المؤلفون: Lucidi A., Fratelli N., Maggi C., Cavalli C., Sciarrone A., Buca D., Garofalo A., Viora E., Vergani P., Betti M., Vaglio Tessitore I., Cavaliere A. F., Buongiorno S., Vidiri A., Fabbri E., Ferrazzi E., Maggi V., Cetin I., Frusca T., Ghi T., Kaihura C., Di Pasquo E., Stampalija T., Belcaro C., Quadrifoglio M., Veneziano M., Mecacci F., Simeone S., Locatelli A., Consonni S., Chianchiano N., Labate F., Calcagno G., Cromi A., Bertucci E., Facchinetti F., Giuliani G. A., Fichera A., Granata D., Foti F., Avagliano L., Bulfamante G. P., Khalil A., Flacco M. E., Manzoli L., Prefumo F., Cali G., D'Antonio F.

المساهمون: Lucidi, A., Fratelli, N., Maggi, C., Cavalli, C., Sciarrone, A., Buca, D., Garofalo, A., Viora, E., Vergani, P., Betti, M., Vaglio Tessitore, I., Cavaliere, A. F., Buongiorno, S., Vidiri, A., Fabbri, E., Ferrazzi, E., Maggi, V., Cetin, I., Frusca, T., Ghi, T., Kaihura, C., Di Pasquo, E., Stampalija, T., Belcaro, C., Quadrifoglio, M., Veneziano, M., Mecacci, F., Simeone, S., Locatelli, A., Consonni, S., Chianchiano, N., Labate, F., Calcagno, G., Cromi, A., Bertucci, E., Facchinetti, F., Giuliani, G. A., Fichera, A., Granata, D., Foti, F., Avagliano, L., Bulfamante, G. P., Khalil, A., Flacco, M. E., Manzoli, L., Prefumo, F., Cali, G., D'Antonio, F.

مصطلحات موضوعية: Cesarean delivery, emergency delivery, PAS disorder, placenta accreta, placenta previa

الوصف: Objectives: To investigate the rate and outcome of emergency Cesarean delivery (CD) in women with placenta previa with or without placenta accreta spectrum disorders (PAS) and to elucidate the diagnostic accuracy of ultrasound in predicting emergency CD. Methods: This was a secondary analysis of a multicenter prospective study involving 16 referral hospitals in Italy (ADoPAD study). Inclusion criteria were women with placenta previa minor (< 20 mm from the internal cervical os) or placenta previa major (covering the os), aged ≥ 18 years, who underwent transabdominal and transvaginal ultrasound assessment at ≥ 26 + 0 weeks of gestation. The primary outcome was the occurrence of emergency CD, defined as the need for immediate surgical intervention performed for emergency maternal or fetal indication, including active labor, cumulative maternal bleeding > 500 mL, severe and persistent vaginal bleeding such that maternal hemodynamic stability could not be achieved or maintained, or category-III fetal heart rate tracing unresponsive to resuscitative measures. The primary outcome was reported separately in the population of women with placenta previa and no PAS confirmed after birth and in those with PAS. The secondary aim was to report on the strength of association and to test the diagnostic accuracy of ultrasound in predicting emergency CD. Univariate, multivariate and diagnostic accuracy analyses were used to analyze the data. Results: A total of 450 women, including 97 women with placenta previa and PAS and 353 with placenta previa only, were analyzed. In women with placenta previa and PAS, emergency CD was required in 20.6% (95% CI, 14–30%), and 60.0% (12/20) delivered before 34 weeks of gestation. The mean gestational age at delivery was 32.3 ± 2.7 weeks in women undergoing emergency CD and 34.9 ± 1.8 weeks in those undergoing elective CD (P < 0.001). Women undergoing emergency CD had a higher median estimated blood loss (2500(interquartile range (IQR), 1350–4500) vs 1100 (IQR, 625–2500) mL; P = ...

