Not conceiving, and losing a pregnancy or a newborn.
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26 to 50 of 627Repokari L, Punamäki RL, Unkila-Kallio L, Vilska S, Poikkeus P, Sinkkonen J, Almqvist F, Tiitinen A, Tulppala M (2007)cohort or longitudinalMEDLINE-indexed journal, not yet read by usHuman reproduction (Oxford, England)79 citations Infertility treatment and marital relationships: a 1-year prospective study among successfully treated ART couples and their controls.
Background: Evidence about the effects of infertility and assisted reproduction technique (ART) on marital relationships is discrepant. Here, we examined the impact of ART on marital relationships. The roles of life stressors, infertility and treatment characteristics in predicting marital relations were also evaluated.
Methods:
Subjects: 367 couples with singleton IVF/ICSI pregnancies.
Controls: 379 couples with spontaneous singleton pregnancies. Women and men were assessed when the child was 2 months (T2) and 12 months old (T3). They further reported stressful life events at T2 and depression in pregnancy.
Results: No between-group differences were found in marital satisfaction and dyadic cohesion. Dyadic consensus deteriorated from T2 to T3 only among control women. Sexual affection was low among control men at T2 and stressful life events decreased it further. Depression during pregn…
matched on Infertility (mesh), Fertilization in Vitro (mesh), Reproductive Techniques, Assisted (mesh), infertility (text)
Grief in women with previous miscarriage or stillbirth: a systematic review of cross-sectional and longitudinal prospective studies.
Background: Women who have had miscarriages or stillbirths are known to have a high risk for enduring grief. However, the course and frequency of enduring grief in this subgroup are not fully understood. Objective: Our aims were to assess the intensity of grief and its course in women with miscarriages or stillbirths and to estimate the frequency of severe grief reactions in this population. Additionally, we compared subgroups with miscarriages versus stillbirths and with single versus recurrent pregnancy loss. Method: A systematic literature search of the databases MEDLINE, psycINFO and PSYNDEX was conducted to consider all studies published between 2000 and 31 March 2022 in English or German on the prevalence and intensity of grief in women who had miscarriages or stillbirths. Studies that used validated assessment methods were included in this systematic review. The PRISMA guidelines …
matched on Stillbirth (mesh), miscarriage (text), pregnancy loss (text)
A systematic review of psychosocial factors associated with emotional adjustment in in vitro fertilization patients.
Background: IVF treatment is usually stressful for patients, but individual differences in emotional response do exist. Differences in the stress response may be related to reproductive outcomes as well as to the development of psychiatric problems. This review collates research exploring which psychosocial factors (e.g. personality traits and coping strategies) are associated with the emotional adjustment of IVF patients. The aim is to reveal what is currently known about risk and protective factors for coping with the stress of IVF treatment and where further enquiry would be most beneficial.
Methods: The databases, MEDLINE/PUBMED (US National Library of Medicine), PsycINFO (American Psychological Association), Web of Science (Social Sciences Citation Index) and EMbase, were searched from 1978 to September 2012 using relevant key words. All published peer-reviewed studies exploring ass…
matched on Infertility (mesh), Fertilization in Vitro (mesh)
Cultural differences on baby loss experiences: A comparison of the US and New Zealand.
Prior research has shown that the death of a baby (whether it be through miscarriage, stillbirth, or infant loss) can have profound effects on the parents involved. However, research has yet to adequately understand how these effects differ cross-culturally. Our research addresses these issues through a qualitative study of 47 bereaved mothers in the United States and New Zealand-cultures that have differing perspectives on death. Findings reveal that bereaved mothers in each country do not process grief the same but do have an equal end desire to find meaning and give back. In terms of processing grief, bereaved mothers in New Zealand rely more on spending time with the deceased, utilizing spirituality for comfort and connection, and prioritizing self-care. In contrast, bereaved mothers in the United States rely more on easy access to qualified counselors, utilizing religion for comfort…
matched on Abortion, Spontaneous (mesh), Stillbirth (mesh), miscarriage (text)
The effect of expressive writing intervention for infertile couples: a randomized controlled trial.
Study question: Is expressive writing intervention (EWI) efficacious in reducing distress and improving pregnancy rates for couples going through ART treatment?
