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Adverse obstetric outcomes in pregnancies resulting from oocyte donation: a retrospective cohort case study in Sweden.

https://arctichealth.org/en/permalink/ahliterature274086
Source
BMC Pregnancy Childbirth. 2015;15:247
Publication Type
Article
Date
2015
Author
Evangelia Elenis
Agneta Skoog Svanberg
Claudia Lampic
Alkistis Skalkidou
Helena Åkerud
Gunilla Sydsjö
Source
BMC Pregnancy Childbirth. 2015;15:247
Date
2015
Language
English
Publication Type
Article
Keywords
Adult
Case-Control Studies
Cesarean Section - statistics & numerical data
Female
Fertilization in Vitro
Humans
Hypertension, Pregnancy-Induced - epidemiology
Labor, Induced - statistics & numerical data
Oligohydramnios - epidemiology
Oocyte Donation - adverse effects - statistics & numerical data
Placenta, Retained - epidemiology
Postpartum Hemorrhage - epidemiology
Pregnancy
Pregnancy Complications - epidemiology
Retrospective Studies
Sweden - epidemiology
Young Adult
Abstract
Oocyte donation has been associated to gestational diabetes, hypertensive disorders, placental abnormalities, preterm delivery and increased rate of caesarean delivery while simultaneously being characterized by high rates of primiparity, advanced maternal age and multiple gestation constituting the individual risk of mode of conception difficult to assess. This study aims to explore obstetrical outcomes among relatively young women with optimal health status conceiving singletons with donated versus autologous oocytes (via IVF and spontaneously).
National retrospective cohort case study involving 76 women conceiving with donated oocytes, 150 nulliparous women without infertility conceiving spontaneously and 63 women conceiving after non-donor IVF. Data on obstetric outcomes were retrieved from the National Birth Medical Register and the medical records of oocyte recipients from the treating University Hospitals of Sweden. Demographic and logistic regression analysis were performed to examine the association of mode of conception and obstetric outcomes.
Women conceiving with donated oocytes (OD) had a higher risk of hypertensive disorders [adjusted Odds Ratio (aOR) 2.84, 95% CI (1.04-7.81)], oligohydramnios [aOR 12.74, 95% CI (1.24-130.49)], postpartum hemorrhage [aOR 7.11, 95% CI (2.02-24.97)] and retained placenta [aOR 6.71, 95% CI (1.58-28.40)] when compared to women who conceived spontaneously, after adjusting for relevant covariates. Similar trends, though not statistically significant, were noted when comparing OD pregnant women to women who had undergone non-donor IVF. Caesarean delivery [aOR 2.95, 95% CI (1.52-5.71); aOR 5.20, 95% CI (2.21-12.22)] and induction of labor [aOR 3.00, 95% CI (1.39-6.44); aOR 2.80, 95% CI (1.10-7.08)] occurred more frequently in the OD group, compared to the group conceiving spontaneously and through IVF respectively. No differences in gestational length were noted between the groups. With regard to the indication of OD treatment, higher intervention was observed in women with diminished ovarian reserve but the risk for hypertensive disorders did not differ after adjustment.
The selection process of recipients for medically indicated oocyte donation treatment in Sweden seems to be effective in excluding women with severe comorbidities. Nevertheless, oocyte recipients-despite being relatively young and of optimal health status- need careful counseling preconceptionally and closer monitoring prenatally for the development of hypertensive disorders.