العلاقة: info:eu-repo/semantics/altIdentifier/pmid/37698306; info:eu-repo/semantics/altIdentifier/wos/WOS:001157313300002; volume:63; issue:2; firstpage:243; lastpage:250; numberofpages:8; journal:ULTRASOUND IN OBSTETRICS & GYNECOLOGY; https://hdl.handle.net/11383/2170291Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85181198058

الإتاحة: https://doi.org/10.1002/uog.27465Test
https://hdl.handle.net/11383/2170291Test

المؤلفون: Fratelli, N, Prefumo, F, Maggi, C, Cavalli, C, Sciarrone, A, Garofalo, A, Viora, E, Vergani, P, Ornaghi, S, Betti, M, Tessitore, I Vaglio, Cavaliere, A F, Buongiorno, S, Vidiri, A, Fabbri, E, Ferrazzi, E, Maggi, V, Cetin, I, Frusca, T, Ghi, T, Kaihura, C, Di Pasquo, E, Stampalija, T, Belcaro, C, Quadrifoglio, M, Veneziano, M, Mecacci, F, Simeone, S, Locatelli, A, Consonni, S, Chianchiano, N, Labate, F, Cromi, A, Bertucci, E, Facchinetti, F, Fichera, A, Granata, D, Antonio, F D', Foti, F, Avagliano, L, Bulfamante, G P, Calì, G

المساهمون: Fratelli, N, Prefumo, F, Maggi, C, Cavalli, C, Sciarrone, A, Garofalo, A, Viora, E, Vergani, P, Ornaghi, S, Betti, M, Tessitore, I Vaglio, Cavaliere, A F, Buongiorno, S, Vidiri, A, Fabbri, E, Ferrazzi, E, Maggi, V, Cetin, I, Frusca, T, Ghi, T, Kaihura, C, Di Pasquo, E, Stampalija, T, Belcaro, C, Quadrifoglio, M, Veneziano, M, Mecacci, F, Simeone, S, Locatelli, A, Consonni, S, Chianchiano, N, Labate, F, Cromi, A, Bertucci, E, Facchinetti, F, Fichera, A, Granata, D, Antonio, F D', Foti, F, Avagliano, L, Bulfamante, G P, Calì, G

مصطلحات موضوعية: cesarean section, diagnosi, low-lying placenta, placenta accreta spectrum, placenta previa, ultrasound

الوصف: To evaluate the diagnostic performance of third trimester ultrasound for the diagnosis of clinically significant Placenta accreta spectrum disorder (PAS) in women with a low-lying placenta (less than 20 mm from the internal cervical os) or placenta praevia (covering the os) METHODS: Pregnant women with a low-lying placenta or placenta praevia, age ≥ 18 years and gestational age at ultrasound ≥ 26+0/7 weeks of gestation were prospectively included in the study. Ultrasound suspicion of PAS was raised in the presence of at least one of these signs: (1) obliteration of the hypoechoic space between the uterus and the placenta; (2) interruption of the hyperechoic interface between the uterine serosa and the bladder wall; (3) abnormal placental lacunae. In order to assess the ability of ultrasound to detect clinically significant PAS, a composite outcome comprehensive of both active management at delivery and histopathological confirmation of PAS was considered as the reference standard. PAS was considered of clinical significance if, in addition to histological confirmation, at least one of these procedures was carried out after delivery: use of hemostatic intrauterine balloon, compressive uterine suture, peripartum hysterectomy, uterine/hypogastric artery ligation, uterine artery embolization.

العلاقة: info:eu-repo/semantics/altIdentifier/pmid/35247287; info:eu-repo/semantics/altIdentifier/wos/WOS:000849851700011; volume:60; issue:3; firstpage:381; lastpage:389; numberofpages:9; journal:ULTRASOUND IN OBSTETRICS & GYNECOLOGY; http://hdl.handle.net/11368/3029253Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85137137347

الإتاحة: https://doi.org/10.1002/uog.24889Test
http://hdl.handle.net/11368/3029253Test

المؤلفون: Manconi M., van der Gaag L. C., Mangili F., Garbazza C., Riccardi S., Cajochen C., Mondini S., Furia F., Zambrelli E., Baiardi S., Giordano A., Rizzo N., Fonti C., Viora E., D'Agostino A., Cicolin A., Cirignotta F., Aquilino D., Barassi A., del Giudice R., Fior G., Gambini O., Giordano B., Martini A., Serrati C., Stefanelli R., Scarone S., Canevini M., Fanti V., Stein H. -C., Marconi A. M., Raimondo E., Viglietta E., Santoro R., Simonazzi G., Bianconcini A., Meani F., Piazza N., Filippakos F., Gyr T.

