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Annan-Frey L, Boateng EA, Lomotey A, Lartey C, Dzomeku V. Lived experiences and coping strategies of persons seeking infertility treatment in the Kumasi metropolis: a descriptive phenomenological study. BMC Womens Health 2023; 23:74. [PMID: 36803345 PMCID: PMC9940398 DOI: 10.1186/s12905-023-02194-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 01/27/2023] [Indexed: 02/22/2023] Open
Abstract
BACKGROUND Women seeking fertility treatment face myriad challenges that they must adapt and adjust to daily. This aimed at exploring the experiences and coping strategies of such persons in the Kumasi. Metropolis. METHODS A qualitative approach was employed and a purposive sampling technique was used to select 19 participants. A semi-structured interview was used to collect data. The data collected were analyzed using Colaizzi's method of data analysis. RESULTS Persons living with infertility had emotional experiences of anxiety, stress, and depression. Socially, participants experienced isolation, stigma, societal pressure, and marital problems due to their inability to conceive. The key coping strategies adopted were spiritual (faith-based) and social support. Though formal child adoption can be an option, no participant preferred it as a coping strategy. Some participants also reported using herbal medicine before going to the fertility centre upon realizing that the approach was not helping in achieving their desired outcome. CONCLUSION Infertility is a source of suffering for most women diagnosed with it, resulting in significant negative experiences in their matrimonial homes, families, friends, and the community at large. Most participants rely on spiritual and social support as their immediate and basic coping strategies. Future research could evaluate the treatment and coping strategies and also determine the outcomes of other forms of treatment for infertility.
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Affiliation(s)
| | - Edward Appiah Boateng
- grid.9829.a0000000109466120Department of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Alberta Lomotey
- grid.9829.a0000000109466120Department of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | | | - Veronica Dzomeku
- grid.9829.a0000000109466120Department of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
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Ebrahimzadeh Zagami S, Latifnejad Roudsari R, Janghorban R, Allan HT. Trying for a second chance: Iranian infertile couples' experiences after failed ART. J Psychosom Obstet Gynaecol 2022; 43:165-170. [PMID: 34388051 DOI: 10.1080/0167482x.2021.1961733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
INTRODUCTION Despite significant advances, only 35% infertile couples conceive after ART. If IVF is unsuccessful, couples will need to decide whether to proceed again with assisted conception. The aim of this study was to explore Iranian infertile couples' experiences after failed ART to continue treatment. METHODS In this qualitative study participants were selected using purposeful sampling method. Data were collected using 29 semi-structured face-to-face in-depth interviews at a regional Infertility Center from April 2016 to June 2017. All interviews were recorded, transcribed verbatim, and analyzed with conventional content analysis method using MAXQDA software. RESULTS Our findings suggest that couples' decisions to continue treatment after unsuccessful ART is shaped by their social, emotional and financial circumstances. We have constructed two themes to describe their experiences: support to continue and trying for a second chance. CONCLUSION Our findings suggest that good marital and family support networks can support infertile couples during this period of decision making. Considering the depression and anxiety caused by failed ARTs, which itself could affect the success rate of any further ARTs, the clinical team should effectively assess psychological readiness of couples who decide to continue with another ART after unsuccessful treatment.
