Complicanze ostetriche

PRESENTAZIONEÈ un grande piacere per me presentare le Linee-guida SIGO sulla gravidanze ad alto rischio pubblicate a dicembre 2025.Sono il frutto di un lungo lavoro che ha coinvolto un gran numero di professionisti di diverse discipline ed associazioni di persone.È la prima volta che in Italia sono state redatte linee-guida su questa tematica, complessa e sempre più attuale. È vero che i parti diminuiscono, ma è altrettanto vero che l'età materna al primo parto aumenta, che le gravidanze in donne oltre i 40 anni sono più frequenti e che la percentuale di gravidanze ad alto rischio sta diventando una realtà che sempre più spesso dobbiamo affrontare nella nostrapratica clinica.La diade donna-feto è un unicum nella medicina: l'ostetricia è l'unica parte della medicina in cui ci si deve prendere cura di due persone in contemporanea ed ha delle caratteristiche che la rendono unica, affascinante ma anche con possibilità di imprevisti, talora imprevedibili.Donna e neonato in salute sono l'obiettivo a cui tutti tendiamo, ma non dobbiamo dimenticare che la salute delle generazioni future inizia già nella vita intra-uterina, anzi prima del concepimento.Il ruolo dei professionisti della medicina materno-fetale è essenziale non solo nella fase preconcezio-nale e nel percorso gravidanza-parto, ma per quanto ciò che avviene in questi fasi andrà ad essere un determinante di salute per il futuro.Come ben sappiamo, la medicina è in continua evoluzione e quindi l'aggiornamento e la lettura critica dei lavori pubblicati sono strumenti essenziali nella stesura di linee-guida e la loro periodica revisione ne è una caratteristica intrinseca.Grazie di cuore a Tullio che ha saputo con impegno e passione coordinare il gruppo di lavoro e portare a termine questo impegno gravoso e non sempre facile, grazie a tutti i componenti che hanno dato il loro contributo ad un documento che potrà essere di aiuto nella attività clinica per continuare a migliorare la qualità dell'assistenza alle donne ed ai feti/neonati.Spero che queste linee-guida possano davvero rappresentare un mattone utile nel costruire una ostetricia sempre più attenta ai bisogni di tutti: medici, ostetriche, personale sanitario, donne e coppie.Solo tutti insieme, seppure da punti di vista diversi, possiamo migliorare la qualità dell'assistenza!Elsa VioraPresidente Sigo

Se esiste un territorio della Ginecologia ed Ostetricia dove la conoscenza è un continuo divenire, quello è il territorio della Patologia Materno Fetale.Evidenze Scientifiche e Linee Guida si aggiornano quasi annualmente alla luce di nuove acquisizioni. Da qui la necessità di un Manuale.Non un trattato, non un compendio: un Manuale.Di facile handling e di immediata consultazione, un quotidiano riferimento per chi frequenta reparti ed ambulatori di Medicina Materno Fetale e per chi necessita di avere a portata di mano le più aggiornate indicazioni circa il work up diagnostico e terapeutico in questo campo.Abbiamo inoltre introdotto una sezione riguardante i più recenti presìdi ostetrici e un recap sulle manovre ostetriche necessarie in caso di emergenza.Abbiamo voluto mantenere uno stile facile, amichevole, per agevolarne la consultazione. Crediamo che questo Manuale sarà un utile compagno di lavoro sia per i più giovani, specializzandi e specialisti, sia per i colleghi già esperti che potranno aggiornare rapidamente le proprie conoscenze.L’arte di imparare è un’arte senza fine. Stephen Hawking diceva: “il più grande nemico della conoscenza non è l’ignoranza, è l’illusione della conoscenza”.Questo Manuale non vuole e non può colmare tutta la conoscenza, ma, nelle nostre intenzioni, vuole fornire tutti gli aggiornamenti in questo campo affascinante, ma al contempo complesso: la Patologia Materno Fetale.