Summary answer: Compared to controls, EWI statistically significantly reduced depressive symptoms but not anxiety and infertility-related distress.
What is known already: ART treatment is considered stressful. So far, various psychological interventions have been tested for their potential in reducing infertility-related distress and the results are generally positive. It remains unclear whether EWI, a brief and potentially cost-effective intervention, could be advantageous.
Study design size, duration: Between November 2010 and July 2012, a total of 295 participants (163 women, 132 men) were randomly allocated to EWI or a neutral writing control group.
Participants/materials, setting, methods: Participants were couples undergoin…
matched on Infertility (mesh), Reproductive Techniques, Assisted (mesh), infertility (text)
Long-term adjustment to unmet parenthood goals following ART: a systematic review and meta-analysis.
Background: Fertility treatment is not guaranteed to succeed and around 30% of patients do not achieve parenthood. Failed treatment represents the loss of parenthood and often triggers intense and prolonged grief reactions. There is an increasing awareness of the need to support patients in the aftermath of failed treatment; however, there are no effective interventions for the effect. This need for support is expected to increase as the number of people delaying parenthood increases and therefore so does the number for whom assisted reproduction will not offer a solution.
Objective and rationale: This mixed-methods review aims at investigating if patients with failed fertility treatment experience significant psychosocial adjustment difficulties that warrant the provision of psychosocial support, and at developing a comprehensive model of adjustment to unmet parenthood goals that can be…
matched on Infertility (mesh), Reproductive Techniques, Assisted (mesh)
Male psychological adaptation to unsuccessful medically assisted reproduction treatments: a systematic review.
Background: Similarly to women, men suffer from engaging in fertility treatments, both physically and psychologically. Although there is a vast body of evidence on the emotional adjustment of women to infertility, there are no systematic reviews focusing on men's psychological adaptation to infertility and related treatments.
Objective and rationale: The main research questions addressed in this review were 'Does male psychological adaptation to unsuccessful medically assisted reproduction (MAR) treatment vary over time?' and 'Which psychosocial variables act as protective or risk factors for psychological maladaptation?'
Search methods: A literature search was conducted from inception to September 2015 on five databases using combinations of MeSH terms and keywords. Eligible studies had to present quantitative prospective designs and samples including men who did not achieve pregnancy o…
matched on Infertility (keyword), Reproductive Techniques, Assisted (mesh), Infertility, Male (mesh), infertility (text)
Bai CF, Cui NX, Xu X, Mi GL, Sun JW, Shao D, Li J, Jiang YZ, Yang QQ, Zhang X, Cao FL (2019)randomised controlled trialMEDLINE-indexed journal, not yet read by usHuman reproduction (Oxford, England)36 citations Effectiveness of two guided self-administered interventions for psychological distress among women with infertility: a three-armed, randomized controlled trial.
Study question: What is the effect of two guided self-administered interventions on psychological distress in women undergoing IVF or ICSI?
Summary answer: A brief mindfulness intervention significantly reduced depression and improved sleep quality, while the gratitude journal intervention showed no significant effect on any outcome variables.
What is known already: Mindfulness and gratitude journal interventions have been found to be beneficial in reducing negative affect and improving well-being. However, there are very few mental health professionals who implement such interventions in low- and middle-income countries. Therefore, two guided self-administered interventions for women with infertility were designed to help them cope with their psychological distress.
Study design, size, duration: A three-armed, randomized controlled trial was designed to evaluate the mindfulness and grat…
matched on Infertility (keyword), Infertility, Female (mesh), Pregnancy Rate (mesh), infertility (text)
Johnson OP, Langford RW (2015)randomised controlled trialMEDLINE-indexed journal, not yet read by usJournal of obstetric, gynecologic, and neonatal nursing : JOGNN32 citations A Randomized Trial of a Bereavement Intervention for Pregnancy Loss.
Objective: To examine the effects of a secondary bereavement intervention on grieving in women who experienced a miscarriage (pregnancy loss) at 12-20 weeks gestation.
Design: Experimental, posttest only, control group design.
Setting: Obstetric emergency center of a county hospital in a large city.
Participants: Forty women who experienced complete spontaneous miscarriages in the first or second trimester (8-20 weeks gestation).
