P Iovenitti

Ospedale San Carlo

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G Carta

University of L'Aquila

A D'Alfonso

University of L'Aquila

G Mascaretti

University of L'Aquila

Massimo Moscarini

Sapienza University of Rome

Privat Guié

University Hospital Medical Center at Treichville

Maria Chiara Matteucci

Bambino Gesù Children's Hospital

L Cerrone

K Falciglia

R Tatangelo

K. N’guessan

Institut National d’Hygiène Publique

Cooperative Institutions

University of L'Aquila

San Salvatore Hospital

University of Milan

University Hospital Medical Center at Treichville

Istituti di Ricovero e Cura a Carattere Scientifico

Sapienza University of Rome

Azienda Ospedaliera Sant'Andrea

Institut National d’Hygiène Publique

Ospedale Santa Maria

Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo

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Disturbances of humour in postpartum: our experience.

PubMed (2002)

A D'Alfonso P Iovenitti M Casacchia G Carta

The study was conducted on 64 women who were to give birth. The average age ranged from 31-44 years and the instruments for evaluation consisted of: 1) Individual and psychological questionnaires; 2) Italian version of the Short Form Health Survey Questionnaire (SF-36); 3) Sheehan Disability Scale; 4) Zung self-rating depression scale. Of the women included in the study 27.7% found their humour worsened during their last pregnancy, while 19.15% said that their humour worsened after the birth. In these patients we frequently found obstetric and/or puerperal pathologies. There was also a strong correlation with the premenstrual syndrome and with hyperemesis in the first trimester. On the contrary, there was no correlation with familiarity and socio-demographic characteristics. The data allow us to conclude that any pregnant woman can develop medium or strong symptoms of depression thus calling for great attention to be paid to the psychological dynamics of birth.

Depression

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Citations (8)

Periodontal disease and poor obstetrical outcome.

PubMed (2004)

G Carta G Persia K Falciglia P Iovenitti

Maternal infective processes sustained especially by Gram-negative anaerobic bacteria like periodontal disease, during pregnancy, have been demonstrated to perturb the physiologic course of parturition through inflammatory cytokine production, sometimes resulting in preterm labor, preterm premature rupture of membranes and preterm low birth weight. In a matched case-control study, the hypothesis that poor oral health of pregnant women is a risk factor for low birth weight (LBW) was evaluated. Gingival crevicular fluid levels of PGE2 and IL-1beta were measured in order to determine whether mediator levels were related to current pregnancy outcome. Results indicate that GCF-PGE2 and GCF-IL-1beta levels are significantly higher in preterm low birth weight (PLBW) mothers as compared with normal birth weight controls. The data confirm that there is a possible correlation between periodontal problems typical of pregnancy and the occurrence of complications such as preterm low birth weight.

Premature birth

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Citations (59)

Tuberculosis of the cervix and infertility: report of a rare case.

Clinical and Experimental Obstetrics & Gynecology (2008)

Privat Guié P Iovenitti K. N’guessan J A Tegnan KD Koffi

Tubercolosis is a frequent bacterial infection in less developed countries. Lung and lymph node localisations are common, while the genital apparatus is less involved. In this work a rare case of cervical tuberculosis followed by some lesions causing infertility in a 20-year-old woman is reported. The diagnosis was confirmed by a histological examination from a biopsy of the cervix. The patient was offered six-month antituberculosis therapy which eliminated the cervical lesions. A few years later she came under our care for infertility due to uterine adhesions diagnosed by hysterosalpingography. Now the patient is being treated for infertility complicated by amenorrhoea.

Hysterosalpingography

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Citations (2)

The adolescent and the gynecologist: our experience.

PubMed (2003)

A D'Alfonso P Iovenitti G Carta

To evaluate adolescents' knowledge about sex, we conducted a study divided in two parts: 1) Distribution of a questionnaire; 2) Impromptu conversation with adolescents. The sample consisted of 205 questionnaires and 115 talks with students at a high school. The gathered data let us deduce that the relationship with parents was regarded as pleasant and good. As was expected the whole emotional sphere was related to friends. In order to understand which structures can help adolescents our data revealed that the mother holds first place, followed by the school and by friends. Sex education during adolescence should be carried out by other institutions so that a relationship free from conflicts can be established. In this way the figure of the expert takes shape--someone who can communicate within the structure of the school and the family and beyond--the limits of the information given by friends.

Impromptu

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Citations (2)

Maternal smoking in pregnancy.

PubMed (1988)

A D'Alfonso P Iovenitti Maria Chiara Matteucci G Mascaretti G Carta

In the last years has been a progressive increase of tabagism in the female sex. This study wanted to examine the influence of the pregnancy on voluntary practices and especially on smoking.140 women with a mean age of 33.05 years and with a mean gestational age of 28.56 weeks (range 5-42) were interviewed. Each one received a questionnaire about social and psychosocial status, a schedule about style of living (CAGE), a questionnaire "How much do you drink" (from SQQ) and a series of questions about smoking.Our study suggests that the tabagism decreases in the greatest part of pregnant women, and them increases again after child birth. Pregnancy gets women both to finish and to decrease smoking apart from social status and any variant contemplated.

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Urinary disorders during pregnancy and postpartum: our experience.

