Perceptions of child vulnerability in first-time mothers who conceived using assisted reproductive technology

Egan, Kaitlyn N.; Summers, E.L.; Limbers, Christine A.

doi:10.1080/02646838.2021.1896689

Cited by 2 publications

(1 citation statement)

References 30 publications

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“…The data used in this study were collected as a part of a larger study focused on assessing differences in maternal ratings of child vulnerability between first-time mothers who conceived using ART versus spontaneous conception ( Egan et al , 2021 ). For the current study focused on assessing the psychometric properties of the PHQ-8 in first-time mothers who conceived using ART, only mothers who used ART were included.…”

Section: Methodsmentioning

confidence: 99%

Reliability and validity of the PHQ-8 in first-time mothers who used assisted reproductive technology

Pavlov

Egan²,

Limbers

2022

Human Reproduction Open

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Study question Is the Patient Health Questionnaire-8 (PHQ-8) a valid and reliable measure of depression in first-time mothers who conceived via Assisted Reproductive Technology? Summary answer The results from this study provide initial support for the reliability and validity of the PHQ-8 as a measure of depression in mothers who have conceived using ART. What is known already Women who achieved a clinical pregnancy using Assisted Reproductive technology experience many stressors and may be at an increased risk of depression. The PHQ-8 is a brief measure designed to detect the presence of severity of depressive symptoms. It has been validated in many populations; however, it has not been validated for use in this population. Study design, size, duration This is a cross-sectional study of 171 first time mothers in the United States, recruited through Amazon’s Mechanical Turk (MTurk). Participants/materials, setting, methods The reliability of the PHQ-8 was measured through a Cronbach’s alpha, the convergent validity was measured though the correlation between the PHQ-8 and the General Anxiety Disorder-7 (GAD-7) measure of anxiety symptoms, and the structural validity was measured through a Confirmatory Factor Analysis. Main results and the role of chance The Cronbach’s alpha for the total PHQ-8 was acceptable (α =.922). The correlation between the PHQ-8 and the GAD-7 was large (r=.88) indicating good convergent validity. Ultimately, a bifactor model provided the best model fit (χ2(13) = 23.8, p = 0.033; Comparative Fit Index (CFI) =0.987; Root Mean Square Error of Approximation (RMSEA) = 0.07, Tucker-Lewis Index (TLI) = 0.972). Limitations, reasons for caution The results are limited by: the predominantly white and well-educated sample, a lack of causation between the use of artificial reproductive technology and depressive symptoms, including mothers with children up to 5 years old, convergent validity being based on associations with a related construct instead of the same construct, lack of test-retest reliability, divergent validity, and criterion-related validity, data collected through MTurk, and the fact that the measures used were all self-report and therefore may be prone to bias. Wider implications of the findings Consistent with previous literature, a bifactor model for the PHQ-8 was supported. As such, when assessing depression in first-time mothers who conceived via Assisted Reproductive Technology, using both the PHQ-8 total score and subdomain scores may yield the most valuable information. The results from this study provide preliminary support for the reliability and validity of the PHQ-8 as a measure of depression in first-time mothers who conceived using Assisted Reproductive Technology. Study funding/competing interest(s) No specific funding was used for the completion of this study. Throughout the study period and manuscript preparation, the authors were supported by the department funds at Baylor University. The authors declare that they have no conflicts of interest. Trial registration number N/A

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Section: Methodsmentioning

confidence: 99%

Reliability and validity of the PHQ-8 in first-time mothers who used assisted reproductive technology

Pavlov

Egan²,

Limbers

2022

Human Reproduction Open

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Infantile Prognosis of Neonates Conceived by Assisted Reproductive Technology: A Prospective Study

et al. 2023

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Background: Neonates of infertile couples are golden babies, and taking care of them is of paramount importance. However, it is not yet clear if the prognosis is different between these neonates and those from fertile couples. Objectives: The present study aimed to assess neonates conceived by assisted reproductive technology (ART). Methods: In this cohort study, 165 newborns conceived by ART and 165 naturally conceived newborns were included. The prospective study was conducted from April 2020 to October 2021. A neonatologist examined all newborns after birth, and outcomes were followed up over one year and compared with neonates of fertile couples using appropriate statistical tests. Results: The preterm neonates (60% vs. 38%) were higher in ART cases (P < 0.001) than in the other cases. Also, the mean gravid and parity were lower, but the nulliparity was higher in the ART group (P < 0.001) than in the other cases. Moreover, multiple pregnancies (45% vs. 10%; P < 0. 001) and the C/S rate (91% vs. 67%) were higher in ART cases (P < 0.001) than in the other cases. Similarly, the preeclampsia rate (16 % vs. 6%; P = 0.004) and the number of females were higher in the ART group (P = 0.035) than in the other groups. However, birth weight (P = 0.002) and the Apgar were significantly lower (P = 0.002; P = 0.012) in the ART group than in the other groups. IUGR was significantly higher (17% vs. 7%) (P = 0.006), while NEC and RDS were more common in the ART group (P < 0.001) than in the other groups. In addition, more extended hospital stay (P < 0.001) and more common re-admission and weight < the 5th percentile after one year were observed in the ART group (P = 0.021) than in the other groups. Conclusions: According to the findings, pregnancy after ART has more side effects before and after birth and in infancy, not only because of multistation but also due to manipulations in ART.

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Perceptions of child vulnerability in first-time mothers who conceived using assisted reproductive technology

Cited by 2 publications

References 30 publications

Reliability and validity of the PHQ-8 in first-time mothers who used assisted reproductive technology

Reliability and validity of the PHQ-8 in first-time mothers who used assisted reproductive technology

Infantile Prognosis of Neonates Conceived by Assisted Reproductive Technology: A Prospective Study

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