Notes
Cites: PLoS One. 2014;9(1):e8039824416127
Cites: JAMA. 2013 Dec 11;310(22):2426-3424135860
Cites: Hum Reprod. 2002 Oct;17(10):2636-4012351541
Cites: Scand J Soc Med. 1990 Jun;18(2):143-82367825
Cites: Fertil Steril. 2007 Apr;87(4):776-8117258714
Cites: Fertil Steril. 2010 Feb;93(2):397-40419249031
Cites: Hum Reprod. 1994 Mar;9(3):538-428006148
Cites: Acta Paediatr. 1996 Jul;85(7):843-88819552
Cites: Obstet Gynecol. 1997 Apr;89(4):519-239083305
Cites: Br J Obstet Gynaecol. 1998 Mar;105(3):332-79532996
Cites: Am J Epidemiol. 1998 Jun 1;147(11):1062-709620050
Cites: Am J Obstet Gynecol. 2005 Jan;192(1):38-4115672000
Cites: BMJ. 2005 Mar 12;330(7491):56515743856
Cites: Obstet Gynecol. 2005 May;105(5 Pt 1):983-9015863534
Cites: Obstet Gynecol. 2005 Jun;105(6):1410-815932837
Cites: BJOG. 2005 Nov;112(11):1529-3516225574
Cites: Hum Reprod. 2014 Oct 10;29(10):2099-11325069504
Cites: Lakartidningen. 2002 Jul 25;99(30-31):3118-2112198931
Cites: J Clin Endocrinol Metab. 2005 Jul;90(7):4399-40415797956
Cites: Am J Obstet Gynecol. 2005 Jun;192(6):2002-6; discussion 2006-815970875
Cites: Dtsch Arztebl Int. 2011 Jan;108(3):23-3121285999
Cites: BJOG. 2011 Aug;118(9):1067-7221481152
Cites: Transpl Immunol. 2011 Sep;25(2-3):89-9521708252
Cites: Hum Reprod. 2012 Mar;27(3):896-90122252087
Cites: Taiwan J Obstet Gynecol. 2012 Mar;51(1):60-522482970
Cites: Hum Reprod. 2012 Sep;27(9):2571-8422786779
Cites: Reprod Biol Endocrinol. 2012;10:4222672289
Cites: Fertil Steril. 2013 May;99(6):1637-4323465822
Cites: Hum Reprod. 2013 Jun;28(6):1598-60923539610
Cites: Reprod Health. 2014;11:3824885541
PubMed ID
26450684 View in PubMed
Less detail

Attitudes about donor information differ greatly between IVF couples using their own gametes and those receiving or donating oocytes or sperm.

https://arctichealth.org/en/permalink/ahliterature280849
Source
J Assist Reprod Genet. 2016 Jun;33(6):703-10
Publication Type
Article
Date
Jun-2016
Author
Agneta Skoog Svanberg
G. Sydsjö
M. Bladh
C. Lampic
Source
J Assist Reprod Genet. 2016 Jun;33(6):703-10
Date
Jun-2016
Language
English
Publication Type
Article
Keywords
Access to Information - legislation & jurisprudence - psychology
Adolescent
Adult
Attitude
Family Characteristics
Female
Fertilization in Vitro - legislation & jurisprudence - psychology
Humans
Longitudinal Studies
Male
Oocyte Donation - legislation & jurisprudence - psychology
Spermatozoa
Sweden
Tissue Donors - legislation & jurisprudence - psychology
Abstract
The objective of the study is to examine attitudes towards aspects of donation treatment based on a national Swedish sample of gamete donors and couples undergoing assisted reproductive techniques (ART).
The present study was part of the Swedish study on gamete donation, a prospective longitudinal cohort study including all fertility clinics performing gamete donation in Sweden. The sample comprised 164 oocyte donors, 89 sperm donors, 251 people treated with their own gametes (in vitro fertilisation (IVF)), 213 oocyte recipients and 487 sperm recipients. A study-specific questionnaire was used.
Attitudes vary widely between couples using their own gametes for IVF and those receiving or donating oocyte or sperm. The groups differed in their responses to most questions. Oocyte and sperm donors were more likely to agree with the statements "The donor should be informed if the donation results in a child" and "Offspring should receive some information about the donor during mature adolescence" than recipients of donated gametes and couples treated with their own gametes.
Donor recipients, IVF couples and donors expressed different attitudes towards openness and information when it came to gamete donation, and those differences seemed to depend on their current reproductive situation.
Notes
Cites: Med J Aust. 2003 Feb 3;178(3):127-912558484
Cites: Hum Reprod. 2013 Sep;28(9):2432-923756704
Cites: Hum Reprod. 2004 Oct;19(10):2415-915310730
Cites: Public Underst Sci. 2009 Jan;18(1):61-7719579535
Cites: Hum Reprod. 2009 Aug;24(8):1930-819414865
Cites: Ups J Med Sci. 2013 Aug;118(3):187-9523786323
Cites: J Assist Reprod Genet. 2009 May;26(5):231-819472047
Cites: Hum Reprod. 2008 Apr;23(4):904-1118258766
Cites: Psychol Health. 2011 Sep;26(9):1113-2721929476
PubMed ID
27059774 View in PubMed
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Attitudes towards embryo donation in Swedish women and men of reproductive age.

