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La Kristeller Uccide!Area3

Comunicato stampa
5 luglio 2018
Salute: al via la campagna di informazione e sensibilizzazione sui rischi della
manovra di Kristeller durante il parto. Federconsumatori chiede l’abolizione di
questa pratica.

Si è svolta ieri a Roma, nella sede della Federconsumatori, la conferenza stampa per
informare sulla pratica e sui rischi della manovra Kristeller (una pratica, inventata dal
professor Samuel Kristeller nel 1867, che prevede un accompagnamento delle
contrazioni uterine misurando la forza di trazione di spinta delle mani sul ventre
materno con un dinamometro e controllando tempi e frequenza delle contrazioni).
Si tratta solo del primo passo di un lungo impegno che si apre oggi, con lo scopo di
sensibilizzare le donne, le future madri, l’opinione pubblica e le amministrazioni in
ambito sanitario a tutti i livelli.
Il Dott. Pierfrancesco Belli – Esperto in Ingegneria dei Sistemi Sanitari e il Dott. Ciriaco
Serluca – Attuario, Consulenti Scientifici di Federconsumatori, hanno illustrato quali sono
gli obblighi di sicurezza e di carattere informativo nei confronti delle pazienti, troppo
spesso elusi dagli ospedali che utilizzano questa pratica.
Le testimonianze dei parenti delle donne che durante il parto sono state sottoposte alla
manovra Kristeller hanno portato all’attenzione dei presenti i gravi errori, le
trascuratezze, le omissioni e tutto il dolore che tale pratica spesso comporta. I principali
rischi di questa manovra, quasi sempre sottaciuti alle partorienti e ai loro parenti, sono
estremamente gravi per il nascituro (che potrebbe riportare danni permanenti a livello
cerebrale), nonché per la madre (che potrebbe avere conseguenze allarmanti sul proprio
apparato riproduttivo, nonché dal punto di vista psicologico in caso di perdita del
bambino/a).
Tutti rischi sui quali vi è scarsa conoscenza e informazione, fatto particolarmente grave
dal momento che esiste un’apposita disposizione normativa in materia di consenso
informato.
Inoltre è stato sottolineato come, in molti casi, anche quando viene praticata, la
manovra Kristeller non viene riportata sulla cartella clinica, causando estrema difficoltà
nel caso di contenziosi legali.
L’utilizzo della manovra Kristeller è spesso motivata da un’ottusa necessità di
contenimento dei costi per evitare le spese di un parto cesareo.
“Le Federconsumatori è pronta ad una mobilitazione a tutti i livelli, per fare in modo
che l’utilizzo della manovra Kristeller venga definitivamente abolita in Italia, così come
avvenuto già in Spagna ed in Inghilterra.” – afferma Sergio Veroli, Vice Presidente della
Federconsumatori, annunciando un intenso calendario di incontri e iniziative per
informare i cittadini su quella che molti definiscono, a ragione, “la manovra invisibile”.

