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

Afshani, Seyed Alireza; Abdoli, Ali Mohammad; Hashempour, Mehrieh; Baghbeheshti, Maryam; Zolfaghari, Mohammad Reza

doi:10.29252/ijrm.14.12.761

Cited by 16 publications

(25 citation statements)

References 24 publications

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“…This is contrary to Christians and Igbo ethnic group in the southern part of the country. 18,22 They were mostly, 98.9% married and 59.5%, in monogamous. This is surprising as the study was conducted in a community where polygamy is the norm.…”

Section: Resultsmentioning

confidence: 99%

Attitude and acceptability of assisted reproductive technology among women in a tertiary hospital in Sokoto, northern Nigeria

Umar

Adamu²

2021

Int J Reprod Contracept Obstet Gynecol

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Background: Infertility couple affects the couple's life, work, health, personality, identity and quality of life. The aim of the study is to determine the attitude and acceptability of assisted reproductive technology among women at the Usmanu Danfodiyo University Teaching Hospital, Sokoto.Methods: This is a cross-sectional study that involved three 350 women attending infertility clinic. They were recruited via convenient sampling method using semi-structured questionnaire. The data obtained was managed using the statistical package for social sciences version 20. A p value of <0.05 was considered statistically significant and the result obtained was presented in charts and tables.Results: Among the 350 women recruited, their ages ranged between 14-58 years with a modal age of 25-35 yeas (58.0%) and a mean of 28.59±6.7. They are mostly (78.6%), of the Hausa/Fulani ethnic group. Almost all (98.9%) of them were married and unto 40.5% of them were in polygamous marriage. Majority, 36.9% had tertiary education, and about same proportion, about half, 51.7%% were gainfully employed. About 60.3% of them were nulliparae with a mean duration of infertility of 5.07±4.8 years. Approximately half, 53.1% had secondary infertility and only about half, 51.4% will accept ART if offered. Unfortunately, among those who declined, majority (40.9%) had no reason for doing so. There was statistically significant association between educational status and acceptance of assisted reproductive technology (ART) at p value 0.02.Conclusions: The acceptance of ART in our environment is influenced by the educational status and number of living children.

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Section: Resultsmentioning

confidence: 99%

Attitude and acceptability of assisted reproductive technology among women in a tertiary hospital in Sokoto, northern Nigeria

Umar

Adamu²

2021

Int J Reprod Contracept Obstet Gynecol

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“…The other factor may causes higher acceptance rate of surrogacy in some countries is that infertile women experience more psychological turmoil due to both the social pressure to be a mother and fear of losing marriage. This condition resulted in loss of women’s self-esteem; subsequently, they seek more evidences about fertility, start the handling of the problem as soon as possible, and become more hopeful of having a child ( 8 ).…”

Section: Discussionmentioning

confidence: 99%

Infertile Women’s Opinion Concerning Gestational Surrogacy: A Systematic Review and Meta-Analysis

Musavi¹,

Abdolahi²,

Ghojazadeh³

et al. 2020

ijph

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Background: This systematic review and meta-analysis of the observational studies aimed at evaluating the infertile women’s attitude toward gestational surrogacy. Methods: Published studies until Jan 2019 were searched using PubMed/MEDLINE, Scopus, EMBASE, Cochrane Library, ISI Web of Science, Proquest and Google scholar, MagIran, SID and IranMedex. Studies in English or Persian language surveyed attitudes toward surrogacy for infertile women published until Jan 2019. Animal studies and studies with poor methodological quality were excluded from the review. Results: Six eligible studies including 1359 infertile women were identified. Of these, 559 and 742 women agreed and disagreed with surrogacy respectively. The overall event rate of positive attitude for surrogacy in infertile women was %39.7 (%95 CI=24.5 to 57.1, P=0.245). Conclusion: The infertile women’s attitude toward surrogacy is not strongly positive. We believe, more studies should be conducted among different socioeconomic, religious and cultural groups.

