scholarly journals Contact, moral foundations or knowledge? What predicts attitudes towards women who undergo IVF

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alicja Malina ◽  
Marta Roczniewska ◽  
Julie Ann Pooley

Abstract Background The willingness to try in vitro fertilization (IVF) as an infertility treatment, as well as its psychosocial consequences for couples, may be influenced by how they perceive the attitudes of general public towards this procedure. The focus of the current study was to identify predictors of attitudes towards mothers who underwent IVF to conceive a child. Three predictors were derived from attitude components: contact with someone who had undergone IVF (behavior), moral foundations (emotions), and the level of knowledge (cognition) about IVF. Method In total, 817 participants (118 male and 692 female, 7 unreported) from Poland took part in the study. Participants were asked whether they knew a person who underwent IVF, completed a Moral Foundation Questionnaire, and answered a pre-piloted IVF knowledge test. Attitudes towards women who utilised IVF were measured with a modified Bogardus Social Distance Scale. Data were analysed using hierarchical and logistic regression analyses. Results The results showed that there was a weak link between previous contact with a person who underwent IVF and a positive attitude toward a woman who underwent IVF. The attitudes was also predicted by moral foundations: positively by care/harm and fairness/cheating foundations, and negatively by sanctity/degradation. Importantly, more knowledge about IVF was linked with a more positive attitude towards IVF, and this effect explained additional variance over and above moral foundations. Conclusions Our study implies the need of psychoeducation to prevent stigmatization of individuals who try IVF due to infertility.

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247204
Author(s):  
Eyasu Alem Lake ◽  
Birhanu Wondimeneh Demissie ◽  
Natneal Atnafu Gebeyehu ◽  
Addisu Yeshambel Wassie ◽  
Kelemu Abebe Gelaw ◽  
...  

Background The World Health Organization (WHO) declared coronavirus disease 2019 (COVID-19) a global pandemic on 11th March, 2020. In Ethiopia, more than 90,490 and 1,300 confirmed cases and deaths were reported by the Federal Ministry of Health at the time of writing up this project. As health care providers are frontline workers managing the COVID-19 pandemic, this systematic review and meta-analysis aimed to assess the pooled level of knowledge, attitude, and practice towards COVID-19 among health professionals in Ethiopia. Methods PubMed, Google Scholar, Excerpta Medica database (EMBASE), Cochrane Library, Web of Science, and African Journal of Online (AJOL) were searched. The data were extracted using Microsoft Excel and analyzed using STATA version 14. Publication bias was checked by funnel plot and more objectively through Egger’s regression test, with P < 0.05 considered to indicate potential publication bias. The heterogeneity of studies was checked using I2 statistics. Pooled analysis was conducted using a weighted inverse variance random-effects model. Subgroup analysis was done related to geographic region and time. A leave-one-out sensitivity analysis was also employed. Result A total of 11 studies with 3,843 study participants for knowledge, eight studies with 2,842 study participants for attitude and 10 studies with 3, 435 study participants for practice were used to estimate the pooled level of good knowledge, positive attitude and poor practice among health professionals. The overall estimated good level of knowledge, positive attitude and poor practice towards COVID-19 was found to be 79.4% (95% CI: 73.5%-85.2%; I2 = 96%), 73.7% (95%CI: 63.09%-84.4%; I2 = 98.3%) and 40.3% (95%CI: 31.1%-49.6%; I2 = 97.1%) respectively. Conclusion Study findings showed that there were significant gaps in COVID-19 related knowledge, attitude and practice with respect to World Health Organization recommendations on COVID-19 management and personal protection practices. This study therefore recommends that institutions provide with immediate effect accurate and up-to-date information on COVID-19 and training that encourages improved knowledge, attitude and practice to mitigate this pandemic.


2019 ◽  
Vol 317 (4) ◽  
pp. E677-E685 ◽  
Author(s):  
Kirk P. Conrad ◽  
Georgia M. Graham ◽  
Yueh-Yun Chi ◽  
Xiaoman Zhai ◽  
Minjie Li ◽  
...  

Cardiovascular function is impaired and preeclampsia risk elevated in women conceiving by in vitro fertilization (IVF) in the absence of a corpus luteum (CL). Here, we report the serial evaluation of hormones and other circulating factors in women who conceived with (or without) IVF. After a prepregnancy baseline, the study participants ( n = 19–24/cohort) were evaluated six times during pregnancy and once postpartum (~1.6 yr). IVF pregnancies were stratified by protocol and CL number, i.e., ovarian stimulation (>1 CL) or hypothalamic-pituitary suppression (0 CL) versus spontaneous conceptions (1 CL). Results include the following: 1) relaxin was undetectable throughout pregnancy (including late gestation) in the 0 CL cohort, but markedly elevated in ~50% of women in the >1 CL cohort; 2) progesterone, plasma renin activity, and aldosterone transiently surged at 5–6 gestational weeks in the >1 CL group; 3) soluble vascular endothelial growth factor-1 (sFLT-1) abruptly increased between 5–6 and 7–9 gestational weeks in all three participant cohorts, producing a marked elevation in sFLT-1/PLGF (placental growth factor) ratio exceeding any other time point during pregnancy; 4) sFLT-1 was higher throughout most of gestation in both IVF cohorts with or without abnormal obstetrical outcomes; 5) during pregnancy, C-reactive protein (CRP) increased in 0 and 1 CL, but not >1 CL cohorts; and 6) plasma protein, but not hemoglobin, was lower in the >1 CL group throughout gestation. The findings highlight that, compared with spontaneously conceived pregnancy, the maternal milieu of IVF pregnancy is not physiologic, and the specific perturbations vary according to IVF protocol and CL status.


