Maternal psychosocial consequences of twins and multiple births following assisted and natural conception: a meta-analysis

2.50
Hdl Handle:
http://hdl.handle.net/2436/613204
Title:
Maternal psychosocial consequences of twins and multiple births following assisted and natural conception: a meta-analysis
Authors:
van den Akker, Olga; Postavaru, Gianina-Ioana; Purewal, Satvinder
Abstract:
The aim of this meta-analysis is to provide new evidence on the effects on maternal health of multiple births due to assisted reproductive technology (ART). A bibliographic search was undertaken using PubMed, PsycINFO, CINAHL and Science Direct. Data extraction was completed using Cochrane Review recommendations, and the review was performed following PRISMA and MOOSE guidelines. Meta-analytic data were analysed using random effects models. Eight papers (2993 mothers) were included. Mothers of ART multiple births were significantly more likely to experience depression (standardized mean difference [SMD] d = 0.198, 95% CI 0.050 − 0.345, z = 2.623, P = 0.009; heterogeneity I2 = 36.47%), and stress (SMD d = 0.177, 95% CI 0.049 − 0.305, P = 0.007; heterogeneity I2 = 0.01%) than mothers of ART singletons. No difference in psychosocial distress (combined stress and depression) (SMD d = 0.371, 95% CI −0.153 − 0.895; I2 = 86.962%, P = 0.001) or depression (d = 0.152, 95% CI −0.179 − 0.483: z = 0.901; I2 = 36.918%) were found between mothers of ART and naturally conceived multiple births. In conclusion, mothers of ART multiple births were significantly more likely to have depression and stress than mothers of ART singletons, but were no different from mothers of naturally conceived multiples.
Citation:
Maternal psychosocial consequences of twins and multiple births following assisted and natural conception: a meta-analysis 2016 Reproductive BioMedicine Online
Publisher:
Cambridge, UK : Reproductive Healthcare Ltd
Journal:
Reproductive BioMedicine Online, 26 April 2016
Issue Date:
Apr-2016
URI:
http://hdl.handle.net/2436/613204
DOI:
10.1016/j.rbmo.2016.04.009
Additional Links:
http://linkinghub.elsevier.com/retrieve/pii/S1472648316300724
Type:
Article
Language:
en
ISSN:
1472-6483
Appears in Collections:
FEHW

Full metadata record

DC FieldValue Language
dc.contributor.authorvan den Akker, Olgaen
dc.contributor.authorPostavaru, Gianina-Ioanaen
dc.contributor.authorPurewal, Satvinderen
dc.date.accessioned2016-06-15T13:52:05Zen
dc.date.available2016-06-15T13:52:05Zen
dc.date.issued2016-04en
dc.identifier.citationMaternal psychosocial consequences of twins and multiple births following assisted and natural conception: a meta-analysis 2016 Reproductive BioMedicine Onlineen
dc.identifier.issn1472-6483en
dc.identifier.doi10.1016/j.rbmo.2016.04.009en
dc.identifier.urihttp://hdl.handle.net/2436/613204en
dc.description.abstractThe aim of this meta-analysis is to provide new evidence on the effects on maternal health of multiple births due to assisted reproductive technology (ART). A bibliographic search was undertaken using PubMed, PsycINFO, CINAHL and Science Direct. Data extraction was completed using Cochrane Review recommendations, and the review was performed following PRISMA and MOOSE guidelines. Meta-analytic data were analysed using random effects models. Eight papers (2993 mothers) were included. Mothers of ART multiple births were significantly more likely to experience depression (standardized mean difference [SMD] d = 0.198, 95% CI 0.050 − 0.345, z = 2.623, P = 0.009; heterogeneity I2 = 36.47%), and stress (SMD d = 0.177, 95% CI 0.049 − 0.305, P = 0.007; heterogeneity I2 = 0.01%) than mothers of ART singletons. No difference in psychosocial distress (combined stress and depression) (SMD d = 0.371, 95% CI −0.153 − 0.895; I2 = 86.962%, P = 0.001) or depression (d = 0.152, 95% CI −0.179 − 0.483: z = 0.901; I2 = 36.918%) were found between mothers of ART and naturally conceived multiple births. In conclusion, mothers of ART multiple births were significantly more likely to have depression and stress than mothers of ART singletons, but were no different from mothers of naturally conceived multiples.en
dc.language.isoenen
dc.publisherCambridge, UK : Reproductive Healthcare Ltden
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S1472648316300724en
dc.rightsArchived with thanks to Reproductive BioMedicine Onlineen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectMeta-analysisen
dc.subjectmultiple birthsen
dc.subjectpsychologicalen
dc.subjectdepressionen
dc.subjectdistressen
dc.titleMaternal psychosocial consequences of twins and multiple births following assisted and natural conception: a meta-analysisen
dc.typeArticleen
dc.identifier.journalReproductive BioMedicine Online, 26 April 2016en
dc.date.accepted2016-04-19en
rioxxterms.funderBritish Academyen
rioxxterms.identifier.projectSG132634en
rioxxterms.versionAMen
rioxxterms.licenseref.urihttps://creativecommons.org/CC BY-NC-ND 4.0en
rioxxterms.licenseref.startdate2016-06-15en
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