Pregnancy Outcome after Multifoetal Sac Reduction to Twin in Higher Order Multiple Pregnancies.

Objective: The aim of the study was to evaluate maternal and foetal outcome after fetoreduction in higher order multiple pregnancy. Materials and methods: This descriptive study was conducted at the Infertility Care and Research Centre (ICRC), Dhaka between 2006 and 2009. In eleven (11) cases, multifoetal pregnancy reduction (MFPR) were performed and maternal and foetal conditions were analyzed. All patients got pregnant after fertility treatment. The procedure was done between 8-10 weeks of gestation except in one case which was done at 17 weeks. Transvaginal approach under spinal anaesthesia was adopted for intracardiac injection of potassium chloride till cessation of cardiac pulsation. Antibiotic, aspirin, antispasmodic and progesterone were used for all patients. Main outcome measures were uterine contraction, leaking membrane, bleeding, infection, abortion, gestational age and birth weight. Results: Out of these eleven patients eight patients delivered twins at 37 weeks and one patient delivered a set of twin at 34 weeks and their antenatal period was uneventful. Two patients had abortions, one of which was not related with the procedure. No perinatal death was reported among 18 babies. Each of the babies born had an average weight of 2.42 kg. There was no serious maternal complication except rise of temp in one patient. Conclusion: Fetoreduction can improve the chances of survival and can reduce perinatal morbidity of remaining fetuses and can reduce maternal distress without any adverse affect to mother and foetuses. Key words: Sac reduction, multiple pregnanc

Background characteristics of the infertile patients (n = 300).

Background characteristics of the infertile patients (n = 300).</p

Factors affecting MCS-12, and PCS-12 scores among the infertile women receiving fertility treatment in Bangladesh.

Factors affecting MCS-12, and PCS-12 scores among the infertile women receiving fertility treatment in Bangladesh.</p

Comparison of MCS-12, and PCS-12 scores with the different background variables (<i>n = 300)</i>.

Comparison of MCS-12, and PCS-12 scores with the different background variables (n = 300).</p

Recommended cut-off for Depression Anxiety and Stress Scale (DASS-21).

Recommended cut-off for Depression Anxiety and Stress Scale (DASS-21).</p

S1 Questionnaire -

Infertility poses significant physical and psychological challenges for women of reproductive age. In low- and middle-income countries, the prevalence of depression among infertile women is alarmingly high, reaching 44.32%. Additionally, over 50% of infertile women worldwide experience varying degrees of decline in their quality of life. Therefore, this study aimed to assess the effects of infertility on the mental health status and quality of life of infertile women in Bangladesh. Between December 2022 and March 2023, 375 infertile women in Dhaka, Bangladesh were selected using simple random sampling for this cross-sectional study. The participants’ mental health status was assessed using the Depression Anxiety and Stress Scale (DASS-21), while their quality of life was evaluated by the Short Form-12 (SF-12) scale. The prevalence of depression, anxiety, and stress were 59.7%, 55.0%, and 48.7%, respectively. Multiple logistic regression showed that infertile homemakers had 2.98 (95% CI: 1.30 to 6.80) times the odds of depression than government service holders. Aborted infertile women had 1.8 (95% CI: 1.10 to 3.26) times the odds of depression. Infertile women who married between 20 and 24 years old were 49% (95% CI: 0.27 to 0.98) less anxious than those who married earlier. Low-income infertile women (60,000 BDT). Multiple linear regression analysis suggests that education and infertility diagnosis status significantly affect the Mental Component Summary (MCS-12) scores of the Short Form-12 (SF-12). In contrast, age, occupation, and Body Mass Index (BMI) were the significant predictors for the Physical Component Summary (PCS-12). Policymakers may use lessons learned from this study to incorporate appropriate counseling techniques, social awareness campaigns, and media involvement to control the added burden of infertility on women’s psychological health and quality of life.</div

Adjusted effects of explanatory factors on depression, anxiety, and stress.

Adjusted effects of explanatory factors on depression, anxiety, and stress.</p

S1 Data -

Infertility poses significant physical and psychological challenges for women of reproductive age. In low- and middle-income countries, the prevalence of depression among infertile women is alarmingly high, reaching 44.32%. Additionally, over 50% of infertile women worldwide experience varying degrees of decline in their quality of life. Therefore, this study aimed to assess the effects of infertility on the mental health status and quality of life of infertile women in Bangladesh. Between December 2022 and March 2023, 375 infertile women in Dhaka, Bangladesh were selected using simple random sampling for this cross-sectional study. The participants’ mental health status was assessed using the Depression Anxiety and Stress Scale (DASS-21), while their quality of life was evaluated by the Short Form-12 (SF-12) scale. The prevalence of depression, anxiety, and stress were 59.7%, 55.0%, and 48.7%, respectively. Multiple logistic regression showed that infertile homemakers had 2.98 (95% CI: 1.30 to 6.80) times the odds of depression than government service holders. Aborted infertile women had 1.8 (95% CI: 1.10 to 3.26) times the odds of depression. Infertile women who married between 20 and 24 years old were 49% (95% CI: 0.27 to 0.98) less anxious than those who married earlier. Low-income infertile women (60,000 BDT). Multiple linear regression analysis suggests that education and infertility diagnosis status significantly affect the Mental Component Summary (MCS-12) scores of the Short Form-12 (SF-12). In contrast, age, occupation, and Body Mass Index (BMI) were the significant predictors for the Physical Component Summary (PCS-12). Policymakers may use lessons learned from this study to incorporate appropriate counseling techniques, social awareness campaigns, and media involvement to control the added burden of infertility on women’s psychological health and quality of life.</div