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自然受孕或使用辅助生殖技术后适应怀孕的困难:一项比较研究。

Difficulties in adaptation to pregnancy following natural conception or use of assisted reproduction techniques: a comparative study.

作者信息

Lepecka-Klusek Celina, Jakiel Grzegorz

机构信息

Department of Obstetric and Gynaecological Nursing, Skubiszewski Medical University of Lublin, Poland.

出版信息

Eur J Contracept Reprod Health Care. 2007 Mar;12(1):51-7. doi: 10.1080/13625180601012394.

DOI:10.1080/13625180601012394
PMID:17455045
Abstract

BACKGROUND

To evaluate the influence assisted reproduction techniques (ARTs) may have on women's adaptation to resulting pregnancies.

METHODS

Retrospective assessment of how women adapt to their pregnancies following ART. A questionnaire was used that ranked their attitudes according to the 5-grade Likert scale. The study included 250 women who gave birth to their first child. Of these pregnancies, 125 had been obtained by means of ART; the remaining 125 were naturally conceived.

RESULTS

Difficulties in adaptation to pregnancy were significantly more frequent in women whose pregnancies resulted from the use of ARTs than in those who had conceived naturally (p = 0.000005). The subjects in the first group were significantly older (p = 0.04), more affluent (p = 0.000005) and had more frequently interrupted their professional work than women in the latter group. The two groups did not differ with regard to frequency of hospitalisations.

CONCLUSIONS

ART significantly increases difficulties in adaptation to resulting pregnancies. The main factors responsible for these difficulties are age, socio-economic conditions and interruption of professional activity.

摘要

背景

评估辅助生殖技术(ARTs)对女性适应由此产生的妊娠可能产生的影响。

方法

对女性在接受ARTs后如何适应妊娠进行回顾性评估。使用一份问卷,根据5级李克特量表对她们的态度进行排名。该研究纳入了250名生育第一胎的女性。在这些妊娠中,125例是通过ARTs获得的;其余125例是自然受孕的。

结果

与自然受孕的女性相比,通过ARTs受孕的女性在适应妊娠方面遇到困难的情况明显更频繁(p = 0.000005)。第一组的受试者明显年龄更大(p = 0.04)、更富有(p = 0.000005),并且比后一组女性更频繁地中断职业工作。两组在住院频率方面没有差异。

结论

ARTs显著增加了适应由此产生的妊娠的困难。造成这些困难的主要因素是年龄、社会经济状况和职业活动的中断。

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