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- W1964086663 abstract "Objective To determine how infertility and subsequent assisted reproductive treatment (ART) affect a woman's childbirth experience. Design Prospective multicenter case-control study. Setting We recruited women pregnant with a singleton fetus after either ART (n = 324) or spontaneous conception (n = 304) from five infertility clinics and one university maternity clinic in Finland. Methods We studied their childbirth experience with the Delivery Satisfaction Scale. We compared how psychosocial and obstetric factors affected satisfaction and dissatisfaction with childbirth between and within the ART and the control group. Logistic regression was then used to analyse the most important contributors to the experienced dissatisfaction. Results Dissatisfaction with childbirth was as common in the ART group (11%) as in the control (10%) group. In the ART group, the women's education level, cesarean section (CS) and their partner's absence from the delivery were associated with dissatisfaction. In the control group, significant factors for dissatisfaction were nulliparity, severe pregnancy-related anxiety, emergency CS, recalled intense pain and the partner's absence from the delivery. According to adjusted logistic regression analysis of the whole sample, the independent risk factors were elective CS [odds ratio (OR) 5.7; 95% confidence interval (CI) 2.2–14.1] and emergency CS (OR 2.9; 95% CI 1.3–6.5), recalled intense pain (OR 6.8; 95% CI 3.3–16.2) and the partner's absence from the delivery (OR 2.7; 95% CI 1.1–7.3). Conclusion ART is not a risk factor for dissatisfaction with childbirth by itself. However, the contributors to an unsatisfactory childbirth differ partly between women conceiving with ART and those conceiving spontaneously." @default.
- W1964086663 created "2016-06-24" @default.
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- W1964086663 date "2014-07-02" @default.
- W1964086663 modified "2023-10-16" @default.
- W1964086663 title "Birth experience of women conceiving with assisted reproduction: a prospective multicenter study" @default.
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- W1964086663 doi "https://doi.org/10.1111/aogs.12440" @default.
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