المساهمون: M. Manconi, L.C. van der Gaag, F. Mangili, C. Garbazza, S. Riccardi, C. Cajochen, S. Mondini, F. Furia, E. Zambrelli, S. Baiardi, A. Giordano, N. Rizzo, C. Fonti, E. Viora, A. D'Agostino, A. Cicolin, F. Cirignotta, D. Aquilino, A. Barassi, R. del Giudice, G. Fior, O. Gambini, B. Giordano, A. Martini, C. Serrati, R. Stefanelli, S. Scarone, M. Canevini, V. Fanti, H.-. Stein, A.M. Marconi, E. Raimondo, E. Viglietta, R. Santoro, G. Simonazzi, A. Bianconcini, F. Meani, N. Piazza, F. Filippako, T. Gyr

مصطلحات موضوعية: Epidemiology, Insomnia, Periodic limb movement, Polysomnography, Pregnancy, Restless legs syndrome, Sleep related breathing disorder, Sleepiness, Settore MED/40 - Ginecologia e Ostetricia, Settore MED/25 - Psichiatria

الوصف: Objective: to prospectively assess sleep and sleep disorders during pregnancy and postpartum in a large cohort of women.Methods: multicenter prospective Life-ON study, recruiting consecutive pregnant women at a gestational age between 10 and 15 weeks, from the local gynecological departments. The study included home polysomnography performed between the 23rd and 25th week of pregnancy and sleep-related questionnaires at 9 points in time during pregnancy and 6 months postpartum. Results: 439 pregnant women (mean age 33.7 +/- 4.2 yrs) were enrolled. Poor quality of sleep was reported by 34% of women in the first trimester of pregnancy, by 46% of women in the third trimester, and by as many as 71% of women in the first month after delivery. A similar trend was seen for insomnia. Excessive daytime sleepiness peaked in the first trimester (30% of women), and decreased in the third trimester, to 22% of women. Prevalence of restless legs syndrome was 25%, with a peak in the third trimester of pregnancy. Polysomno-graphic data, available for 353 women, revealed that 24% of women slept less than 6 h, and 30.6% of women had a sleep efficiency below 80%. Sleep-disordered breathing (RDI >= 5) had a prevalence of 4.2% and correlated positively with BMI. Conclusions: The Life-ON study provides the largest polysomnographic dataset coupled with longitudinal sub-jective assessments of sleep quality in pregnant women to date. Sleep disorders are highly frequent and distributed differently during pregnancy and postpartum. Routine assessment of sleep disturbances in the peri-natal period is necessary to improve early detection and clinical management.

العلاقة: info:eu-repo/semantics/altIdentifier/pmid/37984016; info:eu-repo/semantics/altIdentifier/wos/WOS:001120894700001; volume:113; firstpage:41; lastpage:48; numberofpages:8; journal:SLEEP MEDICINE; https://hdl.handle.net/2434/1028861Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85177983035

الإتاحة: https://doi.org/10.1016/j.sleep.2023.10.021Test
https://hdl.handle.net/2434/1028861Test

المؤلفون: Lucidi, A., Fratelli, N., Maggi, C., Cavalli, C., Sciarrone, A., Buca, D., Garofalo, A., Viora, E., Vergani, P., Betti, M., Vaglio Tessitore, I., Cavaliere, A. F., Buongiorno, S., Vidiri, A., Fabbri, E., Ferrazzi, E., Maggi, V., Cetin, I., Frusca, T., Ghi, T.

المصدر: Ultrasound in Obstetrics & Gynecology; Feb2024, Vol. 63 Issue 2, p243-250, 8p

