Fertility and aging: do reproductive-aged Canadian women know what they need to know?
Fertility and aging: do reproductive-aged Canadian women know what they need to know?
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DOI：
10.1016/j.fertnstert.2009.01.064
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发表时间：
2010-05-01
影响因子：
6.7
通讯作者：
Robinson, Wendy P.
中科院分区：
文献类型：
--
作者：
Bretherick, Karla L.;Fairbrother, Nichole;Robinson, Wendy P.
目的：女性生育能力随着年龄的增长而下降；然而，妇女越来越多地将生育推迟到育龄后期。可能导致这一趋势的因素之一是普遍缺乏对生育率随年龄下降的了解。设计：自我报告调查。问题涉及参与者的人口统计和生育意愿，以及生育率下降和流产风险随年龄增加而增加的知识。地点：加拿大不列颠哥伦比亚省温哥华市的不列颠哥伦比亚大学。患者：女本科生 (N = 360)。干预措施：无。主要结果指标：对整个生命周期生育能力的了解，预期生育年龄的预测因素。结果：尽管大多数女性意识到生育能力随着年龄的增长而下降，但她们显着高估了所有年龄段的怀孕机会，并且没有意识到生育率急剧下降。令人惊讶的是，女性在所有年龄段都高估了流产的可能性，但通常不会将女性的年龄视为流产的最强风险因素。结论：有必要对生殖能力随年龄下降的速度进行教育，以避免女性学者和专业人士意外不育。 （Fertil Steril (R) 2010；93:2162-8。(C)2010，美国生殖医学会。）
Objective: Female fertility declines with age; however, women are increasingly delaying childbearing until later in their reproductive years. One of the factors that may contribute to this trend is a general lack of knowledge about the decline in fertility with age.Design: Self-report survey. Questions pertained to participant demographics and childbearing intentions, and knowledge of the decline in fertility and increased risk of pregnancy loss with age.Setting: The University of British Columbia in Vancouver, British Columbia, Canada.Patients: Female undergraduate students (N = 360).Intervention(s): None.Main Outcome Measure(s): Knowledge of fertility over the life span, predictors of age of intended childbearing.Result(s): Although most women were aware that fertility declines with age, they significantly overestimated the chance of pregnancy at all ages and were not conscious of the steep rate of fertility decline. Surprisingly, women overestimated the chance of pregnancy loss at all ages, but did not generally identify a woman's age as the strongest risk factor for miscarriage.Conclusion(s): Education regarding the rate at which reproductive capacity declines with age is necessary to avoid unintended childlessness among female academics and professionals. (Fertil Steril (R) 2010;93:2162-8. (C)2010 by American Society for Reproductive Medicine.)