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23. In Reply

Author

Bellussi, Federica, Livi, Alessandra, Poʼ, Gaia, Saccone, Gabriele, De Vivo, Valentino, Oliver, Emily A., and Berghella, Vincenzo

Published
2020
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28. Sonographic knowledge of occiput position to decrease failed operative vaginal delivery: a systematic review and meta-analysis of randomized controlled trials

Author

Bellussi, Federica, primary, Di Mascio, Daniele, additional, Salsi, Ginevra, additional, Ghi, Tullio, additional, Dall’Asta, Andrea, additional, Zullo, Fabrizio, additional, Pilu, Gianluigi, additional, Barros, Joana G., additional, Ayres-de-Campos, Diogo, additional, and Berghella, Vincenzo, additional

Published
2022
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29. Intrapartum ultrasound measurement of angle of progression at the onset of the second stage of labor for prediction of spontaneous vaginal delivery in term singleton pregnancies: a systematic review and meta-analysis

Author

Nassr, Ahmed A., primary, Berghella, Vincenzo, additional, Hessami, Kamran, additional, Bibbo, Carolina, additional, Bellussi, Federica, additional, Robinson, Julian N., additional, Marsoosi, Vajiheh, additional, Tabrizi, Reza, additional, Safari-Faramani, Roya, additional, Tolcher, Mary Catherine, additional, Shamshirsaz, Amir A., additional, Clark, Steven L., additional, Belfort, Michael A., additional, and Shamshirsaz, Alireza A., additional

Published
2022
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35. Clinical Validation of the INTERGROWTH-21st Standards of Fetal Abdominal Circumference for the Prediction of Small-for-Gestational-Age Neonates in Italy

Author

Bellussi, Federica, Cataneo, Ilaria, Visentin, Silvia, Simonazzi, Giuliana, Lenzi, Jacopo, Fantini, Maria Pia, Mimmi, Stefano, Cosmi, Erich, Pilu, Gianluigi, Bellussi, Federica, Cataneo, Ilaria, Visentin, Silvia, Simonazzi, Giuliana, Lenzi, Jacopo, Fantini, MARIA PIA, Mimmi, Stefano, Cosmi, Erich, and Pilu, Gianluigi

Subjects
Abdominal circumference, Fetal growth restriction, INTERGROWTH-21st, Small for gestational age, Pediatrics, Perinatology and Child Health, Embryology, Radiology, Nuclear Medicine and Imaging, Obstetrics and Gynecology, medicine.medical_specialty, Gestational Age, Pediatrics, Ultrasonography, Prenatal, Fetal Development, 03 medical and health sciences, 0302 clinical medicine, Obstetrics and gynaecology, Nuclear Medicine and Imaging, Abdomen, medicine, Humans, Intergrowth 21st, Radiology, Nuclear Medicine and imaging, 030212 general & internal medicine, Gynecology, Fetus, 030219 obstetrics & reproductive medicine, business.industry, Obstetrics, Ultrasound, General Medicine, Perinatology and Child Health, medicine.disease, Italy, Infant, Small for Gestational Age, Radiology, business
Abstract

Objectives: To compare the accuracy of the INTERGROWTH-21st (IG-21) with the Italian Society of Ultrasound in Obstetrics and Gynecology (SIEOG) abdominal circumference (AC) standards in the detection of small-for-gestational-age (SGA) fetuses in a high-risk population. Material and Methods: Our study included all pregnant patients with an increased risk of placental insufficiency that were seen in two Italian university hospitals between 2014 and 2015. The accuracy of IG-21 and SIEOG AC standards in the detection of SGA neonates was analyzed by means of the area under the receiver operating characteristic curve (ROC-AUC) at 4 gestational age intervals (24-27, 28-31, 32-35, >35 weeks). Results: We enrolled 428 patients (278 Italians). There was no significant difference between the ROC-AUC of AC according to IG-21 and SIEOG standards for all birthweight thresholds and gestational intervals that were considered. The diagnostic performance was similar in Italian and non-Italian patients. The accuracy was, however, limited, with values of ROC-AUC ranging between 0.80 and 0.89. Conclusions: The IG-21 and SIEOG AC standards are interchangeable for the diagnosis of SGA fetuses. The diagnostic accuracy is, however, limited. We provide figures that can be used to stratify the probability that an infant will be SGA in an obstetric population at increased risk of growth restriction.

Published
2017

36. Reply

Author

Boelig, Rupsa C., Bellussi, Federica, and Berghella, Vincenzo

Published
2020
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37. Reply

Author

Berghella, Vincenzo, Al-Hafez, Leen, and Bellussi, Federica

Published
2020
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42. Obstetrics and Gynecology Emergency Services during COVID-19 pandemic

Author

SALSI, Ginevra, SEIDENARI, Anna, DIGLIO, Josefina, BELLUSSI, Federica, and PILU, Gianluigi

Subjects
Adult, Emergency Medical Services, SARS-CoV-2, coronavirus, COVID-19, Article, Organizational Innovation, Obstetrics, Italy, Gynecology, Pregnancy, Communicable Disease Control, OB-GYN emergency department, Disease Transmission, Infectious, Humans, Female, Emergencies, Triage, emergency services
Published
2020

