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2nd Edition of Global Conference on Gynecology & Women's Health

March 21-23, 2024 | Singapore

March 21 -23, 2024 | Singapore
Gynec 2023

Alberto Maringhini

Speaker at Gynecology & Women's Health 2023 - Alberto Maringhini
ARNAS Civico Palermo, Italy
Title : Breastfeeding in prevention of postpartum Acute Pancreatitis (AP). A sicilian populationbased case-control study


Background: Gallstones acute pancreatitis has increased incidence in young women in the 2 years postpartum. Middle aged women with longer period of breastfeeding have less hospitalization for gallbladder disease.
Methods: We identified all sicilian women who delivered (2013-2016) and had acute pancreatitis within 2 years postpartum, reviewed their medical records and for each case we matched 4 women of the same age (+ 5 years), date (+ 30 days) and hospital of delivery without acute pancreatitis. Univariate and multivariate logistic regression was used to estimate the Odds Ratio (OR) to assess associations between acute pancreatitis and clinical variables.
Results: In the 74 women with AP and 298 controls at univariate analysis: > 6 months oral contraception history (p<0.01 - OR 3.30 - 95% CI 1.33-8.16); previous biliary disease (p < 0.001 - OR 5.90 - 95% CI 1.98-17.57) and smoking (p = 0.035 - OR 2.04 - 95% CI 1.04-4.0) were predictors of acute pancreatitis; amenorrhea > 3 months (p < 0.001 - OR 0.34 - 95% CI 0.19-0.59) and breastfeeding > 3 months (p < 0.001 - OR 0.07 - 95% CI 0.03-0.14) were protective. At multivariate previous biliary disease (p = 0.011 - OR 5.49 - 95% CI 1.48-20.38) was predictor and breastfeeding >3 months (p < 0.001- OR 0.06 CI 95% 0.03-0.14) was protective for acute pancreatitis.
Conclusions: Women without a history of biliary disorders and who breastfeed for at least 3 months have reduced risk to develop AP in the 2 years after delivery.


Alberto Maringhini, M.D. is in biliary and pancreatic diseases. He started with a peculiar interest on portal hypertension and bleeding in cirrhotics and then in diagnosis of portal hypertension and hepatocellular carcinoma. Then he started his interest on gallbladder and pregnancy, acute pancreatitis diagnosis and prognosis, pancreatic cancer clinics and epidemiology. Cronic pancreatitis laboratoruy diagnosis and clinical presentation. Finally, acute pancreatitis and pregnancy and breast feeding in prevention of post partum acute pancreatitis. His clinical work in internal medicine and mainly in gastroeneterology started in 1977 and nowadays he is directore of interbal medicine in the largest hospital in Sicily and in southern Italy after “Cldarelli Hospital” in Naples. 

1977 Degree in Medicine
1979 research fellow Herlev Hospital, Copenhagen Denmark, ultrasound laboratory
1978 -81 postgrduate in Gastroenterology
1983-91 resident in Internal Medicine V Cervello Hospital. Palermo
1983 Research yellow Herrlev Hospital, Copenhagen Denmark interventional ultrasound
1985 Special project associate Mayo Clinic GI Unit (E.P DiMagno, MD)
1990 Visiting Scientist Mayo Clinic GI Uniit (EP DiMagno, MD)
1991-99 Senior Resident Internal Medicine Ospedale V Cervello Palermo Italy
1999-present Consultant Internal Medicine ARNAS Civico Palermo Italy
2010-17 Director Department Internal Medicine ARNAS Civico Palermo