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  1. Article ; Online: Intrapartum ultrasound and evidence-based medicine: a necessary but challenging marriage.

    Ghi, Tullio

    American journal of obstetrics & gynecology MFM

    2021  Volume 3, Issue 6S, Page(s) 100428

    MeSH term(s) Evidence-Based Medicine ; Female ; Humans ; Marriage ; Parturition ; Pregnancy ; Ultrasonography
    Language English
    Publishing date 2021-07-22
    Publishing country United States
    Document type Editorial ; Introductory Journal Article
    ISSN 2589-9333
    ISSN (online) 2589-9333
    DOI 10.1016/j.ajogmf.2021.100428
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  2. Article ; Online: Up to date management of labor.

    Ghi, Tullio

    Minerva obstetrics and gynecology

    2020  Volume 73, Issue 1, Page(s) 4–5

    MeSH term(s) Female ; Humans ; Labor, Obstetric ; Pregnancy ; Pregnancy, Prolonged
    Language English
    Publishing date 2020-12-04
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 3062815-5
    ISSN 2724-6450
    ISSN (online) 2724-6450
    DOI 10.23736/S2724-606X.20.04742-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Giant Uterus and Vaginal Bleeding at 18 Weeks Gestation due to Complete Hydatiform Molar Pregnancy Co-Existing With a Healthy Fetus.

    Dall'Asta, Andrea / Berretta, Roberto / Sverzellati, Nicola / Ghi, Tullio

    Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

    2024  , Page(s) 102344

    Language English
    Publishing date 2024-01-03
    Publishing country Netherlands
    Document type Editorial
    ZDB-ID 2171082-X
    ISSN 1701-2163
    ISSN 1701-2163
    DOI 10.1016/j.jogc.2023.102344
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  4. Article ; Online: Added value of intrapartum recording of the maternal heart rate as an adjunct to fetal monitoring using external ultrasound transducer: not only about artifacts.

    Dall'Asta, Andrea / Volpi, Lavinia / Morganelli, Giovanni / Ghi, Tullio

    American journal of obstetrics and gynecology

    2024  

    Language English
    Publishing date 2024-03-06
    Publishing country United States
    Document type Letter
    ZDB-ID 80016-8
    ISSN 1097-6868 ; 0002-9378
    ISSN (online) 1097-6868
    ISSN 0002-9378
    DOI 10.1016/j.ajog.2024.02.313
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  5. Article ; Online: It is time for midwives and obstetricians to forget about the baroreflex in labor: a response.

    Chandraharan, Edwin / Ghi, Tullio / Pereira, Susana

    American journal of obstetrics and gynecology

    2023  Volume 229, Issue 6, Page(s) 708

    MeSH term(s) Pregnancy ; Female ; Humans ; Midwifery ; Obstetricians ; Baroreflex ; Labor, Obstetric ; Obstetrics ; Surveys and Questionnaires ; Nurse Midwives ; Attitude of Health Personnel
    Language English
    Publishing date 2023-07-26
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80016-8
    ISSN 1097-6868 ; 0002-9378
    ISSN (online) 1097-6868
    ISSN 0002-9378
    DOI 10.1016/j.ajog.2023.07.039
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  6. Article ; Online: Azithromycin to Prevent Sepsis or Death in Women Planning a Vaginal Birth.

    Dall'Asta, Andrea / Fieni, Stefania / Ghi, Tullio

    The New England journal of medicine

    2023  Volume 389, Issue 3, Page(s) 283

    MeSH term(s) Female ; Humans ; Azithromycin/therapeutic use ; Anti-Bacterial Agents/therapeutic use ; Sepsis/prevention & control ; Sepsis/drug therapy ; Vagina
    Chemical Substances Azithromycin (83905-01-5) ; Anti-Bacterial Agents
    Language English
    Publishing date 2023-07-19
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc2305875
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  7. Article: 16-Weeks' Tubal Ectopic Pregnancy With Secondary Abdominal Growth.

    Di Serio, Maurizio / Dall'Asta, Andrea / Ghi, Tullio

    Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

    2023  Volume 46, Issue 1, Page(s) 102089

    MeSH term(s) Pregnancy ; Female ; Humans ; Pregnancy, Tubal/diagnostic imaging ; Pregnancy, Tubal/surgery ; Pregnancy, Ectopic ; Abdomen
    Language English
    Publishing date 2023-03-04
    Publishing country Netherlands
    Document type Editorial
    ZDB-ID 2171082-X
    ISSN 1701-2163
    ISSN 1701-2163
    DOI 10.1016/j.jogc.2022.12.013
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  8. Article ; Online: Re: SARS-CoV-2 behavior, through the eyes of a perinatologist?