Belli e Serluca hanno ricordato che il Servizio Sanitario Nazionale obbliga le Aziende
Sanitarie ad erogare prestazioni di qualità , sicure ed appropriate e che diverse
normative nazionali e raccomandazioni ministeriali impongono di non erogare
prestazioni con utilizzo di fattori di rischio e manovre non raccomandate e non
appropriate in sala parto in quanto possono causare disabilita’ permanente del neonato
e gravi danni alla partoriente tenuto conto che il Servizio Sanitario Nazionale non puo’
erogare prestazioni che “ non soddisfano il principio dell’ efficacia e della
appropriatezza ovvero la cui efficacia non e ‘ dimostrabile in base alle evidenze
scientifiche disponibili “ come nel caso della manovra di Kristeller.
Pertanto l’ errore di codifica della Manovra di Kristeller nell’ICD 9-CM [sistema di
classificazione delle malattie , dei traumatismi degli interventi chirurgici e delle
procedure diagnostiche e terapeutiche] , ne impedisce la segnalazione nel flusso SDO
( scheda di dimissioni ospedaliera di competenza del Ministero della Salute ) e la non
previsione nel flusso Informativo CeDAP del campo “ Manovra di Kristeller “ o errate
definizioni cliniche che comportano , l’ impossibilita di segnalare la manovra in caso di
pregresso taglio cesareo ,o che impediscono la segnalazione della manovra di Kristeller
nelle prime 3 manovre eseguite come accade in Toscana e la totale non previsione del
campo di segnalazione in tutte le altre regioni del flusso Ca\DAP di competenza delle
Regioni , impediscono non solo una corretta programmazione sanitaria delle Regioni e
del Ministero della Salute ma rendono vani i controlli di qualità e di appropriatezza delle
prestazioni, obbligatori per le Aziende Sanitarie che non possono controllare ne’ i rischi
ne’ le complicanze anche mortali causate a madre e neonato dalla manovra di kristeller
e conseguentemente non sono in grado di valutare quanto sia “ ad alto rischio di
inappropriatezza” il parto naturale espletato utilizzando tale pericolosa manovra .
Gli esperti sottolineano quindi che questo vuoto di conoscenza impedisce alle Aziende
Sanitarie , alle Regioni e al Ministero della Salute di avere contezza dell’insufficienza ed
inadeguatezza degli attuali requisiti tecnologici ed organizzativi dei LEA (Livelli
Essenziali di Assistenza), ma che inoltre viene sottratto alla famiglia, in caso di danno
permanente al parto , la prova medico legale del nesso di causalità del danno subito da
madre e neonato.

SEGNI DEI TEMPI settembre 2016

Giovi Settembre 2016

11ª Giornata per la custodia del creato 1° settembre 2016

Custodire il creato è ambiguo? Forse si: Il Creato è dal bing beng al Pleroma. Tale durata è “il tempo della Consacrazione dell’Ostia Totale”, quando, al fine, Dio sarà Tutto in Tutti. Il mistero dell’incarnazione porta in se l’ ominizzazione di Dio, nella carne in cui Cristo prende corpo. Cristo che  si fa carne rimane tale mediante la sua Risurrezione nella sua gloriosa eternità. Non ci sarà “nuovo umanesimo” senza la visione  di Pierre Teilhard de Chardin, precursore del Cristo NELL’ UNIVERSO, del Cristo sempre più Grande (Cristificazione della Noosfera), del Cristo Universale, del Cristo Totale.

“O Gerusalemme, alza la testa. Guarda la folla immensa di coloro che costruiscono e di coloro che cercano. Nei laboratori, negli uffici, nei deserti, nelle fabbriche, nell’enorme crogiolo sociale, li vedi tutti quegli uomini che si affaticano? Ebbene! Tutto ciò che, per merito loro, diventa fermento di arte, di conoscenza, di pensiero (di conquista ?) è per te.       Su, apri le tue braccia, il tuo cuore, e accogli come il tuo Signore Gesù, il flusso, l’inondazione della linfa umana. Ricevila, questa linfa, – poiché senza il suo battesimo, tu appassirai senza desiderio, come un fiore privo d’acqua; e salvala, poiché, priva del tuo sole, essa si disperderà follemente in rami sterili”. (L’Ambiente Divino, Pierre Teilhard de Chardin -Tientsin 1926-) La Chiesa, che  è punta dell’evoluzione Umana, nel modo che le è proprio, già santifica la CREAZIONE-EVOLUZIONE

Il Mondo, tutto il Mondo oramai ha bisogno anche di una grande visione laica della CREAZIONE – EVOLUZIONE, per convergere e finalizzare tutto il suo sforzo e GOVERNARE Evoluzione  e Pogresso.

Il MOVIMENTO AZZURRO, che s’ispira alla Dottrina Sociale della Chiesa, deve invitare tutti i movimenti ambientalisti cristiani ad aprire le loro braccia a tutti i movimenti ambientalisti umani, per convergere, a livello mondiale, verso una diversa gestione dell’ambiente, più complessa, che metta in luce la simmetria tra salvaguardia dell’ambiente, CREAZIONE-EVOLUZIONE-PROGRESSO.

