What are antenatal maternity care needs of women who conceived through fertility treatment?: a mixed methods systematic review.

IF 2.1 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2023-12-01 DOI:10.1080/0167482X.2022.2148099

J Catja Warmelink, Lisa Marissink, Linda Kroes, Fahimeh Ranjbar, Jens Henrichs

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引用次数: 0

Abstract

Background: Existing research indicates that pregnant women who conceived through fertility treatment might experience more stress and anxiety compared to women who conceived spontaneously. Therefore, these women might have additional antenatal care needs.

Methods: A search for both quantitative and qualitative studies was performed in PubMed, PsycINFO, CINAHL and MEDLINE through May 2021, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. 21 articles met the inclusion criteria. After methodological quality appraisal using the Mixed Methods Appraising Tool, 15 studies were included in the review.

Results: Analysis of the studies identified behavioral, relational/social, emotional, and cognitive needs and women's preference about maternity care. Women who conceived through fertility treatment reported lower social and physical functioning scores and elevated levels of anxiety and depression compared to women who conceived spontaneously. They reported difficulties adjusting to pregnancy and experienced a care gap between discharge from the fertility clinic and going to local maternity care services for their first consultation, and a care gap postpartum.

Conclusions: Women who conceived through fertility treatment have additional antenatal care needs. We recommend to offer these women more frequent check-ins, and to pay attention to the impact of their infertility and treatment on their pregnancy.

查看原文本刊更多论文

通过生育治疗受孕的妇女的产前产妇护理需求是什么？：混合方法的系统综述。

背景：现有研究表明，与自然受孕的女性相比，通过生育治疗受孕的孕妇可能会经历更多的压力和焦虑。因此，这些妇女可能需要额外的产前护理。方法：截至2021年5月，在PubMed、PsycINFO、CINAHL和MEDLINE进行了定量和定性研究的检索，遵循系统评价和荟萃分析首选报告项目检查表。21篇文章符合入选标准。在使用混合方法评估工具进行方法学质量评估后，15项研究被纳入综述。结果：对研究的分析确定了行为、关系/社会、情感和认知需求以及女性对产妇护理的偏好。与自发受孕的女性相比，通过生育治疗受孕的女性的社会和身体功能得分较低，焦虑和抑郁水平较高。他们报告说，在适应怀孕方面遇到了困难，从生育诊所出院到第一次去当地产科护理服务中心咨询之间出现了护理缺口，产后也出现了护理差距。结论：通过生育治疗受孕的妇女需要额外的产前护理。我们建议这些女性更频繁地进行检查，并注意不孕不育和治疗对怀孕的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosomatic Obstetrics & Gynecology 医学-妇产科学

CiteScore

6.10

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Psychosomatic Obstetrics and Gynecology was founded in 1982 in order to provide a scientific forum for obstetricians, gynecologists, psychiatrists and psychologists, academic health professionals as well as for all those who are interested in the psychosocial and psychosomatic aspects of women’s health. Another of its aims is to stimulate obstetricians and gynecologists to pay more attention to this very important facet of their profession.