This is a preview and has not been published.

The consequences of the Covid-19 global pandemic on Medically Assisted Procreation: the Italian experience

Description of the trend of MAP procedures performed in 2020 with a comparison with the European scenario

Authors

  • Michele Antonio Ahmed Karaboue Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
  • Nicola Di Fazio Department of Anatomical, Histological, Forensic and Orthopedic Science, Sapienza
  • Giuseppe Bertozzi Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
  • Michela Ferrara Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University
  • Fabio Del Duca Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University
  • Giorgia Viola Lacasella Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University
  • Valentina Milone Division of Radiodiagnostic, Università degli Studi della Campania Luigi Vanvitelli, I-80128 Naples, Italy
  • Gianpietro Volonnino Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University

Keywords:

Infertility, Medical Assisted Procreation, Covid-19 pandemic

Abstract

 All over the world, the COVID-19 pandemic, caused by the SARS-CoV-2 virus, had a strong impact on Medical Assisted Procreation (MAP) procedures. Indeed, these services were stopped at the beginning of March 2020, with a reduction in their activity of 34.8%, as many specialized centers were transformed into Covid hospitals to face the pandemic emergency. In Italy, law 40/04 applies in infertility cases; however, during the pandemic, it was the first European state to discontinue MAP treatments and among the first to resume from May 2020. Through a survey of the National MAP Registry, a significant decline in MAP activities compared to 2019 has been highlighted, along with a decrease in thousands of new births. This situation has revealed concerns about the management of assisted reproductive treatment. Many Italian regions present few dedicated centers related to the demand, increasing the phenomenon of “reproductive tourism” in the northern regions where these centers are more widespread. This study aims to evaluate the effects of the interruption of assisted reproduction and compare it with other countries and evaluate the need to implement economic resources to improve and expand MAP centers.

##submission.citations##

Maiese A, Frati P, Del Duca F, Santoro P, Manetti A C, La Russa R, Di Paolo, M, Turillazzi, E, Fineschi, V.Myocardial Pathology in COVID-19-Associated Cardiac Injury: A Systematic Review. Diagnostics (Basel) 2021; 11(9):1647.

Maiese A, Manetti AC, La Russa R, Di Paolo M, Turillazzi E, Frati P, Fineschi, V.Autopsy findings in COVID-19-related deaths: a literature review. Forensic Sci Med Pathol 2021; 17(2):279–96.

Maiese A, Russa R, Santoro P, Matteis A, Paolo MD. Future litigation after Covid-19 pandemic in Italy. Med Leg J 2021; 89(2):148–9.

Karaboue MAA, Milone V, La Casella GV, Ferrara M, Delogu G, Di Fazio N, Volonnino G. What will our children do when we are gone? Italian legislature does not tackle the worries of parents of disabled children. Reflections on disability. medhistor [Internet]. 2022 May 6 [cited 2022 Jun.29];6(1):e2022013.

Zanza C, Racca F, Longhitano Y, Piccioni A, Franceschi F, Artico M, Abenavoli L, Maiese A, Passaro G, Volonnino G, La Russa R.Risk Management and Treatment of Coagulation Disorders Related to COVID-19 Infection. Int J Environ Res Public Health 2021; 18(3):1268.

Granata V, Faggioni L, Grassi R, Fusco R, Reginelli A, Rega D, Maggialetti N, Buccicardi D, Frittoli B, Rengo M, Bortolotto C, Prost R, Lacasella GV, Montella M, Ciaghi E, Bellifemine F, De Muzio F, Grazzini G, De Filippo M, Cappabianca S, … Coppola, F. Structured reporting of computed tomography in the staging of colon cancer: a Delphi consensus proposal. Radiol Med 2022; 127(1):21–9.

Del Fante, Z., Di Fazio, N., Papale, A., Tomao, P., Del Duca, F., Frati, P., & Fineschi, V. (2021). Evaluation of Physical Risk during Necropsy and Morgue Activities as Risk Management Strategy. Int J Environ Res Public Health 2021; 18(16):8266.

Cantisani V, Iannetti G, Miele V, Grassi R, Karaboue M, Cesarano E, Vimercati F, Calliada F. Addendum to the sonographic medical act. J Ultrasound 2021; 24(3):229–30.

Santoro P, La Russa R, Besi L, Voloninno G, dell'Aquila M, De Matties A, Maiese A.The forensic approach to plastic bag suffocation: Case reports and review of the literature. Med Leg J 2019; 87(4):214–20.

Viola RV, Di Fazio N, Del Fante Z, Fazio V, Volonnino G, Romano S, Quattrocchi A, Arcangeli M. Rules on informed consent and advance directives at the end-of-life: the new Italian law. Clin Ter 2020; 171(2):e94–6.

Maiese A, Volonnino G, Viola RV, Nelson Cavallari E, Fazio V, Arcangeli M, La Russa R.A rare case of Spinal Epidural Abscess following mesotherapy: a challenging diagnosis and the importance of clinical risk management. Considerations concerning uncommon risk factor for development of Spinal Epidural Abscess and its prevention. Clin Ter 2020; 170(1):e15–8.

Fiorini F, Granata A, Battaglia Y, Karaboue MAA. Talking about medicine through mass media. G Ital Nefrol 2019; 36(1):2019–vol1.

Mazzariol B, Karaboue M, Di Luca A, Di Luca NM. Guidelines, good practices and best clinical health practices: valuable guidance for physicians and judges?. Clin Ter 2018; 169(6):e292–6.

Granata V, Fusco R, Costa M, et al. Preliminary Report on Computed Tomography Radiomics Features as Biomarkers to Immunotherapy Selection in Lung Adenocarcinoma Patients. Cancers (Basel) 2021; 13(16):3992.

Pastorini A, Karaboue M, Di Luca A, Mario di Luca NM, Ciallella C. Medico-legal aspects of tort law patient safeguards within the Gelli-Bianco piece of legislation. Clin Ter 2018; 169(4):e170–7.

La Russa R, Fazio V, Ferrara M, Di Fazio N, Viola RV, Piras G, Ciano G, Micheletta F, Frati P. Proactive Risk Assessment Through Failure Mode and Effect Analysis (FMEA) for Haemodialysis Facilities: A Pilot Project. Front Public Health 2022; 10:823680.

Piccioni A, Cicchinelli S, Saviano L, Gilardi E, Zanza C, Brigida M, Tullo G, Volonnino G, Covino M, Franceschi F, La Russa R. Risk Management in First Aid for Acute Drug Intoxication. Int J Environ Res Public Health 2020; 17(21):8021.

Maiese A, La Russa R, Arcangeli M, Volonnino G, De Matteis A, Frati P, Fineschi V. Multidisciplinary approach to suspected sudden unexpected infant death caused by milk-aspiration: A case report. World J Clin Cases 2020; 8(18):4128–34.

Karaboue MAA, Ferrara M, Bertozzi G, Berritto D, Volonnino G, La Russa R, Lacasella GV.. To vaccinate or not: literacy against hesitancy: Vaccination hesitancy. Med Histor 2022 May 6 [cited 2022 Jun. 29];6(1):e2022014.

Downloads

Issue

Section

Short report: Bioethics

Most read articles by the same author(s)