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Affiliation(s)
| | | | - Roksana Janghorban
- Maternal-Fetal Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Helen T Allan
- Department of Adult Child and Midwifery, School of Health and Education, Middlesex University, London, UK
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3
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Hassan SUN, Zahra A, Parveen N, Iqbal N, Mumtaz S, Batool A. Quality of Infertility Care Services and Emotional Health of South Asian Women. Psychol Res Behav Manag 2022; 15:1131-1146. [PMID: 35586700 PMCID: PMC9109899 DOI: 10.2147/prbm.s357301] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Accepted: 04/26/2022] [Indexed: 11/23/2022] Open
Abstract
Background Treatment tolerability and treatment environment are two major spheres of infertility care that may associate with women’s emotional health and coping mechanisms. Aim The present study aimed at assessing the relationship between infertility treatment quality and various aspects of emotion-focus coping, problem-focus coping, and avoidance coping mechanisms. Method The study was completed by using standardized tools and data from this descriptive, cross-sectional, correlational study were collected from 350 women undergoing infertility treatments in private reproductive healthcare centers in Quetta, Pakistan. Findings Treatment tolerability was found to be positively associated with positive reframing (p < 0.02) and negatively associated with the use of emotional support (p < 0.03); acceptance (p < 0.01); humor (p < 0.03); behavioral disengagement (p < 0.01) and venting (p < 0.01). The quality of the treatment environment demonstrated a negative correlation between religious coping (p < 0.02) and behavioral disengagement (p < 0.01), whereas it showed a positive correlation with active coping (p < 0.03) and planning (p < 0.02). The linear regression analysis demonstrated that treatment tolerability significantly increased with positive reframing (R2 = 0.118, F(304) = 2.22, p < 0.03). Behavioral disengagement significantly decreased with better treatment environment (R2 = 0.111, F(304) = 2.09, p < 0.02). Discussion We discussed the findings keeping in view the role of social, cultural, and economic factors related to infertility care in the context South-Asian culture, and recommendations are made to promote women’s mental health and coping by improving some specific aspects of infertility treatment quality. Conclusions High treatment tolerability may associate with some useful aspects of emotion-focus coping, such as positive reframing, whereas low treatment tolerability may associate with avoidance coping, such as behavioral disengagement and venting. Besides, the quality of the infertility treatment environment enables women to use problem-focus coping mechanisms, such as planning and active coping.
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Affiliation(s)
- Sehar-un-Nisa Hassan
- Department of Public Health, College of Public Health and Health Informatics, University of Ha’il, Ha’il, 81451, Kingdom of Saudi Arabia
- Department of Behavioral Sciences, School of Social Sciences and Humanities, National University of Sciences and Technology (NUST), Islamabad, Pakistan
- Correspondence: Sehar-un-Nisa Hassan, Department of Public Health, College of Public Health and Health Informatics, University of Ha’il, Ha’il, 81451, Kingdom of Saudi Arabia, Tel +966 5576 629 275, Email ;
| | - Aqeela Zahra
- Department of Family and Community Medicine, College of Medicine, University of Ha’il, Ha’il, 81451, Kingdom of Saudi Arabia
| | - Nuzhat Parveen
- Department of Obstetrics and Gynecology, College of Medicine, University of Ha’il, Ha’il, 81451, Kingdom of Saudi Arabia
- Nuzhat Parveen, Department of Obstetrics and Gynecology, College of Medicine, University of Ha’il, Ha’il, 81451, Kingdom of Saudi Arabia, Email
| | - Naveed Iqbal
- Department of Obstetrics and Gynecology, College of Medicine, University of Ha’il, Ha’il, 81451, Kingdom of Saudi Arabia
| | - Sarwat Mumtaz
- Department of Health Management, College of Public Health and Health Informatics, University of Ha’il, Ha’il, 81451, Kingdom of Saudi Arabia
| | - Asma Batool
- Obstetrics and Gynecology, Maternity and Children Hospital Ha’il, Ha’il, Kingdom of Saudi Arabia
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4
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Kucuk S, Koruk F. Being An Infertile Woman in A Highly Fertile Region of Turkey: Stigmatisation and Coping Experiences. ELECTRONIC JOURNAL OF GENERAL MEDICINE 2022. [DOI: 10.29333/ejgm/11545] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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5
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Demirel G, Taskin Yilmaz F, Yenicesu AG. The Relation Between Religious Coping, Adjustment to Fertility, Being Affected by Infertility, and Satisfaction with Life in Turkish Women with Infertility. JOURNAL OF RELIGION AND HEALTH 2021; 60:4264-4277. [PMID: 34218405 DOI: 10.1007/s10943-021-01319-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/17/2021] [Indexed: 06/13/2023]
Abstract
Religion has been an important tool in treating the difficulties expereinced by infertile females. This study was conducted to determine the relationship between religious coping styles and infertility adjustment, infertility distress, and satisfaction with life in a group of women with infertility problems. The study was a cross-sectional study that involved a convenience sample of 168 women with infertility living in Turkey. A weak negative correlation was found between women's positive religious coping and infertility distress. There was no significant correlation between women's negative religious coping and their infertility adjustment, infertility distress, and satisfaction with life.