مستخلص: Objectives: To investigate the rate and outcome of emergency Cesarean delivery (CD) in women with placenta previa with or without placenta accreta spectrum disorders (PAS) and to elucidate the diagnostic accuracy of ultrasound in predicting emergency CD. Methods: This was a secondary analysis of a multicenter prospective study involving 16 referral hospitals in Italy (ADoPAD study). Inclusion criteria were women with placenta previa minor (< 20 mm from the internal cervical os) or placenta previa major (covering the os), aged ≥ 18 years, who underwent transabdominal and transvaginal ultrasound assessment at ≥ 26 + 0 weeks of gestation. The primary outcome was the occurrence of emergency CD, defined as the need for immediate surgical intervention performed for emergency maternal or fetal indication, including active labor, cumulative maternal bleeding > 500 mL, severe and persistent vaginal bleeding such that maternal hemodynamic stability could not be achieved or maintained, or category‐III fetal heart rate tracing unresponsive to resuscitative measures. The primary outcome was reported separately in the population of women with placenta previa and no PAS confirmed after birth and in those with PAS. The secondary aim was to report on the strength of association and to test the diagnostic accuracy of ultrasound in predicting emergency CD. Univariate, multivariate and diagnostic accuracy analyses were used to analyze the data. Results: A total of 450 women, including 97 women with placenta previa and PAS and 353 with placenta previa only, were analyzed. In women with placenta previa and PAS, emergency CD was required in 20.6% (95% CI, 14–30%), and 60.0% (12/20) delivered before 34 weeks of gestation. The mean gestational age at delivery was 32.3 ± 2.7 weeks in women undergoing emergency CD and 34.9 ± 1.8 weeks in those undergoing elective CD (P < 0.001). Women undergoing emergency CD had a higher median estimated blood loss (2500 (interquartile range (IQR), 1350–4500) vs 1100 (IQR, 625–2500) mL; P = 0.012), mean units of blood transfused (7.3 ± 8.8 vs 2.5 ± 3.4; P = 0.02) and more frequent placement of a mechanical balloon (50.0% vs 16.9%; P = 0.002) compared with those undergoing elective CD. On univariate analysis, the presence of interrupted retroplacental space, interrupted bladder line and placental lacunae was more common in women not experiencing emergency CD. No comprehensive multivariate analysis could be performed in this subgroup of women. Ultrasound signs of PAS, including presence of interrupted retroplacental space, interrupted bladder line and placental lacunae, were not predictive of emergency CD. In women with placenta previa but no PAS, emergency CD was required in 31.2% (95% CI, 26.6–36.2%), and 32.7% (36/110) delivered before 34 weeks of gestation. The mean gestational age at delivery was lower in women undergoing emergency CD compared with those undergoing elective CD (34.2 ± 2.9 vs 36.7 ± 1.6 weeks; P < 0.001). Pregnancies complicated by emergency CD were associated with a lower birth weight (2330 ± 620 vs 2800 ± 480 g; P < 0.001) and had a higher risk of need for blood transfusion (22.7% vs 10.7%; P = 0.003) compared with those who underwent elective CD. On multivariate analysis, only placental thickness (odds ratio (OR), 1.02 (95% CI, 1.00–1.03); P = 0.046) and cervical length < 25 mm (OR, 3.89 (95% CI, 1.33–11.33); P = 0.01) were associated with emergency CD. However, a short cervical length showed low diagnostic accuracy for predicting emergency CD in these women. Conclusion: Emergency CD occurred in about 20% of women with placenta previa and PAS and 30% of those with placenta previa only and was associated with worse maternal outcome compared with elective intervention. Prenatal ultrasound is not predictive of the risk of emergency CD in women with these disorders. © 2023 International Society of Ultrasound in Obstetrics and Gynecology. [ABSTRACT FROM AUTHOR]

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المؤلفون: Fratelli, N, Prefumo, F, Maggi, C, Cavalli, C, Sciarrone, A, Garofalo, A, Viora, E, Vergani, P, Ornaghi, S, Betti, M, Vaglio Tessitore, I, Cavaliere, A F, Buongiorno, S, Vidiri, A, Fabbri, E, Ferrazzi, E, Maggi, V, Cetin, I, Frusca, T, Ghi, T, Kaihura, C, Di Pasquo, E, Stampalija, T, Belcaro, C, Quadrifoglio, M, Veneziano, M, Mecacci, F, Simeone, S, Locatelli, A, Consonni, S, Chianchiano, N, Labate, F, Cromi, A, Bertucci, E, Facchinetti, F, Fichera, A, Granata, D, D'Antonio, F, Foti, F, Avagliano, L, Bulfamante, G P, Calì, G

المساهمون: N. Fratelli, F. Prefumo, C. Maggi, C. Cavalli, A. Sciarrone, A. Garofalo, E. Viora, P. Vergani, S. Ornaghi, M. Betti, I. Vaglio Tessitore, A.F. Cavaliere, S. Buongiorno, A. Vidiri, E. Fabbri, E. Ferrazzi, V. Maggi, I. Cetin, T. Frusca, T. Ghi, C. Kaihura, E. Di Pasquo, T. Stampalija, C. Belcaro, M. Quadrifoglio, M. Veneziano, F. Mecacci, S. Simeone, A. Locatelli, S. Consonni, N. Chianchiano, F. Labate, A. Cromi, E. Bertucci, F. Facchinetti, A. Fichera, D. Granata, F. D'Antonio, F. Foti, L. Avagliano, G.P. Bulfamante, G. Calì