https://arctichealth.org/en/permalink/ahliterature112883
Source
Ups J Med Sci. 2013 Aug;118(3):187-95
Publication Type
Article
Date
Aug-2013
Author
Kjell Wånggren
Frida Prag
Agneta Skoog Svanberg
Author Affiliation
Department of Women's and Children's Health, Uppsala University, 751 85 Uppsala, Sweden. kjell.wanggren@kbh.uu.se
Source
Ups J Med Sci. 2013 Aug;118(3):187-95
Date
Aug-2013
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Attitude to Health
Embryo Disposition - legislation & jurisprudence - psychology
Female
Humans
Infertility - therapy
Male
Middle Aged
Questionnaires
Sweden
Young Adult
Abstract
When performing in-vitro fertilization (IVF), more embryos than needed are often derived. These embryos are usually frozen and stored, but as ruled by Swedish law they have to be discarded after 5 years. In other countries it is legal to donate the excess embryos to other infertile couples who for different reasons cannot undergo the procedure of IVF. The aim of the present study was to investigate public opinion in Sweden regarding different aspects of embryo donation.
A questionnaire regarding attitudes towards aspects of embryo donation was sent to a randomized sample of 1,000 Swedish women and men of reproductive age.
A total of 34% responded to the questionnaires. A majority of the respondents (73%) were positive towards embryo donation. Seventy-five per cent agreed that it should be possible to donate embryos to infertile couples. Approximately half of the participants (49%) supported embryo donation to single women. A majority of the participants emphasized that demands should be imposed on the recipient's age (63%), alcohol addiction (79%), drug addiction (85%), and criminal record (67%). Forty-seven per cent of the respondents agreed that the recipient should be anonymous to the donor, and 38% thought that the donor should remain anonymous to the child.
The results of the present study indicate support for embryo donation among a subset of the Swedish population of reproductive age. If embryo donation were to be allowed in Sweden, strategies for treatment and counselling need to be developed.
Notes
Cites: Hum Reprod. 2000 Feb;15(2):476-8410655327
Cites: Hum Reprod. 2001 Jun;16(6):1120-811387280
Cites: Hum Reprod. 2001 Jun;16(6):1301-411387309
Cites: J Med Ethics. 2002 Jun;28(3):139-4212042395
Cites: Hum Reprod. 2003 Apr;18(4):871-712660288
Cites: Hum Reprod. 2003 May;18(5):1107-1412721192
Cites: Hum Reprod. 2003 Jun;18(6):1353-512773471
Cites: Hum Fertil (Camb). 2003 May;6 Suppl 1:S60-212869781
Cites: Acta Obstet Gynecol Scand. 2003 Nov;82(11):991-614616271
Cites: Int J Fertil Womens Med. 2004 Jan-Feb;49(1):19-2315038505
Cites: Eur J Obstet Gynecol Reprod Biol. 2004 Jul 1;115 Suppl 1:S16-815196710
Cites: Hum Reprod. 2004 Oct;19(10):2415-915310730
Cites: Fertil Steril. 1995 Nov;64(5):885-947589629
Cites: Reprod Biomed Online. 2005 Feb;10(2):164-815823217
Cites: Hum Reprod. 2005 Jun;20(6):1661-915760957
Cites: Soc Sci Med. 2006 Jul;63(1):1-2016448734
Cites: Fertil Steril. 2006 Jul;86(1):86-9116716313
Cites: Hum Reprod. 2007 Jun;22(6):1506-1217376819
Cites: J Fam Psychol. 2008 Dec;22(6):799-80819102601
Cites: Fertil Steril. 2009 Jan;91(1):140-718053994
Cites: Aust N Z J Obstet Gynaecol. 2008 Dec;48(6):601-619133052
Cites: Hum Reprod. 2009 Apr;24(4):896-90519136479
Cites: Hum Reprod. 2009 Aug;24(8):1939-4519429908
Cites: Reprod Biomed Online. 2010 Jun;20(7):880-9120413349
Cites: Hum Reprod. 2010 Nov;25(11):2821-820817740
Cites: Hum Reprod. 2011 Apr;26(4):861-7221247922
Cites: Fertil Steril. 2011 May;95(6):1980-4, 1984.e121411080
Cites: Hum Reprod. 2012 Mar;27(3):747-5222258660
PubMed ID
23786323 View in PubMed
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Attitudes toward surrogacy among doctors working in reproductive medicine and obstetric care in Sweden.

