Original article Practice makes perfect: The effect of cognitive behavioral interventions during IVF treatments on women's perceived stress, plasma cortisol and pregnancy rates

Perceived stress and decompression intervention has complex relationship with birth rate. The objective of this study was to examine and understand these relationships by observing the decompression technique and the habit of reproductive ability and examining the relationships with actions and measurements of neuroendocrine pressure.

Fifty women without maternal infertility participated in a randomized prospective study repeatedly measuring cognitive behavior intervention (CBI) on the reduction of perceptual stress and the increase in pregnancy rate. Pressure measurements at T0 (before CBI), T2 (egg collection), and T3 (at pregnancy test)

We found that the probability of a female with low perceived pressure (T 0) reported at the start of treatment was 2 times higher (β hCG> 7 mIU / mL) compared to women reported to have high perceptual stress, regardless of CBI . Women who received CBI treatment reported a decrease in sensory pressure (T3) during pregnancy testing. Women engaged in the daily work of CBI have a significantly higher pregnancy rate than women who are not working.

A woman who feels a high level of stress can help practicing and practice decompression surgery before starting in vitro fertilization treatment and can continue to practice every day during in vitro fertilization treatment.

In 2006, the average pregnancy rate reported by a Canadian clinic was 35%. French research estimated that 66% of patients who initiated in vitro fertilization eventually gave birth after birth (40% at in vitro fertilized centers, 26% after in vitro fertilization). Child achievement rate after in vitro fertilization is mainly due to (46%) or natural pregnancy (42%). Progesterone elevation (PE) on the day of the final maturation induction was associated with a reduction in pregnancy rate in the ovarian-stimulated female IVF cycle with GnRH analogs and gonadotropins. At this point, a level of 0.8 - 1.1 ng / ml compared to progesterone levels of less than 0.8 ng / ml gave a pregnancy odds ratio of about 0.8, whereas 1.2 - 3.0 ng / ml Level gives pregnancy. Ratio ratio is between 0.6 and 0.7. On the other hand, the rise in progesterone does not seem to give the opportunity to freeze between the freeze - thaw cycle and egg donation cycle.

Fifty women without maternal infertility participated in a randomized prospective study repeatedly measuring cognitive behavior intervention (CBI) on the reduction of perceptual stress and the increase in pregnancy rate. Pressure measurements were made at T 0 (before CBI), T 2 (egg collection) and T 3 (pregnancy test time). We found that the probability of a female with low perceived pressure (T 0) reported at the start of treatment was 2 times higher (β hCG> 7 mIU / mL) compared to women reported to have high perceptual stress, regardless of CBI . Women who received CBI treatment reported a decrease in sensory pressure (T3) during pregnancy testing. Women engaged in the daily work of CBI have a significantly higher pregnancy rate than women who are not working.

Completeness of original article practice: Effect of cognitive behavioral intervention on perceptual stress, plasma cortisol and pregnancy rate of women undergoing IVF treatment

The overall birth rate of in vitro fertilization in the United States is about 27% per cycle (pregnancy rate is 33%), but the success rate of pregnancy due to in vitro fertilization is large due to female age (to be exact age). Difference Participating eggs When using women's own egg instead of donor eggs, the pregnancy rate is usually about 43% per cycle (37% at birth) for women under 35 and women aged 40 and over . Success rate is only 4% of women over the age of 42. Other factors that determine success rate include egg and sperm quality, period of infertility, uterine health, and medical expertise. In vitro fertilization programs usually increase the pregnancy rate by placing multiple embryos during embryo transfer. Another aspect of this approach is the high risk of multiple pregnancies, which itself is associated with obstetric complications.