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

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

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<strong>Taglio</strong> <strong>cesareo</strong>: <strong>una</strong> <strong>scelta</strong> <strong>appropriata</strong> e <strong>consapevole</strong>RaccomandazioniIIIDIIIBIIIBIl diabete pregestazionale e gestazionale non rappresenta di per sé un’indicazione al taglio <strong>cesareo</strong>.In caso di feto con peso stimato ≥4.500 g è raccomandato il taglio <strong>cesareo</strong> a partire da 38 +0 settimanedi gestazione.Il diabete pregestazionale e gestazionale non costituisce <strong>una</strong> controindicazione al parto vaginaledopo pregresso taglio <strong>cesareo</strong>.Bibliografia1. National Collaborating Centre for Women’s and Children’sHealth. Diabetes in pregnancy: management of diabetes andits complications from preconception to the postnatal period.RCOG Press, London, 2008.2. Nicholson WK. Therapeutic management, delivery, and postpartumrisk assessment and screening in gestational diabetes. Evidencereport/technology assessment, 162. Agency for HealthcareResearch and Quality, Rockville, 2008.3. Boulvain M, Stan CM, Irion O. Elective delivery in diabeticpregnant women. Cochrane Database Syst Rev2001;2:CD001997.4. Conway DL. Delivery of the macrosomic infants: caesarean sectionversus vaginal delivery. Semin Perinatol 2002;26(3):225-31.5. Chauhan SP, Grobman WA et al Suspicion and treatmentof the macrosomic fetus: a review. Am J Obstet Gynecol2005:193:332-46.6. Henriksen T. The macrosomic fetus: a challenge in current obstetrics.Acta Obstet Gynecol Scand 2008;87(2):134-45.7. Peticca P, Keely EJ et al Pregnancy outcomes in diabetes subtypes:how do they compare? A province-based study of Ontario,2005-2006. J Obstet Gynaecol 2009;31(6):487-96.8. Persson M, Norman M, Hanson U. Obstetric and perinatal outcomesin type 1 diabetic pregnancies. A large, population-basedstudy. Diabetes Care 2009;32(11):2005-9.9. Sistema nazionale per le linee guida. Gravidanza fisiologica. Lineaguida 20. <strong>SNLG</strong>-<strong>ISS</strong>, Roma, 2010.10. Associazione ostetrici ginecologi ospedalieri italiani. Linee guidasulla macrosomia gravidanza post-termine. Editeam, Ferrara,2007.11. American College of Obstetrician and Gynecologists. ACOGguidelines on fetal macrosomia. ACOG Practice Bullettin2000;22.12. Royal College of Obstetricians and Gynaecologists. Shoulderdistocia. RCOG Press, London, 2005.13. Scottish Intercollegiate Guidelines Network. Management of diabetes.SIGN, Edinburgh, 2010.14. Kjos SL, Henry OA et al. Insulin-requiring diabetes in pregnancy:a randomized trial of active induction of labor and expectantmanagement. Am J Obstet Gynecol 1993;169(3):611-5.15. Conway DL, Langer O. Elective delivery of infants with macrosomiain diabetic women: reduced shoulder dystocia versusincreased cesarean deliveries. Am J Obstet Gynecol1998;178(5):922-5.16. Lurie S, Matzkel A et al. Outcome of pregnancy in class A1 andA2 gestational diabetic patients delivered beyond 40 weeks’gestation. Am J Perinatol 1992; 9(5-6):484-8.17. Lurie S, Insler V, Hagay ZJ. Induction of labor at 38 to 39weeks of gestation reduces the incidence of shoulder dystociain gestational diabetic patients class A2. Am J Perinatol1996;13(5):293-6.18. Peled Y, Perri T et al. Gestational diabetes mellitus: implicationsof different treatment protocols. J Pediatr Endocrinol Metab2004;17(6):847-52.19. Holt VL, Mueller BA. Attempt and success rates for vaginal birthafter caesarean section in relation to complications of the previouspregnancy. Paediatr Perinat Epidemiol 1997;11(suppl1):63-72.20. Marchiano D, Elkousy M et al. Diet-controlled gestationaldiabetes mellitus does not influence the success rates forvaginal birth after cesarean delivery. Am J Obstet Gynecol2004;190(3):790-6.21. Coleman TL, Randall H et al. Vaginal birth after cesareanamong women with gestational diabetes. Am J Obstet Gynecol2001;184(6):1104-7.22. Keller JD, Lopez-Zeno JA et al. Shoulder dystocia and birth traumain gestational diabetes: a five-year experience. Am J ObstetGynecol 1991;165(4 pt 1):928-30.23. American College of Obstetrician and Gynecologists. Pregestationaldiabetes. ACOG Practice Bullettin 2005;60.24. American College of Obstetrician and Gynecologists. Gestationaldiabetes. ACOG Practice Bullettin 2001;30.25. American Diabetes Association. Gestational diabetes mellitus.Diabetes Care 2004;27(suppl): S88-90.BOZZA66 Macrosomia fetale nella gravida diabetica

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