title: Difficulties in adaptation to pregnancy following natural conception or use of assisted reproduction techniques: a comparative study.
abstract: BACKGROUND
  To evaluate the influence assisted reproduction techniques (ARTs) may have on women's adaptation to resulting pregnancies.
  
  
  METHODS
  Retrospective assessment of how women adapt to their pregnancies following ART. A questionnaire was used that ranked their attitudes according to the 5-grade Likert scale. The study included 250 women who gave birth to their first child. Of these pregnancies, 125 had been obtained by means of ART; the remaining 125 were naturally conceived.
  
  
  RESULTS
  Difficulties in adaptation to pregnancy were significantly more frequent in women whose pregnancies resulted from the use of ARTs than in those who had conceived naturally (p = 0.000005). The subjects in the first group were significantly older (p = 0.04), more affluent (p = 0.000005) and had more frequently interrupted their professional work than women in the latter group. The two groups did not differ with regard to frequency of hospitalisations.
  
  
  CONCLUSIONS
  ART significantly increases difficulties in adaptation to resulting pregnancies. The main factors responsible for these difficulties are age, socio-economic conditions and interruption of professional activity.
authors: Department of Obstetric and Gynaecological Nursing, Skubiszewski Medical University of Lublin, Poland. jozefk@ikarus.icn.pl
authors: Celina
authors: C
authors: Lepecka-Klusek
authors: Grzegorz
authors: G
authors: Jakiel
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000367:Age Factors; D005260:Female; D006801:Humans; D008499:Medical Records; D011044:Poland; D011247:Pregnancy; D012098:Reproduction; D027724:Reproductive Techniques, Assisted / Q000523:psychology*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires