Effects of pregnancy planning, fertility, and assisted reproductive treatment on child behavioral problems at 5 and 7 years: evidence from the Millennium Cohort Study  

Oleh:

Carson, Claire ; Redshaw, Maggie ; Sacker, Amanda ; Kelly, Yvonne

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 99 no. 02 (Feb. 2013), page 456-463.
Topik: Pregnancy planning; ART; IVF; Strengths and Difficulties Questionnaire; behavior

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2013.03 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective To examine the effects of pregnancy planning, time to conception (TTC), and assisted reproductive technologies (ART) on child behavior. Design Prospective cohort study. Setting Not applicable. Patient(s) A total of 12,380 singletons recruited at 9 months and followed-up at 5 and 7 years. Conceptions were divided into “unplanned” (unplanned, unhappy), “mistimed” (unplanned, happy), “planned” (planned, TTC <12 months), “subfertile” (planned, TTC =12 months), “ovulation induced” (received clomiphene citrate), and “ART” (IVF or intracytoplasmic sperm injection). Intervention(s) None. Main Outcome Measure(s) Child behavior (Strengths and Difficulties Questionnaire [SDQ]). Result(s) Mistimed and unplanned children had higher average SDQ scores at age 5 and 7 years and were significantly more likely to have a clinically relevant behavioral problem compared with the planned group. The ART children had significantly higher average SDQ scores at both 5 and 7 years compared with the planned group. An increase in clinically relevant behavioral problems was observed at 5 years (odds ratio 2.05 [95% confidence interval 0.96, 4.42]) but failed to reach statistical significance. No effects were observed in the subfertile and ovulation-induced groups. Conclusion(s) Unplanned and mistimed children exhibit more behavioral problems than their planned peers. Though ART children have higher mean total difficulties scores, this did not translate into a statistically significant increase in clinically relevant behavioral problems.

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