Jane R W Fisher1, Karin Hammarberg, H W Gordon Baker. 1. Key Centre for Women's Health in Society, School of Population Health, University of Melbourne, Melbourne, Victoria, Australia. jrwf@unimelb.edu.au
Abstract
OBJECTIVE: To investigate whether assisted conception is associated with an increased risk of admission to a residential early parenting program for treatment of maternal mood disorder or infant feeding or sleeping disorders in the postpartum year. DESIGN: Systematic audit of consecutive medical records. SETTING: Masada Private Hospital Mother Baby Unit (MPHMBU), Melbourne, Australia. PATIENT(S): Medical records of all mother-infant dyads admitted to MPHMBU between July 2000 and August 2002. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Modes of conception and delivery of index infant, maternal and infant age on admission, multiplicity of birth, infant birth weight, and Edinburgh Postnatal Depression Scale scores. RESULT(S): A total of 745 records were audited, and mode of conception was recorded in 526 (70.6%) of records. Overall 6% (45/745) of the admitted infants had been conceived through assisted reproductive technologies compared with 1.52% in the general population (relative risk 4.0; 95% confidence interval, 3.0-5.4). Mothers who had conceived with assisted reproductive technologies were older and more likely to have had cesarean and multiple births than those who conceived spontaneously. CONCLUSIONS: Assisted conception appears to be associated with a significantly increased rate of early parenting difficulties. Women who experience assisted conception may require additional support before and after their babies are born.
OBJECTIVE: To investigate whether assisted conception is associated with an increased risk of admission to a residential early parenting program for treatment of maternal mood disorder or infant feeding or sleeping disorders in the postpartum year. DESIGN: Systematic audit of consecutive medical records. SETTING: Masada Private Hospital Mother Baby Unit (MPHMBU), Melbourne, Australia. PATIENT(S): Medical records of all mother-infant dyads admitted to MPHMBU between July 2000 and August 2002. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Modes of conception and delivery of index infant, maternal and infant age on admission, multiplicity of birth, infant birth weight, and Edinburgh Postnatal Depression Scale scores. RESULT(S): A total of 745 records were audited, and mode of conception was recorded in 526 (70.6%) of records. Overall 6% (45/745) of the admitted infants had been conceived through assisted reproductive technologies compared with 1.52% in the general population (relative risk 4.0; 95% confidence interval, 3.0-5.4). Mothers who had conceived with assisted reproductive technologies were older and more likely to have had cesarean and multiple births than those who conceived spontaneously. CONCLUSIONS: Assisted conception appears to be associated with a significantly increased rate of early parenting difficulties. Women who experience assisted conception may require additional support before and after their babies are born.
Authors: Cate Wilson; Karin Hammarberg; Fiona Bruinsma; Turi Berg; David Amor; Ann Sanson; Jane R Fisher; Jane Halliday Journal: Reprod Health Date: 2013-03-15 Impact factor: 3.223