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"Infertility psychology Thailand."
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Thai in vitro
In Thailand, infertility remains a source of stigma for those couples that combine a range of religious, traditional and high-tech interventions in their quest for a child. This book explores this experience of infertility and the pursuit and use of assisted reproductive technologies by Thai couples. Though using assisted reproductive technologies is becoming more acceptable in Thai society, access to and choices about such technologies are mediated by differences in class position. These stories of women and men in private and public infertility clinics reveal how local social and moral sensitivities influence the practices and meanings of treatment.
eBook
Why do pregnant women prefer cesarean birth? A qualitative study in a tertiary care center in Southern Thailand
Background
Increasing worldwide rates of cesarean section are of global concern. In recent years, cesarean births upon maternal request have become a hotly debated issue. Hence, this study aimed to explore maternal reasons for cesarean preference without medical indications.
Methods
A descriptive qualitative study was conducted, using in-depth interviews with 27 pregnant women who preferred cesarean birth, attending antenatal care in Songklanagarind Hospital from September 2018 to June 2019. Data were analyzed using content analysis.
Results
Maternal reasons for cesarean preference were classified into six main categories: fear of childbirth, safety concerns related to health risk perceptions, negative previous birth experiences, positive attitudes toward cesarean birth, access to biased information and superstitious beliefs in auspicious birth dates. Most women had more than one reason for opting cesarean birth.
Conclusion
Several reasons for cesarean birth preference have been elucidated. One striking reason was superstitious beliefs in auspicious birth dates, which are challengable for obstetricians to deal with. Obstetricians should explore the exact reasons why women request cesarean birth in order to prevent or diminish unnecessary cesarean births.
Journal Article
Prevalence of depression and anxiety in women with polycystic ovary syndrome (PCOS) and associated factors in a quaternary hospital in Thailand: a cross-sectional study
Background
Polycystic ovary syndrome (PCOS) is a common gynaecological problem for women of reproductive age. Depression and anxiety are common conditions that occur in women with PCOS and have an impact on mental well-being. However, there is a lack of data on their prevalence and its associated factors in the Thai population. This cross-sectional study aimed to evaluate the prevalence of depression and anxiety among women with PCOS and identify the factors associated with depression and anxiety in women with PCOS as well as their impact on mental well-being in Thailand.
Methods
A total of 260 women aged 15 to 40 years diagnosed with PCOS based on the Rotterdam criteria were included in the study. Physical examinations were conducted, and participants completed Hospital Anxiety and Depression Scale (HADS) and Thai version WHO-Five Well-Being Index (WHO-5 Thai) questionnaires to assess depression, anxiety, and mental well-being, respectively. The prevalence and prevalence rations (PR) with 95% confidence interval (CI) for depression and anxiety were analysed using modified Poisson regression analyses with robust variance estimators.
Results
The prevalence of depression, anxiety, and poor mental well-being among women with PCOS was found to be 3.85%, 11.92%, and 16.92%, respectively. Abdominal obesity (PR 24.25, 95% CI: 2.75–219.50;
p
= 0.004), poor mental well-being (PR 16.68, 95% CI: 4.02–69.18;
p
= < 0.001), and snoring (PR 10.26, 95% CI: 2.06–51.14;
p
= 0.005) were identified as factors associated with depression in women with PCOS. Having children (PR 6.22, 95% CI: 2.90-13.35;
p
= < 0.001), alcohol drinking (PR 3.41, 95% CI: 1.52–7.65;
p
= 0.003), poor mental well-being (PR 2.32, 95% CI: 1.14–4.74;
p
= 0.021), and hirsutism (PR 2.23, 95% CI: 1.18–4.22;
p
= 0.014) were found to be relative factors for anxiety in women with PCOS.
Conclusion
Women with PCOS is associated with high prevalences of depression and anxiety. Poor mental well-being was identified as key factors associated with both depression and anxiety in women with PCOS. Based on these findings, the present study suggests that screening for depression and anxiety should be conducted for all women with PCOS, especially those who present with poor mental well-being.
Journal Article
Gender differences in behaviors toward acceptance of donor egg, sperm, and embryo in Northern Thai infertile couples
This study aimed to examine the behavior towards the acceptance of donor egg, donor sperm, and donor embryo of Northern Thai infertile couples, separated between men and women.