Critical Care Obstetrics Improve medical outcomes for both mothers and children with this essential guide For the first time in decades, maternal mortality rates are climbing in the United States. Factors including lack of access to prenatal care, un- or underinsured populations, rising rates of cardiovascular disease, and more combine to make pregnancy and childbirth more dangerous prospects. In this environment, the study of critical care obstetrics has never been more essential. Critical Care Obstetrics, Seventh Edition a fully updated guide to the medical management of serious conditions in pregnancy and childbirth. Beginning with basic principles, it surveys the potential serious complications occurring in pregnancy and delivery and the techniques and procedures for maximizing patient outcomes for both pregnant people and fetuses. This clear, accessible text promises to continue the essential work of earlier editions. Readers of the seventh edition of Critical Care Obstetrics will also find: Detailed protocols for implementing life-saving treatments in emergencies New chapters on topics including ECMO, antibiotics, and pneumonia Authorship by internationally renowned experts in emergency obstetrics Critical Care Obstetrics is ideal for working clinical obstetricians and for trainees in obstetrics and gynecology.

Presentazione di Giuseppe Ettore

Put essential information at your fingertips - before you prescribe. The updated 11th edition of Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk lists more than 1,200 commonly prescribed drugs taken during pregnancy and lactation, with detailed monographs that provide the information you need on known or possible effects on the mother, embryo, fetus, and nursing infant. For the 11th edition, this bestselling reference has two new authors, both highly knowledgeable on the effects of drugs on the embryo-fetus and nursing infant: Craig V. Towers, a maternal-fetal medicine specialist, and Alicia B. Forinash, a clinical pharmacologist specialist in obstetrics. Key Features:More than 140 new drugs included in this edition.A-to-Z organization helps you find valuable information quickly.Each monograph covers: generic name (in US); risk factors; pharmacologic class; pregnancy and breastfeeding recommendations; pregnancy, fetal risk and breastfeeding summaries; as well as updated references.Quarterly updates , available online, keep you at the forefront of the field.Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac. Take advantage of these practical features that will improve your eBook experience:The ability to download the eBook on multiple devices at one time - providing a seamless reading experience online or offlinePowerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooksMultiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive designThe ability to highlight text and add notes with one click

Myles Textbook for Midwives is the world's best-selling midwifery textbook, now in its 16th edition, with sales to 75 countries and with a large and growing market for the International Edition in Asia. Retaining the clear, accessible writing style that so readily characterised the success of earlier editions, Myles Textbook for Midwives 16th edition continues to offer an exceptionally clear explanation of the relevant anatomy and physiology relating to pregnancy and childbirth as well as comprehensive coverage of the other associated topics which range from antenatal education for birth and parenting to the effective management of midwifery and obstetric emergencies. Prepared by editors of international renown, the 16th edition has been fully updated to include the latest guidance on professional regulation, midwifery supervision, legal and ethical issues, risk management and clinical governance. Completely new chapters - many written by authors from the multi-professional team - cover obesity, perineal trauma (including care of the woman who has undergone FGM), the neonatal physiological examination and neonatal life support. Now published for the first time in full colour, Myles Textbook for Midwives 16th edition also comes with Elsevier EVOLVE ancillaries - an exciting online learning package consisting of 500 self-assessment questions and answers and a fully downloadable image bank.

The spectrum of cardiovascular disease affecting women in pregnancy and postpartum is changing and differs between countries. In the western world, the risk of cardiovascular disease in pregnancy has increased due to the increasing age at the first pregnancy and the worldwide obesity epidemic leading also to early diabetes and hypertension. In addition the treatment of congenital heart disease has improved leading to an increased number of women with residual heart disease reaching childbearing age. In the western world maternal heart disease is now the major cause of maternal death during pregnancy. In the developing world rheumatic heart disease and the cardiomyopathies dominate. Those women often need anticoagulation as they might have had a valve replacement or formed a thrombus in the left heart. Drugs during pregnancy and the breastfeeding period is a complex subject and there is a profound shortage of evidence based recommendations. As drug treatment in pregnancy concern the mother and the fetus optimum treatment of both must be targeted. This book aims at discussing the most important indications of drug usage in pregnancy and postpartum with the aim of weighing the potential risk of a drug and the possible benefit against each other.