https://arctichealth.org/en/permalink/ahliterature299028
Source
Acta Obstet Gynecol Scand. 2018 Sep; 97(9):1114-1121
Publication Type
Journal Article
Review
Date
Sep-2018
Author
Camilla Stenfelt
Gabriela Armuand
Kjell Wånggren
Agneta Skoog Svanberg
Gunilla Sydsjö
Author Affiliation
Fertilitetscentrum Stockholm, Stockholm, Sweden.
Source
Acta Obstet Gynecol Scand. 2018 Sep; 97(9):1114-1121
Date
Sep-2018
Language
English
Publication Type
Journal Article
Review
Keywords
Adult
Attitude of Health Personnel
Cross-Sectional Studies
Female
Humans
Physicians - psychology
Pregnancy
Reproductive Medicine
Surrogate Mothers
Surveys and Questionnaires
Sweden
Abstract
The aim of this study was to investigate attitudes and opinions towards surrogacy among physicians working within obstetrics and reproductive medicine in Sweden.
Physicians working within medically assisted reproduction (MAR), antenatal care and obstetrics were invited to participate in a cross-sectional nationwide survey study. The study-specific questionnaire measured attitudes and experiences in three domains: attitudes towards surrogacy, assessment of prospective surrogate mothers, and antenatal and obstetric care for surrogate mothers.
Of the 103 physicians who participated (response rate 74%), 63% were positive or neutral towards altruistic surrogacy being introduced in Sweden. However, only 28% thought that it should be publicly financed. Physicians working at fertility clinics were more positive towards legalization as well as public financing of surrogacy compared than were those working within antenatal and delivery care. The majority of the physicians agreed that surrogacy involves the risk of exploitation of women's bodies (60%) and that there is a risk that the commissioning couple might pay the surrogate mother "under the table" (82%). They also expressed concerns about potential surrogate mothers not being able to understand fully the risks of entering pregnancy on behalf of someone else.
There is a relatively strong support among physicians working within obstetrics and reproductive medicine for the introduction of surrogacy in Sweden. However, the physicians expressed concerns about the surrogate mothers' health as well as the risk of coercion. Further discussions about legalization of surrogacy should include views from individuals within a wide field of different medical professions and laymen.
PubMed ID
29512820 View in PubMed
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Exposure to violence among women with unwanted pregnancies and the association with post-traumatic stress disorder, symptoms of anxiety and depression.

https://arctichealth.org/en/permalink/ahliterature270000
Source
Sex Reprod Healthc. 2015 Jun;6(2):50-3
Publication Type
Article
Date
Jun-2015
Author
Soile Tinglöf
Ulf Högberg
Inger Wallin Lundell
Agneta Skoog Svanberg
Source
Sex Reprod Healthc. 2015 Jun;6(2):50-3
Date
Jun-2015
Language
English
Publication Type
Article
Keywords
Abortion, Induced
Adolescent
Adult
Anxiety - etiology
Depression - etiology
Exposure to Violence - psychology
Female
Humans
Mental health
Middle Aged
Pregnancy
Pregnancy, Unwanted
Prevalence
Rape - psychology
Risk factors
Socioeconomic Factors
Stress Disorders, Post-Traumatic - etiology
Surveys and Questionnaires
Sweden
Violence - psychology
Young Adult
Abstract
The objective was to examine lifetime exposure to violence, physical and sexual, among women seeking termination of pregnancy (TOP) and its association with socio-demographic factors, PTSD, symptoms of anxiety and depression.
The design of the study was a Swedish multi-centre study targeting women requesting TOP.
All women requesting TOP with a gestational length less than 12 pregnancy weeks were approached for participation in the study. The questionnaire comprised the following research instruments: Screen Questionnaire-Post traumatic Stress Disorder (SQ-PTSD) and Hospital Anxiety and Depression Scale (HADS). The response rate was 57% and the final sample was 1514 women. Descriptive and analytic statistics were applied.
Lifetime exposure to violence was common among women seeking abortion. Exposure to violence was associated with low education, single marital status, smoking and high alcohol consumption. Exposure to violence was associated with the occurrence of signs of PTSD and symptoms of anxiety and depression. Among those having PTSD, all had been exposed to sexual violence and almost all had been exposed to physical violence, while for those with symptoms of anxiety and depression almost half had been exposed to either physical or sexual violence.
Exposure to physical and sexual abuse was common among women requesting TOP, and was strongly associated with the occurrence of PTSD, symptoms of anxiety and depression. This underscores the importance for health professionals to recognize and offer support to those women exposed to violence.
PubMed ID
25998870 View in PubMed
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Gamete donors' motivation in a Swedish national sample: is there any ambivalence? A descriptive study.

