AD8Ci-_Cv2RrBn5w7ZORVsG/s320/nuchaltranslucency.jpg" /></a></div>So here's some very useful links (or how to be ready to respond to 'Dr. Google'): Genetics and Testing: A very accessible article about <a href="http://www.aafp.org/afp/2002/0615/p2507.html">preconceptual health i</a>ssues A <a href="http://www.ncbi.nlm.nih.gov/projects/GeneTests/static/img/teachtool/teachToolPreview.pdf">primer for those in (or interested in) primary care and genetics testing</a> - Case examples include Tim (the father) who get's diagnosed with familial polyposis and you are asked what should you do with his son Jay... A<a href="http://ghr.nlm.nih.gov/"> searchable genetic reference site</a> The Online Mendelian in Man (I think it's fine for Woman too!) site - here's the info at a glance about <a href="http://www.ncbi.nlm.nih.gov/omim/190685">Down Syndrome</a> This <a href="http://www.reproductivefacts.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/genetic_screening.pdf">one page fact</a> sheet from the American Society for Reproductive Medicine succinctly puts together a lot of data and has a <a href="http://www.reproductivefacts.org/publications/index.aspx?id=76">Reproductive facts</a> webpage  in additional to <a href="http://www.reproductivefacts.org/publications/index.aspx?id=76">useful patient education materials</a> An extensive <a href="http://www.ncbi.nlm.nih.gov/projects/GeneTests/static/concepts/internetresources.shtml">listing of other web resources</a> Here's the CDC site <a href="http://www.cdc.gov/genomics/update/current.htm">Genomics weekly update</a> For those of you interested in Obstetrics - Drexel is underway to join the current listing of residency programs with a Family Planning Fellowship. Here's the<a href="http://www.familyplanningfellowship.org/locations.html#johns"> national listing</a>. If you are interested,  email Dr. Montgomery (Chair of Ob/Gyn) or Dr. Woodland (Residency Director) More info on reproductive options is available at ACOG A<a href="http://www.acog.org/from_home/publications/press_releases/nr05-17-10-1.cfm"> May 2010 report</a> discusses the new field of onco-fertility, an area focused on maintaining reproductive options in cancer patients. Here's a useful description about <a href="http://www.fertilehope.org/healthcare-professionals/clinical-tools/fertility-risks.cfm">fertility risks for men and women</a> <a href="http://www.google.com/imgres?imgurl=http://www.unitedspinal.org/publications/msqr/wp-content/2514.JPG&imgrefurl=http://www.unitedspinal.org/msscene/2006/02/23/considerations-in-planning-pregnancies/&usg=__kRscgS80_i-WWarqZItT_82eB70=&h=666&w=516&sz=74&hl=en&start=71&sig2=DebRQ8gKie2Kg7NfEl8PTA&zoom=1&um=1&itbs=1&tbnid=CYJRrz2yZ_4DYM:&tbnh=138&tbnw=107&prev=/images%3Fq%3DMS%2Band%2Bpregnancy%2Btopics%26start%3D60%26um%3D1%26hl%3Den%26sa%3DN%26rls%3Dcom.microsoft:en-us%26ndsp%3D20%26tbs%3Disch:1&ei=BGZ9TMXJJcKB8gaS8JXnBQ">Here's a link</a> to questions you ask of women or men with multiple sclerosis who are considering starting a family

Resources for Reproductive Options Counseling

Here's an example of nuchal translucency on ultrasound So here's some very useful links (or how to be ready to respond to 'Dr. G...

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