Document Detail


Fecundability among newly married couples in agricultural villages in Palestine: a prospective study.
MedLine Citation:
PMID:  20519244     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The validity of studies on fecundability in Western countries has been questioned. The complexity of societal and cultural factors makes it difficult to dissect pure biological impact. Our aim was to assess couple fecundability in a population which to a large degree is unaffected by the same socio-cultural influences.
METHODS: We conducted a prospective study on time-to-pregnancy (TTP), with a complete follow-up between 2005 and 2007, among 205 newly married couples in two Palestinian agricultural villages. The couples had never had premarital sex and all planned to become pregnant. We followed the couples from the date of marriage until pregnancy was recognized by a pregnancy test, or at maximum 12 months.
RESULTS: Overall fecundability was 0.17. Unexpectedly, cycle fecundability increased during the first cycles from 0.16 (cycle 1) to 0.25 (cycle 5), after which the expected decline started. The initial increase in fecundability was restricted to couples with teenage brides. A total of 70.7% of the couples conceived within 6 cycles, 13.4% did not conceive during follow-up. Prolonged TTP was associated with the oldest age category for both genders. Educated women appeared to be highly fecund.
CONCLUSIONS: The fecundability result is probably uninfluenced by the societal and cultural factors seen in Western populations, because premarital sex is a taboo in this Muslim population. The increase in fecundability during the first months following marriage is difficult to interpret, but could be due to either behavioural or biological influences.
Authors:
Yaser Issa; Markku Sallmén; Khaldoun Nijem; Espen Bjertness; Petter Kristensen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-06-02
Journal Detail:
Title:  Human reproduction (Oxford, England)     Volume:  25     ISSN:  1460-2350     ISO Abbreviation:  Hum. Reprod.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-21     Completed Date:  2010-11-23     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  8701199     Medline TA:  Hum Reprod     Country:  England    
Other Details:
Languages:  eng     Pagination:  2132-8     Citation Subset:  IM    
Affiliation:
Department of General Practice and Community Medicine, Faculty of Medicine, Institute of Health and Society, University of Oslo, Section for Preventive Medicine and Epidemiology, Blindern, 0318 Oslo, Norway. yaser_74@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Arabs
Educational Status
Female
Fertility*
Humans
Infertility / epidemiology*
Male
Marriage
Middle Aged
Middle East
Pregnancy
Pregnancy Rate*
Prospective Studies
Socioeconomic Factors
Time Factors
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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