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“…These results are reinforced by some studies (30). Since infertility treatment is very expensive and some couples need years of treatment and also some of them have to travel to another city which is more expensive for treatment, these issues can affect their attitude and it can be claimed that the socio-economic situation may change the couple’s attitude (16). But in this study, the majority of clients had an income less than 100$; so, there was not a great difference between their incomes, and there was not a statistical difference between their attitudes.…”

Section: Discussionmentioning

confidence: 99%

“…According to data collected by the World Health Organization (WHO) in 2004, there are 187 million infertile couples in developing countries except for China. However, a large part of the world, including Iran, is reluctant to use modern methods of pregnancy (15, 16). On average, about 10-15% of couples in Iran have infertility problems (17), of which 50% seek medical treatment, which may initially include medication or surgery (18).…”

Section: Introductionmentioning

confidence: 99%

“…It has also been found that couples seeking IVF approach are more likely than non-IVF couples to report unstable relationship due to length and treatment expectations (22, 23). While the social, ethical, and legal issues regarding ART are well documented globally, as well as in Asia, many Iranians are unaware of the exact application of this technology (16). Due to the nature of treatment and pregnancy, objective measurement of psychological, social, emotional, and attitudinal effects on couples using ART is limited (12).…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of attitude among infertile couples about continuing assisted reproductive technologies therapy during novel coronavirus outbreak

Peivandi

Razavi

Shafiei

et al. 2020

Preprint

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Study question: Does the fear of the coronavirus disease 2019 (COVID-19) pandemic reduce the desire of infertile couples to continue treatment? Summary answer: Most of the participants in this study wanted to continue treatment. What is known already: The effect of the prevalence of infectious diseases including the Zika virus on the attitude of infertile couples has been studied in very few studies. However, the effect of the outbreak of COVID-19 on the attitude of infertile couples has not been investigated. Study design, size, duration: We conducted a prospective longitudinal study on forty-six infertile couples (n=92) who referred to our infertility clinic from 4 March 2020 through 20 June 2020. Participants/materials, settings, methods: This study is based on potential infertile couples for treatment with assisted reproductive technology (ART) who referred to our infertility clinic, Sari, Iran (median age of 35.5 years). All individuals with primary infertility, as defined by the World Health Organization (WHO) and candidates for ART, were included in the study. People who did not agree to participate in the study were excluded. Subjects were surveyed using a researcher-made questionnaire. This questionnaire has four sections as follows: The first part included demographic information and clinical characteristics, the second part included medical records, the third part included questions related to assessing the level of awareness regarding coronavirus infection, and the fourth part included questions related to the attitude towards continuing infertility treatment. The validity of this questionnaire was assessed by three infertility specialists and was confirmed with Cronbachs alpha of 0.78. A P-value of less than 0.05 was considered statistically significant. Main results and the role of chance: There is no significant relationship between COVID-19 symptoms and the level of awareness (P-value <0.05). Thirty-two patients (33.33%) had decreased motivation to continue treatment during COVID-19 pandemic. Fear of transmission to the fetus (28.13%) had the highest frequency among the causes of decreased motivation to continue treatment (P-value = 0.011). Confidence in support of the treatment team (56.67%) was the most common reason for lack of motivation in people without decreased motivation (P-value <0.001). The majority of patients had a very high or high tendency (65.22%) to continue or start treatment during the COVID-19 pandemic (P-value <0.001). Most people had an average fear of getting the disease (39.13%) (value <0.001). Examining the relationship between the presence of COVID-19 symptoms and attitude level variables showed that there is only a significant relationship between the greater desire to have a child and the continuation or initiation of treatment with the presence of COVID-19 symptoms (P-value = 0.032). Limitations, reasons for caution: We were not able to fully assess patients' deep feelings and cultural beliefs, due to the use of questionnaires and the lack of interviews. Wider implications of the findings: Our results showed for the first time that patients' knowledge about COVID-19 and trust in the treatment staff played an effective role in selecting and continuing infertility treatment. To clarify this issue, studies with the larger statistical community in the form of interviews are needed. Study funding/completing interest(s): The study received financial support from the Mazandaran University of Medical Sciences (Grant number: 7903). None of the funders had any role in the study design, collection, analysis, or interpretation of data, writing of the paper, or publication decisions. The authors have nothing to declare. Trial registration number: N/A

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

Cited by 16 publications

References 24 publications

Attitude and acceptability of assisted reproductive technology among women in a tertiary hospital in Sokoto, northern Nigeria

Attitude and acceptability of assisted reproductive technology among women in a tertiary hospital in Sokoto, northern Nigeria

Infertile Women’s Opinion Concerning Gestational Surrogacy: A Systematic Review and Meta-Analysis

Evaluation of attitude among infertile couples about continuing assisted reproductive technologies therapy during novel coronavirus outbreak

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