Evidence map›Paper›PMID 41938998›Full record

ArticleFrontiers in reproductive health2026

Prevalence and determinants of fertility care-seeking among women experiencing delayed conception in North India: a cross-sectional study.

Barsha Gadapani Pathak, Gitau Mburu, Ndema Habib, Rita Kabra, James Kiarie, Ranadip Chowdhury, Neeta Dhabhai, Sarmila Mazumder

Abstract read
In one paragraph

Article in Frontiers in reproductive health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Barsha Gadapani PathakSociety for Applied Studies, New Delhi, India.
Gitau MburuUNDP-UNFPA-UNICEF-WHO-World Bank Special Program of Research, Development and Research Training in Human Reproduction (HRP) Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Ndema HabibUNDP-UNFPA-UNICEF-WHO-World Bank Special Program of Research, Development and Research Training in Human Reproduction (HRP) Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Rita KabraUNDP-UNFPA-UNICEF-WHO-World Bank Special Program of Research, Development and Research Training in Human Reproduction (HRP) Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
James KiarieUNDP-UNFPA-UNICEF-WHO-World Bank Special Program of Research, Development and Research Training in Human Reproduction (HRP) Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Ranadip ChowdhurySociety for Applied Studies, New Delhi, India.
Neeta DhabhaiSociety for Applied Studies, New Delhi, India.
Sarmila MazumderSociety for Applied Studies, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Infertility affects a substantial proportion of couples in low- and middle-income countries, yet access to fertility care remains limited. In India, research has primarily focused on psychosocial and biomedical aspects of infertility, with comparatively limited attention to care-seeking behaviours. Understanding the determinants of care-seeking is critical for promoting equitable access to infertility services. Methods: We conducted a cross-sectional study among 1,530 married women, aged 18-30 years, who intended to conceive and lived in low- to middle-socioeconomic urban neighbourhoods of Delhi. All participants had not conceived after 18 months of participation in a preconception randomized-control trial. Structured interviews captured information on sociodemographic characteristics, fertility intentions, psychosocial experiences, and care-seeking actions. Care-seeking was categorized as formal (health system providers), informal (family or traditional healers), or mixed. Results: 69.9% of women sought some form of help for delayed conception and, among them 85.5% consulted both formal and informal sources. Logistic regressions identified predictors of care-seeking where longer duration of trying to conceive [adjusted odds ratio (aOR) 1.6 per year, 95% CI: 1.4-1.7], perceiving conception as taking too long (aOR 3.1, 95% CI: 2.1-4.5), feeling isolated (aOR 1.7, 95% CI: 1.2-2.4), emotional abuse from husbands (aOR 1.7, 95% CI: 1.2-2.4) or family members (aOR 1.6, 95% CI: 1.2-2.2), and heavy menstrual bleeding (aOR 1.5, 95% CI: 1.0-2.2) were associated with greater odds of care-seeking, while regular menstrual cycles were associated with lower odds (aOR 0.6, 95% CI: 0.4-0.9). The negative association of regular cycles with care-seeking was significantly modified by social isolation (interaction aOR 3.78, 95% CI: 1.20-11.89). Conclusion: These findings underscore the importance of integrating psychosocial support and fertility education into accessible, affordable infertility services within the public health system.

Indexed as

care-seekingdelayed conceptionIndiainfertilitywomen health (all mesh-terms)

Identifiers

PMID41938998
PMCPMC13044071

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.