scholarly journals PSYCHOLOGICAL CHARACTERISTICS OF WOMEN WHO BECAME PREGNANT USING THE METHOD OF IN VITRO FERTILIZATION

2020 ◽  
Vol 117 (6) ◽  
pp. 105-113
Author(s):  
Irina M. Osipenko ◽  
Keyword(s):  
In Vitro Fertilization ◽  
Pregnant Women ◽  
The State ◽  
Psychological Characteristics ◽  
Vitro Fertilization ◽  
External Resources ◽  
The Public ◽  
Positive Attitudes ◽  
High Level

The growth of research in the field of reproductive health psychology, psychology of pregnant women using the method of in vitro fertilization (IVF), an increase in the birth rate using this method, as well as the number of broken families with difficulties with childbearing actualize this research topic in modern psychological science. The presented research is aimed at studying the psychological characteristics of women whose pregnancy occurred with the help of extracorporeal fertilization. The author believes that such women are characterized by a high level of anxiety, suspiciousness, a tendency to analyze the state of their own body, and the manifestation of hysteroid traits. Unlike women whose pregnancy occurred naturally, they tend to be depressed. The results of the study indicate that women whose pregnancy occurred via in vitro fertilization have more expressed anxiety and fear over pregnancy and the health of the unborn child, increased tendency to analyze the state of your own body and «alarming» signals from the environment, behavior with relatives, they often exhibit impulsivity, a game to the public. There is a desire to be in the center of attention and receive psychological stroking. These pregnant women have a fixation on their failures and disappointments, the presence of a passive life position. Women whose pregnancy occurred naturally are not prone to excessive fixation on the sensations in their body or to excessive complaints about the state of health; views and assessments harmoniously coincide with generally accepted norms, the environment of difficulties or misunderstandings does not arise; the mood is mostly smooth and calm, without periods of tension or dissatisfaction. There is a predominance of a favorable experience of pregnancy, based on internal and external resources, positive attitudes to motherhood.

Peculiarities of pregnancy and delivery course in women after the application of assisted reproductive technologies against obesity (Based on the retrospective analysis)

2018 ◽  
pp. 122-126
Author(s):  
I.A. Zhabchenko ◽  
◽  
O.R. Sudmak ◽  
Keyword(s):  
In Vitro Fertilization ◽  
Pregnant Women ◽  
Retrospective Analysis ◽  
Perinatal Outcomes ◽  
Reproductive Technologies ◽  
Ischemic Lesion ◽  
Vitro Fertilization ◽  
Pregnancy And Delivery

The objective: to study the structure and frequency of complications of pregnancy, deliveries and perinatal outcomes in three groups of women: women with infertility and obesity, treated by application of in vitro fertilization (hereinafter IVF), pregnant women after IVF application with normal body weight, and pregnant women on the background of obesity which did not have an infertility in past history. Materials and methods. A retrospective analysis of 221 case histories of pregnancies and labors in women who were treated and gave birth in the Pregnancy and delivery pathology Department of SI «Institute of Pediatrics, Obstetrics and Gynecology named after Acad. O. M. Lukyanova of NAMS of Ukraine» for 2012 – 2016 years was carried out. Results. The overwhelming majority of pregnant women after IVF on the background of obesity are primaparas, who have a complicated obstetric history, hormonal changes in the form of progesterone deficiency predominantly and chronic inflammatory processes. Pregnancy with a combination of infertility, treated by the means of IVF application, and obesity, in most cases is accompanied by a long-term threat of termination of pregnancy (48.8%), threatening preterm deliveries (56%), placental dysfunction (41.5%), premature rupture of the amniotic membranes (41.5%), other problems during pregnancy, at the same time, every second woman (58.5%) had a combination of several complications, and required a long-term and repeated inpatient treatment (53.7%). The specific gravity of surgical delivery was 90%, and 16.2% of such deliveries were complicated by pathological blood loss. The number of preterm deliveries was 17.1%, with perinatal losses up to 11.3‰. Among full-term newborns 21.3% of newborns had malnutrition of the I degree and 17% of them had hypoxic-ischemic lesion of CNS. Conclusion. The course of pregnancy, delivery and the postpartum period in the studied contingent of women has a significant frequency of complications, mainly the coinciding ones, which affects on the consequences of perinatal outcomes and requires further study of this problem and the development of differentiated algorithms for antenatal observation. Key words: pregnancy, obesity, in vitro fertilization, complications, delivery, newborn.

scholarly journals The Clinical Features and Prognosis Analysis of Pregnant Women with Tuberculosis After in Vitro Fertilization and Embryo Transfer and Natural Fertilization

2021 ◽  
Author(s):  
Wei Huang ◽  
Tao Li ◽  
yang Yang ◽  
Ping Liu ◽  
Jinghua Liu ◽  
...  
Keyword(s):  
In Vitro Fertilization ◽  
Liver Injury ◽  
Pregnant Women ◽  
Embryo Transfer ◽  
Clinical Features ◽  
T Lymphocyte ◽  
Adverse Outcomes ◽  
Vitro Fertilization ◽  
Ivf Et

