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“It’s a breech, and what now?”: A decision-aid tool to help clinicians counsel ...

Pinto, Luisa; Ayres-de-Campos, Diogo; Barbosa, Miguel

Objective: Management options for breech presentation near term include vaginal breech delivery, cesarean delivery, and external cephalic version. Shared decision-making in this context involves conveying detailed information about each procedure, including success rates, potential discomforts, risks, recovery periods, and necessary follow-up. The complexity of this information can make discussions challenging....


Contraceptive Counseling: Construction and Validation of Instrument—“5C Contrac...

Palma, Sara; Ayres-de-Campos, Diogo; Antunes, Mónica; São-João, Ricardo; Presado, Maria Helena

Introduction: Contraceptive illiteracy leads to non-adherence, discontinuation, and dissatisfaction with the method. Person-centered contraceptive counseling is based on quality care on a communicative basis that promotes shared decision-making, leading to a choice adapted to the woman’s needs, lifestyle, and health condition. We intend to build and validate an instrument that serves as a guide for quality cont...


Contraceptive counseling: construction and validation of instrument—“5C contrac...

Palma, Sara; Ayres-de-Campos, Diogo; Antunes, Mónica; São-João, Ricardo; Presado, Maria Helena

Introduction: Contraceptive illiteracy leads to non-adherence, discontinuation, and dissatisfaction with the method. Person-centered contraceptive counseling is based on quality care on a communicative basis that promotes shared decision-making, leading to a choice adapted to the woman’s needs, lifestyle, and health condition. We intend to build and validate an instrument that serves as a guide for quality cont...


European guidelines on perinatal care: corticosteroids for women at risk of pre...

Daskalakis, George; Pergialiotis, Vasilios; Domellöf, Magnus; Ehrhardt, Harald; Di Renzo, Gian Carlo; Koç, Esin; Malamitsi-Puchner, Ariadne

Summary of recommendations Corticosteroids should be administered to women at a gestational age between 24+0 and 33+6 weeks, when preterm birth is anticipated in the next seven days, as these have been consistently shown to reduce neonatal mortality and morbidity. (Strong-quality evidence; strong recommendation). In selected cases, extension of this period up to 34+6 weeks may be considered (Expert opinion). Op...


European guidelines on perinatal care: corticosteroids for women at risk of pre...

Daskalakis, George; Pergialiotis, Vasilios; Domellöf, Magnus; Ehrhardt, Harald; Di Renzo, Gian Carlo; Koç, Esin; Malamitsi-Puchner, Ariadne

Summary of recommendations Corticosteroids should be administered to women at a gestational age between 24+0 and 33+6 weeks, when preterm birth is anticipated in the next seven days, as these have been consistently shown to reduce neonatal mortality and morbidity. (Strong-quality evidence; strong recommendation). In selected cases, extension of this period up to 34+6 weeks may be considered (Expert opinion). Op...


Provision of antenatal care in Europe-A scientific study commissioned by Europe...

Topcu, Goknur; Savona-Ventura, Charles; Ayres-de-Campos, Diogo; Mukhopadhyay, Sam; Messinis, Ioannis; Mahmood, Tahir; Cassar, Olive Anne

Differences in the way health care delivery across countries may have important impacts on health outcomes and can result in inequalities. A questionnaire survey of members of national societies through EBCOG and EAPM was carried out in 2021. A total of 53 responses were received from 26 countries. Most countries reported that routine antenatal care is primarily delivered by medical staff, involving obstetric s...


Placenta Accreta Overlying a Caesarean Section Scar: A 10-Year Experience in a ...

Cal, Margarida; Nunes, Carla; Clode, Nuno; Ayres-de-Campos, Diogo

Introduction: Placenta accreta spectrum disorders are among the leading causes of maternal morbidity and mortality and their prevalence is likely to increase in the future. The risk of placenta accreta spectrum disorders is highest in cases of placenta previa overlying a previous cesarean section scar. Few studies have evaluated placenta accreta spectrum disorders in Portugal. The aim of this study was to revie...

Data: 2021   |   Origem: Acta Médica Portuguesa

Validação e adaptação transcultural da quality of contraceptive counseling scal...

Palma, Sara; Presado, Helena; Ayres-de-Campos, Diogo

Introdução: O aconselhamento contracetivo prestado às mulheres, promove a tomada de decisão e adesão a um contracetivo. Para se poder avaliar a qualidade do aconselhamento realizado é necessário recorrer a instrumentos próprios para esse fim. Objetivo: Validar e adaptar culturalmente as qualidades psicométricas da Contraceptive Counseling Scale de 22 Itens. Metodologia: Estudo quantitativo, com 172 mulheres que...

Data: 2021   |   Origem: Millenium

Transabdominal and transperineal ultrasound vs routine care before instrumental...

Barros, Joana; Afonso, Maria; Martins, Ana T.; Carita, Ana I.; Clode, Nuno; Ayres-de-Campos, Diogo; Graça, Luís M.

Introduction: The role of intrapartum ultrasound as an ancillary method to instrumental vaginal delivery is yet to be determined. This study aimed to compare the use of transabdominal and transperineal ultrasound with routine clinical care before performing an instrumental vaginal delivery, regarding the incidence of adverse maternal and neonatal outcomes. Material and methods: A randomized controlled trial was...


FIGO (International Federation of Gynecology and Obstetrics) initiative on feta...

Melamed, Nir; Baschat, Ahmet; Yinon, Yoav; Athanasiadis, Apostolos; Mecacci, Federico; Figueras, Francesc; Berghella, Vincenzo; Nazareth, Amala

Fetal growth restriction (FGR) is defined as the failure of the fetus to meet its growth potential due to a pathological factor, most commonly placental dysfunction. Worldwide, FGR is a leading cause of stillbirth, neonatal mortality, and short- and long-term morbidity. Ongoing advances in clinical care, especially in definitions, diagnosis, and management of FGR, require efforts to effectively translate these ...


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