https://arctichealth.org/en/permalink/ahliterature124908
Source
Acta Obstet Gynecol Scand. 2012 Aug;91(8):944-51
Publication Type
Article
Date
Aug-2012
Author
Agneta Skoog Svanberg
Claudia Lampic
Ann-Louise Gejervall
Ann-Louise Geijerwall
Johannes Gudmundsson
Per-Olof Karlström
Nils-Gunnar Solensten
Gunilla Sydsjö
Author Affiliation
Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. agneta.skoog_svanberg@kbh.uu.se
Source
Acta Obstet Gynecol Scand. 2012 Aug;91(8):944-51
Date
Aug-2012
Language
English
Publication Type
Article
Keywords
Adult
Altruism
Anxiety - etiology
Attitude
Chi-Square Distribution
Cross-Sectional Studies
Decision Making
Depression - etiology
Emotions
Female
Fertility
Humans
Logistic Models
Male
Motivation
Oocyte Donation
Questionnaires
Spermatozoa
Stress, Psychological - etiology
Sweden
Tissue and Organ Procurement
Uncertainty
Abstract
To study donors' motivation and ambivalence before donation of gametes.
Cross-sectional study.
Seven Swedish university hospital clinics. Sample. Of the 220 eligible oocyte donors and 156 eligible sperm donors who were approached, 181 (82%) oocyte donors and 119 (76%) sperm donors agreed to participate.
Gamete donors completed a questionnaire in the clinic prior to the donation.
Motives and ambivalence towards donation.
In general, gamete donors donated for altruistic reasons (95%). A greater percentage of oocyte than sperm donors had a personal experience of biological children, which motivated them to donate (65 vs. 32%). A greater percentage of sperm donors compared with oocyte donors were curious about their own fertility (24 vs. 9%), and they also believed that they were contributing what they regarded as their own good genes to other couples (45 vs. 20%). Prior to donation, potential sperm donors were more ambivalent towards donating than were oocyte donors (39 and 21%, p
Notes
Erratum In: Acta Obstet Gynecol Scand. 2013 Mar;92(3):366Geijerwall, Ann-Louise [corrected to Gejervall, Ann-Louise]
PubMed ID
22536824 View in PubMed
Less detail

Gamete donors' satisfaction; gender differences and similarities among oocyte and sperm donors in a national sample.

https://arctichealth.org/en/permalink/ahliterature114517
Source
Acta Obstet Gynecol Scand. 2013 Sep;92(9):1049-56
Publication Type
Article
Date
Sep-2013
Author
Agneta Skoog Svanberg
Claudia Lampic
Ann-Louise Gejerwall
Johannes Gudmundsson
Per-Olof Karlström
Nils-Gunnar Solensten
Gunilla Sydsjö
Author Affiliation
Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. agneta.skoog_svanberg@kbh.uu.se
Source
Acta Obstet Gynecol Scand. 2013 Sep;92(9):1049-56
Date
Sep-2013
Language
English
Publication Type
Article
Keywords
Adult
Anxiety - psychology
Depression - psychology
Female
Humans
Male
Personal Satisfaction
Prospective Studies
Questionnaires
Sweden
Tissue Donors - psychology
Abstract
To explore oocyte and sperm donors' emotional stress, experiences of care and satisfaction after donation.
Prospective multicenter study.
All fertility clinics performing gamete donation in Sweden during the period 2005 to 2008.
Of 220 eligible oocyte donors who were approached, 181 agreed to complete the first questionnaire and 165 completed the second questionnaire 2 months after oocyte donation. Of 156 eligible sperm donors 119 accepted to complete the first questionnaire before donation. Eighty-nine participants completed the second questionnaire 2 months after sperm donation.
Standardized and study-specific questionnaires.
Satisfaction with the donation, respondents' mental health and overall care.
A larger percentage of sperm donors (97.8%) were satisfied with their overall experience of being a donor than oocyte donors (85.9%, p = 0.003). Some oocyte and sperm donors did not receive sufficient information about practical issues (9.1% and 13.5%, respectively) and future consequences (12.8% and 3.4%, respectively, p = 0.014). The donors' symptoms of anxiety and depression did not show any differences in relation to negative or positive perceptions of satisfaction. The donors who did not indicate ambivalence before treatment were on average almost five times more satisfied compared with those who did indicate ambivalence (odds ratio 4.71; 95% CI 1.34-16.51).
