Taglio cesareo: una scelta appropriata e consapevole - SNLG-ISS

Taglio cesareo: una scelta appropriata e consapevoleRaccomandazioniIBIn caso di gravidanza a termine con feto singolo in presentazione podalica è opportuno offrire untaglio cesareo programmato perché l’intervento diminuisce la mortalità perinatale/neonatale e lamorbosità neonatale grave rispetto al parto vaginale. In caso di taglio cesareo programmato, questonon deve essere effettuato prima delle 39 +0 settimane di età gestazionale.Bibliografia1. New Zealand Guidelines Group. Care of women with breechpresentation or previous caesarean birth. Evidence-basedbest practice guideline, 2004.2. Ministero della salute, Dipartimento della qualità, Direzionegenerale del sistema informativo, Ufficio di direzione statistica.Certificato di assistenza al parto (CeDAP). Analisidell’evento nascita (anno 2008). Ministero della salute, Roma,2011.3. Herbst A, Kallen K. Influence of mode of delivery on neonatalmortality and morbidity in spontaneous preterm breechdelivery. Eur J Obstet Ginecol Reprod Biol 2007;133:25-9.4. Hannah ME, Hannah WJ et al. Planned caesarean sectionversus planned vaginal birth for breech presentation at term:a randomized multicentre trial. Lancet 2000;356:1375-83.5. Hofmeyr GJ, Hannah ME. Planned caesarean section forterm breech delivery. Cochrane Library 2008;4.6. Swedish Collaborative Breech Study Group. Term breechdelivery in Sweden: mortality relative to fetal presentationand planned mode of delivery. Acta Obstet Gynecol Scand2005;84:593-601.BOZZA7. Mailàth-Pokorny M, Preyer O et al. Breech presentation: aretrospective analysis of 12-years’ experience at a singlecentre. Wien Klin Wochenschr (The Middle European Journalof Medicine) 2009;121:209-15.8. Pasupathy D, Wood AM et al. Time trend in the risk ofdelivery-related perinatal and neonatal death associatedwith breech presentation at term. Int J Epidemiol2009;38:490-8.9. Hellsten C, Lindqvist PG, Olofsson P. Vaginal breech delivery:is it still an option?. Eur J Obstet Ginecol Reprod Biol2003;111:122-8.10. Goffinet F, Carayol M et al. Is planned vaginal delivery forbreech presentation at term still an option? Results of anobservational prospective survey in France and Belgium. AmJ Obstet Gynecol 2006;194:1002-11.11. Hopkins LM, Esakoff T et al. Outcomes associated with caesareansection versus vaginal breech delivery at a universityhospital. J Perinatol 2007;27:141-6.12. Vendittelli F, Pons JC et al. The term breech presentation:neonatal results and obstetric practices in France. Eur J ObstetGinecol Reprod Biol 2006;125:176-84.Presentazione podalica33