Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

96 percent of women in IVF preconception study faced multiple lifestyle issues and health risks

19.04.2012
Nurses were surprised that some women refused to lose weight or quit smoking

Ninety-six per cent of women who attended a preconception clinic before undergoing IVF had three or more lifestyle problems and risk factors, according to a study in the May issue of the Journal of Advanced Nursing.

Half of the obese women lost weight and nearly a third of the smokers decided to quit after receiving advice at the clinic. But the nurses were surprised that some women had no motivation to lead healthier lifestyles, even though they were prepared to go through IVF to get pregnant. For example 30% of the smokers refused to quit and 16% of the obese women weren't prepared to lose weight.

Researchers from the University Medical Center in Utrecht, The Netherlands, analysed the results of questionnaires completed by 101 women who had received preconception care before IVF, together with the seven nurses who advised them.

"Medical professionals are increasingly recognising that there are important links between preconception health and positive IVF outcomes, both in terms of the success of the procedure and the health of the baby" says nurse researcher Henrietta Ockhuijsen from the Department of Reproductive Medicine and Gynaecology at the Center. "Despite this, preconception care is rarely offered to couples undergoing IVF."

A total of 130 women, aged from 25 to 42 years, completed an internet-based preconception questionnaire developed by the Erasmus Medical Center in Rotterdam and 101 of those completed a further questionnaire after they had received lifestyle advice from one of the seven nurses. The obese patients and smokers were then followed up for a further year. The registered nurses ranged from 42 to 51 years-of-age and had all worked in the fertility clinic for more than five years.

Key findings of the study included:

The vast majority of the 130 women who completed the lifestyle problems and risks questionnaire faced three or more risks (96%), with only 4% facing two. These lifestyle problems and risks included bacterial and parasitic infections, alcohol use, smoking, obesity and using medication without a prescription.

All of the women were satisfied with the time spent with them by the nurse providing preconception advice and 96% were satisfied with the verbal information provided.

The women were also asked for their views on the preconception site run by the Erasmus Medical Center. The overall written information scored a satisfaction rate of 94%, the information and advice about lifestyle problems scored 91% and 89% respectively and the strategies to improve lifestyles scored 75%.

Women valued the personal contact and approach from their nurse and the time allocated for preconception advice. But women with lower risk factors felt the clinic was unnecessary and that a better selection procedure would increase the efficiency and value of the service.

Half of the 30 women who were obese lost weight. They had an average BMI of 34.3, weighed an average of 101.3kg and lost an average of 6.1kg. Ten further women said they were motivated to lose weight, but declined to be followed up, and the remaining five said they didn't feel motivated to lose weight.

Seven of the 23 patients counselled for smoking quit, six reduced the number of cigarettes they smoked, three wanted to quit but declined follow up and seven were not motivated to quit.

The nurses were sceptical about the clinic to start with, but became more confident about the value of the programme and their role, scoring it an average of 4.3 out of ten at the start and 6.3 at the end. More than half (57%) were happy with the training they received, 86% with the coaching, 86% with the internet-based questionnaire used, 72% with the evidence-based manual and 57% with the organisation of the clinic.

However only 42% were satisfied with the fact that all the women were referred to the preconception clinic, arguing that it was more important for women who were obese, smoked, lacked knowledge and had multiple lifestyle problems to attend.

Less than half (42%) were satisfied with the knowledge and skills they had to counsel women with obesity. The nurses also felt awkward about talking about issues such as weight loss and smoking cessation with women who were already facing the stress of IVF.

"The results of our study show that preconception care was well received by the patients and that it motivated some women to lose weight and quit smoking" concludes Henrietta Ockhuijsen. "We feel that such care should be incorporate into IVF programmes and that nurses could play a key role in running special clinics, as long as they were provided with additional education and clear protocols."

Notes to editors

Integrating preconceptional care into an IVF programme. Ockhuijsen et al. Journal of Advanced Nursing. 68.5, p1156-1165. (May 2012). doi: 10.1111/j.1365-2648.2011.05829.x

The Journal of Advanced Nursing (JAN) is an international, peer-reviewed, scientific journal. JAN contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. http://wileyonlinelibrary.com/journal/JAN

Wiley-Blackwell is the international scientific, technical, medical, and scholarly publishing business of John Wiley & Sons, with strengths in every major academic and professional field and partnerships with many of the world's leading societies. Wiley-Blackwell publishes nearly 1,500 peer-reviewed journals and 1,500+ new books annually in print and online, as well as databases, major reference works and laboratory protocols. For more information, please visit www.wileyblackwell.com or our new online platform, Wiley Online Library (wileyonlinelibrary.com), one of the world's most extensive multidisciplinary collections of online resources, covering life, health, social and physical sciences, and humanities.

Annette Whibley | EurekAlert!
Further information:
http://www.wileyblackwell.com

More articles from Studies and Analyses:

nachricht Deep Brain Stimulation Provides Sustained Relief for Severe Depression
19.03.2019 | Universitätsklinikum Freiburg

nachricht AI study of risk factors in type 1 diabetes
06.03.2019 | University of Gothenburg

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Stellar cartography

The Potsdam Echelle Polarimetric and Spectroscopic Instrument (PEPSI) at the Large Binocular Telescope (LBT) in Arizona released its first image of the surface magnetic field of another star. In a paper in the European journal Astronomy & Astrophysics, the PEPSI team presents a Zeeman- Doppler-Image of the surface of the magnetically active star II Pegasi.

A special technique allows astronomers to resolve the surfaces of faraway stars. Those are otherwise only seen as point sources, even in the largest telescopes...

Im Focus: Heading towards a tsunami of light

Researchers at Chalmers University of Technology and the University of Gothenburg, Sweden, have proposed a way to create a completely new source of radiation. Ultra-intense light pulses consist of the motion of a single wave and can be described as a tsunami of light. The strong wave can be used to study interactions between matter and light in a unique way. Their research is now published in the scientific journal Physical Review Letters.

"This source of radiation lets us look at reality through a new angle - it is like twisting a mirror and discovering something completely different," says...

Im Focus: Revealing the secret of the vacuum for the first time

New research group at the University of Jena combines theory and experiment to demonstrate for the first time certain physical processes in a quantum vacuum

For most people, a vacuum is an empty space. Quantum physics, on the other hand, assumes that even in this lowest-energy state, particles and antiparticles...

Im Focus: Sussex scientists one step closer to a clock that could replace GPS and Galileo

Physicists in the EPic Lab at University of Sussex make crucial development in global race to develop a portable atomic clock

Scientists in the Emergent Photonics Lab (EPic Lab) at the University of Sussex have made a breakthrough to a crucial element of an atomic clock - devices...

Im Focus: Sensing shakes

A new way to sense earthquakes could help improve early warning systems

Every year earthquakes worldwide claim hundreds or even thousands of lives. Forewarning allows people to head for safety and a matter of seconds could spell...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

International Modelica Conference with 330 visitors from 21 countries at OTH Regensburg

11.03.2019 | Event News

Selection Completed: 580 Young Scientists from 88 Countries at the Lindau Nobel Laureate Meeting

01.03.2019 | Event News

LightMAT 2019 – 3rd International Conference on Light Materials – Science and Technology

28.02.2019 | Event News

 
Latest News

Levitating objects with light

19.03.2019 | Physics and Astronomy

New technique for in-cell distance determination

19.03.2019 | Life Sciences

Stellar cartography

19.03.2019 | Physics and Astronomy

VideoLinks
Science & Research
Overview of more VideoLinks >>>