Purpose

The objective of this study was to evaluate the perception of the initial ASRM COVID-19 recommendations for infertility treatment held by women’s health providers within varying subspecialties, as well as their attitudes toward pregnancy and fertility during this time.

Methods

An electronic survey was sent to all women’s healthcare providers, including physicians, mid-level providers and nurses, in all subspecialties of obstetrics and gynaecology (Ob/Gyn) at a large tertiary care university-affiliated hospital.

Results

Of the 278 eligible providers, the survey response rate was 45% (n = 127). Participants represented 8 Ob/Gyn subspecialties and all professional levels. Participants age 18–30 years were significantly more likely to feel that women should have access to infertility treatment despite the burden level of COVID-19 in respective community/states (p = 0.0058). Participants within the subspecialties of general Ob/Gyn, maternal foetal medicine and gynecologic oncology were significantly more likely to disagree that all women should refrain from planned conception during the COVID-19 pandemic, in comparison to those in urogynecology and reproductive endocrinology and infertility (p = 0.0003).

Conclusions

Considering the immediate and unknown long-term impact of the COVID-19 pandemic on fertility care delivery, a better understanding of perceptions regarding infertility management during this time is important. Our study shows overall support for the initial ASRM recommendations, representing a wide spectrum of women’s health providers.

中文翻译：

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治疗或不治疗：对美国生殖医学学会COVID-19最初建议的看法，其中包括女性保健人员

目的

这项研究的目的是评估对不同亚专业的女性保健人员持有的不孕治疗的最初ASRM COVID-19建议的理解，以及在此期间她们对怀孕和生育的态度。

方法

在一家大型三级护理大学附属医院中，向所有妇产科（Ob / Gyn）子专业的所有女性医疗保健提供者发送了电子调查，包括医生，中级提供者和护士。

结果

在278名合格提供者中，调查答复率为45％（n  = 127）。参与者代表8个Ob / Gyn亚专业和所有专业级别。尽管COVID-19的负担水平在各个社区/州中较高，但年龄在18-30岁的参与者更有可能认为妇女应该获得不育治疗（p  = 0.0058）。一般产科/妇科的亚专科内的参与者，母胎医学和妇科肿瘤是显著更可能不同意所有妇女应在COVID-19大流行，相对于那些在妇科泌尿和生殖内分泌和不孕不育（在从计划受孕避免p  = 0.0003）。

结论

考虑到COVID-19大流行对生育保健服务的直接和未知的长期影响，因此在这段时间内更好地理解有关生育管理的观念非常重要。我们的研究显示了对ASRM最初建议的总体支持，代表了众多妇女保健提供者。