Challenges affecting couples resorting to Assisted Reproductive Treatment (ART) in Romania

2021 ◽  
Vol 12 (4) ◽  
pp. 240-247
Author(s):  
Mădălin-Marius Margan ◽  
Roxana Margan ◽  
Fira-Mladinescu Corneluta ◽  
Putnoky Salomeia ◽  
Tuta-Sas Ioana ◽  
...  
Keyword(s):  
Infertility Treatment ◽  
Treatment Costs ◽  
Assisted Reproductive Techniques ◽  
Sample Population ◽  
Cross Sectional ◽  
Specialized Treatment ◽  
Points Of Interest ◽  
Assisted Reproductive Treatment ◽  
Infertility Treatments ◽  
Reproductive Techniques

Objective: The aim of this paper is to illustrate the main points of interest regarding the way treatment of infertility impacts the life of couples who struggle with this condition in Romania. The unique aspects and specific challenges regarding social, financial and psychological implications that affect Romanian couples who access specialized treatment for infertility will be thoroughly discussed. Methods: This study is a descriptive cross-sectional research. The sample population included patients who attended specialized infertility treatment (Assisted Reproductive Techniques - ART) in Fertility Clinics from Romania. The study was conducted between 2017 and 2019 and data was gathered through two infertility questionnaires. Results: The questionnaire for women was filled in by 829 female participants who struggled with infertility and resorted to ART and the questionnaire for men was completed by 227 male participants, as partners of the women, some of them as well with fertility issues. We analysed the results regarding all aspects surrounding infertility and ART, such as: psychological implications, impact of stress, access to specialized treatment, costs for treatment. Conclusion: The results showed that couples who struggle with infertility have to deal with high costs for specialized infertility treatments, in addition to stress related to treatment, creating a combination which negatively impacts their future chances of getting a pregnancy.

Factors causing stress in women undergoing in-vitro fertilization treatment

2020 ◽  
Vol 10 (1) ◽  
pp. 43-51
Author(s):  
Z Sökmen ◽  
S Türkleş
Keyword(s):  
In Vitro Fertilization ◽  
Support Groups ◽  
Descriptive Study ◽  
Infertility Treatment ◽  
Study Data ◽  
Assisted Reproductive Techniques ◽  
Vitro Fertilization ◽  
State Hospitals ◽  
Reproductive Techniques

Purpose: This descriptive study was conducted to identify the factors causing stress in women undergoing in-vitro fertilization (IVF) treatment. Materials and methods: The study sample consisted of 151 women who were receiving IVF therapy in the assisted reproductive techniques units of three state hospitals in Istanbul. The study data were collected using a Questionnaire and a Distress/Problem Identification form both developed by the investigators. Results: A considerable percentage of the women whose income was less than their expenses stated that they feared their infertility treatment would be a failure. The majority of the women who gave the answer “the cause is not known” or “me” when they are asked “who is responsible for not being able to have a child” stated that they were annoyed when people asked questions about having children and felt strained and uneasy on the days of coming to the center. Conclusions: We suggest that trainings should be planned for health teams and health teams should establish support groups and organize meetings for couples

scholarly journals Incidence and short outcome in multiple pregnancies: a single center cross-sectional study in Iran 2016–2017

2019 ◽  
Vol 28 (1) ◽  
pp. 28-34
Author(s):  
Behnaz Basiri ◽  
Mohammad Kazem Sabzehei ◽  
Maryam Shokouhi ◽  
Mohammad Mahdi Sabahi
Keyword(s):  
Birth Weight ◽  
Gestational Age ◽  
Cross Sectional Study ◽  
Assisted Reproductive Techniques ◽  
Multiple Births ◽  
Multiple Pregnancies ◽  
Sectional Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
Reproductive Techniques

BACKGROUND The incidence of multiple pregnancies in industrialized countries due to the use of assisted reproductive techniques has increased over the past two decades. Multiple births are more dangerous than single pregnancies for mother and baby. This study evaluated the frequency of multiple pregnancies and its neonatal complications.METHODS In this cross-sectional study, we assessed all multiple neonates hospitalized in Fatemieh Hospital of Hamadan, Iran from September 2016 to September 2017 in terms of gender, gestational age, birth weight, the use of assisted reproductive techniques, delivery method, cause of hospitalization, therapeutic intervention, and hospitalization outcome.RESULTS Of 10,581 deliveries during the study period, 351 (3.3%) was multiple pregnancies and 232 neonates hospitalized. The incidence of twin, triplet, and quadruplet birth were 1.7%, 0.39%, and 0.11% respectively. In this study, 178 twin and 54 triplet and quadruplet birth were compared. The mean gestational age and mean birth weight of triplet and quadruplet were lower than that of twin births (p<0.001). A significant difference was found on the frequency of assisted reproductive techniques (p<0.001). Female sex (p=0.007), lower mean gestational age (p=0.009), lower mean birth weight (p=0.017) and need to mechanical ventilation (p<0.001) were significantly associated with early neonatal death in multiple pregnancies.CONCLUSIONS The incidence of multiple births was high in the Hamadan province, which was often followed by infertility treatment. Moreover, multiple births cause prematurity, low birth weight, respiratory distress syndrome, and increased neonatal mortality rate.

