Effect of stress on pregnancy outcome among women undergoing assisted reproduction procedures.

Abstract:

BACKGROUND:This study was performed to examine the effect of stress on pregnancy outcome in women who underwent assisted reproductive technology (ART) procedures. METHODS:In a controlled clinical study of healthy volunteers in an academic research environment, stress was measured subjectively by administering patient questionnaires and biochemically by examining urinary excretion of cortisol and 6-sulfatoxy-melatonin (6-SM), the primary metabolite of melatonin and a marker of peripheral stress response. A total of 42 women who underwent ART procedures during an 18-month period agreed to participate in the study and were enrolled consecutively. The women collected 24-hour urine specimens on the day after human chorionic gonadotropin administration and concurrently completed the State-Trait Anxiety Inventory questionnaire. We measured the cortisol and 6-SM levels in the urine collection for each of the 42 women and for 10 oocyte donors who served as controls. Pregnancy tests were performed 14 days after embryo transfer. Analysis of covariance was used to compare the relationship of stress ratings to urinary cortisol and 6-SM levels among the women who became pregnant, the women who did not, and the women who served as controls. Other variables were explored by performing chi2 analysis and Fisher's exact test. RESULTS:Neither self-ratings of acute anxiety, nor total daily 6-SM value, nor cortisol levels were associated with pregnancy outcome in the ART procedures. CONCLUSION:Biochemical markers of stress failed to support a deleterious effect of stress on pregnancy outcome in women who underwent ART procedures. Subjective measurement of stress levels did not differ between women who became pregnant and those who did not.

journal_name

South Med J

journal_title

Southern medical journal

authors

Lovely LP,Meyer WR,Ekstrom RD,Golden RN

doi

10.1097/01.SMJ.0000054567.79881.E9

subject

Has Abstract

pub_date

2003-06-01 00:00:00

pages

548-51

issue

6

eissn

0038-4348

issn

1541-8243

journal_volume

96

pub_type

杂志文章
  • Cytologic screening for gynecologic cancer.

    abstract::In the past 30 years there has been no improvement in the five-year survival rate for endometrial carcinoma. Any change comparable to improved survival in cervical carcinoma will be accomplished only by similar detection of the early asymptomatic and precursor lesions of endometrial carcinoma. Reasons why the conventi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198004000-00022

    authors: Muenzer RW,Kim K

    更新日期:1980-04-01 00:00:00

  • Prevalence of previously undiagnosed hypothyroidism in residents of a midwestern nursing home.

    abstract::Hypothyroidism in the elderly may be associated with nonspecific symptoms. To determine the prevalence of undiagnosed hypothyroidism in residents of a skilled nursing facility, we screened 434 male and 137 female residents, aged 60 years or older, for thyroid dysfunction. Overt hypothyroidism was found in three men an...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199011000-00006

    authors: Drinka PJ,Nolten WE

    更新日期:1990-11-01 00:00:00

  • Chronic osteomyelitis caused by Staphylococcus aureus: controlled clinical trial of nafcillin therapy and nafcillin-rifampin therapy.

    abstract::A controlled trial of treatment of chronic osteomyelitis caused by Staphylococcus aureus compared nafcillin alone with nafcillin plus rifampin for a six-week period. Treatment was well tolerated, the only adverse effect being mild neutropenia in four of 18 patients; no toxicity was observed from rifampin. Eight of ten...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007611-198608000-00008

    authors: Norden CW,Bryant R,Palmer D,Montgomerie JZ,Wheat J

    更新日期:1986-08-01 00:00:00

  • Esophageal squamous cell carcinoma with a solitary phalangeal metastasis.

    abstract::A patient with pathologically proven acrometastasis of his left thumb presented 3 months after esophagectomy for esophageal squamous cell carcinoma. Interestingly, there was indeed a faint uptake in his left thumb that was initially considered an artifact in the whole body bone scan taken before esophagectomy. Physici...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e31817bf9be

    authors: Hsieh CY,Bai LY,Lo WC,Huang HH,Chiu CF

    更新日期:2008-11-01 00:00:00

  • Chronic hemoptysis: an unusual manifestation of fungal sinusitis.

