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| Investigation of stigma and fertility related stress of women with in vitro fertilization and embryo transfer |
| The Second Affiliated Hospital of Air Force Military Medical University, Xi'an, Shaanxi Province, 710000 |
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Abstract To investigate the stigma and the status of fertility related stress of women with in vitro fertilization embryo transfer (IVF-ET), and to analyze their related influencing factors. Methods: 303 female IVF-ET patients in our hospital were selected as the research object. The questionnaire of stigma and fertility related stress was distributed, and the survey results and influencing factors of stigma were analyzed. Results: The total score of fertility related stress was (161.35 ± 29.78), and the score of "parental role demand" was the highest. The total score of shame was (71.72 ± 20.36), and the score of "social withdrawal" was the highest. There was a significant positive correlation between the dimensions of disease shame and the scores of fertilities related stress in female patients with IVF-ET, and there was also a positive correlation between the total score of disease shame and the total score of fertility related stress (P<0.05). There was no significant difference in the total score of shame among female patients with IVF-ET in different ages, religious beliefs, marital status, number of abortions, family life types, whether they accepted adoption, previous treatment methods, history of assisted reproductive treatment and current assisted pregnancy cycle (P>0.05). There were significant differences in the total score of shame among female patients with IVF-ET in different places of residence, educational level, whether they were the only child, occupation, personal income, marriage time, years of infertility, reproductive history, causes of infertility, whether they expected to have boys, and the main source of reproductive pressure (P < 0.05). Regression analysis showed that the model passed the F test, R2 = 0.798, residence in rural areas, education level of junior middle school and below, personal income ≤ 3000 yuan/month, expected childbearing boys, husbands, parents and generations, the main source of childbearing pressure, and the total score of childbearing related pressure could positively predict the total score of stigma (P < 0.05). Conclusion: Female patients with IVF-ET generally have obvious disease shame, and fertility related pressure is high. There is a positive correlation between disease shame and fertility related pressure. Fertility related pressure, personal income level, residence, source of fertility pressure and gender preference are the main factors affecting disease shame.
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