Emotional adaptation following successful in vitro fertilization

Department of Woman and Child Health, Karolinska Institutet, Stockholm, Sweden.
Fertility and Sterility (Impact Factor: 4.59). 06/2004; 81(5):1254-64. DOI: 10.1016/j.fertnstert.2003.09.061
Source: PubMed


To assess the emotional impact of infertility after successful IVF and to compare parents who have undergone IVF (IVF parents) and parents who have not undergone IVF (non-IVF parents) regarding parental stress and the marital relationship during the transition to parenthood.
A study with qualitative and longitudinal quantitative assessments.
University IVF clinics and antenatal clinics in Stockholm.
Fifty-five IVF mothers, 53 IVF fathers, 40 non-IVF mothers, and 36 non-IVF fathers.
IVF parents were interviewed. All subjects completed self-rating scales in early pregnancy and at 2 and 6 months postpartum.
Interviews about perception of infertility and scalar measurement of parental stress and the marital relationship.
Negative feelings related to infertility were not easily overcome among the IVF parents. Their levels of stress related to parenthood were similar to those of non-IVF parents, and both groups reported decreased satisfaction with the marital relationship during the transition to parenthood.
The inability to conceive naturally continues to affect the current lives of a proportion of IVF parents. The results suggest that IVF parents may benefit from counseling with regard to the potential long-term impacts of infertility, disclosure issues, and decisions regarding future children. However, levels of parental stress and patterns of partner satisfaction are similar to those of parents with children conceived "naturally."

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    • "These results have been interpreted as potentially being attributable to the infertility experience, which, while being stressful and weakening certain individual aspects, can also activate resources, strengthen the couple relationship, and lead to improved functioning of the marital relationship (Peterson, Newton, & Rosen, 2003; Schmidt, Holstein, Christensen, & Boivin, 2005). Moreover , couples who undergo ART have generally functioned as a marital unit longer than couples who conceive spontaneously, which could explain why couples undergoing ART have high levels of marital satisfaction during the pregnancy (Hjelmstedt et al., 2004). "
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    ABSTRACT: Although the coparenting relationship has been described as key in family dynamics, very few studies have assessed its development during pregnancy after assisted reproductive technology (ART). In this study, the authors compared the prenatal coparenting relationship in 33 couples who conceived through ART with that of 49 couples who conceived spontaneously, and assessed the association between marital satisfaction and the prenatal coparenting alliance. The first-time parents were met during the second trimester of pregnancy. A validated observational task (the Prenatal Lausanne Trilogue Play) was used to assess their prenatal coparenting relationship, and the Dyadic Adjustment Scale was used to evaluate marital satisfaction. No differences were observed in the two groups’ global prenatal coparenting scores, but the ART couples showed less coparental playfulness than those who conceived spontaneously. Marital satisfaction was higher in women who conceived through ART. These data suggest that infertility and its treatment affect the prenatal coparenting and marital relationships in different ways.
    Family Relations 10/2015; 64(4):534-546. DOI:10.1111/fare.12131 · 0.68 Impact Factor
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    • "In their article which aims to highlight the gap between existing research evidence and midwifery practice, they suggest that midwifery staff appear to be unaware of the specific needs of infertile women during pregnancy , birth and early motherhood. Research by Hjelmstedt et al. (2003a, 2003b), McMahon et al. (2003) and Hjelmstedt et al. (2004) has contributed significantly to understanding how the complexities resulting from infertility treatments affect pregnancy, birth and parenthood. Whilst their findings point towards further research, two main issues come to the fore. "
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    ABSTRACT: Objective The aim is to explore the psychosocial needs of women who are pregnant after assisted conception, specifically In Vitro Fertilisation and whether their needs are being addressed within the current maternity care service. Design Critical review of the literature using a narrative approach. Findings and key conclusions 15 papers were identified. These included both qualitative and quantitative studies, literature reviews and surveys. The findings of this limited narrative review imply that women who undergo assistive reproductive techniques to achieve pregnancy have higher levels of anxiety in pregnancy and may have some difficulties in the transition to parenthood leading to perinatal morbidity. It appears that for this group of women it is important that their history in achieving pregnancy is known to the care providers, to enable the alleviation of some of the anxieties they face. Various aspects of antenatal care have been identified as possible areas which if addressed may reduce these levels of anxiety leading to a reduction in perinatal morbidity. Implications for Practice Currently, there is insufficient evidence to suggest that providing specialist midwifery care reduces morbidity in these women. However, maternity service providers should consider offering additional antenatal and postnatal services to meet the needs of this group in advance of further research in this area.
    Midwifery 07/2014; 31(2). DOI:10.1016/j.midw.2014.06.008 · 1.57 Impact Factor
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    • "However, this pleasant event is usually accompanied psychological and behavioral changes and can result in stress in women, particularly women who undergo ART (1). Assisted reproductive technology (ARTs) is one of the risk factors that can lead to anxiety in those who use these kinds of techniques (2). Recent research has shown that couples who try to have a child via ART techniques are perceived to have high levels of anxiety (3-6). "
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    ABSTRACT: Successful pregnancy is the ultimate goal of almost all couples. However, this pleasant event is usually accompanied psychological and behavioral changes and can result in stress in women, particularly women who pregnant by assisted reproductive technology methods (ARTs). This study aims to determine the anxiety level during pregnancy and its relation with infertility factors in women who has been pregnant by Assisted Reproduction Technology (ART) methods. A total number of 100 ARTs pregnant women who came to three infertility centers in Tehran from August to November 2009 participated in this descriptive cross sectional study. The rational for selecting the subjects was their availability to the researcher at the time of the research. Anxiety was measured by Beck Anxiety Inventory and for obtaining the infertility data, a questionnaire designed by the researcher was given to the subjects. Data were statistically analyzed using the inferential statistic of chi-square. Study results showed that 34 % of subjects were anxious (moderate and sever levels in total). There are significant relations between infertility duration, history of treatment failure and anxiety level (P = 0.03) (P = 0.02). There were no statistically significant relationships with regard to other variables. Infertility duration and history of treatment failure in ARTs pregnant women are two factors that affect the anxiety level during pregnancy.
    12/2013; 15(12):e14465. DOI:10.5812/ircmj.14465
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