    Volpe, Nicola / Ghi, Tullio

    Journal of perinatal medicine

    2021  Volume 50, Issue 3, Page(s) 372–373

    MeSH term(s) COVID-19 ; Humans ; SARS-CoV-2
    Language English
    Publishing date 2021-12-28
    Publishing country Germany
    Document type Letter ; Comment
    ZDB-ID 123512-6
    ISSN 1619-3997 ; 0300-5577 ; 0936-174X
    ISSN (online) 1619-3997
    ISSN 0300-5577 ; 0936-174X
    DOI 10.1515/jpm-2021-0642
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  9. Article ; Online: Manual rotation of persistent occiput posterior position: more research is warranted.

    Dall'Asta, Andrea / Ghi, Tullio

    American journal of obstetrics & gynecology MFM

    2021  Volume 3, Issue 6, Page(s) 100387

    MeSH term(s) Female ; Humans ; Labor Presentation ; Pregnancy ; Version, Fetal
    Language English
    Publishing date 2021-05-06
    Publishing country United States
    Document type Letter ; Comment
    ISSN 2589-9333
    ISSN (online) 2589-9333
    DOI 10.1016/j.ajogmf.2021.100387
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  10. Article ; Online: Sonographic evaluation of the fetal head position and attitude during labor.

    Ghi, Tullio / Dall'Asta, Andrea

    American journal of obstetrics and gynecology

    2022  

    Abstract: Fetal malpresentation, malposition, and asynclitism are among the most common determinants of a protracted active phase of labor, arrest of dilatation during the first stage, and arrest of descent in the second stage. The diagnosis of these conditions is ...

    Abstract Fetal malpresentation, malposition, and asynclitism are among the most common determinants of a protracted active phase of labor, arrest of dilatation during the first stage, and arrest of descent in the second stage. The diagnosis of these conditions is traditionally based on vaginal examination, which is subjective and poorly reproducible. Intrapartum sonography has been demonstrated to yield higher accuracy than vaginal examination in characterizing fetal malposition, and some guidelines endorse its use for the verification of the occiput position before performing an instrumental delivery. It is also useful for the objective diagnosis of the malpresentation or asynclitism of the fetal head. According to our experience, the sonographic assessment of the head position in labor is simple to perform also for clinicians with basic ultrasound skills, whereas the assessment of malpresentation and asynclitism warrants a higher level of expertise. When clinically appropriate, the fetal occiput position can be easily ascertained using transabdominal sonography combining the axial and the sagittal planes. With the transducer positioned on the maternal suprapubic region, the fetal head can be visualized, and landmarks including the fetal orbits, the midline, and the occiput itself with the cerebellum and the cervical spine (depending on the type of fetal position) can be demonstrated below the probe. Sinciput, brow, and face represent the 3 "classical" variants of cephalic malpresentation and are characterized by a progressively increasing degree of deflexion from vertex presentation. Transabdominal sonography has been recently suggested for the objective assessment of the fetal head attitude when a cephalic malpresentation is clinically suspected. Fetal attitude can be evaluated on the sagittal plane with either a subjective or an objective approach. Two different sonographic parameters such as the occiput-spine angle and the chin-chest angle have been recently described to quantify the degree of flexion in fetuses in non-occiput-posterior or occiput-posterior position, respectively. Finally, although clinical examination still represents the mainstay of diagnosis of asynclitism, the use of intrapartum sonography has been shown to confirm the digital findings. The sonographic diagnosis of asynclitism can be achieved in expert hands using a combination of transabdominal and transperineal sonography. At suprapubic sonography on the axial plane only, 1 orbit can be visualized (squint sign) while the sagittal suture appears anteriorly (posterior asynclitism) or posteriorly (anterior asynclitism) displaced. Eventually the transperineal approach does not allow the visualization of the cerebral midline on the axial plane if the probe is perpendicular to the fourchette. In this expert review we summarize the indications, technique, and clinical role of intrapartum sonographic evaluation of fetal head position and attitude.
    Language English
    Publishing date 2022-07-06
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80016-8
    ISSN 1097-6868 ; 0002-9378
    ISSN (online) 1097-6868
    ISSN 0002-9378
    DOI 10.1016/j.ajog.2022.06.003
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