Predictors of pregnancy and discontinuation of infertility services among women who received medical help to become pregnant, National Survey of Family Growth, 2002  

Oleh:

Macaluso, Maurizio ; Farr, Sherry L. ; Anderson, John E. ; Jamieson, Denise J. ; Warner, Lee

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 91 no. 04 (Apr. 2009), page 988-997.
Topik: Infertility; infertility services; infertility treatment; pregnancy

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2009.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective : To determine demographic characteristics associated with pregnancy and, separately, discontinuation of infertility services when unsuccessful at achieving pregnancy, among a national sample of women who received infertility services. Design : Using a log-linear regression model, we examined associations with becoming pregnant among women who had received infertility services; and using a Cox proportional hazards model, we examined associations with earlier infertility service discontinuation. Setting : 2002 National Survey of Family Growth, Cycle 6. Participant(s) : A total of 530 women aged 18–44 years in the 2002 National Survey of Family Growth who had received infertility services. Intervention(s) : None. Main Outcome Measure(s) : Relative risks for predictors of pregnancy after receiving infertility services; median time to discontinuation of infertility services; hazard ratios for predictors of earlier discontinuation of services. Result(s) : Fifty-nine percent of respondents became pregnant while receiving infertility services, and 32% reported discontinuing infertility services before establishing a pregnancy. Women received infertility services for a median of 8 months; among those who discontinued services, more than half did so within 1 month. Among women who received infertility services, those who were white, nonsmokers, nulliparous, had insurance coverage, and received more than advice had a higher likelihood of pregnancy. Non-whites, parous women, and smokers discontinued infertility services earlier than others. Conclusion(s) : Patients should be adequately counseled regarding modifiable behaviors and the range of services available before making decisions regarding their infertility.

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