scholarly journals The Outcome of Assisted Reproductive Techniques among Couples with Male Factors at Prince Khalid Bin Sultan Fertility Centre, Kingdom of Saudi Arabia

2017 ◽  
Vol 5 (5) ◽  
pp. 603-607 ◽  
Author(s):  
Hytham Bahaeldin Mukhtar ◽  
Amani Shaman ◽  
Hyder Osman Mirghani ◽  
Ayman Adnan Almasalmah
Keyword(s):  
Saudi Arabia ◽  
Intrauterine Insemination ◽  
Demographic Data ◽  
Sperm Concentration ◽  
Assisted Reproductive Techniques ◽  
Kingdom Of Saudi Arabia ◽  
Cross Sectional ◽  
Reproductive Techniques ◽  
Male Factors

BACKGROUND: Thirty-three percent of infertility due to paternal factors, there are an increasing proportion of couples who decide to conceive by assisted reproductive techniques (ART). The outcome prediction is pivotal for decision making.AIM: We aimed to study the pregnancy outcomes of different ART with male factors infertility.METHODS: This retrospective cross-sectional study conducted at Tabuk, Kingdom of Saudi Arabia. One hundred fifteen patients' records reviewed using a structured checklist to collect demographic data, sperm (concentration, motility, and morphology). Female with significant infertility factor were excluded. Chi-square was used for the outcome of various ART.RESULTS: Out of 115 couples with male factors; treated by Intracytoplasmic Sperm Injection (ICSI), In Vitro Fertilization (IVF) and Intrauterine Insemination (IUI); the mean age was 35.2 ± 6.3 years for men and 29.7 ± 5.1 for females. IVF had the highest success rate overall and had a high pregnancy rate with oligospermia and asthenospermia. ICSI has a good outcome for those with azoospermia, severe oligospermia, and teratozoospermia. IUI must be tried as a first line treatment when semen concentration is more than 10 million sperm/ml. all are not significant (P > 0.05).CONCLUSION: No significant differences were reported in the pregnancy outcome between various assisted reproductive techniques, smoking, type of infertility and medication.

The problem of multiple pregnancy in the infertility treatment with assisted reproductive techniques

2019 ◽  
Vol 5_2019 ◽  
pp. 137-143
Author(s):  
Papysheva E.I. Papysheva ◽  
Karaganova E.Yu. Karaganova ◽  
Breusenko L.E. Breusenko ◽  
Keyword(s):  
Multiple Pregnancy ◽  
Infertility Treatment ◽  
Assisted Reproductive Techniques ◽  
Reproductive Techniques

scholarly journals The attitudes of infertile couples towards assisted reproductive techniques in Yazd, Iran: A cross sectional study in 2014

2016 ◽  
Vol 14 (12) ◽  
pp. 761-768
Author(s):  
Seyed Alireza Afshani ◽  
Ali Mohammad Abdoli ◽  
Mehrieh Hashempour ◽  
Maryam Baghbeheshti ◽  
Mohammad Zolfaghari ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Assisted Reproductive Techniques ◽  
Sectional Study ◽  
Cross Sectional ◽  
Reproductive Techniques ◽  
Infertile Couples

scholarly journals Perinatal Outcomes in Monozygotic Pregnancies Resulting From Assisted Reproductive Techniques: A Single-Center 6-Year Experience Base on a Large Cohort of Pregnancies

2021 ◽  
Author(s):  
Nur Güngör ◽  
Tuğba Gürbüz
Keyword(s):  
Perinatal Outcomes ◽  
Monozygotic Twin ◽  
Cross Sectional Study ◽  
Assisted Reproductive Techniques ◽  
Cross Sectional ◽  
Vitro Fertilization ◽  
Reproductive Techniques ◽  
Potential Risks ◽  
Clinical Conditions

Abstract Purpose: Monozygotic twin (MZT) pregnancies increase the risk of maternal and infant mortality and reveal many complications. In the present study, we aimed to share our assisted reproductive techniques (ART) through the analysis of perinatal outcomes in MZT pregnancies.Materials and Methods: In this retrospective clinical cross-sectional study, 1159 cycles in the In vitro fertilization (IVF) program between October 2014 and December 2019 were retrospectively evaluated and perinatal outcomes and general clinical conditions were analyzed. Results: 16 cycles with MZT were achieved with IVF, resulting in a MZT incidence of 1.38%. The MZT incidence aged≤35 and >35 years were 0.2% and 1.1%, respectively. Eight MZT pregnancies resulted in a live birth, while 5 MZT resulted in an abortus. A significant positive correlation was found between the number of trials and the age of female (r:0.674; p=0.004) and male (r:0.657; p=0.006). Cumulus-Oocytes Complexes (COC) (r:0,635; p=0,008), Metaphase II Oocyte (MIIO) (r:0,627; p=0,009), Pronucleus Oocyte (PO) (r:0,585; p=0,017) were correlated with serum AMH levels. Number of MZT was positively correlated with the male age (r:0,527; p=0,036), while negatively correlated with embryo transfer day (ETd) (r: -0,548; p=0,028). Conclusion: The pregnancies that we identified and achieved with IVF had a similar incidence of MZT with the literature, although its risk was more for women >35 years. MZT pregnancies can become a problem as the increasing number of IVF applications continue due to its potential risks for both maternal and fetus.

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