مصطلحات موضوعية: Cesarean section, diagnosi, low-lying placenta, placenta accreta spectrum, placenta previa, ultrasound, Settore MED/40 - Ginecologia e Ostetricia

الوصف: Objective To evaluate the performance of third-trimester ultrasound for the diagnosis of clinically significant placenta accreta spectrum disorder (PAS) in women with low-lying placenta or placenta previa. Methods This was a prospective multicenter study of pregnant women aged >= 18 years who were diagnosed with low-lying placenta (< 20 mm from the internal cervical os) or placenta previa (covering the internal cervical os) on ultrasound at >= 26 + 0 weeks' gestation, between October 2014 and January 2019. Ultrasound suspicion of PAS was raised in the presence of at least one of these signs on grayscale ultrasound: (1) obliteration of the hypoechogenic space between the uterus and the placenta; (2) interruption of the hyperechogenic interface between the uterine serosa and the bladder wall; (3) abnormal placental lacunae. Histopathological examinations were performed according to a predefined protocol, with pathologists blinded to the ultrasound findings. To assess the ability of ultrasound to detect clinically significant PAS, a composite outcome comprising the need for active management at delivery and histopathological confirmation of PAS was considered the reference standard. PAS was considered to be clinically significant if, in addition to histological confirmation, at least one of these procedures was carried out after delivery: use of hemostatic intrauterine balloon, compressive uterine suture, peripartum hysterectomy, uterine/hypogastric artery ligation or uterine artery embolization. The diagnostic performance of each ultrasound sign for clinically significant PAS was evaluated in all women and in the subgroup who had at least one previous Cesarean section and anterior placenta. Post-test probability was assessed using Fagan nomograms. Results A total of 568 women underwent transabdominal and transvaginal ultrasound examinations during the study period. Of these, 95 delivered in local hospitals, and placental pathology according to the study protocol was therefore not available. Among the 473 ...

العلاقة: info:eu-repo/semantics/altIdentifier/pmid/35247287; info:eu-repo/semantics/altIdentifier/wos/WOS:000849851700011; volume:60; issue:3; firstpage:381; lastpage:389; numberofpages:9; journal:ULTRASOUND IN OBSTETRICS & GYNECOLOGY; https://hdl.handle.net/2434/1000832Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85137137347

الإتاحة: https://doi.org/10.1002/uog.24889Test
https://hdl.handle.net/2434/1000832Test

المؤلفون: Castillo-Carandang NT, Buenaventura RD, Chia YC, Do Van D, Lee C, Duong NL, Ng CH, Robles YR, Santoso A, Sigua HS, Sukonthasarn A, Tan R, Viora E, Zakaria H, Brizuela GE, Ratnasingham P, Thomas M, Majumdar A

المصدر: Risk Management and Healthcare Policy, Vol Volume 13, Pp 803-819 (2020)

مصطلحات موضوعية: cardiovascular disease, mental health, prevention strategies, public health, Public aspects of medicine, RA1-1270

