Investigation of understanding the influence of age on fertility in Kаzakhstan: reality the physicians need to face in IVF clinic

Utepova, Gulnara; Terzić, Milan; Bapayeva, Gauri; Terzić, Sanja

doi:10.12891/ceog4685.2019

Cited by 5 publications

(2 citation statements)

References 19 publications

(21 reference statements)

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“…In Kazakhstan, there were studies assessing the relationship between age, psychological distress and IVF outcome [ 5 , 6 , 15 , 16 ], as well as the impact of governmental support to the IVF clinical pregnancy rates [ 17 ], while there were no investigations evaluating the quality of life in women undergoing IVF using fertility-specific measurement. The mentality of the country is based on putting pressure on couples that they need to become parents.…”

Section: Introductionmentioning

confidence: 99%

Quality-of-Life Assessment of Women Undergoing In Vitro Fertilization in Kazakhstan

Suleimenova

Локшин²,

Glushkova

et al. 2022

IJERPH

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Infertility is a problem that affects millions of couples worldwide and has a significant impact on their quality of life. The recently introduced “Fertility Quality of Life Questionnaire (FertiQoL)” quickly became a gold standard for evaluation of the quality of life of patients suffering from infertility. The aim of this study was to determine the quality of life of Kazakhstani women coping with infertility problems by FertiQoL and assess the validity of the questionnaire. This cross-sectional study involved women of reproductive age undergoing an in vitro fertilization (IVF) cycle at a large IVF center in Kazakhstan in the period from 1 September 2020 to 31 September 2021. A total of 453 women out of 500 agreed to participate in the study, and the response rate was 90.6%. The overall Core FertiQoL was 56.95 ± 14.05, and the Treatment FertiQoL was 66.18 ± 11.13 points. Respondents with secondary infertility had statistically significantly higher Emotional (p < 0.001), Mind–body (p = 0.03), Social (p < 0.001), Environment (p = 0.02), and Treatment (p < 0.001) domains of FertiQoL than women with primary infertility. Respondents with a low income had the lowest levels of Total FertiQoL (56.72 ± 11.65). The longer duration of infertility of women undergoing IVF treatment presented the worse scale of Treatment and Total FertiQoL. Cronbach’s alpha revealed good internal reliability for all FertiQoL subscales on the Kazakhstan women’s questionnaire and averaged 0.8, which is an indicator of a high degree of reliability. The Total FertiQoL of Kazakhstan women undergoing IVF treatment was 59.6 ± 11.5, which is considerably lower than European countries. We identified statistically significant differences across medical and demographic groups. As this questionnaire had validity in Kazakhstan survey it possibly be used for both medical counseling and future investigation in our country.

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Section: Introductionmentioning

confidence: 99%

Quality-of-Life Assessment of Women Undergoing In Vitro Fertilization in Kazakhstan

Suleimenova

Локшин²,

Glushkova

et al. 2022

IJERPH

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“…Pregnancies occurring in women of advanced age show a rising trend over the last few decades, both in developed and developing countries due to extended education, seeking career opportunities, contraception use and successful assisted reproductive techniques as infertility treatment [ 21 – 24 ]. Currently the most widely accepted cut-off for advanced maternal age is 35 years, although lately it is getting higher, up to the age of 40 years.…”

Section: Discussionmentioning

confidence: 99%

The influence of advanced age and obesity on pregnancy course and outcome in patients with diabetes mellitus

Bapayeva¹,

Terzić²,

Dotlić³

et al. 2022

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Introduction Older women are at greater risk of suffering from a series of comorbidities such as obesity, diabetes, and hypertension that could negatively affect pregnancy course and outcomes. This study aims to investigate the impact of maternal age and pre-pregnancy body mass index (BMI) on pregnancy outcomes of women with diabetes mellitus (DM). Material and methods The study included 323 diabetic pregnant women. All complications throughout pregnancy and the early neonatal period were noted. The women were divided into groups according to age decade and BMI. Results 84.8% of women reported pregnancy complications, with a higher prevalence in obese women ( p = 0.003). However, most children had a good outcome with few early neonatal complications (36.85%). Old and obese women with DM often showed complications, and their newborns had higher birth weight ( p = 0.003) and more neonatal complications ( p = 0.041). Maternal BMI ( p = 0.016; OR = 1.064), but not age ( p = 0.801), was found to be a significant predictor of pregnancy complications. Conclusions Pregnant women with DM should be considered as high-risk patients. Advanced age and increased BMI prior to pregnancy are risk factors for pregnancy complications. Maternal obesity is the most important predictor of pregnancy complications in women with DM. Pregnancy outcome can be good for both mothers and children with a timely and adequate approach.

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The effect of psychological distress on IVF outcomes: Reality or speculations?

et al. 2020

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Introduction Infertility is a problem that affects millions of people worldwide. The aim of this study was to assess the effect of stress, depression and anxiety on the IVF outcomes in Kazakhstan. Methods The prospective cohort study was performed using questionnaires to assess psychological distress in 304 infertile female in three different cities in Kazakhstan. Results The average age of participants was 33.7 years with infertility duration of 5.9 years. Regarding stress, depression and anxiety we found that more than 80% of all respondents had CES-D score higher than 16, indicating that they are at risk of developing clinical depression. On average, FPI subscales’ scores, global stress score and anxiety scale (STAI-S and STAI-T) scores were statistically significantly higher among not pregnant women than pregnant women. Similarly, in simple logistic regression analysis all FPI subscales scores, global stress scale score and anxiety scales’ scores were negatively associated with clinical pregnancy. Conclusion Rates of stress, anxiety and depression among IVF patients are higher than in general population. If the level of infertility-related stress is higher, IVF success rate is lower. Findings of our study indicate the need for the specific psychological interventions for all infertility women, to improve IVF success rate.

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Investigation of understanding the influence of age on fertility in Kаzakhstan: reality the physicians need to face in IVF clinic

Cited by 5 publications

References 19 publications

Quality-of-Life Assessment of Women Undergoing In Vitro Fertilization in Kazakhstan

Quality-of-Life Assessment of Women Undergoing In Vitro Fertilization in Kazakhstan

The influence of advanced age and obesity on pregnancy course and outcome in patients with diabetes mellitus

The effect of psychological distress on IVF outcomes: Reality or speculations?

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