ASSESSMENT OF REPRODUCTIVE CHARACTERISTICS AND STRESS LEVELS AT EMBRYO TRANSFER AND PREGNANCY TEST STAGES IN WOMEN UNDERGOING IN VITRO FERTILIZATION AT HUNG VUONG HOSPITAL
Main Article Content
Abstract
Objective: To evaluate the stress levels of patients undergoing in vitro fertilization (IVF) at Hung Vuong Hospital at the time of embryo transfer and pregnancy testing, using the Perceived Stress Scale (PSS) and the Fertility Problem Inventory (FPI). Materials and methods: A longitudinal study was conducted among women undergoing frozen embryo transfer between May and July 2025 at Hung Vuong Hospital. Results: Data from 140 patients showed a higher pregnancy rate (49.3%) among women aged ≤30 years. Mean PSS and FPI scores fluctuated slightly between the pre-transfer and pregnancy test timepoints, but the differences were not statistically significant (p > 0.05 in all groups). Regression analysis indicated that biological factors remained the main determinants of pregnancy outcomes, whereas PSS and FPI scores were not predictive. After an unsuccessful transfer, 97.2% of participants expressed a desire to continue treatment, and 70.4% preferred individual counseling to help relieve psychological stress. Conclusions: PSS and FPI scores were not significantly associated with IVF outcomes. However, incorporating these scales into routine assessment may help IVF centers identify patients in need of psychological support, thereby facilitating the development of counseling programs aimed at improving patient experience during infertility treatment.
Article Details
Keywords
IVF, Infertility, PSS, FPI.
References
2. Nguyễn, T. T. T., Lê, T. H., Đỗ, T. L., & Đỗ, V. L. (2024). Thực trạng lo âu, trầm cảm của người vợ thực hiện kỹ thuật thụ tinh trong ống nghiệm tại Bệnh viện Đa khoa Tâm Anh Hà Nội và một số yếu tố liên quan. Tạp Chí Khoa học Điều dưỡng, 7(03), 6–12.
3. Nguyen, L. N. H., Tran, H. P., Do, V. N. T., Ly, L. T., Hoang, T. T. D., & Hoang, T. (2024). Factors Associated With Mosaicism in Human Embryos: A Retrospective Study. Cureus, 16(6).
4. Anderson, N. B. (1998). Levels of analysis in health science: A framework for integrating sociobehavioral and biomedical research. Annals of the New York Academy of Sciences, 840(1), 563-576.
5. An, Y., Sun, Z., Li, L., Zhang, Y., & Ji, H. (2013). Relationship between psychological stress and reproductive outcome in women undergoing in vitro fertilization treatment: psychological and neurohormonal assessment. Journal of assisted reproduction and genetics, 30(1), 35-41.
6. Zanettoullis, A. T., Mastorakos, G., Vakas, P., Vlahos, N., & Valsamakis, G. (2024). Effect of stress on each of the stages of the procedure: a systematic review. International Journal of Molecular Sciences, 25(2), 726.
7. Miller, N., Herzberger, E. H., Pasternak, Y., Klement, A. H., Shavit, T., Yaniv, R. T., ... & Wiser, A. (2019). Does stress affect outcomes? A prospective study of physiological and psychological stress in women undergoing . Reproductive biomedicine online, 39(1), 93-101.
8. Peng, M., Wen, M., Jiang, T., Jiang, Y., Lv, H., Chen, T.,... & Jin, G. (2021). Stress, anxiety, and depression in infertile couples are not associated with a first or ICSI treatment outcome. BMC Pregnancy and Childbirth, 21(1), 725.