Factors associated with subfertility among women attending an antenatal clinic in Hull.
Factors associated with subfertility among women attending an antenatal clinic in Hull.
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DOI：
10.3109/14647270903386807
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发表时间：
2009-12
期刊：
影响因子：
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通讯作者：
Moreau C
中科院分区：
文献类型：
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作者：
Killick S;Trussell J;Cleland K;Moreau C
目的：确定在产前门诊就诊的妇女中与生育能力低下（怀孕至12个月）相关的生活方式因素，并确定这种情况在2001年至2007年间是否发生了变化。在2001年和2007年进行的候诊室调查。2001年至2007年期间，生活方式因素发生了重大变化，包括伴侣双方以前使用避孕药具和肥胖、吸烟、饮酒和咖啡因摄入等因素。所有的变化都朝着有利于健康和生育的方向发展。然而，尽管这些健康状况有所改善，但在产前人口中，生育能力低下的流行率并没有总体下降。数学模型显示，即使整个人口的生活方式都有所改善，对不孕夫妇比例的影响也微乎其微。在6年的时间里，试图怀孕的夫妇在生活方式上的适度改善并没有导致生育能力低下发生率的任何减少，即使是实质性的改变也不会产生显著的差异。
To identify lifestyle factors associated with subfertility (time to pregnancy >12 months) among women attending an antenatal clinic, and to determine whether this changed from 2001 to 2007. Waiting-room surveys administered in 2001 and 2007. There were significant changes in lifestyle factors between 2001 and 2007, including such factors as previous contraceptive use and obesity, smoking, alcohol and caffeine intake of both partners. All changes were in the direction favourable to health and fertility. However, despite these health improvements, there was no overall decrease in the prevalence of subfertility in the antenatal population. Mathematical modelling showed that even if the entire population had improved their lifestyle this would have made little difference to the proportion of subfertile couples. A modest improvement in lifestyle over a period of 6 years in couples trying to conceive a pregnancy did not lead to any reduction in the incidence of subfertility and even substantial changes would not have made a significant difference.