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Infertility: HELP
Articles by Eleanor Lowndes Stevenson
Based on 9 articles published since 2010
(Why 9 articles?)
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Between 2010 and 2020, Eleanor L. Stevenson wrote the following 9 articles about Infertility.
 
+ Citations + Abstracts
1 Editorial Advancing the Care of Individuals and Couples at Risk for and Diagnosed With Infertility. 2016

Hershberger, Patricia E / Stevenson, Eleanor L. · ·J Obstet Gynecol Neonatal Nurs · Pubmed #26815803.

ABSTRACT: -- No abstract --

2 Review Evidence-Based Care for Couples With Infertility. 2016

Stevenson, Eleanor L / Hershberger, Patricia E / Bergh, Paul A. · ·J Obstet Gynecol Neonatal Nurs · Pubmed #26815804.

ABSTRACT: When couples cannot achieve pregnancy, they often seek health care from medical and nursing specialists. The care the couple receives begins with a thorough assessment to determine the possible cause of infertility and to plan appropriate care to ensure the best chance for the couple to have a biological child. In this article, we provide an overview of the etiology and evaluation of infertility, the various treatment options available, and the appropriate clinical implications.

3 Article Stress and Anxiety in Couples Who Conceive via In Vitro Fertilization Compared With Those Who Conceive Spontaneously. 2019

Stevenson, Eleanor L / Cebert, Morine / Silva, Susan. · ·J Obstet Gynecol Neonatal Nurs · Pubmed #31614109.

ABSTRACT: OBJECTIVE: To determine the feasibility of recruitment and explore whether women and their partners who conceive via in vitro fertilization (IVF) experience greater levels of stress and anxiety during pregnancy compared to each other and compared to couples who conceive spontaneously. DESIGN: Longitudinal, descriptive, pilot study. SETTING: Recruitment was conducted at three sites in the United States (two fertility clinics and one well-woman clinic). PARTICIPANTS: Informed consent was obtained from 48 women and their partners (22 IVF couples and 26 spontaneous conception [SC] couples). METHODS: During each trimester, participants completed the Perceived Stress Scale, the State-Trait Anxiety Inventory, and the Pregnancy-Related Anxiety Measure to assess their levels of stress and anxiety. We used hierarchical linear mixed-effects models for repeated measures adjusting for woman and partner nesting effects to conduct trajectory analyses to test for group differences in stress and anxiety levels. RESULTS: Recruitment goals were met (31 IVF and 27 SC couples gave informed consent and 22 IVF and 26 SC couples completed questionnaires). We found no significant group main or group by time interaction effects on anxiety and stress. However, pregnant women had significantly higher mean state and pregnancy-related anxiety scores than their male partners. Of interest, the women showed a gradual reduction in state and pregnancy-related anxiety across trimesters, whereas pregnancy-related anxiety of their partners gradually increased. CONCLUSION: Among our participants, IVF did not increase risk for stress, state anxiety, or pregnancy-related anxiety, which provides reassurance during patient counseling. Although pregnant women overall experienced greater state and pregnancy-related anxiety than men, we found that levels in women decreased closer to birth, which may contribute to successful emotional transition to parenthood. Men's experiences with anxiety require additional investigation given the recent attention to male postpartum depression.

4 Article Applying the Adaptive Leadership Framework for Chronic Illness to understand how American and British men navigate the infertility process. 2019

Stevenson, Eleanor L / McEleny, Kevin R / Moody, Eilis / Bailey, Donald E. ·Duke University, USA. · The Newcastle upon Tyne Hospitals NHS Foundation Trust, UK. ·Health Psychol Open · Pubmed #31489202.

ABSTRACT: In this article, we sought to understand the adaptive challenges and work faced by men with male factor infertility. Using a prospective qualitative study in private (the United States) and academic (the United Kingdom) urology clinics, we recruited seven American and five British men with primary infertility after their urology consultation for male factor infertility between December 2015 and April 2017. Individual in-depth qualitative interviews were conducted shortly after male factor infertility urology consultation and then two additional interviews at about 3 and 6 months. We found three themes related to adaptive challenges faced during fertility treatment: avoidance (not disclosing, avoided social network), uncertainty (about ability to have a child, fertility-related information, and male factor infertility status), and affective symptoms (sadness, shock, disbelief, denial, about not achieving fatherhood, and poor outcomes). Four themes about adaptive work included focusing on goal (having clear, actionable steps; knowledge received from urologist; exhausted all options; focus on parenthood), support from partner (relationship and communication), support from health care team (provision of emotional support, increased comfort with staff over time, disclosure of knowing others with same condition), and acquired information (understanding issue, support from urologist, seeking information). We concluded that men with male factor infertility face adaptive challenges including avoidance, uncertainty, and affective symptoms. To manage during the treatment process, they use adaptive work including focusing on the goal, receiving support from their partner and health care team, and acquiring information. Although qualitative results cannot be generalized to larger populations, they might be applicable to men with male factor infertility during infertility treatment.