Methods: Participants were randomly assigned to the grief intervention treatment group or usual standard care control group. The Medical Professional Guidelines for Health Care Professionals were used to construct the perinatal grief intervention. The Perinatal Grief Scale (PGS) was completed during a routine follow-up visit 2 weeks postloss.
Results: A one-way multiple ANOVA (MANOVA) was used to examine the difference in grieving between the control and experim…
matched on Abortion, Spontaneous (mesh), miscarriage (text), pregnancy loss (text)
Courbiere B, Decanter C, Bringer-Deutsch S, Rives N, Mirallié S, Pech JC, De Ziegler D, Carré-Pigeon F, May-Panloup P, Sifer C, Amice V, Schweitzer T, Porcu-Buisson G, Poirot C, French Study Group for Ovarian and Testicular Cryopreservation (GRECOT) (2013)cohort or longitudinalMEDLINE-indexed journal, not yet read by usHuman reproduction (Oxford, England)32 citations Emergency IVF for embryo freezing to preserve female fertility: a French multicentre cohort study.
Study question: What are the outcomes of French emergency IVF procedures involving embryo freezing for fertility preservation before gonadotoxic treatment?
Summary answer: Pregnancy rates after emergency IVF, cryopreservation of embryos, storage, thawing and embryo transfer (embryo transfer), in the specific context of the preservation of female fertility, seem to be similar to those reported for infertile couples undergoing ART.
Study design, size, duration: A French retrospective multicentre cohort study initiated by the GRECOT network-the French Study Group for Ovarian and Testicular Cryopreservation. We sent an e-mail survey to the 97 French centres performing the assisted reproduction technique in 2011, asking whether the centre performed emergency IVF and requesting information about the patients' characteristics, indications, IVF cycles and laboratory and follow-up data. The respo…
matched on Fertilization in Vitro (mesh), Infertility, Female (mesh), Pregnancy Rate (mesh), miscarriage (text), infertility (text)
Follow-up for improving psychological well being for women after a miscarriage.
Background: Miscarriage is the premature expulsion of an embryo or fetus from the uterus up to 23 weeks of pregnancy and weighing up to 500 grams. International studies using diagnostic tools have identified that some women suffer from anxiety, depression and grief after miscarriage. Psychological follow-up might detect those women who are at risk of psychological complications following miscarriage. This review is necessary as the evidence is equivocal on the benefits of psychological follow-up after miscarriage.
Objectives: Whether follow-up affects the psychological well being of women following miscarriage.
Search methods: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (31 December 2011), reference lists of all retrieved papers and contacted professional and lay organisations to obtain any ongoing trials or unpublished data.
Selection criteria: Randomised c…
matched on Abortion, Spontaneous (mesh), miscarriage (text)
Quenby S, Gallos ID, Dhillon-Smith RK, Podesek M, Stephenson MD, Fisher J, Brosens JJ, Brewin J, Ramhorst R, Lucas ES, McCoy RC, Anderson R, Daher S, Regan L, Al-Memar M, Bourne T, MacIntyre DA, Rai R, Christiansen OB, Sugiura-Ogasawara M, Odendaal J, Devall AJ, Bennett PR, Petrou S, Coomarasamy A (2021)reviewMEDLINE-indexed journal, not yet read by usLancet (London, England)960 citations Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss.
Miscarriage is generally defined as the loss of a pregnancy before viability. An estimated 23 million miscarriages occur every year worldwide, translating to 44 pregnancy losses each minute. The pooled risk of miscarriage is 15·3% (95% CI 12·5-18·7%) of all recognised pregnancies. The population prevalence of women who have had one miscarriage is 10·8% (10·3-11·4%), two miscarriages is 1·9% (1·8-2·1%), and three or more miscarriages is 0·7% (0·5-0·8%). Risk factors for miscarriage include very young or older female age (younger than 20 years and older than 35 years), older male age (older than 40 years), very low or very high body-mass index, Black ethnicity, previous miscarriages, smoking, alcohol, stress, working night shifts, air pollution, and exposure to pesticides. The consequences of miscarriage are both physical, such as bleeding or infection, and psychological. Psychological con…
matched on Abortion, Spontaneous (mesh), Stillbirth (mesh), miscarriage (text), pregnancy loss (text)
Robinson GE (2014)reviewMEDLINE-indexed journal, not yet read by usBest practice & research. Clinical obstetrics & gynaecology80 citations Pregnancy loss.
