Case Management Improves Satisfaction, Anxiety, and Depression of Patients with Pregnancy Loss after In Vitro Fertilization and Embryo Transfer

Abstract

Objective. Pregnancy loss has negative impacts on both the physical and the mental health of expectant mothers, which calls for an in-depth investigation. In this study, we examined the effects of case management on patients with pregnancy loss after in vitro fertilization and embryo transfer (IVF-ET). Methods. 100 participants that had suffered pregnancy loss after IVF-ET-assisted pregnancy from January 2019 to March 2020 were divided into routine care and case management groups, each with 50 cases. For the routine care group, a doctor led the diagnostic and treatment processes and a nurse assisted with the treatment. For the case management group, a nurse led the patient diagnostic and treatment processes and a doctor controlled the diagnosis and treatment plan formulation. Case management models were established according to the comprehensive peripregnancy loss care of patients with pregnancy loss after IVF-ET-assisted pregnancy. The participants’ outcomes (satisfaction, anxiety, and depression) were assessed at the time of pregnancy loss and 1 and 3 months after pregnancy loss during follow-up of the routine care and case management groups. Results. There was no statistical difference between the patients in the two groups with regard to their general information statistics ( P > 0.05 ) or their satisfaction, anxiety, and depression at the time of pregnancy loss ( P > 0.05 ). One month after pregnancy loss, there was no statistical difference in anxiety between the two groups ( P > 0.05 ), but satisfaction was greater and depression was significantly reduced in the case management group compared with the routine care group ( P < 0.05 ). Conclusion. Case management care can have a positive effect on improving the satisfaction, anxiety, and depression of patients that have had pregnancy loss after IVF-ET.

Investigation for Anxiety and Depression Situation in Couples Receiving in vitro Fertilization and Embryo Transfer (IVF-ET) with Donor Sperm and Associated Influencing Factors

“…A large number of studies at home and abroad show that couples receiving IVF-ET generally have anxiety and depression, and women's anxiety and depression are more serious than their spouses during the treatment cycle. [6][7][8] In addition to the particularity of sperm source of couples receiving sperm donation and assisted pregnancy, the psychological burden of their women is more obvious and complex than other infertility, and many economic, social, marital and family problems cause their anxiety and depression. 9 Some domestic scholars have reported that the anxiety level at different treatment stages of IVF is related to the treatment outcome, especially the standard score of anxiety during embryo transfer is significantly negatively related to pregnancy, indicating that anxiety affects the treatment effect to a certain extent and reduces the clinical pregnancy rate.…”

Retracted: Case Management Improves Satisfaction, Anxiety, and Depression of Patients with Pregnancy Loss after In Vitro Fertilization and Embryo Transfer

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [ 1 ]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process: Discrepancies in scope Discrepancies in the description of the research reported Discrepancies between the availability of data and the research described Inappropriate citations Incoherent, meaningless and/or irrelevant content included in the article Peer-review manipulation …”

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [1]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process:…”