Use and pattern of previous care received by infertile Nigerian women

Mohammed‐Durosinlorun, Amina; Adze, Joel A; Bature, Stephen B; Amina, Abubakar; Mohammed, Caleb; Taingson, Matthew C; Lydia, Airede

doi:10.1186/s40738-019-0068-6

Cited by 15 publications

(9 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This corroborates previous reports of increasing uptake of IVF by women who had hitherto delayed seeking orthodox treatment or infertility. [ 10 11 ] In addition, several reports have shown donor egg IVF to be a successful option of Assisted reproduction technique (ART)even for women of advanced age. [ 11 12 13 ] Our CPR of 41.6% for DO IVF treatment is comparable to other studies where CPR of 33%–55% has been reported.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy in Older Women

Osaikhuwuomwan

Aziken

2021

Journal of Human Reproductive Sciences

View full text Add to dashboard Cite

Background: As the number of older women attempting to conceive through donor oocyte- in vitro fertilization (DO-IVF) rises, their safety in pregnancy needs to be judiciously considered. Aims: This study aims to review the obstetric and perinatal outcomes of pregnancies achieved by DO-IVF. Study Setting and Design: A retrospective study design conducted at a private health facility with services for assisted reproduction and gynecologic endoscopy. Methods: A retrospective comparative study of all pregnancies achieved using DO-IVF and that using Self oocyte In-vitro fertilization (SO-IVF) treatment over a 3 years' period was performed. Statistical Analysis: Comparative analysis of demographic variables, major obstetric, and perinatal complications was done with Chi-square test and Student's t -test as appropriate. Regression analysis was done to determine a significant predictor variable for pregnancy and delivery outcome. The significance level was set at P < 0.05. Results: A total of 343 completed IVF treatment cycles was reviewed; there were 238 DO-IVF and 105 SO-IVF cycles, with clinical pregnancy rate of 41.6% and 37.1%, respectively. The DO-IVF group was significantly older than the SO-IVF group (46.1 years vs. 34.1 years, P < 0.001). Major obstetric complications identified, were hypertensive disorders in pregnancy (23.9%), preterm labor (16.7%), antepartum hemorrhage (11.6%). There was no statistically significant difference between the two groups in terms of obstetric complications and adverse maternal or perinatal outcomes. There were 97 (77.6%) singleton and 28 (22.4%) multiple pregnancies. Pregnancy complications were significantly associated with fetal plurality, P < 0.001. Multiple pregnancy had higher odds of experiencing adverse perinatal 4.96 (1.95–12.58) and maternal 7.16 (2.05–25.03) outcomes compared to singleton pregnancies, P < 0.001. Conclusion: Key obstetric outcomes did not differ between DO or SO IVF achieved pregnancy. Even for older women, satisfactory outcomes can be expected for pregnancies achieved by DO-IVF. It is, however, instructive that for multiple pregnancies, obstetricians should institute appropriate surveillance strategies during pregnancy and delivery period and also to develop institutional capacity for quality neonatal care.

show abstract

Section: Discussionmentioning

confidence: 99%

Pregnancy in Older Women

Osaikhuwuomwan

Aziken

2021

Journal of Human Reproductive Sciences

View full text Add to dashboard Cite

show abstract

“…Moreover, the initial experimental management for six-month results were reported in couples with unexplained sub-fertility and that an intermediate prognosis of natural conception is effective (3,14). We also know that female age has a prominent negative impact on fertility and the solutions are not simple, however, an alternative like validated dynamic models could predict both natural and ART-mediated in short time (15).…”

Section: Discussionmentioning

confidence: 99%

Spontaneous pregnancies and determinant factors in infertility: A cross-sectional study