    abstract::A woman with chronic hemoptysis as her only complaint had extensive testing and did not respond to antibiotic therapy. Radiologic examination of the sinuses identified a mass which, on surgical exploration, was found to be the result of a fungus, Pseudallescheria boydii. Although this fungus is known to be a cause of ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199507000-00021

    authors: Fiero RA,Groth M,Hurewitz A,April M,Nuovo M

    更新日期:1995-07-01 00:00:00

  • Toxic shock syndrome mimicking pelvic inflammatory disease presumably resulting from tattoo.

    abstract::The female patient with a variety of genital tract symptoms offers a distinct challenge to the gynecologist. We report a case that on initial examination was thought to be pelvic inflammatory disease (PID). After further evaluation, our patient was found to be suffering from toxic shock syndrome, which in many ways ma...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199312000-00027

    authors: Cowan RK,Martens MG

    更新日期:1993-12-01 00:00:00

  • Fatal pulmonary embolism in cancer patients: is heparin prophylaxis justified?

    abstract::The incidence of fatal and nonfatal pulmonary embolism (PE) was evaluated in a series of 578 patients, to quantify the suspected higher risk in cancer patients of death from massive PE when compared with patients not having cancer. PE occurred in 13% and was fatal in 8% of noncancer patients. It occurred in 17% and wa...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198007000-00005

    authors: Shen VS,Pollak EW

    更新日期:1980-07-01 00:00:00

  • Needle-catheter jejunostomy for postoperative nutritional support.

    abstract::Use of the needle-catheter feeding jejunostomy at Richland Memorial Hospital and the Dorn Veterans Administration Hospital, both clinical teaching institutions of the University of South Carolina School of Medicine, has been evaluated in 114 patients ranging from 20 to 90 years old. The results of this survey span a 3...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198611000-00018

    authors: Strickland GF,Greene FL

    更新日期:1986-11-01 00:00:00

  • Prophylaxis against acute stress erosions.

    abstract::Acute gastroduodenal erosions and ulcerations, often with life-threatening gastrointestinal hemorrhage, contribute to high mortality in critically ill patients. Hypersecretion of gastric acid to some degree seems to be necessary. Antacids and recently cimetidine, a histamine H2-receptor antagonist, have been used for ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198004000-00007

    authors: Luk GD

    更新日期:1980-04-01 00:00:00

  • Inadequate documentation of asthma management in hospitalized adult patients.

    abstract::Undocumented patient information in the medical record (MR) is a barrier to providing high quality care. Inadequate documentation has recently been reported for two cardiovascular diseases. This study was designed to evaluate the documentation of asthma management in the MR to determine if it is consistent with the NI...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e31819ecb03

    authors: Arnold LB,Usery JB,Finch CK,Wallace JL,Deaton PR,Self TH

    更新日期:2009-05-01 00:00:00

  • Dissemination of community-associated methicillin-resistant Staphylococcus aureus in a tertiary care hospital.

    abstract:BACKGROUND:The epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) was investigated at a tertiary care hospital, and relationship was made between the clinical and genetic definitions of community- and healthcare-associated MRSA. METHODS:Nonduplicate isolates of S. aureus were collected during 2004. Iso...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e31815d3fce

    authors: Patel M,Hoesley CJ,Moser SA,Stamm AM,Baddley JW,Waites KB

    更新日期:2008-01-01 00:00:00

  • Effect of N-acetyl cysteine on Helicobacter pylori.

    abstract:BACKGROUND:Use of mucolytic agents that result in reduced mucous viscosity of the gastric mucous has been suggested to have an additive effect in curing Helicobacter pylori infection. METHODS:Seventy Hpylori-positive patients were given either eradication treatment consisting of 500 mg clarithromycin bid and 30 mg lan...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.smj.0000182486.39913.da

    authors: Gurbuz AK,Ozel AM,Ozturk R,Yildirim S,Yazgan Y,Demirturk L

    更新日期:2005-11-01 00:00:00

  • Colonoscopy preparation complicated by Mallory-Weiss tear.

    abstract::I have reported two cases of Mallory-Weiss tear occurring after the patients drank an oral electrolyte/polyethylene glycol preparation before colonoscopy. Only two other such cases have been previously reported. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199203000-00021

    authors: Hroncich ME

    更新日期:1992-03-01 00:00:00

  • Close monitoring is essential during isoniazid prophylaxis.