2019 ◽  
Vol 47 (2) ◽  
pp. 100-111 ◽  
Author(s):  
Aaron T. McLaughlin ◽  
Shola Shodiya-Zeumault ◽  
Stacey McElroy-Heltzel ◽  
Don E. Davis ◽  
Amy McLaughlin-Sheasby ◽  
...  

This article examines the social buffering hypothesis of cultural humility in the context of religious offenses. In this study, participants ( N = 244) rated their cultural humility in terms of differing religious values and beliefs as well as their moral foundations in determining what is right or wrong. They then recalled an offense or hurt attributed to religious disagreements and indicated their motivations for forgiving the offender. Lower endorsement of individuating moral foundations predicted greater unforgiveness; however, cultural humility softened this relationship between individuating moral foundations and unforgiveness. When cultural humility was higher, participants were less likely to report unforgiveness motivations toward the religious offender, even if their individuating moral foundation scores were lower. Results from this study support the social buffering hypothesis of humility. Namely, individuals with higher levels of cultural humility demonstrate a greater capacity to maintain relationships during stressful religious disagreements by regulating intuitive and affective moral positions, particularly those that have previously been linked to social dominance or moral disinterest. We conclude this study by discussing limitations, practical applications, and areas for future research.


Author(s):  
Jaime Banks

Abstract Both robots and humans can behave in ways that engender positive and negative evaluations of their behaviors and associated responsibility. However, extant scholarship on the link between agent evaluations and valenced behavior has generally treated moral behavior as a monolithic phenomenon and largely focused on moral deviations. In contrast, contemporary moral psychology increasingly considers moral judgments to unfold in relation to a number of moral foundations (care, fairness, authority, loyalty, purity, liberty) subject to both upholding and deviation. The present investigation seeks to discover whether social judgments of humans and robots emerge differently as a function of moral foundation-specific behaviors. This work is conducted in two studies: (1) an online survey in which agents deliver observed/mediated responses to moral dilemmas and (2) a smaller laboratory-based replication with agents delivering interactive/live responses. In each study, participants evaluate the goodness of and blame for six foundation-specific behaviors, and evaluate the agent for perceived mind, morality, and trust. Across these studies, results suggest that (a) moral judgments of behavior may be agent-agnostic, (b) all moral foundations may contribute to social evaluations of agents, and (c) physical presence and agent class contribute to the assignment of responsibility for behaviors. Findings are interpreted to suggest that bad behaviors denote bad actors, broadly, but machines bear a greater burden to behave morally, regardless of their credit- or blame-worthiness in a situation.


Author(s):  
Liliya Vakrilova ◽  
Stanislava Hitrova-Nikolova ◽  
Irena Bradinova

AbstractTriploidy is a rare chromosomal aberration characterized by a karyotype with 69 chromosomes. Triploid fetuses usually are miscarried in early pregnancy. We present a case of a triploid twin and a genetically unaffected co-twin, conceived through in vitro fertilization. A discordant growth was registered at 20 weeks of gestation. Cesarean section was performed at 355/7 gestational week. The second twin was extremely growth restricted female (780 g) with oligohydramnios and severe respiratory distress, and died at 20 hours of age. The autopsy revealed unilobar left lung, bilobar right lung, and cysts of the terminal bronchioles. Quantitative fluorescent polymerase chain reaction detected triploidy compatible pattern. So, early intrauterine growth restriction may be a sign of triploidy, which must be proven by pre or postnatal genetic testing.


MedPharmRes ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 5-20
Author(s):  
Vu Ho ◽  
Toan Pham ◽  
Tuong Ho ◽  
Lan Vuong

IVF carries a considerable physical, emotional and financial burden. Therefore, it would be useful to be able to predict the likelihood of success for each couple. The aim of this retrospective cohort study was to develop a prediction model to estimate the probability of a live birth at 12 months after one completed IVF cycle (all fresh and frozen embryo transfers from the same oocyte retrieval). We analyzed data collected from 2600 women undergoing in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) at a single center in Vietnam between April 2014 and December 2015. All patients received gonadotropin-releasing hormone (GnRH) antagonist stimulation, followed by fresh and/or frozen embryo transfer (FET) on Day 3. Using Cox regression analysis, five predictive factors were identified: female age, total dose of recombinant follicle stimulating hormone used, type of trigger, fresh or FET during the first transfer, and number of subsequent FET after the first transfer. The area under the receiver operating characteristics curve for the final model was 0.63 (95% confidence interval [CI] 0.60‒0.65) and 0.60 (95% CI 0.57‒0.63) for the validation cohort. There was no significant difference between the predicted and observed probabilities of live birth (Hosmer-Lemeshow test, p > 0.05). The model developed had similar discrimination to existing models and could be implemented in clinical practice.


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