Influencing Factors of Pregnancy Stress of IVF and Non-IVF Pregnant Women During Early Pregnancy

Kuo, Pi-Chao

Saturday, 29 October 2011

Pi-Chao Kuo, RN, PhD
School of Nursing, Chung Shan Medical University, Taichung, Taiwan
Ya-Ling Tzeng, RN, PhD
School of Nursing, Chain Medical University, Taichung, Taiwan

Learning Objective 1: The learner will be able to share study result.

Learning Objective 2: The learner will be able to discuss the study result with all participant.

Background: Pregnancy is the potential stress which may cause pre-eclampsia, premature delivery and physical and mental illness. Many qualitative studies and case reports pointed out that women pregnant by in vitro fertilization (IVF) faced more complex psychological awareness changes. The aim of this study was to explore early pregnant stress and to identify risk factors between IVF women and non-IVF women.

Methods: This study was a longitudinal survey from November 2007 to December 2009. Data were collected from 163 IVF women and 94 non-IVF women selected by purposive sampling at 9, 12 and 20 weeks’ gestation (WG) at a medical center in middle Taiwan. The self-report questionnaire included demographic data, the Pregnancy-related Stress Scale, the Symptoms Checklist, the Pregnancy-related Anxiety Scale, the Awareness of the Fetus Scale, the Social Support Apgar and the Chinese Childbearing Attitude Questionnaire. Data was analyzed by Mixed Model by using SPSS v16.0.

Results: Results showed that main factors influencing pregnant stress were number of fetus, physical and psychological symptoms, pregnancy anxiety and social support. In addition, pregnant stress at 20 WG were higher than 9WG and 12WG. But IVF and non-IVF women in pregnant stress had no difference.

Conclusions: This study provides useful evidence findings in early pregnant stress those risk factors between IVF women and non-IVF women. Findings may provide a theoretical basis for nursing intervention with a view to strengthening early pregnant stress in pregnant women and promoting the future quality of care for them.

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