Abstract
BackgroundThis study sought to describe patient features before beginning fertility treatment, and to ascertain their perceptions relative to risk of twin pregnancy outcomes associated with such therapy.MethodsData on readiness for twin pregnancy outcome from in vitro fertilisation (IVF) was gathered from men and women before initiating fertility treatment by anonymous questionnaire.ResultsA total of 206 women and 204 men were sampled. Mean (± SD) age for women and men being 35.5 ± 5 and 37.3 ± 7 yrs, respectively. At least one IVF cycle had been attempted by 27.2% of patients and 33.9% of this subgroup had initiated ≥3 cycles, reflecting an increase in previous failed cycles over five years. Good agreement was noted between husbands and wives with respect to readiness for twins from IVF (77% agreement; Cohen's K = 0.61; 95% CI 0.53 to 0.70).ConclusionMost patients contemplating IVF already have ideas about particular outcomes even before treatment begins, and suggests that husbands & wives are in general agreement on their readiness for twin pregnancy from IVF. However, fertility patients now may represent a more refractory population and therefore carry a more guarded prognosis. Patient preferences identified before IVF remain important, but further studies comparing pre- and post-treatment perceptions are needed.
Highlights
This study sought to describe patient features before beginning fertility treatment, and to ascertain their perceptions relative to risk of twin pregnancy outcomes associated with such therapy
As more individuals seek in vitro fertilisation (IVF), the success rates associated with this treatment have improved and the medications required to achieve pregnancy have become more patient-friendly
Patients about to embark on an IVF cycle in Ireland were surveyed with a view to describe demographic and clinical characteristics
Summary
This study sought to describe patient features before beginning fertility treatment, and to ascertain their perceptions relative to risk of twin pregnancy outcomes associated with such therapy. As more individuals seek in vitro fertilisation (IVF), the success rates associated with this treatment have improved and the medications required to achieve pregnancy have become more patient-friendly. Patients about to embark on an IVF cycle in Ireland were surveyed with a view to describe demographic and clinical characteristics. This investigation collected data about patient pre-treatment anxiety, especially about a twin pregnancy from their upcoming fertility cycle, and assessed variance between husbands and wives regarding this outcome after IVF.
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