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体外受精和诱导排卵后受孕的学龄双胞胎家庭中的母亲适应、育儿与儿童行为

Maternal adjustment, parenting and child behaviour in families of school-aged twins conceived after IVF and ovulation induction.

作者信息

Tully Lucy A, Moffitt Terrie B, Caspi Avshalom

机构信息

Social, Genetic & Developmental Psychiatry Research Centre, Institute of Psychiatry, King's College London, UK.

出版信息

J Child Psychol Psychiatry. 2003 Mar;44(3):316-25. doi: 10.1111/1469-7610.00124.

Abstract

BACKGROUND

Previous studies that have examined the long-term effects of infertility and assisted reproductive technology on parenting and child behaviour in families with twins have suffered from methodological problems. This study compared measures of parental adjustment, parenting and child behaviour in families with 5-year-old twins who were conceived after in vitro fertilisation (IVF) or ovulation induction (OI) with families whose twins were naturally conceived (NC).

METHODS

The families who conceived via IVF/OI (N = 121) were identified from an epidemiological study of twins and matched to families who were conceived naturally (N = 121) on the basis of eleven child and family variables. Mothers were interviewed in their homes for the study.

RESULTS

No significant differences were observed between the IVF/OI families and the NC families on measures of parental adjustment or parent and teacher ratings of the twins' behaviour. IVF/OI mothers and their partners agreed with each other about discipline more than NC couples, but otherwise no other differences in parenting were found.

CONCLUSIONS

Overall, this study provides evidence that families who conceive twins following IVF/OI are functioning well and that the experience of fertility treatment does not lead to long-term difficulties for parents or children.

摘要

背景

先前有关不孕症及辅助生殖技术对双胞胎家庭养育子女及孩子行为的长期影响的研究存在方法学问题。本研究比较了通过体外受精(IVF)或排卵诱导(OI)受孕的5岁双胞胎家庭与自然受孕(NC)双胞胎家庭在父母适应、养育方式及孩子行为方面的测量结果。

方法

通过一项双胞胎流行病学研究确定了经IVF/OI受孕的家庭(N = 121),并根据11个儿童及家庭变量将其与自然受孕家庭(N = 121)进行匹配。研究人员在母亲家中对她们进行了访谈。

结果

在父母适应或双胞胎行为的父母及教师评分方面,IVF/OI家庭与NC家庭之间未观察到显著差异。IVF/OI母亲及其伴侣在管教孩子方面比NC夫妇意见更一致,但在其他养育方式方面未发现其他差异。

结论

总体而言,本研究提供了证据,表明经IVF/OI受孕的双胞胎家庭功能良好,生育治疗经历不会给父母或孩子带来长期困难。

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