Emotional impact of reduced access to assisted reproductive care

Laura L. Tatpati, Susan B A Hudson, Shawna L Ehlers, Charles C. Coddington

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

OBJECTIVE: To evaluate the impact of cessation of fertility services on patients with infertility. STUDY DESIGN: A cross-sectional, anonymous mail survey was conducted in a university hospital setting. A total of 281 female infertility patients treated from 2003– 2006 were mailed surveys. The main outcome measures of the study were the Perceived Stress Scale 10 (PSS- 10) and the Impact of Events Scale (IES). RESULTS: Of the 281 patients, 175 (62.3%) responded to the questionnaire. Of those, 51 (29.1%) reported being affected by the closure. The majority (58.9%) reported a somewhat or very negative impact on their perceived quality of life. Affected patients were more likely than unaffected patients to have an elevated PSS-10 result (odds ratio [OR] 2.1, 95% confidence interval [CI] 1.04–4.3). No significant difference was seen in IES results, with 90.2% of affected and 81.5% of unaffected patients scoring in the high distress range (OR 2.1, 95% CI 0.77–5.65). Self-reported average stress levels were reduced following news of resumption of services (3.3, scale 1–10) as compared to both prior to (5.1) and during (7.4) the closure. CONCLUSION: When fertility services are discontinued, there may be significant emotional distress among the population affected. Health care providers should be aware of the impact infertility has on stress-coping and quality of life and be prepared to offer psychological services.

Original languageEnglish (US)
Pages (from-to)404-408
Number of pages5
JournalThe Journal of reproductive medicine
Volume60
Issue number5
StatePublished - Oct 1 2015

Fingerprint

Infertility
Fertility
Odds Ratio
Quality of Life
Outcome Assessment (Health Care)
Confidence Intervals
Female Infertility
Postal Service
Health Personnel
Psychology
Population
Surveys and Questionnaires

Keywords

  • Access to health care
  • Emotional stress
  • Event history analysis
  • Health facility closures
  • Health services accessibility
  • Infertility
  • Life stress
  • Psychological stress
  • Quality of life

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

Tatpati, L. L., Hudson, S. B. A., Ehlers, S. L., & Coddington, C. C. (2015). Emotional impact of reduced access to assisted reproductive care. The Journal of reproductive medicine, 60(5), 404-408.

Emotional impact of reduced access to assisted reproductive care. / Tatpati, Laura L.; Hudson, Susan B A; Ehlers, Shawna L; Coddington, Charles C.

In: The Journal of reproductive medicine, Vol. 60, No. 5, 01.10.2015, p. 404-408.

Research output: Contribution to journalArticle

Tatpati, LL, Hudson, SBA, Ehlers, SL & Coddington, CC 2015, 'Emotional impact of reduced access to assisted reproductive care', The Journal of reproductive medicine, vol. 60, no. 5, pp. 404-408.
Tatpati, Laura L. ; Hudson, Susan B A ; Ehlers, Shawna L ; Coddington, Charles C. / Emotional impact of reduced access to assisted reproductive care. In: The Journal of reproductive medicine. 2015 ; Vol. 60, No. 5. pp. 404-408.
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