Saadati

Nikbakht

Sattari

et al. 2020

IJRM

View full text Add to dashboard Cite

Background: The phenomenon of infertility may be derived from different factors - either in males or females or both genders, including few unexplained factors. It is generally managed by medical and surgical treatments. Objective: To find a relation of occurrence of spontaneous pregnancy (SP) with effective factors in infertility. Materials and Methods: This cross-sectional study was conducted at two referral infertility centers (university and privacy center) in the southwest of Iran from March 2015 and March 2016 on 655 infertile couples, who were divided in two groups of with (n = 31) and without (n = 624) SP. The variables included female and male age, male smoking, male job, the place of living, the causes of infertility, the type and duration of infertility, and the subgroups of infertility causes. Results: Infertility may be caused due to both male- and female- related factors (47.5%). While female-related infertility was found in 31.5%, male-related infertility in 14.5%, and infertility due to unexplained factors in 6.6% of our patients. The rate of SP was 4.7%, which had a significant relation with the duration of infertility (p = 0.01), with women’s age (p = 0.048), unexplained infertility (p = 0.001), and husband’s job (p = 0.004). Conclusion: The occurrence of SP in infertile couples was related to age of the female partner, the duration of unexplained infertility, and the male partner’s job. Key words: Male infertility, Female infertility, Spontaneous pregnancy, Epidemiology, Etiology.

show abstract

“…In India, about 10-14% of the population is faced with infertility with greater rates in urban areas where 1 out of 6 couples are affected [4]. Infertility constitutes about 50% of gynaecological consultations in developing countries and the Prevalence of infertility in sub-Saharan Africa is reported to be higher, with 10-30 % of couples affected in Nigeria [5], others reported prevalence of 20 % with equal male and female affectation [6]. In more recent study, a higher prevalence to the tune of 30-40% was reported in Sub-Saharan Africa [7].…”

Section: Introductionmentioning

confidence: 99%

Absence of a Legal Framework, a Limitation to the Practice of Surrogacy in Nigeria

2022

View full text Add to dashboard Cite

Introduction: The human passion for procreation and perpetration of lineage has remained since existence. Surrogacy implies the use of a substitute mother to gestate a pregnancy for another woman and thereafter relinquishes the child/children and any parental entitlement to the child/children to the commissioning parents. It is a veritable option for couples who have not been successful in their efforts to bear children. Objective: to assess the awareness, practice, and limitations to practice of surrogacy in Igbo Ukwu community of Anambra State, South- East Nigeria. Methodology: A descriptive cross-sectional study which involved 200 male and female community members of Igbo Ukwu in Anambra. Sample size of 200 was calculated for the study using the Kish formula for cross sectional studies. Simple random sampling was used in selecting participants who converged in the community square. A structured self-administered questionnaire was employed in gathering information on socio-demographic characteristics, knowledge, practice, and limitations to practice of surrogacy. Data was analyzed using Statistical Packages for Social Sciences (SPSS) version 23.0. Descriptive statistics was used to summarize the results which were presented with the aid of a pie chart, bar chart and frequency tables. The level of significance was set at 95% probability level (p < 0.05) Result: Most of the research participants were within the age group 28 – 37 years (40.0%), with mean age of 25.3+1yrs. The study population comprised mainly of people who had formal education (93.0%). There was high level of awareness of surrogacy arrangement in the studied population (84%). However, the practice of surrogacy was generally poor; only four (4) respondents out of 120 females that participated in the study (3.3%) had acted as surrogate mother. Financial benefit was mainly the reason for accepting surrogacy as noted in 47.8% of research participants, while fear of victimization due to absence of a legal framework (54.3%) and to a lesser extent, culture (27.1%) and religious inclination (28.6%) were the main reasons limiting the practice of surrogacy among the participants Conclusion: There is an obvious disconnect between the level of awareness and practice of surrogacy mainly due to fear of victimization from lack of a legal framework. This calls for a need to institutionalize a legal framework to control assisted reproductive technology practice in Nigeria which will restore the hope and aspirations of the infertile couple in need of surrogacy and other assisted reproductive techniques. Keywords: surrogacy, awareness, practice, limitations, legal framework.

show abstract

Use and pattern of previous care received by infertile Nigerian women

Cited by 15 publications

References 18 publications

Pregnancy in Older Women

Pregnancy in Older Women

Spontaneous pregnancies and determinant factors in infertility: A cross-sectional study

Absence of a Legal Framework, a Limitation to the Practice of Surrogacy in Nigeria

Contact Info

Product

Resources

About