Impact of Sleep and psychological distress on clinical pregnancy rate in infertile couples undergoing Assisted Reproductive Technology at Minia Infertility special centers Prospective Observational Study

Document Type : Original Article

Authors

1 obstetrics and gynecology department minia university

2 Obstetrics and Gynecology, Faculty of Medicine, Minia University

Abstract

ABSTRACT

Background: Assisted reproduction technologies (ART) encompass a range of medical interventions aimed at initiating pregnancy. These interventions involve the manipulation of both oocytes and sperm or embryos in a laboratory setting, with the primary techniques being in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI). The presence of sleep impairment has been linked to a range of adverse mental and physical health consequences.

Aim and objectives: To establish a correlation between the quality of sleep and the expression of psychological stress in relation to clinical pregnancy.

Subjects and methods: The present study was conducted within the Obstetrics and Gynecology department at the Faculty of Medicine, Minia University, specifically in the Minia Infertility Special Centers. Ethical approval was obtained from the local hospital's ethical council. A total of 150 couples were included in the study, and data collection took place from April 2022 to April 2023.

Results: There was a notable and statistically significant distinction observed among the groups under investigation in relation to various factors, including the ovarian stimulation protocol's impact on clinical pregnancy, the distribution of the Pittsburgh Sleep Quality Index (PSQI) based on the ovarian stimulation protocol, the distribution of pregnancy rates according to PSQI, the association between anxiety, depression, and psychological stress with clinical pregnancy.

Conclusion: There is no significant association between sleep quality, psychological discomfort, and the clinical pregnancy rate in patients undergoing intracytoplasmic sperm injection (ICSI).

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