Publications by authors named "Nikolaos Kostakis"
Importance: Antenatal care plays a crucial role in safely monitoring and ensuring the well-being of both the mother and the fetus during pregnancy, ultimately leading to the best possible perinatal outcomes.
Objective: The aim of this study was to review and compare the most recently published guidelines on antenatal care.
Evidence Acquisition: A descriptive review of guidelines from the National Institute for Health and Care Excellence, the Public Health Agency of Canada, the World Health Organization, and the Royal Australian and New Zealand College of Obstetricians and Gynaecologists regarding antenatal care was conducted.
Article Synopsis
- Postnatal care is essential for ensuring the health and well-being of both mothers and infants, helping to identify and manage complications after childbirth.
- A study was conducted to review guidelines from several major health organizations on postnatal practices and highlight their recommendations and differences.
- Key areas of agreement include the importance of services like home visits, telemedicine, and addressing mental health, while differences exist about contact schedules, optimal interpregnancy intervals, and specific guidance on contraception and nutrition.
Importance: Obesity is one of the most common clinical entities complicating pregnancies and is associated with short- and long-term consequences for both the mother and the offspring.
Objective: The aim of this study were to review and compare the most recently published influential guidelines on the management of maternal obesity in the preconceptional, antenatal, intrapartum, and postpartum period.
Evidence Acquisition: A descriptive review of guidelines from the American College of Obstetricians and Gynecologists, the International Federation of Gynecology and Obstetrics, the Society of Obstetricians and Gynecologists of Canada, the Royal College of Obstetricians and Gynecologists, and the Royal Australian and New Zealand College of Obstetricians and Gynecologists on obesity in pregnancy was carried out.
Article Synopsis
- The text reviews and compares the latest recommendations from various medical organizations on how to investigate and manage abnormal uterine bleeding (AUB) in women of reproductive age.
- A thorough personal and family medical history, physical examination, and transvaginal ultrasound are emphasized as key steps in diagnosing AUB, while endometrial biopsy is advised only with additional cancer risk factors (except by RANZCOG).
- The consensus among major organizations is that hormonal or non-hormonal medications should be the first treatment option for most AUB cases, with surgical intervention reserved for specific structural issues or when medication fails.*
Importance: Preterm labor (PTL) is one of the most common and serious pregnancy complications associated with significant perinatal morbidity and mortality, as well as long-term neurologic impairment in the offspring.
Objective: The aim of this study was to review and compare the most recently published major guidelines on diagnosis, management, prediction, and prevention of this severe complication of pregnancy.
Evidence Acquisition: A descriptive review of guidelines from the National Institute for Health and Care Excellence (NICE), the World Health Organization, the American College of Obstetricians and Gynecologists, the New South Wales Government, and the European Association of Perinatal Medicine (EAPM) on PTL was carried out.