550例行体外受精—胚胎移植治疗女性生育意愿及相关因素调查

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摘要目的研究接受体外受精-胚胎移植技术(IVF-ET)治疗女性的生育意愿,并找出影响其生育意愿的因素。方法采用横断面研究,简单随机抽样法选择2019年9月~2021年10月在哈尔滨医科大学附属第一医院生殖中心实施IVF-ET的女性患者为研究对象,使用自行设计问卷对研究对象进行现场调查,利用spss 22.0统计软件对数据统计和分析,采用卡方检验和Logistic回归分析影响接受IVF-ET治疗女性生育意愿的影响因素。结果回收有效问卷550份,调查对象意向子女平均数为1.8,有249名受调查者希望通过IVF-ET技术生育1名子女,这一群体对子女的性别偏好以无所谓为主,占68.7%;有175名受调查对象希望通过IVF-ET技术生育2名子女,性别偏好以儿女双全为主占总数的57.7%;有126名受调查对象希望通过IVF-ET技术生育3名子女,性别偏好以儿女双全为主占总数的69.1%,希望获得多名子女的受调查者其中有91.7%期望通过双胎妊娠获得理想的子女数量。二元Logistic回归分析结果显示,年龄是影响接受IVF-ET治疗女性意向子女数的主要因素(P<0.01)。结论接受IVF-ET治疗的不孕症女性生育意愿存在个体化差异,我国生育政策的开放使不孕症女性的生育意愿可以得到更好的满足,医疗机构应该加强健康宣教,给予有多孩儿生育需求患者正确的生育指导,政府也应出台相应政策,通过社会保障和生育服务上减轻不孕症女性生育负担。

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	王明磊
	计红苹
	李珍
	王子淳

关键词 ：体外受精, 不孕症, 生育意愿, 生育政策, 影响因素

收稿日期: 2023-02-14

ZTFLH:	R17
	R71

基金资助:黑龙江省省属高等学校基本科研业务费科研项目(2020-KYYWF-1493)

通讯作者: 计红苹(jihongpingivf@126.com)

引用本文:

王明磊, 计红苹, 李珍, 王子淳. 550例行体外受精—胚胎移植治疗女性生育意愿及相关因素调查[J]. 中国生育健康杂志, 2023, 34(5): 472-475.

链接本文:

http://cjrh.bjmu.edu.cn/CN/ 或 http://cjrh.bjmu.edu.cn/CN/Y2023/V34/I5/472

1 Zhang P.What can be learned from the Chinese experience in response to infertility.Eur J Contracept Reprod Health Care,2020,25(4):311-313.
2 Wu JQ,Yu CN,Li YY.Effects of family planning factors on the awareness of sexual and reproductive healthcare rights among married women of reproductive age in China:a cross sectional study.BMJ open,2017,p.e17621.
3 陈子江. “二孩”生育政策后再生育的临床思考.山东大学学报(医学版),2017,55(01):1-4.
4 Wahlberg A.The birth and routinization of IVF in China.Reprod Biomed Soc Online.2016,2:97-107.
5 Chen SM,Zhang Y,Wang YB.Individual differences in relative fertility costs and fertility benefits and their effects on fertility desire for a second child in China:a latent profile analysis.Reprod Health.2019,16(1):110. 6 张晓青,黄彩虹,张强,等.“单独二孩”与“全面二孩”政策家庭生育意愿比较及启示.人口研究,2016,40(01):87-97.
6 顾宝昌. 生育意愿、生育行为和生育水平.人口研究,2011,35(02):43-59.
7 Yi Z,Hesketh T.The effects of China's universal two-child policy.Lancet,2016,388(10054):1930-1938.
8 Gupta MD,Chung W,Li SZ.Evidence for an incipient decline in numbers of missing girls in China and India.POPUL DEV REV,2009,35(2):401-416.
9 Wang T,Wang C,Zhou Y,et al.Fertility intentions for a second child among urban working women with one child in Hunan Province,China:a cross-sectional study.Public Health,2019,173:21-28.
10 汪奕名,周学馨,唐贵忠,等.“全面两孩”政策背景下重庆市育龄妇女二孩生育意愿及影响因素研究.现代预防医学,2017,44(23):4271-4275.
11 马赫,尹文强,王安琪,等.全面二孩政策下山东省育龄女性二孩生育意愿及影响因素分析.卫生软科学,2019,33(06):16-20.
12 Qian Y,Liu XY,Fang B,et al.Investigating fertility intentions for a second child in contemporary China based on user-generated content.Int J Environ Res Public Health,2020,17(11):3905.
13 林永玲,梁瑞琼,谢宁,等.全面二孩政策下广东省居民生育意愿调查.卫生软科学,2016,30(12):59-65.
14 Rosa LP,Lomelino LA,Pinheiro MP,et al.Advanced maternal age:Adverse outcomes of pregnancy,a meta-analysis.Acta Med Port,2019,32(3):219-226.
15 Santana DS,Silveira C,Costa ML,et al.Perinatal outcomes in twin pregnancies complicated by maternal morbidity:evidence from the WHO Multicountry Survey on Maternal and Newborn Health.BMC pregnancy childbirth,2018,18(1):449.
16 Habbema JD,Eijkemans MJ,Leridon H,et al.Realizing a desired family size:when should couples start? Hum Reprod.2015,30(9):2215-2221.
17 Capelouto SM,Archer SR,Morris JR,et al.Sex selection for non-medical indications:a survey of current pre-implantation genetic screening practices among U.S.ART clinics.J Assist Reprod Gen,2018,35(3):409-416.
18 Fritz R,Jindal S.Reproductive aging and elective fertility preservation.[J] Ovarian Res.2018,11(1):66.
19 Rienzi L,Gracia C,Maggiulli R,et al.Oocyte,embryo and blastocyst cryopreservation in ART:systematic review and meta-analysis comparing slow-freezing versus vitrification to produce evidence for the development of global guidance.Hum Reprod Update,2017,23(2):139-155.
20 Rivas LEC,Lucci CM,Amorim CA.Cryopreservation of human ovarian tissue:A review.Transfus Med Hemother,2019,46(3):173-181.
21 Chen T,Li B,Shi H,et al.Reproductive outcomes of single embryo transfer in women with previous cesarean section.Reprod Sci,2021,28(4):1049-1059.
22 Hellerstein S,Feldman S,Duan T,et al.China's 50% caesarean delivery rate:is it too high? BJOG,2015,122(2):160-164.
23 Sullivan-Pyke CS,Senapati S,Mainigi MA,et al.In Vitro fertilization and adverse obstetric and perinatal outcomes.Semin Perinatol,2017,41(6):345-353.