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001-es BibID:BIBFORM083740
035-os BibID:(WoS)000518008600021 (Scopus)85080865065
Első szerző:Gabnai-Nagy Erika (egészségpszichológus, klinikai szakpszichológus jelölt)
Cím:Association between Emotional State Changes in Infertile Couples and Outcome of Fertility Treatment / Erika Gabnai-Nagy, Antal Bugán, Béla Bodnár, Gábor Papp, Beáta Erika Nagy
Dátum:2020
ISSN:0016-5751
Megjegyzések:Aims: Infertility and its treatment are associated with considerable psychological distress for infertile couples. The aim of our study was to explore to what extent positive and negative affectivity and a predisposition to depression and anxiety appear in infertile couples during in vitro fertilization (IVF) treatment. We also aimed to explore how the emotional state of couples changed during IVF in relation to treatment outcomes. Method: In our longitudinal study, 174 people (87 couples) were followed up during treatment by means of questionnaires. Their emotional state was assessed with PANAS, BDI-R, and STAI at the beginning of treatment, before embryo transfer, and before taking a pregnancy test. Couples who achieved pregnancy after treatment were included in the successful group (n?=?82), while those who did not were included in the unsuccessful group (n?=?92). Results: We found more favorable emotional states in IVF couples compared to patient populations and the average population. In successful IVF couples, positive affectivity decreased, and negative affectivity increased in women until the time of embryo transfer. This was accompanied by an increase in positive affectivity in men, which remained until the time of the pregnancy test and provided emotional support to their partner. These results were confirmed by changes in the levels of depression. Conclusion: Our study suggests the importance of couples? emotional dynamics for having a child and an association between couples? emotional reactions during IVF cycles and treatment success.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
infertility
assisted reproductive technology (ART)
positive and negative affectivity
depression
anxiety
Megjelenés:Geburtshilfe Und Frauenheilkunde. - 80 : 2 (2020), p. 200-210. -
További szerzők:Bugán Antal (1948-) (pszichológus, klinikai szakpszichológus, pszichoterapeuta) Bodnár Béla Papp Gábor (1987-) (pszichológus) Nagy Beáta Erika (1961-) (klinikai gyermekszakpszichológus, pszichoterapeuta)
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001-es BibID:BIBFORM072232
Első szerző:Tsikouras, Panagioti
Cím:Induction of Labor in Post-Term Nulliparous and Parous Women : potential Advantages of Misoprostol over Dinoprostone = Geburtseinleitung bei übertragenen Schwangerschaften in Nulliparae und Parae - mögliche Vorteile von Misoprostol gegenüber Dinoproston / Tsikouras P., Koukouli Z., Manav B., Soilemetzidis M., Liberis A., Csorba R., Trypsianis G., Galazios G.
Dátum:2016
ISSN:0016-5751
Megjegyzések:Introduction: We undertook a prospective cohort study to compare the effectiveness and safety of 50 ?g misoprostol versus 3 mg dinoprostone in two vaginal doses 6 hours apart, followed if necessary by oxytocin for labor induction in low-risk post-term (> 40 weeks) pregnancies with unfavorable cervix (Bishop score ? 6). Methods: Labor induction and subsequent management were conducted using a standardized protocol. The primary outcome of the study was labor induction rate. Secondary outcomes included mode of delivery, time interval from induction to delivery, maternal complications and neonatal outcome. Results: 107 patients received misoprostol (Group A) and 99 patients received dinoprostone (Group B). Compared with group A, more women in Group B needed a second vaginal dose of prostaglandin or oxytocin infusion in order to proceed to labor (21.5 vs. 43.4 %; p = 0.01). Misoprostol alone as a single or double vaginal dose was more effective than dinoprostone alone in inducing labor without oxytocin administration (85.0 vs. 50.4 %; p = 0.04). Overall, the rate of successful induction of labor did not differ between groups (91.6 vs. 85.8 %; p = 0.75). Vaginal delivery, operative vaginal delivery and Caesarean section rates were not significantly different. Time interval from induction to delivery however, was shorter for Group A (median 11 hours vs. 14.1 hours; p < 0.001). Though emergency Caesarean section due to fetal distress was more frequent in Group A (16.8 vs. 4.0 %; p = 0.007), low Apgar scores < 7 and NICU admissions did not differ significantly. Maternal complications, mostly not serious, were higher in Group A (31.8 vs. 2.0, p < 0.001). Conclusion: Misoprostol is a more effective agent than dinoprost in post-term pregnancy for labor induction with few maternal adverse effects.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
dinoprostone
labor induction
misoprostol
post-term pregnancy
Megjelenés:Geburtshilfe Und Frauenheilkunde 76 : 7 (2016), p. 785-792. -
További szerzők:Koukouli, Zacharoula Manav, Bachar Soilemetzidis, M. Liberis, Anastasios Csorba Roland (1972-) (szülész-nőgyógyász, gyermeknőgyógyász) Trypsianis, G. Galazios, Georgios
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