Most donors were satisfied with their contribution after the donation. Oocyte and sperm donors who expressed ambivalence before donation were less satisfied after donation. In vitro fertilization staff fulfilled most of the donors' needs for information and care.
Notes
Cites: Womens Health Issues. 2000 Sep-Oct;10(5):226-3910980440
Cites: BJOG. 2012 Jan;119(1):33-922004406
Cites: Fertil Steril. 2001 May;75(5):1034-611334924
Cites: Hum Fertil (Camb). 2002 Nov;5(4):175-8212477959
Cites: Fertil Steril. 2003 Jun;79(6):1312-612798876
Cites: Hum Reprod. 2003 Oct;18(10):2205-1514507845
Cites: J Community Appl Soc Psychol. 1998 Jul-Aug;8(4):273-8715452938
Cites: Acta Psychiatr Scand. 1983 Jun;67(6):361-706880820
Cites: Hum Reprod. 1990 Apr;5(3):352-52351718
Cites: Hum Reprod. 1991 Nov;6(10):1487-911770150
Cites: Hum Reprod. 1992 May;7(5):726-81639993
Cites: Hum Reprod. 1992 Apr;7(4):575-91522206
Cites: Acta Obstet Gynecol Scand. 1994 Oct;73(9):701-57976245
Cites: Hum Reprod. 1995 Nov;10(11):3073-68747077
Cites: Hum Reprod. 1997 Dec;12(12):2845-529455866
Cites: J Womens Health. 1998 Mar;7(2):229-379555688
Cites: Hum Reprod. 1998 Jul;13(7):2020-49740470
Cites: J Psychosom Obstet Gynaecol. 2004 Jun;25(2):145-5115715037
Cites: Hum Reprod Update. 2006 Mar-Apr;12(2):91-10116172110
Cites: Hum Reprod. 2006 May;21(5):1325-716410332
Cites: Acta Obstet Gynecol Scand. 2007;86(3):327-3317364308
Cites: Hum Reprod. 2007 Jul;22(7):2040-5017507386
Cites: Reprod Biomed Online. 2008;17 Suppl 1:15-2018644218
Cites: Hum Reprod Update. 2009 Sep-Oct;15(5):499-51519443709
Cites: Hum Reprod. 2009 Dec;24(12):3136-4319801573
Cites: Fertil Steril. 2010 Feb;93(2):455-6619022427
Cites: Fertil Steril. 2010 Mar 1;93(4):1080-719135662
Cites: Hum Reprod. 2011 Jan;26(1):266-7221088014
Cites: BJOG. 2011 Aug;118(9):1067-7221481152
Cites: Fertil Steril. 2000 Oct;74(4):660-711020503
Cites: Acta Obstet Gynecol Scand. 2012 Aug;91(8):944-5122536824
Cites: Hum Reprod. 2000 Apr;15(4):798-80510739823
PubMed ID
23611727 View in PubMed
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How women perceive abortion care: A study focusing on healthy women and those with mental and posttraumatic stress.

https://arctichealth.org/en/permalink/ahliterature271024
Source
Eur J Contracept Reprod Health Care. 2015 Jun;20(3):211-22
Publication Type
Article
Date
Jun-2015
Author
Inger Wallin Lundell
Susanne Georgsson Öhman
Inger Sundström Poromaa
Ulf Högberg
Gunilla Sydsjö
Agneta Skoog Svanberg
Source
Eur J Contracept Reprod Health Care. 2015 Jun;20(3):211-22
Date
Jun-2015
Language
English
Publication Type
Article
Keywords
Abortion, Induced - adverse effects - psychology
Adult
Anxiety - epidemiology - psychology
Cross-Sectional Studies
Depression - psychology
Female
Humans
Mental Health - statistics & numerical data
Stress Disorders, Post-Traumatic - psychology
Stress, Psychological - psychology
Sweden
Women's health
Young Adult
Abstract
Objectives To identify perceived deficiencies in the quality of abortion care among healthy women and those with mental stress. Methods This multi-centre cohort study included six obstetrics and gynaecology departments in Sweden. Posttraumatic stress (PTSD/PTSS) was assessed using the Screen Questionnaire-Posttraumatic Stress Disorder; anxiety and depressive symptoms, using the Hospital Anxiety Depression Scale; and abortion quality perceptions, using a modified version of the Quality from the Patient's Perspective questionnaire. Pain during medical abortion was assessed in a subsample using a visual analogue scale. Results Overall, 16% of the participants assessed the abortion care as being deficient, and 22% experienced intense pain during medical abortion. Women with PTSD/PTSS more often perceived the abortion care as deficient overall and differed from healthy women in reports of deficiencies in support, respectful treatment, opportunities for privacy and rest, and availability of support from a significant person during the procedure. There was a marginally significant difference between PTSD/PTSS and the comparison group for insufficient pain alleviation. Conclusions Women with PTSD/PTSS perceived abortion care to be deficient more often than did healthy women. These women do require extra support, relatively simple efforts to provide adequate pain alleviation, support and privacy during abortion may improve abortion care.
