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Partner support during the prenatal testing period after assisted conception.

Joëlle Darwiche1, Anne Milek2, Jean-Philippe Antonietti1

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Pregnancy after infertility treatment (assisted reproductive technology) is linked to less perceived partner support and reduced anxiety benefits compared to spontaneous conception. This highlights a need for specialized prenatal counseling for couples navigating infertility.

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Area of Science:

  • Reproductive Medicine
  • Psychology
  • Maternal-Fetal Medicine

Background:

  • Pregnancy following infertility presents unique challenges, amplified by prenatal screening stress.
  • Partner support is known to mitigate psychological distress in spontaneously conceiving women.
  • Limited data exists on partner support dynamics for pregnancies conceived via assisted reproductive technology (ART).

Purpose of the Study:

  • To compare perceived partner support between couples conceiving via ART and those conceiving spontaneously.
  • To determine if perceived partner support influences distress levels differently in ART versus spontaneous conception groups.
  • To investigate the dyadic coping mechanisms during early pregnancy in women with and without a history of infertility.

Main Methods:

  • A longitudinal prospective study involving 52 spontaneously conceiving women and 53 ART-conceiving women, along with their partners.
  • Utilized the State-Trait Anxiety Inventory and Edinburgh Depression Scale to measure psychological distress.
  • Assessed perceived partner support using two subscales from the Dyadic Coping Inventory at three time points during pregnancy (12, 14, and 22 weeks gestation).

Main Results:

  • Women conceiving via ART reported lower ability to help their partner and perceived less support from their partner compared to spontaneously conceiving women.
  • Men in both groups did not show significant differences in perceived partner support.
  • Enhanced partner support correlated with reduced anxiety and depression in spontaneously conceiving couples, but not in ART couples.

Conclusions:

  • Pregnancy after infertility, particularly via ART, is associated with distinct emotional experiences and dyadic support dynamics.
  • Findings underscore the need for targeted prenatal care and specialized counseling for couples transitioning from infertility to parenthood.
  • This research contributes to understanding the psychological well-being of couples undergoing assisted reproduction during pregnancy.