5 Article Adolescent Infertility: A Case Report. 2019

Derouin, Anne L / Stevenson, Eleanor L. · ·J Pediatr Health Care · Pubmed #30470610.

ABSTRACT: -- No abstract --

6 Article Stress and Quality of Life for Taiwanese Women Who Underwent Infertility Treatment. 2018

Cheng, Ching-Yu / Stevenson, Eleanor Lowndes / Yang, Cheng-Ta / Liou, Shwu-Ru. · ·J Obstet Gynecol Neonatal Nurs · Pubmed #29715441.

ABSTRACT: OBJECTIVE: To describe the psychological stress and quality of life experienced by women who underwent fertility treatment in Taiwan. DESIGN: Cross-sectional, correlational study. SETTING: Recruitment was conducted and questionnaires administered at a reproductive medicine center in Chiayi City, Taiwan. PARTICIPANTS: Informed consent to participate was obtained from 126 women who sought fertility treatment at the center. METHODS: The Chinese Fertility Problem Inventory and Fertility Quality of Life scale were used to measure participants' levels of fertility-related stress and fertility-related quality of life. Descriptive statistics, correlation, and regression analysis were used. RESULTS: Overall, participants reported low levels of fertility-related stress and fertility-related quality of life; however, they had relatively high levels of stress related to need for parenthood. Women who were older, had greater body mass indexes, and consumed coffee regularly had lower fertility-related quality of life. Social and relationship concerns and stress related to need for parenthood were significant predictors of low fertility-related quality of life. CONCLUSION: In a culture in which childbearing is generally an expectation and an important part of family life, women who experience infertility are at risk to experience fertility-related stress. Social support and family consultation might be offered to improve women's fertility-related quality of life.

7 Article Certain Less Invasive Infertility Treatments Associated with Different Levels of Pregnancy-Related Anxiety in Pregnancies Conceived via 2017

Stevenson, Eleanor Lowndes / Sloane, Richard. ·Division of Health for Women, Children and Families, School of Nursing, Duke University, Durham, USA. · School of Medicine, Duke University, Durham, USA. ·J Reprod Infertil · Pubmed #28377899.

ABSTRACT: BACKGROUND: Research supports that METHODS: A prospective study was conducted for women who became pregnant via IVF, and data was collected about reported previous non-IVF treatment cycles as well as Pregnancy Related Anxiety Measure. Latent Class Analysis was conducted A p-value of ≤0.05 was considered significant. RESULTS: 144 subjects participated and were highly educated, affluent, married, and primarily white. The LCA process yielded two groups that on average had similar levels on most items except for use of intra uterine insemination and/or ovarian stimulation. This information was used to generate four exhaustive and mutually exclusive groups: Stimulation Only (stim-only), Stimulation and Intra uterine Insemination (stim-IUI), Intra uterine Insemination only (IUI only), or No Treatment (No Tx). ANOVA found that those in the Stim Only group had statistically significantly higher PRAM scores than the Stim IUI (p=0.0036), the IUI only group (p=0.05), and the No Tx group (p=0.0013). CONCLUSION: Women who become pregnant via IVF and had a history of non-

8 Article Male subfertility as a chronic illness: the role of adaptive challenges. 2017

Stevenson, Eleanor L / McEleny, Kevin R. ·a Division of Health for Women, Children and Families , Duke University School of Nursing , Durham , NC , USA. · b Newcastle Fertility Centre , The Newcastle-upon-Tyne Hospitals NHS Trust , Newcastle , UK. ·Hum Fertil (Camb) · Pubmed #28330414.

ABSTRACT: Male factor infertility (MFI) is extremely common, often with several associated chronic health conditions. Because a man's fertility assessment may be their first contact with health services, the health care team has a responsibility to act as male health advocates to ensure comprehensive care. The diagnosis of subfertility allows a broader view of these men as patients with a chronic illness who have complex health needs. Because of the associated complexity of care following evaluation, there needs to be new approach in how men affected by MFI should be managed long term. In this commentary, we propose that the Adaptive Leadership Framework model for Chronic Illness is a suitable vehicle to use for management of the MFI patient's journey towards optimized health.

9 Minor In support of equitable infertility health insurance. 2014

Hershberger, Patricia E / Stevenson, Eleanor Lowndes. · ·J Obstet Gynecol Neonatal Nurs · Pubmed #24980203.

ABSTRACT: -- No abstract --