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Affiliation(s)
- Gulbahtiyar Demirel
- Department of Midwifery, Faculty of Health Sciences, Sivas Cumhuriyet University, 58140, Sivas, Turkey.
| | - Feride Taskin Yilmaz
- Department of Internal Disease Nursing, Health High School of Susehri, Sivas Cumhuriyet University, 58140, Sivas, Turkey
| | - Ayse Gonca Yenicesu
- Department of Obstetrics and Gynecology, Faculty of Medicine, IVF Center, Sivas Cumhuriyet University, Sivas, Turkey
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6
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Kazemi A, Torabi M, Abdishahshahani M. Adjustment toward infertility mediates the relationship between coping, depression and anxiety in men: A confirmatory analysis. Eur J Obstet Gynecol Reprod Biol 2021; 258:48-52. [PMID: 33412462 DOI: 10.1016/j.ejogrb.2020.12.049] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Revised: 11/10/2020] [Accepted: 12/21/2020] [Indexed: 01/25/2023]
Abstract
OBJECTIVE The aim of the present study was to develop a theoretical framework for the relationships between coping, adjustment toward infertility, depression and anxiety and to present a confirmatory analysis of the developed theoretical framework in men who, together with their spouses, were candidates for assisted reproductive technology (ART) treatment. STUDY DESIGN This cross-sectional study was conducted on 212 men selected from the couples who were candidate for ART. Depression and anxiety, adjustment toward infertility, and coping strategies were assessed using self-report questionnaire. Statistical analysis was performed using the plug-in application PROCESS macro and AMOS software. RESULTS The results showed that higher depression and anxiety scores were related to lower adjustment to infertility. Higher adjustment score was associated with lower self-blame, self-focused rumination, active confronting and avoidance coping strategies scores significantly. In the depression and anxiety pathway models, the positive relationship between active confronting and elf-focused rumination coping strategies were mediated by adjustment. However, the effect of active confronting on depression and anxiety was significant only with mediating role of adjustment. The direct and indirect relationship of self-focused rumination and the indirect relationship of active confronting with depression and anxiety had a good fitness (CMIN/ DF = .419). CONCLUSION The self-focused rumination and active confronting coping strategies, having negative association with adjustment to infertility, and may increase depression and anxiety in men undergoing ART; however, higher adjustment is associated with decreased depression and anxiety. Therefore, mental health programs for men undergoing ART may need to focus on improving the skills of adaptive coping strategies.