PubMed (2006)

A D'Alfonso P Iovenitti G Carta

The changes that take place in the pelvic region during birth can give rise to alterations in the genitourinary system which are at the basis of pathologies such as stress urinary incontinence (SUI). The occurrence of this condition has been correlated to a variety of factors including neonatal birth weight and obesity. We studied 120 women, 60 nulliparae, 40 primiparae and 20 multiparae who were divided into three groups on the basis of urinary problems experienced. The first group consisted of women who had reported urinary incontinence during pregnancy (76%). This was found to be significantly correlated to the number of pregnancies and weight gained; 18% of this group reported IUS during the postpartum period. The second group consisted of women who did not experience any urinary incontinence during the pregnancy or postpartum while the third group consisted of women who, although not experiencing any urinary problems during pregnancy, reported urinary incontinence in the postpartum period. These data, although only part of an initial study, reveal a consistent frequency of urinary incontinence in pregnancy and postpartum, and highlight risk factors.

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Citations (11)

Recurrent miscarriage associated with antiphospholipid antibodies: prophylactic treatment with low-dose aspirin and fish oil derivates.

PubMed (2005)

G Carta P Iovenitti K Falciglia

The aim of this study was to evaluate the effects of two different prophylactic protocols, low-dose aspirin and fish oil derivates, in the treatment of patients with recurrent pregnancy loss associated with antiphospholipid antibodies (APA) syndrome.A prospective study included 30 patients who were alternately assigned to treatment. Each patient had had at least two consecutive spontaneous abortions, positive antiphospholipid antibodies on two occasions, and a complete evaluation.Among patients treated with low-dose aspirin, 12 out of the 15 (80%) pregnancies ended in live births. In the fish oil derivate group 11 out of the 15 (73.3%) ended in live births (p > 0.05). There were no significant differences between the low-dose aspirin and the fish oil derivates groups with respect to gestational age at delivery (39.9 +/- 0.4 vs 39 +/- 1.5 weeks), fetal birth weight (3290 +/- 200g vs 3560 +/- 100 g), number of cesarean sections (25% vs 18%), or complications.There were no significant differences in terms of pregnancy outcome between women with recurrent pregnancy loss associated with APA syndrome treated with low-dose aspirin or fish oil derivates.

Recurrent miscarriage

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Citations (11)

Primitive breast localisation of Buruli ulcer in an endemic zone: a rare case.

PubMed (2009)

Koffi N’Guessan Privat Guié P Iovenitti G Carta Védi Loué

A case of Buruli ulcer with primitive breast localisation with evident epidemiological and clinical aspects is reported. This localisation is exceptional; the differential diagnosis with breast cancer is essential. If diagnosed early, it can be cured with surgery, broad-spectrum antibiotherapy and thermotherapy.

Buruli ulcer

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Citations (1)

[Diagnostic hysteroscopy in the third millennium. Indications and role].

PubMed (2003)

G Carta P Iovenitti F Buttari A D'Alfonso S Pestilli

The present paper analyses a recent personal series of 284 diagnostic hysteroscopies carried out between May 1999 and December 2001 at the Operating Unit of the University Gynaecology and Obstetrics Department of the Hospital of Avezzano. Emphasis is laid on the description of the indications underlying the investigation and on the hysteroscopic and histological findings in the cases examined.The sample was also subdivided into two groups depending on the fertility or postmenopausal status of the patients. In the sample of 284, 89 (31.3%) patients were subjected to local anaesthesia with paracervical block, while the remaining 195 (68.7%) did not receive any form of anaestetic. The hysteroscopies were generally carried out in day surgery, using the commonest and most tried and tested hysteroscopic optic systems and carbon dioxide as a means for distending the uterine cavity. None of the hysteroscopies gave rise to important complications.In both the group of patients in fertile age and in the group of post-menopause patients, the main indication for hysteroscopy was anomalous uterine bleeding (AUB) for which a total of 159/284 hysteroscopies (56%) were carried out, of which 68 (42.8%) in patients in fertile age and 91 (57.2%) in post-menopause patients. In the group of post-menopause patients hysteroscopy was carried out for this indication in 73.4% of cases (91/124) while in fertile age it was performed in 42.5% of cases (68/160).Underlying AUB in the post-menopause patient endometrial hypo-atrophy was evidenced in 59 of 91 patients examined (64.9%), while in fertile age most of the 68 cases of AUB proved to be of dysfunctional nature: hystological examination showed a proliferative endometrium in 29 cases, secretory in 7 and hyperplastic in 12 cases (11 cases of simple endometrial hyperplasia with atypia and 1 of complex hyperplasia with atypia). Finally, hysteroscopy made it possible to diagnose 6 cases of endometrial adenocarcinoma (6.6% of patients with AUB in post-menopause).

Uterine cavity

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Citations (2)

Endometrial tuberculosis: a clinical case.

PubMed (2011)

P Iovenitti G Ruggeri R Tatangelo Patrizia Palermo G Carta

Genital tuberculosis is a bacterial infection still frequent in less developed countries where lots of cases are not diagnosed nor treated. In this work we describe a rare case of primary endometrial tuberculosis in a woman of 50 years old. The diagnosis was confirmed by an ultrasonography of the pelvis and an endometrial biopsy followed by a histological examination. The patient after the diagnosis was put under antiturbecular treatment for six months with complete healing.

Endometrial biopsy

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Genital tuberculosis

Sex organ

Histopathological examination

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Citations (1)