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Don’t replace regularly the mechanical ventilator circuits to reduce the risk of VAP (Ventilator Associated Pneumonia)

Don’t replace regularly the mechanical ventilator circuits to reduce the risk of VAP (Ventilator Associated Pneumonia)

by cristiano | Oct 17, 2018

Routine replacement of the mechanical ventilator circuits is not recommended. These should only be replaced if they are visibly dirty (with plenty of moisture and / or secretions). VAPs produce increased morbidity and mortality and rise the costs for hospitalized...
Don’t schedule elective, non medically indicated inductions of labour or Cesarean deliveries before 39 weeks 0 days gestational age.

Don’t schedule elective, non medically indicated inductions of labour or Cesarean deliveries before 39 weeks 0 days gestational age.

by cristiano | Oct 17, 2018

Delivery prior to 39 weeks 0 days has been shown to be associated with an increased risk of learning disabilities and a potential increase in morbidity and mortality. There are clear medical indications for delivery prior to 39 weeks 0 days based on maternal and/or...
Don’t schedule elective, non medically indicated inductions of labour or Cesarean deliveries before 39 weeks 0 days gestational age.

Don’t require a pelvic exam or other physical exam to prescribe oral contraceptive medications.

by cristiano | Oct 17, 2018

Hormonal contraceptives are safe, effective and well-tolerated for most women. Data do not support the necessity of performing a pelvic or breast examination to prescribe oral contraceptive medications. Hormonal contraception can be safely provided on the basis of...
Don’t schedule elective, non medically indicated inductions of labour or Cesarean deliveries before 39 weeks 0 days gestational age.

Don’t routinely require general blood tests, general coagulation tests or tests for trombophylia to prescribe hormonal contraceptive medications.

by cristiano | Oct 17, 2018

When prescribing hormonal contraceptive medications and tests it is reccomended to get an accurate personal and family history, measure blood pressure. It is recommended to offer a choice between different contraceptive metods and a good quality counselling, that...
Don’t schedule elective, non medically indicated inductions of labour or Cesarean deliveries before 39 weeks 0 days gestational age.

Don’t use continous cardiotocography (CTG) during labour of women at low risk for hypoxia.

by cristiano | Oct 17, 2018

Continous cardiotocography (CTG) during labour is commonly used in Italy; intermittent auscultation should be used instead unless risk factors for fetal hypoxia are identified. According to evidence its routine use could expose women to harmful effects, for example a...
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