Projects
Ongoing projects
In recent decades, there have been three worrying phenomena that need to be addressed: 1. the increase in conditions of sterility and infertility; 2. the general lack of interest in fatherhood and motherhood on a personal and social level; 3. The rising birth rate. The conditions and causes from which these three phenomena originate and develop are many and often interrelated, even if not in an obvious way. Lifestyles, cultural approaches, early initiation of sexual activity, presence of contaminants in living and working environments, nutritional deficits, lack of vaccination coverage, pathologies of the male or female reproductive system, increasingly postponed search for the first pregnancy, lack of housing and work policies, are significantly undermining procreative health. And, just as good "health" is built day after day, so too good "procreative health" and - in a particular way - "preconceptional health" are the result of actions aimed at promoting and protecting them. Health professionals have a key role to play in health promotion: it is, therefore, essential that they are prepared - during their university career - to face this challenge.
Starting from this state of affairs, it is assumed that the students of the degree courses examined (Master's Degree Course in Medicine and Surgery, Undergraduate Course in Nursing, Undergraduate Course in Obstetrics) do not have sufficient knowledge in the field of preconception health.
The study, which has the general objective of improving - through training/information interventions - the knowledge of health degree students regarding preconception health, plans to recruit a minimum of 98 students. In the two phases of the pre- and post-intervention study , the basic knowledge acquired after academic courses with 12 hours of lectures will be assessed. The assessment of knowledge is carried out by administering the same questionnaire in digital format at the entrance (before the start of the course) and at the end of the course.
Completed projects
Preconceptional health, understood as a woman's state before pregnancy, is a key topic in the field of Public Health. It investigates those aspects of women's health that could have repercussions on pregnancy and/or the health of the unborn child such as - for example - the management of chronic and genetic diseases, proper nutrition, adequate consumption of folic acid, physical exercise, weight control and healthy lifestyles (avoid smoking, alcohol and drugs). Women's knowledge in this field is often scarce and uneven. The absence of studies on the subject on Italian women and the importance of caring for women of childbearing age to avoid repercussions during pregnancy or on the unborn child, inspired this study, which had the following objectives:
- identify knowledge on the preconception health of young women of childbearing age in Italy;
- identify the behaviors of young women of childbearing age with regard to preconception health in Italy;
- to estimate the possible association between knowledge and behaviour of young women of childbearing age with regard to preconception health;
- calculate the amount of folic acid taken in the diet of young women of childbearing age;
- assess the physical, mental, social, and dental health of young women of childbearing age;
- determine the nutritional status of young women of childbearing potential;
- determine the vaccination status of young women of childbearing potential;
- learn about the lifestyles and behaviours of young women of childbearing age.
The study population was 340 women aged between 18 and 25 who attended secondary school or university in Italy. The data obtained can help to structure and implement training/information interventions of the female population in order to improve preconception health conditions.
Natural Fertility Regulation Methods (RNFs) are knowledge tools that make it possible to identify the fertile and infertile periods of the ovarian cycle, offering valuable support both in the search for pregnancy and in postponing or avoiding conception. Mucus, produced at the level of the uterine cervix, is a fundamental factor of human reproductive capacity: it takes on different chemical-physical and structural characteristics in response to different serum concentrations of ovarian hormones. It has the function of modulating the passage of sperm from the vagina to the uterus, in relation to the different phases of the ovarian cycle, and allows them to survive during the fertile phase. Among the Methods of Natural Fertility Regulation, the Billings® Ovulation Method uses exclusively, as the only indicator of fertility, the "mucus symptom", which precisely reflects the changes in cervical secretion induced by ovarian hormones. Since its conception in the 1950s by John and Evelyn Billings, the Billings® Method of Ovulation has spread to more than 100 countries, widely supported by the publication of scientific works that have demonstrated its effectiveness in preventing or seeking pregnancy. The study, which involves the enrollment of 100 women (for a total of 300 ovarian cycles) has as its primary objective the evaluation of the accuracy of the Billings® Ovulation Method in identifying the three phases of the ovarian cycle (preovulatory; ovulatory; postovulatory) in comparison with ultrasound monitoring, and as a secondary objective the evaluation of the accuracy of the Billings® Ovulation Method in identifying the three phases of the ovarian cycle (preovulatory; ovulatory; postovulatory), stratifying by: BMI, age of menarche, previous use of the estrogen-progestogen pill, equality, breastfeeding, lifestyles (smoking), occupation.
Cervical mucus is a hydrogel secreted by the endocervical glandular epithelium whose secretion varies in quantitative and qualitative characteristics in response to the woman's ovarian activity and/or conditions that can indirectly modify it (stressors, infectious/microbiological, immunological, intake of hormone-based drugs, endocrine diseases affecting the reproductive system). The secretion of cervical mucus is closely related to the hormonal events that occur during the woman's menstrual cycle and is functionally linked to the promotion of sperm transport, nourishment, defence, selection and capacitation during her fertile period (ovulatory phase). Its characteristics lend themselves to preventing these biological functions in the so-called infertile periods of the woman, whether they are physiological (e.g. luteal phase, menopause, pregnancy), pharmacologically induced (e.g. taking the contraceptive pill) or pathological (e.g. endocrinological disorders or dysfunctions at the level of the female reproductive system). If physiologically mucus is a fertility factor, alterations in its biological characteristics, related to its composition or to the cells that secrete it, could become revealers/indicators of conditions that negatively impact a woman's procreative health. Data on the biochemical and biophysical changes in cervical mucus and all the factors secreted into it by the cells that secrete it, and from the immune cells that reside there, they are still incomplete and often inhomogeneous. Another field of research that is still almost completely unexplored concerns the regulation of mucus secretion, i.e. the regulation of the activity of the endocervical epithelium that presides over the production, physiological or pathological, of cervical mucus. Therefore, the potential offered by the knowledge of cervical secretion for the treatment and prevention of a) infertility, b) infections of the female reproductive tract, c) disorders concerning, directly or indirectly, the regulation of mucus secretion, whether they are triggered by exogenous causes (insults of a chemical, physical or biological nature) or by endogenous pathological causes (due to hormonal disorders or cancerous transformations) should be highlighted. The aim of this research is to deepen the knowledge of the biological characteristics of cervical mucus (biochemical, biophysical, morphological and ultrastructural) as well as of the epithelium that secretes it (morphological, cellular and molecular characteristics) for the identification of diagnostic, prognostic and predictive biomarkers for disorders affecting the female reproductive system.
Metabolic syndrome (MetS) represents a set of conditions that have a negative impact on human health in general. Its prevalence has grown rapidly worldwide and has coincided with a global decrease in birth rates and fertility potential. The aim of this systematic review will be to explore whether metabolic syndrome has an effect on female fertility.
The purpose of this systematic review and meta-analysis is to evaluate the association between genetic single nucleotide polymorphisms (SNPs) and idiopathic male infertility. Several SNPs have been studied to explore their role in the pathophysiology of male idiopathic infertility and have been associated with altered spermatogenesis in infertile men, but related studies report inconsistent results.