Sorveglianza ostetrica (Itoss)

Salute materna: il convegno internazionale della sorveglianza INOSS-ItOSS (2 ottobre 2026)

Dimezzato, negli ultimi dieci anni, il tasso di isterectomia. Rari i casi di cardiomiopatia, anche se di particolare rilevanza clinica poiché, assieme alle altre malattie cardiovascolari, restano una delle principali cause di morte materna indiretta in Italia e negli altri Paesi ad alto reddito. Tra le donne che effettuano un taglio cesareo, una ogni 363 torna in sala operatoria per una re-laparotomia. In Italia come in molti Paesi ad alto reddito, il suicidio è la prima causa di morte materna entro 1 anno dall’esito della gravidanza. Sono alcune delle informazioni emerse il 2 ottobre scorso durante il meeting internazionale “Maternal health between evidence, health systems and care practices”, organizzato dalla sorveglianza ItOSS del Centro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute dell’Istituto Superiore di Sanità (ISS) e dall’International Network of Obstetric Survey Systems (INOSS). L’incontro ha riunito esperti di sanità pubblica provenienti da Paesi a basso, medio e alto reddito, con l’obiettivo di favorire il confronto tra metodi e risultati della ricerca, tra cui quelli di un ampio studio caso-controllo di popolazione che tra il 2024 e il 2026 ha coinvolto 376 punti nascita italiani, con una copertura del 98% dei nati a livello nazionale.

Per approfondire scarica il programma (pdf 412 kb) e le presentazioni di relatori e relatrici:

Sessione 1 -Learning opportunities from research on severe maternal morbidity

Haemorrhagic conditions - Moderatori: Justine Mufenda, Laura Sarno

• ItOSS prospective case-control study on peripartum hysterectomy (pdf 632 kb) - Edoardo Corsi Decenti
• Re-laparotomy following caesarean section in Italy compared with other INOSS countries (pdf 417 kb) - Simona Mastroeni
• Re-laparotomy as a lived experience: a phenomenological study of women and partners (pdf 9,5 Mb) - Margherita Tommasella

Cardiovascular conditions - Moderatori: Marian Knight, Daniele Farsetti

• Pregnancy-related cardiometabolic diseases in India: the beginning of a new era for MaatHRI - Manisha Nair
• The Canadian Obstetric Survey System Cardiovascular (CanOSS-Cv) Study: methodological considerations and participatory approach (pdf 1,6 Mb) - Isabelle Malhamé
• Prospective population-based study on cardiomyopathy in Italy (pdf 473 kb) - Martina Ventura

Sessione 2 - Prevention strategies

Moderatori: Marie-Pierre Bonnet, Sara Ornaghi

• Measurement and Improvement Strategies for Reduction of Severe Maternal Morbidity (pdf 1,6 Mb) - Elliott Main
• PRiSMM: Preventing Severe Maternal Morbidity and Mortality through a programme of national interventions (pdf 1,7 Mb) - Claire Carson
• A human-centred approach to prevent severe maternal morbidity (pdf 7,8 Mb) - Isabelle Malhamé

Sessione 3 - Organisation of care: an increasingly important dimension of healthcare delivery

Moderatori: Nicola Vousden, Michaela Centofanti, Elsa Viora

• Risk of preventable peripartum maternal mortality according to maternity hospital characteristics - Catherine Deneux-Tharaux
• Perinatal care organisation and maternal outcomes in Latvia: implications for small health systems (pdf 1,1 Mb) - Anna Miskova
• Proposal of a classification of maternity hospitals according to their maternal critical care resources (pdf 756 kb) - Marie-Pierre Bonnet

Sessione 4 - Social inequalities in maternal health

Moderatori: Anke Heitkamp, Antonella Cromi

• Ongoing analysis of the risk of maternal mortality in migrant women (pdf 1,2 Mb) - Elie Azria
• International practice in routine identification of social determinants in maternity care (pdf 1,9 Mb) - Nicola Vousden
• “You think, like, you're neutral but you're not": a mixedmethods study of racial/ethnic bias in pain assessment, management and treatment in maternal and newborn care in the Netherlands (pdf 4,3 Mb) - Kitty Bloemenkamp

Sessione 5 - Perinatal mental health

Moderatori: Thomas van den Akker, Lorenza Driul

• Maternal suicides in Italy (pdf 1,4 Mb) - Serena Donati
• Maternal suicides: women’s characteristics and opportunities for prevention – a 6-year descriptive study - Catherine Deneux-Tharaux
• National study on prevalence and risk factors of postpartum suicidal ideation - Catherine Deneux-Tharaux
• Music & motherhood (pdf 1,1 Mb) - Ilaria Lega

Relatori e moderatori

• Elie Azria – Department of Obstetrics and Gynecology, Hôpital St Joseph, – Obstetrical Perinatal and Pediatric Life course Epidemiology, OPPaLE, CRESS U1153, INSERM, Université Paris Cité, France
• Kitty Bloemenkamp – Department of Obstetrics, University Medical Centre Utrecht, Utrecht, The Netherlands
• Marie-Pierre Bonnet – Department of anesthesiology, Hôpital Trousseau, Université Paris Cité and Université – Obstetrical Perinatal and Pediatric Life course Epidemiology, OPPaLE, CRESS U1153, INSERM, Université Paris Cité, France
• Claire Carson – National Perinatal Epidemiology Unit, Nuffield Department of Women’s and Reproductive Health, University of Oxford, UK
• Michaela Centofanti – Local Health Authority 5 (ASL TO 5); National Federation of the Orders of Midwives (FNOPO), Rome, Italy
• Edoardo Corsi Decenti – National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, Rome, Italy
• Antonella Cromi – Department of Medicine and Surgery, University of Insubria, F. Del Ponte Hospital, ASST Sette Laghi, Varese, Italy
• Catherine Deneux-Tharaux – Obstetrical Perinatal and Pediatric Life course Epidemiology, OPPaLE, CRESS U1153, INSERM, Université Paris Cité, Paris, France
• Serena Donati – National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, Rome, Italy
• Lorenza Driul – University of Udine, Udine, Italy
• Daniele Farsetti – University of Rome Tor Vergata, Rome, Italy
• Anke Heitkamp – Amsterdam University Medical Center, Amsterdam, The Netherlands
• Anish Keepanasseril – Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
• Marian Knight – National Perinatal Epidemiology Unit, Nuffield Department of Women’s and Reproductive Health, University of Oxford, UK
• Ilaria Lega – National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, Rome, Italy
• Elliott Main – Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, USA
• Isabelle Malhamé – Université de Montréal, Montréal, Canada Simona Mastroeni – National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, Rome, Italy
• Anna Miskova – Department of Obstetrics and Gynecology, Rīga Stradiņš University, Riga, Latvia
• Justine Mufenda – Department of Obstetrics and Gynecology, Katutura State Hospital, Windhoek, Namibia
• Manisha Nair – Department of Public Health, University of Copenhagen; Nuffield Department of Population Health, University of Oxford, UK
• Sara Ornaghi – Unit of Obstetrics, University of Milan-Bicocca, Fondazione IRCCS San Gerardo dei Tintori, Milan, Italy
• Laura Sarno – University of Naples Federico II, Naples, Italy
• Thomas van den Akker – Leiden University Medical Center, Leiden, The Netherlands
• Martina Ventura – National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, Rome, Italy
• Elsa Viora – Italian Society of Gynaecology and Obstetrics (SIGO), President, Rome, Italy
• Nicola Vousden – National Perinatal Epidemiology Unit, Nuffield Department of Women’s and Reproductive Health, University of Oxford, UK