    abstract::A three-year prospective study during the entire course of preventive therapy with isoniazid (INH) for recently infected hospital employees was undertaken to evaluate the risk of developing INH-related hepatic injury. Results of clinical and laboratory tests at 1, 2, 6, and 12 months were correlated to ascertain the s...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197702000-00009

    authors: Atuk NO,Hart AD,Hunt EH

    更新日期:1977-02-01 00:00:00

  • Familial acalculous gallbladder disease.

    abstract::Four patients, all sisters, presented a long-standing history of pain in the gallbladder region and no calculi. All were first thoroughly investigated and then relieved of their symptoms by cholecystectomy. This prompted an investigation of their family over three generations, which revealed a surprisingly large numbe...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199302000-00008

    authors: Rizk TA,Deshmukh N

    更新日期:1993-02-01 00:00:00

  • Mixed Streptococcus pneumoniae and gram-negative bacillary pneumonia in the elderly.

    abstract::Of 24 elderly patients with Streptococcus pneumoniae pneumonia confirmed by transtracheal aspiration, six had concomitant infection with gram-negative aerobic bacilli. All six patients were elderly men with underlying cardiopulmonary disease. Three had had recent prior episodes of gram-negative pneumonia and four had ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198102000-00004

    authors: Berk SL,Wiener SL,Eisner LB,Duncan JW,Smith JK

    更新日期:1981-02-01 00:00:00

  • Primary biliary cirrhosis in an elderly man with normal liver tests.

    abstract::Primary biliary cirrhosis (PBC) is a cholestatic liver disease that usually presents in middle-aged women. Women are about ten times more commonly affected than men. The case of a 78-year-old man with PBC who presented with pruritus is discussed. Liver biopsy and antimitochondrial antibody serology were diagnostic of ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181c041bd

    authors: Dash A,Kragel P

    更新日期:2009-12-01 00:00:00

  • CD8+ lymphocytic pneumonitis in a patient receiving cyproterone acetate.

    abstract::A large number of drugs can induce pulmonary disease. We report the case of a female patient who was receiving cyproterone acetate for severe hirsutism. After 4 months of cyproterone therapy, she had dyspnea, pulmonary infiltrates, and a restrictive ventilatory defect. Bronchoalveolar lavage showed CD8+ lymphocytosis ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199710000-00016

    authors: Similowski T,Orcel B,Derenne JP

    更新日期:1997-10-01 00:00:00

  • Erysipelas-like syndrome caused by Streptococcus pneumoniae.

    abstract::Streptococcus pneumoniae produced an erysipelas-like eruption in a patient with the nephrotic syndrome. The eruption and accompanying fever resolved upon treatment with aqueous penicillin. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197906000-00038

    authors: Varghese R,Melo JC,Chun CH,Raff MJ

    更新日期:1979-06-01 00:00:00

  • Influences on Primary Care Provider Imaging for a Hypothetical Patient with Low Back Pain.

    abstract:OBJECTIVE:How outside factors affect physician decision making remains an open question of vital importance. We sought to investigate the importance of various influences on physician decision making when clinical guidelines differ from patient preference. METHODS:An online survey asking 469 primary care providers (PC...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000901

    authors: Le HH,DeCamp M,Bertram A,Kale M,Berger Z

    更新日期:2018-12-01 00:00:00

  • Prader-Willi syndrome: effect of group home placement on obese patients with diabetes.

    abstract::Morbid obesity and type II diabetes, common complications of Prader-Willi syndrome (PWS), are difficult to manage in the home setting. We assessed the effect of specialized group home placement on these complications in eight individuals with PWS, all of whom were obese and four of whom had type II diabetes. The group...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Kaufman H,Overton G,Leggott J,Clericuzio C

    更新日期:1995-02-01 00:00:00

  • Suboptimal effect of daptomycin in the treatment of bacteremias.