Women who lose desired pregnancies by miscarriage, stillbirth, or genetic termination are at risk of suffering from grief, anxiety, guilt and self-blame that may even present in subsequent pregnancies. It is important to find effective means of helping women deal with these losses. The approach to stillbirth has shifted from immediately removing the child from the mother to encouraging the parents to view and hold the baby. This approach has been questioned as possibly causing persistent anxiety and post-traumatic stress disorder. Women who miscarry are currently encouraged to find ways to memorialise the lost fetus. Couples who decide to terminate a pregnancy after discovering a defect may deal not only with sadness but also guilt. Immediate crisis intervention and follow-up care should be available, recognising that individual women may experience different reactions and their specific…
matched on Abortion, Spontaneous (mesh), Stillbirth (mesh), miscarriage (text), pregnancy loss (text)
The social determinants of mental health disorders among women with infertility: a systematic review.
Introduction: Infertility is associated with mental health disorders in women, even if a successful pregnancy resolves infertility. However, the link between social determinants of health (SDoH) and mental health in women with infertility is not well understood. We aimed to investigate the determinants thoroughly so that mental health screening and services can be tailored to suit women with infertility who are vulnerable to mental health disorders.
Methodology: All observational studies that included women participants of reproductive age with infertility and assessed social determinants associated with mental health disorders were searched using a combination of keywords from MEDLINE, EMBASE, CINAHL, PsycINFO, Scopus, and Web of Science databases and published in English. Two reviewers conducted screening, data extraction, quality assessment and risk of bias. The protocol was registere…
matched on Infertility (mesh), infertility (text), Fertility (keyword)
Systematic review of fertility-related psychological distress in cancer patients: Informing on an improved model of care.
Objective: Cancer patients experience reproductive concerns from diagnosis through to survivorship. However, research has yet to investigate the degree of fertility-related psychological distress at different treatment time points: diagnosis, treatment, and survivorship. Currently, cancer patients are offered fertility counselling at the time of diagnosis, to assist fertility preservation decision making. A systematic review of the short-term and long-term psychological impact of infertility in cancer patients would inform on an improved, longitudinal model of psychological care.
Methods: A systematic review of the literature was conducted in January 2018 utilising electronic databases Medline, EMBASE, PSYCH Info, Web of Science, and SCOPUS. An initial search identified 708 potentially relevant studies. Literature was assessed that reported on fertility-related psychological distress exp…
matched on Infertility (mesh), infertility (text), Fertility (keyword)
Mindfulness-Based Program for Infertility: efficacy study.
Objective: To present and determine the impact of the Mindfulness-Based Program for Infertility (MBPI).
Design: Controlled clinical trial.
Setting: University research unit.
Patient(s): Fifty-five infertile women completed the MBPI, and 37 infertile women were assigned to a control group.
Intervention(s): The MBPI includes 10 weekly sessions, in a group format, with a duration of about 2 hours each (men attend three sessions).
Main outcome measure(s): Standardized measures of depression, state anxiety, entrapment, defeat, internal and external shame, experiential avoidance, mindfulness, self-compassion, and infertility self-efficacy were endorsed pre- and post-MBPI.
Result(s): The MBPI group and the control group were shown to be equivalent at baseline. By the end of the MBPI, women who attended the program revealed a significant decrease in depressive symptoms, internal and external sha…
matched on Infertility (keyword), Infertility, Female (mesh), Fertility (mesh), infertility (text)
Interpersonal psychotherapy (IPT) for major depression following perinatal loss: a pilot randomized controlled trial.
This randomized controlled pilot trial examined the feasibility, acceptability, and preliminary efficacy of an adapted interpersonal psychotherapy (IPT) for major depressive disorder (MDD) following perinatal loss (miscarriage, stillbirth, or early neonatal death). Fifty women who experienced a perinatal loss within the past 18 months, whose current depressive episode onset occurred during or after the loss, were randomized to the group IPT adapted for perinatal loss (the Group IPT for Major Depression Following Perinatal Loss manual developed for this study is available at no cost by contacting either of the first two authors) or to the group Coping with Depression (CWD), a cognitive behavioral treatment which did not focus on perinatal loss nor social support. Assessments occurred at baseline, treatment weeks 4 and 8, post-treatment, and 3 and 6 months after the end of treatment. IPT w…
matched on Stillbirth (mesh), miscarriage (text), Perinatal Death (keyword)
Cognitive behavioural therapy for women with infertility: A systematic review and meta-analysis.