Abstract Objective: To investigate the clinical characteristics and prognosis of women with tuberculosis after in vitro fertilization and embryo transfer (IVF-ET) and natural pregnancy.Design/Methods: Ninety-five pregnant women with tuberculosis admitted to Shanghai Public Health Clinical Center between February 2013 and July 2020 were retrospectively analyzed. They were divided into 24 cases of IVF-ET with tuberculosis and 71 cases of natural pregnancy group with tuberculosis. Baseline demographic, medical history were collected. We used descriptive statistics to describe demographic, clinical features and prognosis of pregnant women with tuberculosis using Pearson chi-squared, Fisher’s exact tests, or Kruskal-Wallis.Results: The incidence of fever, hematogenous disseminated pulmonary, drug-induced liver injury and fetal adverse outcomes in IVF-ET group were higher than those in natural pregnancy group (p<0.05). The lymphocyte count, hemoglobin level, albumin level and the number of CD4+T lymphocyte、CD8+ T lymphocyte in IVF-ET group were significantly lower than that in natural pregnancy group (p<0.05).Conclusions: Pregnant women with tuberculosis after in vitro fertilization and embryo transfer have broader lung lesions, more prominent symptoms of systemic poisoning, larger proportion of severe tuberculosis, more prone to anti-tuberculosis drugs induced liver injury and higher proportion of spontaneous abortion and inevitable abortion, which calls for enough attentions.

scholarly journals Serum and follicular fluid levels of sirtuin 1, sirtuin 6, and resveratrol in women undergoing in vitro fertilization: an observational, clinical study

2018 ◽  
Vol 47 (2) ◽  
pp. 772-782 ◽  
Author(s):  
József Bódis ◽  
Endre Sulyok ◽  
Tamás Kőszegi ◽  
Krisztina Gödöny ◽  
Viktória Prémusz ◽  
...  
Keyword(s):  
Clinical Study ◽  
In Vitro Fertilization ◽  
Pregnant Women ◽  
Follicular Fluid ◽  
Clinical Pregnancy ◽  
Sirtuin 1 ◽  
Enzyme Linked Immunosorbent Assay ◽  
Ovarian Hyperstimulation ◽  
Vitro Fertilization

Objective This observational, clinical study was designed to assess the role of sirtuin 1 (SIRT1), sirtuin 6 (SIRT6), and resveratrol in in vitro fertilization (IVF). Methods Paired serum and follicular fluid (FF) samples were obtained from 30 consecutive patients (age: 36.43 ± 4.17 years, body mass index: 22.90 ± 2.05 kg/m2, duration of infertility: 5.10 ± 2.80 years) who received IVF treatment. SIRT1, SIRT6, and resveratrol levels were measured by enzyme-linked immunosorbent assay. Results Ovarian hyperstimulation resulted in significantly higher serum SIRT1 levels in pregnant women (8 patients) compared with non-pregnant women (22 patients). SIRT6 levels remained unchanged after ovarian hyperstimulation, but were significantly lower in pregnant women compared with non-pregnant women before and after hyperstimulation. Both SIRTs were detected in FF, but they appeared to be independent of their serum levels. After correction for confounders, FF SIRT6 levels were positively related to mature oocytes (F = 6.609), whereas serum SIRT1 and SIRT6 levels were related to clinical pregnancy (F = 10.008, F = 5.268, respectively). Conclusions Our study shows that SIRT1 and SIRT6, but not resveratrol, are involved in human reproduction and they may have a role in oocyte maturation and clinical pregnancy in IVF.

scholarly journals Medical Necessity and the Public Funding of In Vitro Fertilization in Ontario

2019 ◽  
Vol 53 (1) ◽  
pp. 61-77
Author(s):  
Alana Cattapan
Keyword(s):  
Health Care ◽  
In Vitro Fertilization ◽  
Care Service ◽  
Health Care Service ◽  
Public Funding ◽  
Medical Necessity ◽  
Vitro Fertilization ◽  
The Public ◽  
The Government

AbstractThe recognition of a health care service as medically necessary under the Canada Health Act is contingent on a variety of practical and political factors. This article examines how in vitro fertilization (IVF) came to be understood as a medically necessary service in Ontario, focusing on the establishment of public funding for one cycle of treatment. The article argues that the legitimacy of medical necessity in the contemporary period is tied to three interrelated factors: the recognition of a service as sufficiently “medical,” as efficient and as urgent—that is, something to be funded now and not later. By applying this framework to the case of IVF in Ontario, the article demonstrates not only the ongoing malleability of medical necessity but also how the government of Ontario has mobilized the three aspects of medical necessity to make a case for the public funding of a highly contested health care service.

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