    abstract::We have reported two cases involving bacteremic patients who failed to respond adequately to the investigational agent daptomycin. Despite apparent sensitivity of the organisms, therapy was unsuccessful in both patients using the recommended dosage. The sponsor of daptomycin is currently reevaluating the recommendatio...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198911000-00018

    authors: Garrison MW,Rotschafer JC,Crossley KB

    更新日期:1989-11-01 00:00:00

  • Pulmonary vein obstruction by bronchogenic carcinoma.

    abstract::Two patients with obstruction of the pulmonary veins by bronchogenic carcinoma, an unusual cause, are presented. These and other cases reported have had features suggestive of mitral stenosis. The differential diagnosis is discussed. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197611000-00027

    authors: Stinson JM,Goodwin RA Jr

    更新日期:1976-11-01 00:00:00

  • Prevalence and Clinical Impact of Atrial Fibrillation in Patients with Pulmonary Embolism.

    abstract:OBJECTIVES:Atrial fibrillation (AF) has been suggested as a cause for pulmonary embolism (PE). We aimed to explore the prevalence and clinical impact of AF in patients with PE. METHODS:Using the 2012-2014 National (Nationwide) Inpatient Sample database, we identified "adult patients with PE" as the principal discharge...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000001059

    authors: Yang Y,Liu B,Taylor J,Huang Z,Gupta S,Thumma S,Wu L,Wang S,Everett G

    更新日期:2020-02-01 00:00:00

  • Optimal enzyme test combination for diagnosis of acute myocardial infarction.

    abstract::One hundred consecutive patients admitted to our cardiology service with the suspected diagnosis of acute myocardial infarction were evaluated with serical enzyme and isoenzyme determinations in an attempt to develop the medically and financially optimal combination of enzyme tests. In patients with onset of chest pai...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197812000-00004

    authors: Gann D,Cabello B,DiBella J,Rywlin AM,Samet P

    更新日期:1978-12-01 00:00:00

  • Malpractice liability of physicians to nonpatients.

    abstract::Sometimes physicians assume responsibilities to third parties when undertaking the care of patients. Physicians have been held liable to third parties, though strangers to the patients, for failing to warn regarding the communicability of contagious diseases. Two suits have been allowed against physicians by third par...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197606000-00031

    authors: Hirsh HL

    更新日期:1976-06-01 00:00:00

  • Paraurethral cysts in the newborn.

    abstract::I have reported three case of paraurethral cysts in female neonates. These are uncommon lesions, and urologic evaluation is required to differentiate them from ectopic ureteroceles, urethral diverticula, or paraurethral tumors. Histologic appearance of the cyst epithelium identifies the embryologic origin. The cysts e...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198506000-00035

    authors: Bergner DM

    更新日期:1985-06-01 00:00:00

  • Efficacy and safety of sodium phosphate for colon cleansing in type 2 diabetes mellitus.

    abstract:OBJECTIVES:The need for colonoscopy is common among diabetic patients. However, there are no standards per se for bowel preparation in patients with type 2 diabetes. In this study, we evaluated the efficacy, safety, and tolerability of sodium phosphate (NaP), and the quality of bowel cleansing in relation to glycemic c...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181f20b13

    authors: Ozturk NA,Gokturk HS,Demir M,Unler GK,Gur G,Yilmaz U

    更新日期:2010-11-01 00:00:00

  • Evaluation of the Pelorus Stereotactic Surgical System for CT-guided stereotactic brain biopsy.

    abstract::The Pelorus Stereotactic Surgical System is a relatively new, commercially available device that can be used to perform computed tomography (CT)-guided stereotactic brain biopsy. It has been promoted as being a relatively simple and inexpensive system that is more rapid, less cumbersome, and generally easier to use th...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199307000-00008

    authors: Engelhard HH,Nazar GB,Grieser GM

    更新日期:1993-07-01 00:00:00

  • Primary splenic lymphoma complicated by hematemesis and gastric erosion.

    abstract::Gastrosplenic fistula resulting from erosion of a primary splenic lymphoma is a rare cause of massive upper gastrointestinal hemorrhage associated with benign peptic ulcer disease, gastric Crohn's disease, gastric adenocarcinoma, and primary gastric and splenic lymphomas. Upper intestinal hemorrhage can be successfull...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Bird MA,Amjadi D,Behrns KE

    更新日期:2002-08-01 00:00:00