A cross-sectional study was conducted at the CMEx Fertility Center, Chiang Mai, Thailand. The questionnaires consisted of sociodemographic questions and the acceptance of couples toward donor egg, sperm and embryo. The couples filled in the answers separately.
A total of 250 infertile couples were assessed. There were no differences in the acceptance rate of donor egg, sperm and embryo between the men and the women. Male acceptance rates were 25.6%, 18.8%, and 18.8%, respectively; while female acceptance rates were 24.4%, 18.4%, and 19.2%, respectively. Most couples (over 70%) concordantly rejected the donation program. Around 10% of couples had discordant answers. The concordance accepted for couples for donor egg, sperm and embryo was only 20%, 13.2%, and 14.8%. Older people and those who had been infertile for a longer period were significantly more likely to accept donation programs.
There is no difference concerning the acceptance of donor gametes and embryo among men and women. Most participants reject the utilization of donor programs, the overall acceptance rate is relatively low. This may indicate the need for more adequate information and education for the community to enhance prevention programs rather than focus on the treatment with donor gametes or embryos.
Journal Article
Knowledge differences on the impact of age on fertility among fertile and subfertile women
To explore the knowledge concerning the impact of age on fertility in Thai women among fertile and subfertile women.
A cross-sectional study was conducted at Maharaj Nakorn Chiang Mai Hospital, Thailand. The questionnaires consisted of sociodemographic questions and knowledge pertinent to the impact of age on fertility. Both fertile and subfertile women completed the same questionnaire anonymously.
A total of 500 women were included in the study, with two hundred and fifty in each group. The majority of women in both the fertile and subfertile group correctly identified the most fertile age of women (84.8% vs. 84.4%, p=0.902) and the impact of age on infertility treatment (73.2% vs. 84.0%, p=0.003). However, only one-fifth of the participants in both groups correctly identified the age that their fertility starts to decline, show a marked decline and ends. Most women in both groups chose the answer that overestimates their fertility potential. Moreover, 10.8% of subfertile women believed that fertility is not dependent on age and 16.0% believed that age does not affect the success rate of infertility treatment.
The overall knowledge of women regarding the impact of age on fertility is relatively poor with no difference between fertile and subfertile women. These findings may indicate an urgent need to increase this area of knowledge in the population.
Journal Article
Effect of water stress on the boron response of wheat genotypes under low boron field conditions
Sterility has emerged as a widespread problem for wheat (Triticum aestivum) production in South and South-east Asia. Whilst boron (B) deficiency is commonly associated with sterility in wheat, the expression of sterility is complicated in rainfed conditions by a number of environmental factors including water stress. A field experiment was conducted to examine the effect of water stress on B response of wheat genotypes on a low B soil (0.087 mg B kg⁻¹ soil) at Chiang Mai, Thailand (18° 45' N, 99° E) during the dry season from November to March. The experiment consisted of three factors arranged in a split-split plot design with two levels of irrigation: water stress (I—) and full irrigation (I+) in main plots, two levels of B: 0 kg (B0) and 1 kg B ha⁻¹ (B+) as borax in sub plots and four wheat genotypes: SW 41, BL 1022, UP 262 and Sonora 64 in sub-sub plots. Water stress was applied by discontinuing irrigation in I— treatments after the double ridge stage. In all genotypes, above ground biomass was decreased by I—, but not by B deficiency. Significant B × genotype interactions were detected for reproductive growth. SW 41 and BL 1022 strongly responded to added B with relief from B deficiency symptoms at anthesis and improved grain set index (GSI), grains ear⁻¹, ears with grain and grain yield at maturity. By contrast, Sonora 64 could set grain well at B0 and did not show any response to added B with respect to these parameters. Grains ear⁻¹ of SW 41 and BL 1022 was not affected by full irrigation at B0, but were significantly increased when fully irrigated with added B. In all genotypes, B concentration of the flag leaf and the ear at booting and at anthesis was significantly higher in B+, but was not affected by irrigation. Boron × irrigation interactions detected in this study indicate the possibility of the influence of water stress on the severity of wheat sterility in South and South-east Asia.
Journal Article