Cognitive behavioural therapy (CBT) has been used for women with infertility. However, the efficacy of CBT among the infertile female population remains inconclusive. We performed a systematic literature search using the Cochrane Library, MEDLINE (OVID), EMBASE (OVID), CINAHL, PsycINFO (OVID), Web of Science, and ProQuest databases from the inception to May 2022. The Cochrane risk of bias tool for randomized trials was used to assess the methodological quality of the included studies. Revman 5.4 was conducted for statistical analysis, and meta-analyses were performed to calculate the pooled effects of CBT. Sixteen articles were finally included in the meta-analysis. The results of the meta-analysis revealed large, significant effects of cognitive-behavioural interventions that can effectively reduce depression, anxiety symptoms, psychological distress, perceived stress, infertility-speci…
matched on Infertility (mesh), infertility (text)
Worldwide prevalence, risk factors and psychological impact of infertility among women: a systematic review and meta-analysis.
Objectives: To assess the prevalence, risk factors and psychological impact of infertility among females. This review summarises the available evidence, effect estimates and strength of statistical associations between infertility and its risk factors.
Study design: Systematic review and meta-analysis.
Data sources: MEDLINE, CINAHL and ScienceDirect were searched through 23 January 2022.
Eligibility criteria: The inclusion criteria involved studies that reported the psychological impact of infertility among women. We included cross-sectional, case-control and cohort designs, published in the English language, conducted in the community, and performed at health institution levels on prevalence, risk factors and psychological impact of infertility in women.
Data extraction and synthesis: Two reviewers independently extracted and assess the quality of data using the Joanna Briggs Institute …
matched on Infertility (mesh), infertility (text)
Infertility and Perinatal Loss: When the Bough Breaks.
Infertility and perinatal loss are common, and associated with lower quality of life, marital discord, complicated grief, major depressive disorder, anxiety disorders, and post-traumatic stress disorder. Young women, who lack social supports, have experienced recurrent pregnancy loss or a history of trauma and / or preexisting psychiatric illness are at a higher risk of experiencing psychiatric illnesses or symptoms after a perinatal loss or during infertility. It is especially important to detect, assess, and treat depression, anxiety, or other psychiatric symptoms because infertility or perinatal loss may be caused or perpetuated by such symptoms. Screening, psychoeducation, provision of resources and referrals, and an opportunity to discuss their loss and plan for future pregnancies can facilitate addressing mental health concerns that arise. Women at risk of or who are currently expe…
matched on Infertility (mesh), Stillbirth (mesh), pregnancy loss (text), infertility (text)
Just relax and you'll get pregnant? Meta-analysis examining women's emotional distress and the outcome of assisted reproductive technology.
Rationale: Couples worldwide are seeking treatment for infertility in growing numbers. Both infertility and its treatment are stressful experiences that generate considerable emotional distress. There is speculation that women's distress is associated with poorer likelihood of pregnancy via assisted reproductive technology (ART) and plausible psychobiological mechanisms bolster this association, although prior reviews of existing evidence find little support. A rigorous, comprehensive, and up to date analysis of research on the association of women's distress with ART outcomes is imperative.
Objective: We systematically searched for and analyzed evidence regarding the association of women's distress before and during treatment with the likelihood of treatment success via ART.
Method: Meta-analysis using a random-effects model was conducted on prospective studies (k = 20) that compared le…
matched on Infertility (keyword), Reproductive Techniques, Assisted (mesh), infertility (text)
Depression and Anxiety Outcomes Associated with Failed Assisted Reproductive Technologies: A Systematic Review and Meta-Analysis.
Objective: Our study examined the psychological outcomes associated with failed ART treatment outcomes in men and women.
Search strategy: A systematic search for studies published between January 1980 and August 2015 was performed across seven electronic databases.
Inclusion criteria: Studies were included if they contained data on psychosocial outcomes taken pre and post ART treatment.
