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体外受精双胞胎和单胎妊娠夫妇与自然单胎初产妇夫妇的关系及为人父母情况——一项为期5年的前瞻性随访研究。

Relationship and parenthood in IVF couples with twin and singleton pregnancies compared with spontaneous singleton primiparous couples--a prospective 5-year follow-up study.

作者信息

Sydsjö Gunilla, Wadsby Marie, Sydsjö Adam, Selling Katarina Ekholm

机构信息

Division of Obstetrics and Gynaecology, University of Linköping, Linköping, Sweden.

出版信息

Fertil Steril. 2008 Mar;89(3):578-85. doi: 10.1016/j.fertnstert.2007.03.064. Epub 2007 May 22.

DOI:10.1016/j.fertnstert.2007.03.064
PMID:17517400
Abstract

OBJECTIVE

To analyze relationship and parenthood in IVF twin couples, IVF singleton couples, and spontaneously pregnant primiparous couples.

SETTING

Southeast region of Sweden.

DESIGN

Prospective case-control study.

PATIENT(S): In total, 24 women and men who became pregnant with twins, consecutively, and expected their first child in 1997-98 were studied. A control IVF group of 94 singleton primiparous IVF couples were used. A group of spontaneous primiparous pregnant women were selected out of the total pregnant population as a control group.

MAIN OUTCOME MEASURE(S): Relationship and parenthood measured by questionnaires and interviews.

RESULT(S): The IVF singleton couples were most stable in their relationship during the whole study period, and the IVF twin parents also seemed more stable and satisfied compared with the control group of spontaneous conception couples. In the control group, 88% had a second child during the study period. In the singleton IVF group the corresponding number was 9%, and none of the twin parents had another child during the study period.

CONCLUSION(S): We conclude that the stresses associated with IVF treatment and becoming first-time parents of twins did not have a negative impact on the couples' appreciation of their relationship and parenthood as stated by both men and women.

摘要

目的

分析接受体外受精(IVF)的双胞胎夫妇、接受IVF的单胎妊娠夫妇以及自然受孕的初产妇夫妇之间的关系及为人父母的情况。

地点

瑞典东南部地区。

设计

前瞻性病例对照研究。

研究对象

总共研究了24对怀有双胞胎且预计在1997 - 1998年生育头胎的夫妇。选取了94对接受IVF的单胎初产妇夫妇作为IVF对照组。从所有孕妇群体中挑选出一组自然受孕的初产妇作为对照组。

主要观察指标

通过问卷调查和访谈来衡量关系及为人父母的情况。

结果

在整个研究期间,接受IVF的单胎妊娠夫妇的关系最为稳定,与自然受孕夫妇对照组相比,接受IVF的双胞胎父母似乎也更稳定且更满意。在对照组中,88%的夫妇在研究期间生育了第二个孩子。在接受IVF的单胎妊娠组中,相应比例为9%,而在研究期间,双胞胎父母中没有一对生育第二个孩子。

结论

我们得出结论,与IVF治疗以及首次成为双胞胎父母相关的压力,并未如男性和女性所述,对夫妇对其关系及为人父母情况的认知产生负面影响。

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