PubMed ID
25666812 View in PubMed
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Men report good mental health 20 to 23 years after in vitro fertilisation treatment.

https://arctichealth.org/en/permalink/ahliterature274034
Source
BMC Public Health. 2015;15:1175
Publication Type
Article
Date
2015
Author
Gunilla Sydsjö
Josefin Vikström
Marie Bladh
Barbara Jablonowska
Agneta Skoog Svanberg
Source
BMC Public Health. 2015;15:1175
Date
2015
Language
English
Publication Type
Article
Keywords
Adult
Family Characteristics
Fertilization in Vitro - psychology
Humans
Infertility - psychology
Male
Mental health
Middle Aged
Sweden
Time Factors
Abstract
Infertility and infertility treatment are known to have negative short-term psychological consequences for men and women, with more long-term consequences for women. The long-term wellbeing and mental health of men who have experienced in vitro fertilisation (IVF) treatment has not been extensively described in the literature. Therefore, the aim of this study was to analyse the mental health of men 20 to 23 years after IVF treatment.
The Symptom Checklist 90 tool was used to assess the self-perceived mental health of men who were part of a couple that underwent IVF treatment at Linköping University Hospital, Sweden, 20 to 23 years earlier. We enrolled 292 out of the 490 men who took part in the hospital's IVF programme from 1986 to 1989 and compared them to an aged-matched control group. In addition, the men who had remained childless were compared to those who had fathered biological children and those who had adopted children.
The overall mental health of the men who had received IVF was good. We found that 54% of the men had fathered their own biological children, 21% were childless and the remainder were part of a couple that had gone on to adopt. The childless men displayed more mental health problems than the other men in the study, as did men who were unemployed, single or divorced.
This study carried out 20 to 23 years after IVF treatment showed that the majority of the men who took part were in good mental health. Those who remained childless faced an increased risk of negative psychological symptoms and men who were single showed more symptoms of depression and anxiety disorders.
Notes
Cites: Ann Epidemiol. 2007 Sep;17(9):643-5317553702
Cites: Hum Reprod Update. 2007 Nov-Dec;13(6):607-1617895237
Cites: Acta Obstet Gynecol Scand. 2009;88(3):291-30019172440
Cites: Acta Obstet Gynecol Scand. 2010 May;89(5):677-8220196679
Cites: Acta Obstet Gynecol Scand. 2010 May;89(5):683-9120302532
Cites: Acta Obstet Gynecol Scand. 2010 Oct;89(10):1290-720846062
Cites: Fertil Steril. 2011 Apr;95(5):1759-63.e121333986
Cites: Hum Reprod. 2011 Jul;26(7):1836-4221531999
Cites: BMC Geriatr. 2011;11:7822111700
Cites: Asian J Androl. 2012 Jan;14(1):121-922179515
Cites: J Androl. 2012 Mar-Apr;33(2):181-921546616
Cites: Acta Obstet Gynecol Scand. 2012 Sep;91(9):1077-8522708621
Cites: BMC Med Res Methodol. 2012;12:10422824369
PubMed ID
26607065 View in PubMed
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Neonatal outcomes in pregnancies resulting from oocyte donation: a cohort study in Sweden.

https://arctichealth.org/en/permalink/ahliterature286906
Source
BMC Pediatr. 2016 Oct 21;16(1):170
Publication Type
Article
Date
Oct-21-2016
Author
Evangelia Elenis
Gunilla Sydsjö
Alkistis Skalkidou
Claudia Lampic
Agneta Skoog Svanberg
Source
BMC Pediatr. 2016 Oct 21;16(1):170
Date
Oct-21-2016
Language
English
Publication Type
Article
Keywords
Adult
Apgar score
Case-Control Studies
Female
Follow-Up Studies
Humans
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Infant, Small for Gestational Age
Logistic Models
Male
Oocyte Donation - adverse effects
Pregnancy
Pregnancy outcome
Premature Birth - etiology
Risk factors
Sweden
Abstract
Pregnancies resulting through oocyte donation have been associated with increased risk for adverse outcomes for the mother, such as gestational hypertensive disorders. However, little is known about possible neonatal complications of such pregnancies. The purpose of this study was to evaluate the neonatal health outcomes among singleton pregnancies in a population of relatively young and healthy oocyte recipients in Sweden, taking into account the medical indication leading to treatment.