الوصف: Nina T Castillo-Carandang,1 Robert D Buenaventura,2 Yook-Chin Chia,3 Dung Do Van,4 Cheng Lee,5 Ngoc Long Duong,6 Chee H Ng,7 Yolanda R Robles,8 Anwar Santoso,9 Helen S Sigua,10 Apichard Sukonthasarn,11 Roger Tan,12 Eka Viora,13 Hazli Zakaria,14 Grace E Brizuela,15 Priyan Ratnasingham,16 Mathew Thomas,17 Anurita Majumdar16 1Department of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Manila, Philippines; and Institute of Clinical Epidemiology, National Institutes of Health, University of the Philippines Manila, Manila, Philippines; 2Department of Psychiatry, Manila Theological College - College of Medicine, Manila, Philippines; 3Department of Medical Sciences, School of Healthcare and Medical Sciences, Sunway University, Bandar Sunway, Selangor, Malaysia; 4The University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam; 5National Addictions Management Service, Institute of Mental Health, Singapore; 6Department of Research, Education and Technology, Vietnam National Heart Institute, Hanoi, Vietnam; 7Department of Psychiatry, The Melbourne Clinic and St Vincent’s Hospital, University of Melbourne, Richmond, VIC, Australia; 8College of Pharmacy, University of the Philippines Manila, Manila, Philippines; 9Department of Cardiology, Vascular Medicine, National Cardiovascular Centre - Harapan Kita Hospital, Universitas Indonesia, Jakarta, Indonesia; 10University of the Philippines Open University, Laguna, Philippines; 11Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand; 12Roger Kidney Clinic, Gleneagles Hospital, Singapore; 13Indonesia Psychiatrist Association, Jakarta, Indonesia; 14Department of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia; 15Research, Development and Medical, Pfizer Upjohn, Manila, Philippines; 16Research, Development and Medical, Pfizer Upjohn, Singapore; 17Corporate Affairs, Pfizer Upjohn, SingaporeCorrespondence: Nina T Castillo-Carandang Tel +632-8-5254098Email ntcastillocarandang@up.edu.phIntroduction: Noncommunicable diseases (NCDs) are the leading cause of morbidity and mortality in the Association of Southeast Asian Nations (ASEAN) member states. Progress has been slow despite the World Health Organization action plan for the prevention and control of NCDs in the region. This paper presents recommendations focused on practical strategies for optimizing NCD management in the ASEAN region.Methods: A multidisciplinary group of experts from six ASEAN member states convened for two face-to-face meetings to discuss barriers and possible recommendations for optimizing NCD management, focused on cardiovascular diseases and mental disorders, in the region. Multiple approaches, ie, analysis of insights from the meetings and a review of existing literature on NCD programs in the ASEAN region were followed. The proposed recommendations were also based on selected successful interventions in ASEAN member states, thus providing actionable strategies.Results: The gaps identified in NCD management for cardiovascular diseases and mental disorders in the ASEAN region were classified into gaps relating to policies and to clinical and public health practice. The proposed solutions addressing policy gaps include fostering multisectoral public–private partnerships, employing “whole-of-government” and “whole-of-society” approaches and promoting “health-in-all policies approach” to manage issues with financing, accessibility, efficiency and quality of health services. Whereas proposed solutions to bridge clinical and public health practice gaps entail strengthening primary care services, building the capacity of trained healthcare workers and employing collaborative care for holistic management of patients.Conclusion: The scale of premature and preventable deaths from NCDs in the ASEAN region remains a serious public health concern and requires a “whole-of-system approach”. The interventions proposed in this paper build on regional collaborations and knowledge sharing to help develop a concerted and targeted response to NCDs.Keywords: cardiovascular disease, mental health, prevention strategies, public health

وصف الملف: electronic resource

العلاقة: https://www.dovepress.com/moving-towards-optimized-noncommunicable-disease-management-in-the-ase-peer-reviewed-article-RMHPTest; https://doaj.org/toc/1179-1594Test

الوصول الحر: https://doaj.org/article/abcb33cb43d343d19b1cb297eaf1f05bTest

المؤلفون: Davanzo R, Agosti M, Cetin I, Chiantera A, Corsello G, Ramenghi LA, Staiano A, Tavio M, Villani A, Viora E, Mosca F

المساهمون: Davanzo, R, Agosti, M, Cetin, I, Chiantera, A, Corsello, G, Ramenghi, L, Staiano, A, Tavio, M, Villani, A, Viora, E, Mosca, F

مصطلحات موضوعية: Settore MED/38 - PEDIATRIA GENERALE E SPECIALISTICA

العلاقة: info:eu-repo/semantics/altIdentifier/pmid/33639998; info:eu-repo/semantics/altIdentifier/wos/WOS:000624597100002; volume:47; issue:1; firstpage:1; lastpage:4; numberofpages:4; journal:THE ITALIAN JOURNAL OF PEDIATRICS; https://hdl.handle.net/2108/317223Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85101929238

الإتاحة: https://doi.org/10.1186/s13052-021-00998-6Test
https://hdl.handle.net/2108/317223Test

المؤلفون: Lucidi, A, Fratelli, N, Maggi, C, Cavalli, C, Sciarrone, A, Buca, D, Garofalo, A, Viora, E, Vergani, P, Ornaghi, S, Betti, M, Vaglio Tessitore, I, Cavaliere, A F, Buongiorno, S, Vidiri, A, Fabbri, E, Ferrazzi, E, Maggi, V, Cetin, I, Frusca, T, Ghi, T, Kaihura, C, Di Pasquo, E, Stampalija, T, Belcaro, C, Quadrifoglio, M, Veneziano, M, Mecacci, F, Simeone, S, Locatelli, A, Consonni, S, Chianchiano, N, Labate, F, Calcagno, G, Cromi, A, Bertucci, E, Facchinetti, F, Giuliani, G A, Fichera, A, Granata, D, Foti, F, Avagliano, L, Bulfamante, G P, Khalil, A, Flacco, M E, Manzoli, L, Prefumo, F, Calì, G, D'Antonio, F