Data extraction and synthesis: A standardised form was used to extract data and was verified by two independent reviewers. Studies were meta-analysed to determine the association of depression and anxiety with ART treatment outcomes. Narrative synthesis identified factors to explain variations in the size and directions of effects and relationships explored within and between the studies.
Main results: Both depression and anxiety increased after a ART treatment failure with an overall pooled standardised …
matched on Infertility, Female (mesh), Reproductive Techniques, Assisted (mesh), Infertility, Male (mesh)
Burton L, Charles J, Cherry MG, Corcoran R, Hassan S, Hill R, Little S, Maden M, Mulholland H, Perkins E, Slade P, Wallis S, Marshall P (2026)systematic reviewMEDLINE-indexed journal, not yet read by usBMJ open Barriers and facilitators to implementation of peer support after miscarriage: a systematic review using thematic synthesis methods.
Objectives: Miscarriage, defined in the UK as loss of pregnancy prior to 24 weeks gestation, can have long-term psychological implications. Clinical guidelines for perinatal bereavement care do not provide guidance on how best to support the mental health of women, and their partners, after miscarriage. Peer support (support from those who share common characteristics) is often sought, but there is little understanding of its access and use. We conducted a systematic review to understand the barriers to and facilitators of the implementation of peer support to improve mental health outcomes for parents after miscarriage.
Design: Systematic review and thematic synthesis.
Data sources: A comprehensive systematic search across nine databases (MEDLINE, CINAHL, APA PsycINFO, Web of Science (all databases), EMBASE, CENTRAL, LENS.org, British Nursing Index and Health Management Information Cons…
matched on Abortion, Spontaneous (mesh), miscarriage (text)
Duffy JMN, Adamson GD, Benson E, Bhattacharya S, Bhattacharya S, Bofill M, Brian K, Collura B, Curtis C, Evers JLH, Farquharson RG, Fincham A, Franik S, Giudice LC, Glanville E, Hickey M, Horne AW, Hull ML, Johnson NP, Jordan V, Khalaf Y, Knijnenburg JML, Legro RS, Lensen S, MacKenzie J, Mavrelos D, Mol BW, Morbeck DE, Nagels H, Ng EHY, Niederberger C, Otter AS, Puscasiu L, Rautakallio-Hokkanen S, Sadler L, Sarris I, Showell M, Stewart J, Strandell A, Strawbridge C, Vail A, van Wely M, Vercoe M, Vuong NL, Wang AY, Wang R, Wilkinson J, Wong K, Wong TY, Farquhar CM, Priority Setting Partnership for Infertility (2021)systematic reviewMEDLINE-indexed journal, not yet read by usFertility and sterility43 citations Top 10 priorities for future infertility research: an international consensus development study.
Study question: Can the priorities for future research in infertility be identified?
Summary answer: The top 10 research priorities for the four areas of male infertility, female and unexplained infertility, medically assisted reproduction, and ethics, access, and organization of care for people with fertility problems were identified.
What is known already: Many fundamental questions regarding the prevention, management, and consequences of infertility remain unanswered. This is a barrier to improving the care received by those people with fertility problems.
Study design, size, duration: Potential research questions were collated from an initial international survey, a systematic review of clinical practice guidelines, and Cochrane systematic reviews. A rationalized list of confirmed research uncertainties was prioritized in an interim international survey. Prioritized research uncerta…
matched on Infertility (mesh), infertility (text)
INFERTILITY AND SEXUAL DYSFUNCTIONS: A SYSTEMATIC LITERATURE REVIEW.
This study aimed to investigate whether infertility and its treatment affect couple sexuality. A systematic literature review was performed, focusing on female and male sexual dysfunctions due to infertility. The method was descriptive, using a meta-synthesis of scientific research published between 2012 and 2017 in the English language. The search for suitable studies was carried out with the research databases Medline, CINAHL, PubMed and ScienceDirect using the following keywords: infertility, sexual dysfunctions, couple. It can be concluded that infertility negatively affects the sexuality of an infertile couple, which is further proven by a high percentage of sexual dysfunctions (43%-90% among women and 48%-58% among men). Couples report less satisfaction with sexuality. Since lower satisfaction and dysfunctions are closely connected with infertility and its treatment, couples might …
matched on Infertility (mesh), infertility (text)