Don’t schedule routine repeated cesarean section (CS) in all the pregnant women with a previous cesarean section.
The general rule “once a cesarean always cesarean” is not based on scientific evidence. Scientific societies suggest the admission to labour for pregnant women with a history of a previous CS if there are not contraindications and in the setting where emergency CS is...
Don’t proceed to induction of labour before 39 weeks of gestation if appropriate maternal or fetal indications are lacking.
Induction of labour implies the medicalization of a physiological event and can cause some adverse effects as prolonged latent phase of labour and increased blood loss. Therefore induction is indicated only when the pregnancy continuation may involve a real danger to...
Don’t perform routine episiotomy apart from when there are clear clinical indications.
Episiotomy was performed to avoid genital prolapse, urinary incontinence and perineal trauma. However recent studies have demonstrated that routine episiotomy involves several side effects like unpredictable extension of the surgical incision towards anus and rectum,...
Don’t proceed to the early clamping (before 1 minute after birth) of the umbilical cord.
Delayed cord clamping (2-3 minutes after birth) allows the blood passage from the placenta to the fetus to prevent anemia and to reinforce the iron stocks of the newborn, it also reduces the risk of necrotizing colitis. The delayed clamping is advantageous also for...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
Recent Comments