BACKGROUND Paternal perinatal depression(PPD)is closely associated with maternal mental health challenges,marital strain,and adverse child developmental outcomes.Despite its significant impact,PPD remains under-recogn...BACKGROUND Paternal perinatal depression(PPD)is closely associated with maternal mental health challenges,marital strain,and adverse child developmental outcomes.Despite its significant impact,PPD remains under-recognized in family-centered clinical practice.Concurrently,against the backdrop of rising rates of delayed marriage and China’s Maternity Incentive Policy,the proportion of women giving birth at an advanced maternal age is increasing.Nevertheless,research specifically examining PPD among spouses of older mothers remains critically scarce,both in China and globally.AIM To investigate PPD and its influencing factors in Chinese advanced maternal age families.METHODS This cross-sectional study included 358 participants;it was conducted among fathers of pregnant women of advanced maternal age at five hospitals in the Pearl River Delta region of China from September 2023 to June 2024.Data were collected via a general information questionnaire,the Social Support Rating Scale,and the Edinburgh Postnatal Depression Scale.Latent profile analysis and regression mixture models(RMMs)were adopted to analyze the latent PPD types and factors that influenced PPD.RESULTS The incidence of PPD was 16.48%,and three profiles were identified:Low-symptomatic(175 cases,48.89%),monophasic(140 cases,39.10%),and high-symptomatic(43 cases,12.01%).The RMM analysis revealed that first pregnancy,low income(<¥3000/month),part-time work,and a history of abnormal pregnancy were positively associated with the high-symptomatic type(P<0.05).Conversely,high subjective support and support utilization were negatively associated with the high-symptomatic type compared with the low-symptomatic type(P<0.05).Good couple relationships,high objective and subjective support,and high support utilization were negatively associated with monophasic disorder(P<0.05).CONCLUSION PPD incidence is high among Chinese fathers with advanced maternal age partners,and the characteristics of depression are varied.Healthcare practitioners should prioritize individuals with low levels of social support.展开更多
Objective:To evaluate the impact of a group embryo culture approach for women of advanced age.Methods:In this prospective study,two embryo culturing strategies—group and individual—were compared in women who were ol...Objective:To evaluate the impact of a group embryo culture approach for women of advanced age.Methods:In this prospective study,two embryo culturing strategies—group and individual—were compared in women who were older(≥35 years)and younger(<35 years).Data was collected from 450 embryos over 291 intracytoplasmic sperm injection(ICSI)cycles performed on 291 patients.A grouped embryo culture group and an individual embryo culture group were generated by selecting the zygotes into two groups based on the type of culture that was used.The main outcomes compared between the groups were the pregnancy and the live birth rates.Results:The pregnancy,and live births rates were significantly higher when group culture was carried out in an advanced-aged women group(41.5%vs.25.0%,P=0.04;14.3%vs.6.6%,P=0.04;respectively).Similarly,the cleavage rate was better in the same group(98.6%vs.91.2%,P=0.001).However,in the group of young women,there were not significant differences in these rates.Conclusions:Group embryo culturing seems to be a promising strategy to improve embryo development and live births for patients over 35 years of age.展开更多
基金Supported by High-level Professional Groups in Gangdong Province,No.GSPZYQ2020101Guangdong Province Educational Research Planning Project,No.2024GXJK742。
文摘BACKGROUND Paternal perinatal depression(PPD)is closely associated with maternal mental health challenges,marital strain,and adverse child developmental outcomes.Despite its significant impact,PPD remains under-recognized in family-centered clinical practice.Concurrently,against the backdrop of rising rates of delayed marriage and China’s Maternity Incentive Policy,the proportion of women giving birth at an advanced maternal age is increasing.Nevertheless,research specifically examining PPD among spouses of older mothers remains critically scarce,both in China and globally.AIM To investigate PPD and its influencing factors in Chinese advanced maternal age families.METHODS This cross-sectional study included 358 participants;it was conducted among fathers of pregnant women of advanced maternal age at five hospitals in the Pearl River Delta region of China from September 2023 to June 2024.Data were collected via a general information questionnaire,the Social Support Rating Scale,and the Edinburgh Postnatal Depression Scale.Latent profile analysis and regression mixture models(RMMs)were adopted to analyze the latent PPD types and factors that influenced PPD.RESULTS The incidence of PPD was 16.48%,and three profiles were identified:Low-symptomatic(175 cases,48.89%),monophasic(140 cases,39.10%),and high-symptomatic(43 cases,12.01%).The RMM analysis revealed that first pregnancy,low income(<¥3000/month),part-time work,and a history of abnormal pregnancy were positively associated with the high-symptomatic type(P<0.05).Conversely,high subjective support and support utilization were negatively associated with the high-symptomatic type compared with the low-symptomatic type(P<0.05).Good couple relationships,high objective and subjective support,and high support utilization were negatively associated with monophasic disorder(P<0.05).CONCLUSION PPD incidence is high among Chinese fathers with advanced maternal age partners,and the characteristics of depression are varied.Healthcare practitioners should prioritize individuals with low levels of social support.
文摘Objective:To evaluate the impact of a group embryo culture approach for women of advanced age.Methods:In this prospective study,two embryo culturing strategies—group and individual—were compared in women who were older(≥35 years)and younger(<35 years).Data was collected from 450 embryos over 291 intracytoplasmic sperm injection(ICSI)cycles performed on 291 patients.A grouped embryo culture group and an individual embryo culture group were generated by selecting the zygotes into two groups based on the type of culture that was used.The main outcomes compared between the groups were the pregnancy and the live birth rates.Results:The pregnancy,and live births rates were significantly higher when group culture was carried out in an advanced-aged women group(41.5%vs.25.0%,P=0.04;14.3%vs.6.6%,P=0.04;respectively).Similarly,the cleavage rate was better in the same group(98.6%vs.91.2%,P=0.001).However,in the group of young women,there were not significant differences in these rates.Conclusions:Group embryo culturing seems to be a promising strategy to improve embryo development and live births for patients over 35 years of age.
