Literature DB >> 33555500

Fertility and pregnancy outcome among women undergoing assisted reproductive technology treatment in Windhoek, Namibia.

Adão Francisco Lucas1, Dibaba B Gemechu2, Stefan S Du Plessis3,4, Yapo G Aboua5.   

Abstract

PURPOSE: Infertility has been defined as a couple's failure to conceive after regular and unprotected coitus for 1 year or six months, depending on the age of the female counterpart. Although infertility can result from both the male and/or the female, often the female partner faces pressure since it is believed in some African cultures that a woman without children is like a tree without leaves. The aim of this study was to determine the prevalence of successful pregnancy outcomes among infertile women undergoing assisted reproductive technology (ART) treatment at the Cape Windhoek Fertility Clinic.
METHODS: This was a prospective and descriptive cross-sectional case reference study encompassing 178 infertile women visiting the Cape Windhoek Fertility Clinic for ART treatment.
RESULTS: The vast majority of the participants (81.5%) were married women. From the 178 infertile women, 96 (53.9%) suffered from primary and 82 (46.1%) from secondary infertility. The predominant cause of complications for infertility among the women studied was defective ovulation (28.7%) and the most common ART treatment administered was IVF/ICSI (52.2%). Only a third (33.1%) of the women who received ART treatment eventually fell pregnant.
CONCLUSION: The outcome of this study may not give a clear indication of the prevalence of infertility among women in the entire Namibian nation due to the costs involved with ART treatment offered mainly at privately owned hospitals and/or clinics, thereby resulting in those who cannot afford treatment to be left out despite being infertile.

Entities:  

Keywords:  Assisted reproductive technology; Infertility; Involuntary childlessness; Pregnancy outcome; Sexually transmitted infections

Mesh:

Year:  2021        PMID: 33555500      PMCID: PMC7910331          DOI: 10.1007/s10815-020-02046-4

Source DB:  PubMed          Journal:  J Assist Reprod Genet        ISSN: 1058-0468            Impact factor:   3.412


  36 in total

Review 1.  The Impact of Infertility on the Psychological Well-Being, Marital Relationships, Sexual Relationships, and Quality of Life of Couples: A Systematic Review.

Authors:  Bronya Hi-Kwan Luk; Alice Yuen Loke
Journal:  J Sex Marital Ther       Date:  2014-10-30

Review 2.  Infertility around the globe: new thinking on gender, reproductive technologies and global movements in the 21st century.

Authors:  Marcia C Inhorn; Pasquale Patrizio
Journal:  Hum Reprod Update       Date:  2015-03-22       Impact factor: 15.610

3.  'Zero is not good for me': implications of infertility in Ghana.

Authors:  J J Fledderjohann
Journal:  Hum Reprod       Date:  2012-02-21       Impact factor: 6.918

4.  Determinants of fertility in Namibia.

Authors:  Nelago Indongo; Lillian Pazvakawambwa
Journal:  Afr J Reprod Health       Date:  2012-12

5.  Childlessness in Nigeria: perceptions and acceptability.

Authors:  Latifat Ibisomi; Netsayi Noris Mudege
Journal:  Cult Health Sex       Date:  2013-11-18

6.  Infertility, Psychological Distress, and Coping Strategies among Women in Mali, West Africa: A Mixed-Methods Study.

Authors:  Rosanna F Hess; Ratchneewan Ross; John L GilillandJr
Journal:  Afr J Reprod Health       Date:  2018-03

7.  National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys.

Authors:  Maya N Mascarenhas; Seth R Flaxman; Ties Boerma; Sheryl Vanderpoel; Gretchen A Stevens
Journal:  PLoS Med       Date:  2012-12-18       Impact factor: 11.069

8.  Comparison of clinical outcomes between in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) in IVF-ICSI split insemination cycles.

Authors:  Sun Hee Lee; Jae Hyun Lee; Yong-Seog Park; Kwang Moon Yang; Chun Kyu Lim
Journal:  Clin Exp Reprod Med       Date:  2017-06-30

9.  In assisted reproduction by IVF or ICSI, the rate at which embryos develop to the blastocyst stage is influenced by the fertilization method used: a split IVF/ICSI study.

Authors:  Barbara Speyer; Helen O'Neill; Wael Saab; Srividya Seshadri; Suzanne Cawood; Carleen Heath; Matthew Gaunt; Paul Serhal
Journal:  J Assist Reprod Genet       Date:  2019-01-09       Impact factor: 3.412

10.  Infertility and childlessness: a qualitative study of the experiences of infertile couples in Northern Ghana.

Authors:  Philip Teg-Nefaah Tabong; Philip Baba Adongo
Journal:  BMC Pregnancy Childbirth       Date:  2013-03-21       Impact factor: 3.007

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