Impact of COVID-19 Pandemic on Women's Health and Obstetric Outcomes after Assisted Reproduction: A Survey from an Italian Fertility Center.

Background: the restrictive measures that were adopted during three waves of the COVID-19 pandemic had an impact on both the emotional state and lifestyle of the general population. We evaluated the impact of COVID-19 pandemic on lifestyles and emotional states of women planning assisted reproductive technology (ART), and whether these changes affected ART outcomes.

Methods: quantitative research, using a web-based survey, was performed on 289 Caucasian women.

Results: In preconception, we observed higher percentage of women with positive obstetric outcomes who reduced body weight (52.4% vs. 27.2%, = 0.09). Over 60% of women with positive outcomes practiced physical activity vs. 47% of women with negative outcomes ( = 0.03), as well as having better quality of sleep (45% vs. 35%), and a more solid relationships with their partners (65.1% vs. 51.7%, = 0.03). Women who increased their intake of whole grains, fruits, vegetables, and legumes ( < 0.05), according to the Mediterranean diet, showed positive outcomes. We observed that participants who experienced "very much" or "extreme" anxiety, sadness, and fear ( < 0.05) during pandemic were clearly more numerous in the group with negative pregnancy outcomes.

Conclusions: healthy lifestyle together with a positive emotional state in preconception can positively influence the obstetric outcomes after ART.