The only pocket manual derived from "Williams Obstetrics, 23e", the field's most trusted text - completely updated and now in full colour "Williams Manual of Pregnancy Complications, 23e" is a carry-anywhere, condensed guide to the Williams protocols for diagnosis and management of complications and illnesses during pregnancy. Reflecting the rigorously referenced, evidence-based approach of the parent text, the manual delivers essential information on: prenatal screening; mediation use in pregnancy; hypertension disorders in pregnancy; pain management dosages; procedures for complicated labor and delivery, hemoglobinopathies, and more! Thoroughly cross-referenced to "Williams Obstetrics, 23e" for the latest literature citations, this edition is enhanced by a new full-color presentation, more tables and algorithms, and an increased emphasis on diagnosis and treatment. There is no faster or more efficient way to access the key facts, diagnostic tools, and treatment guidelines found in "Williams Obstetrics, 23e" than this authoritative, streamlined sourcebook.

Newborn Surgery, Third Edition provides a comprehensive compendium of the pathophysiology, investigation and management of neonatal disorders. Areas covered include in this new edition include: * Preoperative assessment * Anesthesia * Postoperative management * Nutrition * Ethical considerations in newborn surgery * Head, neck, and chest surgery * Esophagus and gastrointestinal tract surgery * Liver and biliary tract surgery * Anterior abdominal wall defects * Tumors * Spina bifida and hydrocephalus * Genitourinary issues * Long-term outcomes in newborn surgery With its uniquely comprehensive coverage of neonatal surgical specialties, this book is the first stop for anyone looking to supplement their knowledge in this broad and increasingly disparate field, including pediatric surgeons, general surgeons with pediatric practice, neonatologists, pediatricians, and pediatric radiologists.

All cardiologists will be called on to assess and manage pregnant women, however the majority have had little or no training in the subject. In the same way, obstetricians assess women with cardiac conditions, and therefore require the knowledge to both refer patients with heart disease as well as to manage them through the pregnancy. However a recent enquiry into maternal deaths has highlighted that morbidity and mortality of women with heart disease in pregnancy has continued to increase over the last 15 years and substandard care has been identified in 40% of cases. Recommendations have been made that women with, or at risk of, heart disease are screened and counselled on the appropriate risks of undergoing a pregnancy, and as a result all physicians involved need a good understanding of the subject and access to the relevant information. A concise handbook written for cardiology and obstetric trainees and consultants, as well as specialist nurses and midwives, Heart Disease in Pregnancy provides a detailed introduction to the physiological changes of pregnancy and gives practical advice on the management of women with heart disease who are pregnant or who are considering pregnancy. It also provides the relevant obstetric knowledge and processes needed for a cardiologist to successfully manage a pregnant woman.

In this title, real patients, real cases teach you high-risk obstetrics. "This is an excellent handbook on high risk obstetrics. The ideal audience is medical students or residents in the field who like real life scenarios to accentuate their learning. It is best suited for those in a time crunch, and residents and students certainly qualify. 3 Stars". (Doody's Review Service). "Case Files: High-Risk Obstetrics" uses fifty clinical cases to illustrate evidence-based practice in high-risk obstetrics patients. Each case includes open-ended questions, extended discussion, Practice Pearls, a "Controversy" discussion, comprehension questions, and references to the most current literature with a brief critique of each article. This unique learning system teaches you to be a better clinician by learning in the context of real patients and reinforcing the latest evidence-based medicine. It features clear and easy-to-follow case-based format that helps residents and fellows develop clinical thinking skills. It is based on current journal articles and landmark studies, with an accompanying brief critique. "Practical Pearls" give evidence-based recommendations for patient management. "Controversy" feature discusses current controversies and different views related to each case. Multiple-choice comprehension questions accompany each case. This title also features original line drawings and clinical images. Its proven learning system improves exam scores.

Pregnancy affects the physiology of women as their bodies adapt to the growing life within them; but how does this affect how you manage general, or pre-existing medical complaints? How do you differentiate the effects of pregnancy from genuine medical conditions? What are the effects of the 'standard' treatments on the growing fetus? What about breastfeeding? In this brand-new edition of de Swiet's Medical Disorders in Clinical Practice , expert physicians present the best evidence and practical wisdom to guide you and your patients through their pregnancy and illness, to a successful birth and early motherhood. Using a combination of algorithms, years of experience and an evidence-based approach, this book will help you to: Diagnose difficult to identify conditions during pregnancy Effectively prescribe for pregnant and lactating women Overcome the challenges of imaging, anesthesia and critical care for pregnant women de Swiet's assists you in navigating the many challenges pregnancy presents for both the patient and physician.