Frido Guadagni  Presidente Eco-sezione di Arezzo  Intra Tevero et Arno

Responsabile nazionale Dipartimento Sociale Sviluppo ed Evoluzione del Movimento Azzurro

 

 

Tutto è arte, anche un ciottolo del fiume, un pezzo di lava, un ramo, la foglia di una pianta, un foglio accartocciato, le nuvole nel cielo, una tempesta, una bella giornata, il volto di ogni essere umano, ogni animale e tutto ciò che esiste, se lo guardi con amore.                                                                                                                                                                                      Frido Guadagni

Tempo per la creazione: un momento di preghiera ecumenica

AGOSTO 2016 REDAZIONE CHIESA E RELIGIONE

La CCEE e la CEC mettono in luce la simmetria tra salvaguardia dell’ambiente e cura del prossimo e dei poveri

Il rispetto, l’apprezzamento e la contemplazione del Creato sono una sollecitudine comune delle Chiese cristiane. Il Consiglio delle Conferenze Episcopali d’Europa (CCEE) e la Conferenza delle Chiese Europee (CEC), in occasione della Giornata della Creazione, chiedono “preghiere comuni e un rafforzamento del lavoro ecumenico per la cura della Creazione”.

In una nota sottoscritta dai segretari generali dei due organi, viene sottolineato che “secondo il Vangelo, la responsabilità nei confronti dell’ambiente non può mai essere separata dalla responsabilità verso gli altri esseri umani: verso il nostro prossimo, verso i poveri, o i dimenticati, il tutto in un vero spirito di solidarietà e di amore”.

“Rispettare la creazione – prosegue la nota – non significa soltanto proteggere e salvaguardare la terra, l’acqua e le altre componenti del mondo naturale. Consiste anche nell’esprimere rispetto per gli esseri umani che condividono quei doni e ne portano la responsabilità. Pertanto, insieme a tutti i cristiani, ci sforziamo con gioia di testimoniare Gesù Cristo, «perché per mezzo di lui sono state create tutte le cose, quelle nei cieli e quelle sulla terra» (Col 1,16)”.

La CCEE e la CEC ricordano poi “il pensiero di Dietrich Bonhoeffer, secondo cui il problema più urgente che assilla le nostre Chiese è il modo in cui viviamo la nostra vita cristiana di fronte alle sfide culturali e sociali contemporanee. Questo significa – si legge nella nota – che dobbiamo metterci in relazione tra noi nel contesto del mondo in cui tutti viviamo. Si tratta di una definizione originale di ‘oikos’, che significa ‘la casa’. La ‘casa comune’ di cui ci prendiamo cura è composta sia dal mondo naturale che dalle relazioni umane”.

Nell’imminenza del Tempo per la Creazione, periodo speciale nei calendari liturgici in un numero crescente di Chiese in Europa, che va dall’1 settembre al 4 ottobre, i segretari di CCEE e CEC sottolineano anche “il dono della creazione e la nostra relazione con esso”.

“Ci troviamo ad affrontare sfide urgenti in termini di degrado ambientale e cambiamento climatico e, incoraggiati dalle parole della lettera enciclica di Papa Francesco Laudato si’, a riconoscere la nostra responsabilità condivisa”, aggiunge la nota.

In conclusione, la CCEE e la CEC invitano calorosamente “tutti i cristiani europei, le Chiese membri della KEK e le conferenze episcopali del CCEE, le parrocchie, le comunità ecclesiali e ogni persona di buona volontà ad aderire al Tempo per la Creazione, a celebrare insieme il Tempo per la Creazione nell’ambito delle nostre rispettive tradizioni liturgiche, e a sostenere la comune fede cristiana in Dio Creatore”.

 

 

 

 

 

 

MOVIMENTO AZZURRO ASSOCIAZIONE DI PROTEZIONE AMBIENTALE

 

clima-impazzito-ecco-cosa-succedera-a-febbraio-ea9e9a4cf640a129bd5a3750c0e99b94

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