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The Psycho-emotional State of Women with Pregnancies Obtained with Assisted Reproductive Technologies

DOI:10.31550/1727-2378-2018-154-10-62-67
Bibliography link: Skvortsova M.Yu., Prilutskaya S.G., Barskaya E.S. The Psycho-emotional State of Women with Pregnancies Obtained with Assisted Reproductive Technologies. Doctor.Ru. 2018; 10(154): 62–67. DOI: 10.31550/1727-2378-2018-154-10-62-67
The Psycho-emotional State of Women with Pregnancies Obtained with Assisted Reproductive Technologies
16 November 10:00

Objective of the Study: To assess the effects of the psychological component of the gestational dominant (PCGD) and of increased anxiety on the course of pregnancies obtained by in vitro fertilization (IVF).

Study Design: This was a prospective, observational, comparative study.

Materials and Methods: One hundred pregnant women, aged 25 years or older, participated in the study. Women in Group I (main group, n = 60) became pregnant through IVF, and women in Group II (comparison group, n = 40) had a spontaneous pregnancy. For a more differentiated assessment of the study results, each group was divided into subgroups: subgroup A (IA, n = 30 and IIA, n = 20) was made up of women of optimal reproductive age (25 to 34 years, inclusive) and subgroup B (IB, n = 30 and IIB, n = 20) was comprised of women of late reproductive age (35 years old or older).

Patients’ psycho-emotional state was assessed on the basis of a questionnaire completed by the women during the first half of their pregnancies. This questionnaire included a test designed by I.V. Dobryakov to determine the PCGD type, and the Hospital Anxiety and Depression Scale.

Study Results: Women who became pregnant through IVF are at significantly higher risk for pregnancy termination. In the IVF group, a positive association was found between the above-mentioned complication and a woman’s negative psycho-emotional state (r = 0.4–0.6; р<0.05).

In both groups, a majority of the women had subtypes of PCGD that can be considered indicators of a successful course of gestation.

Age-related data showed that PCGD indicating an optimal course of pregnancy was found in 80% of the women in subgroup IIA and 50.1% of the women in subgroup IA (р = 0.03). PCGD types indicating a moderate risk for pregnancy termination were more often observed in women of optimal reproductive age who became pregnant after IVF (23.3%; р = 0.02 versus subgroup IIA). There were no significant differences between subgroups IB and IIB.

In the IVF group more women of optimal reproductive age had anxiety (23.3%) than in the age-matched subgroup of the comparison group (5.0%) (р = 0.0026). In older-aged women who became pregnant through IVF, the hypogestognostic type of PCGD was found more often than in the age-matched subgroup of the comparison group (36.7% vs. 10.0%; р = 0.035). In addition, these women tended to feel anxious, unlike the women in subgroup IIB (p = 0.05).

Conclusion: To ensure a favorable course of gestation and the development of appropriate parental relationships, the psycho-emotional state of women with pregnancies obtained through IVF should be taken into account and psychological counselling should be recommended to such women promptly.

M.Yu. Skvortsova — Russian Medical Academy of Continuing Professional Education, Russian Ministry of Health, Moscow. E-mail: margodus@mail.ru

S.G. Prilutskaya — Russian Medical Academy of Continuing Professional Education, Russian Ministry of Health, Moscow. E-mail: naplet@list.ru

E.S. Barskaya — OOO FertiMed Reproduction and Genetics Center, Moscow. E-mail: barskaya-katya@mail.ru

The Psycho-emotional State of Women with Pregnancies Obtained with Assisted Reproductive Technologies
16 November 10:00
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