Heterogeneous effects of sleep and psychological health on pregnancy outcomes in donor insemination: a prospective cohort study

This study looked at how sleep quality, anxiety, and depression might be related to pregnancy outcomes for people using donor insemination, noting differences between IVF/ICSI and IUI procedures. Researchers found that poorer sleep quality was linked to lower odds of clinical pregnancy and live birth in those undergoing IVF/ICSI, and to higher miscarriage odds in IUI. Interestingly, mild anxiety in the IVF/ICSI group was linked to higher live birth rates but also more C-sections. This suggests that how sleep and anxiety relate to pregnancy success can vary depending on the specific fertility treatment, highlighting the importance of personalizing care.