The psychological impact of the COVID-19 pandemic on fertility care: a qualitative systematic review
| Autor: | Jackie Tsang, Abirami Kirubarajan, Priyanka Patel, Padmaja Sreeram, Theebhana Prethipan, Sony Sierra |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine Assisted reproductive technology business.industry media_common.quotation_subject medicine.medical_treatment Obstetrics and Gynecology 030209 endocrinology & metabolism Fertility General Medicine PsycINFO CINAHL Mental health 03 medical and health sciences 0302 clinical medicine Reproductive Medicine Family medicine Pandemic Medicine Anxiety medicine.symptom Worry business media_common |
| Zdroj: | Human fertility (Cambridge, England). |
| ISSN: | 1742-8149 |
| Popis: | The objective of this systematic review was to characterise psychological impacts of the COVID-19 pandemic related to fertility care. We conducted a systematic search following PRISMA guidelines of five databases (EMBASE, Medline-OVID, CINAHL, Web of Science, and PsycINFO) from March 17th 2020 to April 10th 2021. Citing articles were also hand-searched using Scopus. Of the 296 original citations, we included fifteen studies that encompassed 5,851 patients seeking fertility care. Eleven studies only included female participants, while four included both male and female participants. The fifteen studies unanimously concluded that the COVID-19 pandemic caused negative psychological impacts on fertility care. Risk factors included female sex, single marital state, previous ART failure, prior diagnoses of anxiety or depression, and length of time trying to conceive. Specific concerns included the worry and frustration of clinic closure, concerns about pregnancy and COVID-19 infection, and advancing age. There were contrasting beliefs on whether the decision to stop fertility treatments during the COVID-19 pandemic was justified. In addition, we found that many patients preferred to resume fertility treatment, despite anxieties regarding the risk of the COVID-19 virus. We recommend that fertility providers screen patients for risk factors for poor mental health and tailor support for virtual care. |
| Databáze: | OpenAIRE |
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