Document Detail


Reasons for dropping out from a waiting list for in vitro fertilization.
MedLine Citation:
PMID:  19896662     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the incidence of couples dropping out of the in vitro fertilization (IVF) waiting list and to describe the couples' reasons. DESIGN: Prospective cohort study. SETTING: Fertility center in an academic hospital. PATIENT(S): 674 women placed consecutively on the IVF waiting list between June 2000 and July 2003. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Number of dropouts and reasons for dropping out. RESULT(S): Follow-up information was collected in 2005 and 2008. Of the 674 couples on the waiting list, 87% started IVF, and 13% dropped out before starting their first IVF cycle. Follow-up data were obtained for 85 of 86 patients (98.8%): 37% dropped out because of spontaneous pregnancy, 36% for personal reasons (passive censoring), and 27% for medical reasons (active censoring). Most of the pregnancies occurred within 3 months after the patient had been placed on the waiting list (30 of 32, 94%). Of the 54 censored couples, four became pregnant. CONCLUSION(S): On a 6-month waiting list for IVF, 13% of the couples dropped out before starting treatment. The single most important reason for dropout was (spontaneous) pregnancy. Most of these pregnancies occurred within 3 months, which suggests that psychological factors such as stress relief after being placed on the waiting list might be operative.
Authors:
Angelique J C M van Dongen; Tamara E M Verhagen; John C M Dumoulin; Jolande A Land; Johannes L H Evers
Publication Detail:
Type:  Journal Article     Date:  2009-11-06
Journal Detail:
Title:  Fertility and sterility     Volume:  94     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-27     Completed Date:  2010-11-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1713-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Obstetrics and Gynaecology, GROW, School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, the Netherlands. ajcmvandongen@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Fertilization in Vitro / psychology*
Humans
Incidence
Netherlands
Patient Acceptance of Health Care / psychology*,  statistics & numerical data
Patient Compliance / psychology*,  statistics & numerical data
Pregnancy
Pregnancy Rate
Retrospective Studies
Stress, Psychological / epidemiology
Waiting Lists*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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