This cohort study involved 76 women conceiving with donated oocytes, 149 age-matched nulliparous women conceiving spontaneously and 63 women conceiving after non-donor IVF. Participants were recruited during 2005-2008 and followed up until delivery. Data on neonatal outcomes were retrieved from the National Birth Medical Register and the medical records of oocyte recipients from seven Swedish University Hospitals with IVF clinics. Logistic regression analyses were performed to examine the association of mode of conception and neonatal outcomes, adjusted for maternal age and BMI, gestational age and delivery by cesarean section.
Infants conceived through oocyte donation had higher odds for premature delivery [OR 2.36, 95 % CI (1.02-5.45)], for being small for gestational age [OR 4.23, 95 % CI (1.03-17.42)] and having Apgar score below 7 at 5 min [OR 10.57, 95 % CI (1.21-92.20)] compared to spontaneously conceived infants. Similar trends were observed when comparing infants conceived through oocyte donation to those conceived by traditional IVF. Furthermore, donor oocyte infants had a lower mean birthweight and length compared to autologous oocyte neonates (p?=?0.013); however no differences were noted among infants born at term. Neonatal outcomes were more favorable among women with diminished ovarian reserve compared to those with other indications for oocyte donation.
Infants conceived after oocyte donation in Sweden have higher odds of being born prematurely and having lower mean birthweight in comparison to non-donor infants. It seems that these unfavorable neonatal outcomes are present despite the age, weight and health restrictions applied to recipients before oocyte donation treatment in Sweden.
Notes
Cites: Acta Paediatr. 1996 Jul;85(7):843-88819552
Cites: Fertil Steril. 2008 Jul;90(1):65-7017727845
Cites: Reprod Biol Endocrinol. 2012 Jun 06;10:4222672289
Cites: Obstet Gynecol. 1997 Apr;89(4):519-239083305
Cites: Transpl Immunol. 2011 Sep;25(2-3):89-9521708252
Cites: Fertil Steril. 2013 May;99(6):1637-4323465822
Cites: Eur J Obstet Gynecol Reprod Biol. 2014 Nov;182:107-1225268777
Cites: Hum Reprod. 2013 Jun;28(6):1598-60923539610
Cites: J Dev Orig Health Dis. 2015 Nov 27;:1-1626611736
Cites: Fertil Steril. 2015 Dec;104(6):1411-8.e1-326363384
Cites: Hum Reprod. 2012 Sep;27(9):2571-8422786779
Cites: Fertil Steril. 2010 Feb;93(2):397-40419249031
Cites: Reprod Health. 2014 May 26;11:3824885541
Cites: Dtsch Arztebl Int. 2011 Jan;108(3):23-3121285999
Cites: Fertil Steril. 2007 Apr;87(4):776-8117258714
Cites: Hum Reprod. 1998 Feb;13(2):483-909557862
Cites: J Matern Fetal Neonatal Med. 2013 Sep;26(13):1263-723421425
Cites: Obstet Gynecol. 2011 Oct;118(4):863-7121934450
Cites: Fertil Steril. 2014 Oct;102(4):1006-1015.e425064408
Cites: PLoS One. 2014 Jan 08;9(1):e8039824416127
Cites: Am J Obstet Gynecol. 2014 Oct;211(4):383.e1-524657130
Cites: Scand J Soc Med. 1990 Jun;18(2):143-82367825
Cites: J Reprod Immunol. 2014 Mar;101-102:96-10324029471
Cites: Gynecol Endocrinol. 2016;32(4):267-7126490075
Cites: Arch Gynecol Obstet. 2016 Jun;293(6):1193-626525699
Cites: Am J Obstet Gynecol. 2016 Mar;214(3):328-3926627731
Cites: Am J Obstet Gynecol. 2005 Jan;192(1):38-4115672000
Cites: Hum Reprod. 2002 Oct;17(10):2636-4012351541
Cites: BMC Pregnancy Childbirth. 2015 Oct 08;15:24726450684
PubMed ID
27769207 View in PubMed
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