Volume 21 Issue 5
May  2023
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CHENG Jingxian, WANG Chunyan, WANG Jieyu, YUAN Lanlan, WU Xuanye, WANG Yinshuang, LUO Guiying. Factors influencing marital status in assisted reproduction couples and its impact on pregnancy outcomes[J]. Chinese Journal of General Practice, 2023, 21(5): 744-748. doi: 10.16766/j.cnki.issn.1674-4152.002973
Citation: CHENG Jingxian, WANG Chunyan, WANG Jieyu, YUAN Lanlan, WU Xuanye, WANG Yinshuang, LUO Guiying. Factors influencing marital status in assisted reproduction couples and its impact on pregnancy outcomes[J]. Chinese Journal of General Practice, 2023, 21(5): 744-748. doi: 10.16766/j.cnki.issn.1674-4152.002973

Factors influencing marital status in assisted reproduction couples and its impact on pregnancy outcomes

doi: 10.16766/j.cnki.issn.1674-4152.002973
Funds:

 KJ2020A0203

 SK2020A0146

  • Received Date: 2022-08-08
  •   Objective  To study the factors influencing the marital status of assisted reproductive technology (ART) couples and its impact on pregnancy outcomes, in order to provide a reference for improving the success rate of ART.  Methods  A total of 402 couples who entered the in vitro fertilization (IVF)cycle from March 2020 to August 2020 at the Reproductive Center of the First Affiliated Hospital of Anhui Medical University were selected as the research objects. General data, Locke Wollance marriage adjustment test (MAT) and social support rating scale (SSRS) were used to analyze the influencing factors of marital status and subsequent pregnancy outcomes, and to explore the influence of marriage on pregnancy in ART couples.  Results  Among the 402 couples, men ' s marriage score (117.34±20.40) was significantly higher than women ' s (109.80±21.90, P < 0.01). Univariate analysis showed that there were significant differences in women ' s monthly income, working status during ART, infertility duration, causes of infertility, ART stressors and living with elders (all P < 0.05). There were statistically significant differences in the male partner ' s age, education level, employment status, monthly income, infertility duration and causes of infertility (all P < 0.05). There were positive correlation between both marital status and social support (r=0.290, 0.250, both P < 0.01). The results of multiple regression analysis showed that infertility duration, cause of infertility, ART stressors, living with elders, and social support are risk factors for women ' s marital status (all P < 0.05). Age, culture level, duration of infertility and social support are risk factors for male marital status (all P < 0.05). The clinical pregnancy rate of the female marriage disorder group (57.5%) was lower than that of the good marriage group (68.4%), and the difference was statistically significant (P < 0.05).  Conclusion  The marital status of ART couples is affected by different factors, and the marital status of women is lower than that of men and has an impact on clinical pregnancy. In clinical work, couples should be treated as a whole for psychological counseling according to these risk factors in order to improve the success rate of assisted reproduction.

     

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