Comparison of adaptation of pregnancy and prenatal self-evaluation in women with and without experience of infertility

Background: Pregnancy is one of the most important periods of women s lives. Many women get pregnant using ART after many years, although, their individual and social problems will not finish. Infertility treatments have the destructive effects of physical, economic, and psycho-emotional. Clinical experiences known women s attitudes and behavior change about pregnancy after ART. Less attention has been paid to the comparison of women s attitudes with and without experience of infertility.Objective: Aim of this study was comparison of pregnancy adaptation and prenatal self-evaluation in women with and without infertility experience.Materials and Methods: In this cross sectional study, 250 pregnant women with entry criteria were chosen by convenience sampling in Montaserieh Infertility Research Center and Mashhad Health centers. Pregnant women completed adaptation of pregnancy questionnaire and Prenatal Self-Evaluation questionnaire. In this study, first group were pregnant women with infertility experience that get pregnant with ART and second group were pregnant women without infertility experience. Data analyzed using Mann- Whitney, t-test, X2 and Cross Calves by SPSS16.Results: The average age of pregnant women was 34.3±5.5 years in first group and 23.13±3.05 years in second group that there was significantly statistical difference between two groups (p=0.05). The majority of women (83%) were urban and 40% had high school education. Also 77% of pregnant women were housewife. There was not significantly statistical difference in place of living, education and job between two groups (p> 0.05). In first group, 83% had primary infertility and the majority of women (59%) get pregnant with IVF. Infertility factor were female factor (30.2%), male factor (30.9%), mixed (20.9%) and unknown (17.3%). Number of treatment was between 1-10 treatment cycles and average treatment duration was 42.1±39.1 months. Pregnancy adaptation was less in women with infertility experience rather than spontaneous pregnancy (p=0.044). Prenatal self-evaluation was not significant in two groups (p=0.57).Conclusion: Assisted reproductive techniques create problems in women adaptation with pregnancy. So, successful infertility treatment with ART does not involve easy adaptation to the new life. It is necessary to perform women s counseling and care by the medical staff.

کلیدواژه ها:

Pregnancy ، Infertility ، Adaptation of pregnancy ، Pregnant women ، Prenatal self-evaluation