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| Analysis of psychological status and influencing factors of women with advanced age before assisted reproduction |
| The First Affiliated Hospital of Nanjing Medical University(Jiangsu Provincial People's Hospital), Nanjing, Jiangsu Province, 210000 |
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Abstract To understand the reproductive intention of assisted reproduction technology(ART)of women with ≥35 years old, and to study the psychological state and its influencing factors of these women before assisted reproduction. Methods: A questionnaire survey was conducted among infertile women with ≥ 35 years old who received ART from February 2019 to February 2022. The cognitive level of ART, the fertility intention by ART, and the psychological state of these women were studied. The influencing factors of psychological state of these women before ART were analyzed. Results: 552 women were included in the survey. 337(61.1%)women had known the knowledge about ART, 450(81.5%)women had family support for ART, and 293(53.1%)women were willing to accept ART again after initial ART failure. The incidences of anxiety and depression of these women were 38.1% and 32.8%, respectively. There were no significant differences in the incidences of anxiety and depression among the respondents with different residences, among the respondents with different education levels, among the respondents with different occupation, among the respondents with different marital status, and among the respondents with different family attitudes for ART(P＞0.05). There were significant differences in the incidences of anxiety and depression among the respondents with different age, the respondents with different annual family income, the respondents with different infertility years, the respondents with different previous treatment cost, the respondents with different fertility history, the respondents with different fertility concepts, or among the respondents with different ART-related knowledge cognition level, or among the respondents with different attitudes toward ART aganin after failure of the initial ART(P＜0.05). Multivariate analysis showed that the women with ≥40 years old, the annual household income ≤60,000 Yuan, the duration of infertility ＞ 2 years, the previous treatment costs ＞50,000 Yuan, the women with no history of childbearing, the womrn with traditional conception of childbearing, the lack of knowledge about ART, and the reluctance to ART again after failure of the initial ART were all the influencing factors of the anxiety of the infertile women with advanced age before ART. Age ≥40 years old, the duration of infertility ＞2 years, the previous treatment costs ＞ 50,000 Yuan, no history of childbearing, no knowledge related to ART, and the reluctance to ART again after failure of the initial ART were all the risk factors of the depression of the infertile women with advanced age before ART(all P＜0.05). Conclusion: The infertile women with advanced age have a strong desire to give birth, but their attitude towards ART is still cautious. Most of the women have obvious anxiety and depression before ART, so the health education should be strengthen and psychological counseling should be conducted for maintaining the good psychological state of these women in clinic, so as to improve the success rate of assisted reproduction.
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