المساهمون: Lucidi, A, Fratelli, N, Maggi, C, Cavalli, C, Sciarrone, A, Buca, D, Garofalo, A, Viora, E, Vergani, P, Ornaghi, S, Betti, M, Vaglio Tessitore, I, Cavaliere, A F, Buongiorno, S, Vidiri, A, Fabbri, E, Ferrazzi, E, Maggi, V, Cetin, I, Frusca, T, Ghi, T, Kaihura, C, Di Pasquo, E, Stampalija, T, Belcaro, C, Quadrifoglio, M, Veneziano, M, Mecacci, F, Simeone, S, Locatelli, A, Consonni, S, Chianchiano, N, Labate, F, Calcagno, G, Cromi, A, Bertucci, E, Facchinetti, F, Giuliani, G A, Fichera, A, Granata, D, Foti, F, Avagliano, L, Bulfamante, G P, Khalil, A, Flacco, M E, Manzoli, L, Prefumo, F, Calì, G, D'Antonio, F

مصطلحات موضوعية: PAS disorder, emergency delivery, placenta accreta, placenta previa

الوصف: Objectives: To report the rate and the outcomes of unplanned caesarean delivery (CD) delivery in women with placenta accreta spectrum disorders (PAS) and placenta previa without PAS, and to elucidate the diagnostic accuracy of ultrasound in predicting this outcome. Methods: Secondary analysis of a multicenter prospective study involving 14 referral hospital in Italy (ADoPAD Study). Inclusion criteria were women with a low-lying placenta (< 20 mm from the internal cervical os) or placenta previa (covering the os), aged ≥ 18 years, who underwent trans-abdominal and transvaginal ultrasound assessment at ≥ 26 + 0 weeks of gestation. The primary outcome was the occurrence of emergency CD, defined as the need of immediate surgical intervention performed for emergency maternal or fetal indications, including active labour, cumulative maternal bleeding >500 ml, severe and persistent vaginal bleeding such that maternal hemodynamic stability cannot be achieved or maintained or category III fetal heart rate tracing unresponsive to resuscitative measures in women with PAS and in those with placenta previa with no PAS. The primary outcome was reported in the population of women with placenta previa and with no PAS confirmed after birth and in those with PAS separately. The secondary aim was to report the strength of association and to test the diagnostic accuracy of ultrasound in predicting emergency delivery. Univariate, multivariate, and diagnostic accuracy analyses were used to analyse the data. Results: 450 women (97 with PAS and 353 with placenta previa but not PAS) were included in the analysis. In women with PAS disorders, emergency CD was required in 21% (95% CI 14-30%) and 60% women delivered before 34 weeks of gestation. Mean gestational age at delivery was 32.3±2.7 weeks in women undergoing emergency and 34.9±1.8 weeks (p<0.001) in those undergoing elective CD. Women undergoing emergency CD had a higher median estimated blood loss (2500 ml, IQR 1350-4500 vs 1100 ml, IQR 625-2500, p=0.012) and mean units ...

العلاقة: info:eu-repo/semantics/altIdentifier/pmid/37698306; firstpage:243; lastpage:250; journal:ULTRASOUND IN OBSTETRICS & GYNECOLOGY; https://hdl.handle.net/11380/1335686Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85181198058

الإتاحة: https://doi.org/10.1002/uog.27465Test
https://hdl.handle.net/11380/1335686Test

المؤلفون: Zola, P, Cotrino, I, Baima Poma, C, Viora, E, Ribotta, M, Borella, F, Macchi, C, Potenza, E, Laudani, ME

المصدر: E-Poster viewings

الإتاحة: https://doi.org/10.1136/ijgc-2019-igcs.428Test

المؤلفون: Giacchello, R., Puppo, A., Zavattero, C., Parisi, S., Carus, A.P., Viora, E.

المصدر: Australasian Journal of Ultrasound in Medicine ; volume 22, issue 2, page 147-149 ; ISSN 1836-6864 2205-0140

الإتاحة: https://doi.org/10.1002/ajum.12152Test