Abstract
Purpose
Exposure to environmental contaminants is to be taken into account in preventive healthcare in general and particularly in the field of reproduction according to the increasing amount of evidence data being published. The aim of this study is to evaluate the practices and interest in and basic knowledge of environmental health, by the professionals of the ART process: doctor, embryologist, and nurses.
Methods
Survey among 12 Belgian assisted reproductive technology (ART) centers.
Results
The response rate was 67%: 43.5% of the ART professionals do bring up the topic of environmental contaminants with their patients, without significant differences among types of professionals. Ninety percent of respondents believe that it would be useful, and 63% mention their lack of knowledge and the absence of solutions (20.5%) to explain their inaction. Lack of knowledge is much greater for nurses respectively (85%) compared with doctors (52%) and biologists (54%). The most popular means toward improving their knowledge is scientific seminars (69%). The questionnaire to evaluate the health professional knowledge gives 56% of adequate replies. The topic concerning eating habits obtains a very bad score of knowledge. When looking at exposure to occupational risks, 75% of the answers were correct.
Conclusions
The place of ART before conception makes it an ideal entry point for the prevention of environmental hazards. This study corroborates the previous observations which underline the importance to reinforce the concepts of environmental health in the initial and continuous training of health professionals.
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Data availability
Crude data of web survey available on request in French.
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Acknowledgments
Annick Delvigne thank Jeanne Perrin, Florence Bretelle, and Claire Sunyach for the certificate in environmental health in perinatology and fertility delivered at the Timone Faculty, University of Marseille; the final dissertation for this certificate initiates this paper. The authors thank all the ART professionals who kindly accepted to answer the survey. The authors are grateful to Mary Stevens, Stephanie Johnson, and Vandromme Oscar for English improvements.
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Authors and Affiliations
Contributions
JV: conceived and designed the experiments, realized the web questionnaire, and contributes to the analyses of data and to the statistical analyses.
AD: conceived, designed, and performed the experiments; analyzed and interpreted the data; and wrote the paper.
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The authors declare that they have no conflict of interest.
Ethical approvals
Authorization to conduct the study given by the local ethics committee in accordance with the new European regulations regarding the protection of personal data, from May 2018 (RGPD) received on April 10, 2019.
Consent to participate
The study is an anonymous survey of a target group of professionals involved in the ART process before conception, and an email requesting participation in a study constitutes the informed consent.
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Delvigne, A., Vandromme, J. Assessment of environmental knowledge and needs among assisted reproductive technology professionals. J Assist Reprod Genet 37, 2347–2355 (2020). https://doi.org/10.1007/s10815-020-01888-2
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DOI: https://doi.org/10.1007/s10815-020-01888-2