43. Validation of the Intergrowth-21 curves for the diagnosis of fetal growth restriction in a high-risk population

Author

Bellussi, Federica

Subjects
MED/40 Ginecologia e ostetricia
Abstract

Obiettivi: confrontare l’accuratezza di diversi parametri nella predizione dei nati piccoli per l’epoca gestazionale (SGA). Materiali e metodi: Studio retrospettivo su pazienti a rischio che afferivano agli Ambulatori degli Ospedali di Bologna e Padova tra il 2013 e il 2015. Abbiamo considerato i nati con peso, Objectives: to compare the accuracy of various parameters in the prediction of small for gestational age (SGA) newborns. Material and Methods: We included all patients with a singleton pregnancy who were seen in the University Hospital of Bologna and Padua from 2013 to 2015. In the first study we compared the curves of the fetal abdominal circumference (AC) according to Intergrowth-21 (IG-21) and according to SIEOG. The accuracy of IG-21 and SIEOG AC standards in the detection of SGA neonates was analyzed by ROC-AUC. In the second study we compared the IG-21 AC curves, estimated fetal weight (EFW) according to IG-21 neonatal standards, EFW according to Hadlock and IG-21 prenatal standard. We retrieved EFW according to neonatal IG-21 standards EFW according to prenatal Hadlock and IG-21 standards. The accuracy of these parameters was assessed by the comparison of their ROC-AUC. Results: I study: 428 patients. 19%, 9.3% and 6.2% of neonates were

Published
2020

44. Validazione delle curve Intergrowth-21 per la diagnosi di restrizione di crescita fetale in una popolazione a rischio

Author

Pilu, Gianluigi, Bellussi, Federica <1983>, Pilu, Gianluigi, and Bellussi, Federica <1983>

Abstract

Obiettivi: confrontare l’accuratezza di diversi parametri nella predizione dei nati piccoli per l’epoca gestazionale (SGA). Materiali e metodi: Studio retrospettivo su pazienti a rischio che afferivano agli Ambulatori degli Ospedali di Bologna e Padova tra il 2013 e il 2015. Abbiamo considerato i nati con peso <10’, 5’ e 3’ percentile. Nel primo studio sono state confrontate le curve della circonferenza addominale (CA) secondo Intergrowth-21 (IG-21) e secondo SIEOG. Nel secondo studio sono stati confrontati: CA secondo IG-21, peso fetale stimato (PFS) secondo gli standard neonatali IG-21, PFS secondo gli standard prenatali IG-21 e Hadlock. Gli z-scores della CA secondo IG-21 e secondo SIEOG sono stati confrontati per il primo studio. Per il secondo studio sono stati ricavati: PFS secondo la formula IG-21 ed interpretato secondo gli standard neonatali IG-21 e PFS secondo la formula Hadlock e interpretato secondo gli standard prenatali Hadlock e IG-21. L’accuratezza dei diversi parametri è stata valutata confrontando le ROC-AUC. Risultati: I studio: 428 pazienti. Il 19%, 9.3% e 6.2% dei nati aveva un peso rispettivamente <10’, 5’ e 3’ percentile. Le ROC-AUC della CA IG-21 e SIEOG sono risultate comparabili. II studio: 406 pazienti. Il 22.9% e l’8.9% dei nati era rispettivamente < al 10’e al 3’ percentile. Gli standard prenatali CA e PFS di IG-21 e di Hadlock hanno avuto una performance simile e significativamente migliore degli standard post-natali. Gli standard prenatali del PFS secondo IG-21 si sono dimostrate migliori nell’identificazione di nati <10 e <3’ percentile per l’epoca rispetto alle curve post-natali e alla CA. Conclusioni: Gli standard SIEOG e IG-21 della CA sono comparabili nella predizione degli SGA ed è preferibile il PFS alla sola CA. E’ preferibile utilizzare gli standard prenatali (Hadlock o IG-21) piuttosto che fare riferimento a standard postnatali IG-21., Objectives: to compare the accuracy of various parameters in the prediction of small for gestational age (SGA) newborns. Material and Methods: We included all patients with a singleton pregnancy who were seen in the University Hospital of Bologna and Padua from 2013 to 2015. In the first study we compared the curves of the fetal abdominal circumference (AC) according to Intergrowth-21 (IG-21) and according to SIEOG. The accuracy of IG-21 and SIEOG AC standards in the detection of SGA neonates was analyzed by ROC-AUC. In the second study we compared the IG-21 AC curves, estimated fetal weight (EFW) according to IG-21 neonatal standards, EFW according to Hadlock and IG-21 prenatal standard. We retrieved EFW according to neonatal IG-21 standards EFW according to prenatal Hadlock and IG-21 standards. The accuracy of these parameters was assessed by the comparison of their ROC-AUC. Results: I study: 428 patients. 19%, 9.3% and 6.2% of neonates were <10’, 5’ and 3’ percentile for GA. AC z-scores ROC curves according to IG-21 and SIEOG performed similarly. II study: 406 patients. 22.9% and 8.9% of neonates were <10’ and 3’ percentile for GA. Prenatal IG-21 and Hadlock standard of AC and EFW performed similarly and significantly better than post-natal standards. Prenatal EFW IG-21 curves were more accurate than postnatal curves and AC. Conclusions: SIEOG and IG-21 AC curves are both accurate in the prediction of SGA neonates. EFW performed better then AC measurement and prenatal standards performed better then IG-21 postnatal standard in the identification of SGA neonates.

Published
2020

47. Delayed versus immediate pushing in the second stage of labor in women with neuraxial analgesia: a systematic review and meta-analysis of randomized controlled trials

Author

Di Mascio, Daniele, primary, Saccone, Gabriele, additional, Bellussi, Federica, additional, Al-Kouatly, Huda B., additional, Brunelli, Roberto, additional, Benedetti Panici, Pierluigi, additional, Liberati, Marco, additional, D’Antonio, Francesco, additional, and Berghella, Vincenzo, additional

Published
2020
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