Home » BIRTH DEFECTS, ON WORLD DAY THE WORK OF THE RISKY PREGNANCY CLINIC AT S. ANNA IS REMEMBERED

BIRTH DEFECTS, ON WORLD DAY THE WORK OF THE RISKY PREGNANCY CLINIC AT S. ANNA IS REMEMBERED

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Birth defects represent a large and diverse set of anomalies in the development of the organism that occur during conception or pregnancy, leading to alterations in normal body development or organ function. They constitute the main cause of mortality and morbidity before and immediately after birth and are the main cause of “chronic” hospital admissions in children. The incidence is estimated to be approximately 2-3% in the general population, and 80-90% of cases occur in couples who do not have specific risk factors.

World Birth Defects Day (March 3) aims to reduce the burden of birth defects on public health and improve the quality of life of people affected by these conditions and their families. This day offers an opportunity to learn about the causes of birth defects, influenced by a combination of genetic, environmental and behavioral factors and also promotes the importance of genetic counseling for families at risk and access to appropriate healthcare services for early diagnosis and treatment of congenital defects.

THE OBSTETRICS GYNECOLOGY OPERATIONAL UNIT (directed by Prof. Pantaleo Greco) OF THE UNIVERSITY HOSPITAL OF FERRARA offers a complete approach in the field ofRisk Pregnancy Clinic, which includes several critical phases in the patient care journey. This journey begins with diagnosis of fetal congenital defectsusing both invasive and non-invasive methods, and continues until appropriate therapeutic choice. A key element of this approach is a careful analysis of the patients’ personal and family medical history, together with the search for risk factors. The process helps identify patients who could benefit from amorphological ultrasound precocious, anticipating the canonical times of the screening ultrasound (usually around the fifth month of pregnancy), thus allowing an early diagnosis. There timeliness in fact it is crucial, allowing therapeutic interventions or informed decisions earlier in the pregnancy care process.

The team at the S. Anna Obstetrics Clinic offers a complete support for couples who are faced with the difficult choice of terminating a pregnancy due to extremely serious fetal congenital malformations or continuing with it despite the challenges. In accordance with Law 194/78 which regulates the voluntary interruption of pregnancy, in the case of pregnancies lasting more than 90 days, the interruption can be carried out when the pregnancy or birth involves a serious danger to the woman’s life, or when pathological processes are established that put your physical or mental health at serious risk, including significant anomalies or malformations of the fetus.

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In the event that interruption is the decision made, the medical/obstetric staff manages the hospitalization and the pharmacological or surgical procedure, making sure to carry out all the relevant diagnostic tests (genetic and pathological) to improve the diagnostic and care path in future pregnancies .

If the woman decides to carry on with the pregnancy anyway, there is a path within the Risk Pregnancy Clinic, which with a multidisciplinary approach involves neonatologists, pediatric surgeons and geneticists. These professionals meet weekly in a multidisciplinary meeting called Fetal Board to discuss cases collegially and decide on the most appropriate care path.

Teamwork with professionalsPediatric Surgery, Neonatology and Medical Genetics Operational Unit it is fundamental in peripartum planning and postpartum treatment, ensuring complete and accurate management of the complications and needs of the newborn affected by congenital malformations.

Therefore, recognizing these anomalies early during pregnancy is of primary importance in order to guarantee the best possible care for affected mothers and newborns, as well as facilitating the implementation of preventive and therapeutic measures.

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