Assisted reproductive technology: an overview of Cochrane Reviews

Farquhar, Cindy; Rishworth, Josephine R; Brown, Julie; Nelen, W.L.D.M.; Marjoribanks, Jane

doi:10.1002/14651858.cd010537.pub3

Cited by 39 publications

(39 citation statements)

References 73 publications

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“…Infertility is experienced by nearly one in six couples and many of these go on to seek assisted reproductive technology (ART) treatment to help them conceive (Farquhar et al, 2015). However, it is estimated that only a quarter of women will get pregnant after a single ART cycle in the UK (Kushnir et al, 2017), so most couples will experience negative pregnancy results and repeat treatment.…”

Section: Introductionmentioning

confidence: 99%

Depression and state anxiety scores during assisted reproductive treatment are associated with outcome: a meta-analysis

Purewal

Chapman

Akker

2018

Reproductive BioMedicine Online

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This meta-analysis investigated whether state anxiety and depression scores during assisted reproductive technology (ART) treatment and changes in state anxiety and depression scores between baseline and during ART treatment are associated with treatment outcome. PubMed, PsycInfo, Embase, ScienceDirect, Web of Science and Scopus were searched and meta-analytic data analysed using random effects models to estimate standardized mean differences. Eleven studies (2202 patients) were included. Women who achieved pregnancy had significantly lower depression scores during treatment than women who did not become pregnant (-0.302; 95% CI: -0.551 to -0.054, z = -2.387, P = 0.017; I = 77.142%, P = 0.001). State anxiety scores were also lower in women who became pregnant (-0.335; 95% CI: -0.582 to -0.087, z = -2.649, P = 0.008; I = 81.339%, P = 0.001). However, changes in state anxiety (d = -0.056; 95% CI: -0.195 to 0.082, z = -0.794; I = 0.00%) and depression scores (d = -0.106; 95% CI: -0.296 to 0.085, z = -1.088; I = 0.00%) from baseline to treatment were not associated with ART outcome. Clinics should aim to promote better psychosocial care to help patients manage the psychological and physical demands of ART treatment, giving realistic expectations.

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Section: Introductionmentioning

confidence: 99%

Depression and state anxiety scores during assisted reproductive treatment are associated with outcome: a meta-analysis

Purewal

Chapman

Akker

2018

Reproductive BioMedicine Online

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“…Infertility remains a challenge for many couples around the globe . In fact, the global estimate shows that about 10% of people have problems with fertility, and one in every six couples will experience a fertility problem during their reproductive age . Generally, infertility affects the mental and social well‐being of individuals, particularly those in low‐ and middle‐income countries .…”

Section: Introductionmentioning

confidence: 99%

Challenges experienced by clients undergoing assisted reproductive technology in Ghana: An exploratory descriptive study

Kyei

Manu

Kotoh

et al. 2020

Intl J Gynecology & Obste

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Objective:To explore the experiences of clients accessing assisted reproductive technology (ART) services in selected health facilities in Greater Accra, Ghana.Methods: An exploratory, descriptive, qualitative design using a purposive sampling technique was employed. Overall, 12 women and six men participated in the study. Indepth interviews were conducted using a semi-structured interview guide. The Braun and Clarke (2006) procedure for data analysis was followed. Data collection spanned 9 months (January to October 2017).Results: Five major challenges were identified that were commonly experienced by our participants at every phase of the ART treatment, including the high cost of ART treatment, the long distance to treatment centers, drug treatment challenges, disturbances in daily routine and work, and anxiety about pregnancy outcome. Conclusion:Given the emotional and psychological challenges reported by the participants in the present study, an integration of counseling units in the ART centers is recommended, manned by qualified personnel such as clinical psychologists and counselors to support clients at every stage of the treatment. Also, given the high cost of ART services, as reflected in the participants' views, it is recommended that private health insurance companies fund some aspect of ART services, such as laboratory investigations and medications.

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“…In Australia more than 3% of all births are as a consequence of ART . Although the definition can sometimes vary, ART is commonly defined as the application of laboratory or clinical technology to gametes (human egg or sperm) and/or embryos for the purposes of reproduction and has expanded to include not only in vitro procedures, but also ovarian stimulation with gonadotropin or ovarian stimulating medications . With the expansion of these and other MAR techniques resulting in a large number of successful pregnancies and births, awareness of intrapartum and perinatal outcomes associated with MAR for prospective parents is essential.…”

Section: Introductionmentioning

confidence: 99%

Intrapartum and neonatal outcomes in singleton pregnancies following conception by assisted reproduction techniques

Rozdarz

Flatley

Kumar

2017

Aust NZ J Obst Gynaeco

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Assisted reproductive technology: an overview of Cochrane Reviews

Cited by 39 publications

References 73 publications

Depression and state anxiety scores during assisted reproductive treatment are associated with outcome: a meta-analysis

Depression and state anxiety scores during assisted reproductive treatment are associated with outcome: a meta-analysis

Challenges experienced by clients undergoing assisted reproductive technology in Ghana: An exploratory descriptive study

Intrapartum and neonatal outcomes in singleton pregnancies following conception by assisted reproduction techniques

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