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Affiliation(s)
- Ashraf Kazemi
- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
| | - Marjan Torabi
- Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
| | - Mahshid Abdishahshahani
- Midwifery Department, Nursing and Midwifery Health Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
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Zurlo MC, Cattaneo Della Volta MF, Vallone F. Re-examining the Role of Coping Strategies in the Associations Between Infertility-Related Stress Dimensions and State-Anxiety: Implications for Clinical Interventions With Infertile Couples. Front Psychol 2020; 11:614887. [PMID: 33414752 PMCID: PMC7782436 DOI: 10.3389/fpsyg.2020.614887] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Accepted: 11/18/2020] [Indexed: 12/22/2022] Open
Abstract
Research has shown a direct relationship between infertility-related stress and anxiety in infertile patients. The present study goes into this relationship in depth, testing the moderating role of coping strategies (Seeking Social Support, Avoidant, Positive Attitude, Problem-Solving, Turning to Religion) in the associations between specific infertility-related stress dimensions (Social Concern, Need for Parenthood, Rejection of Childfree Lifestyle, Couple’s Relationship Concern) and State-Anxiety among male and female partners of infertile couples. Gender differences were also explored. Both members of 254 infertile couples completed a questionnaire consisting of Socio-demographics, Fertility Problem Inventory–Short Form (FPI-SF), Coping Orientation to Problem Experienced–New Italian Version (COPE-NIV), and State-Trait Anxiety Inventory-Y (STAI-Y). The results revealed that Social Concern and Couple’s Relationship Concern, in both partners, and Need for Parenthood, in female partners, had positive correlations with State-Anxiety. Seeking Social Support and Avoidant coping were related to increasing levels of State-Anxiety in both partners, whereas Positive Attitude coping strategies were related to lower levels of State-Anxiety in female partners. Problem-Solving and Avoidant coping played moderating roles between specific infertility-related stress dimensions and State-Anxiety in unexpected directions. Problem-Solving exacerbated the negative effects of Social Concern, whereas Avoidant coping buffered the negative effects of several infertility-related stress dimensions in both partners. Interventions to improve stress management and psychological health in infertile couples should consider that the adequacy of coping strategies is inherently situation specific. It therefore follows that patient-centered clinical interventions should consider the potential inadequacy of promoting Problem-Solving strategies, and that even Avoidance can be an efficient strategy for dealing with specific infertility-related stress dimensions.
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Affiliation(s)
- Maria Clelia Zurlo
- Dynamic Psychology Laboratory, Department of Political Science, University of Naples Federico II, Naples, Italy
| | - Maria Francesca Cattaneo Della Volta
- Dynamic Psychology Laboratory, Department of Political Science, University of Naples Federico II, Naples, Italy.,Department of Humanities, University of Naples Federico II, Naples, Italy
| | - Federica Vallone
- Dynamic Psychology Laboratory, Department of Political Science, University of Naples Federico II, Naples, Italy.,Department of Humanities, University of Naples Federico II, Naples, Italy
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The Role of Spiritual Experiences in Feeling of Failure and Infertility Stress among Infertile Women. HEALTH, SPIRITUALITY AND MEDICAL ETHICS 2020. [DOI: 10.52547/jhsme.7.4.41] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Hadizadeh-Talasaz F, Simbar M, Latifnejad Roudsari R. Exploring Infertile Couples' Decisions to Disclose Donor Conception to The Future Child. INTERNATIONAL JOURNAL OF FERTILITY & STERILITY 2020; 14:240-246. [PMID: 33098393 PMCID: PMC7604704 DOI: 10.22074/ijfs.2020.44408] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 06/02/2020] [Indexed: 12/22/2022]
Abstract
Background Despite significant advances in reproductive technology, using donor assisted reproductive technology
is a double-edged sword that has numerous challenges. One of the most challenging issues for couples is whether or
not to disclose this information to donor offspring. This study, therefore, explored infertile couples’ decision to dis-
close donor conception to their future child. Materials and Methods This qualitative study was conducted using content analysis approach in 2012 in the Milad
Infertility Centre, Mashhad, Iran. Data were collected through semi-structured interviews with 32 infertile persons
including nine couples and 14 women who were selected by purposive sampling. Data were analysed by conven-
tional qualitative content analysis adopted by Graneheim and Lundman using MAXQDA 2010 software. Results Two categories were emerged: ‘not to disclose information to the child’ and ‘to disclose information to
the child’. The first category consisted of three subcategories: 1. child support from probable harms; 2.to maintain
healthy family relationships; and 3. lack of a compelling reason to disclose this information. The second category
embraced four subcategories: 1. awareness of the others; 2. emergence of new living conditions; 3. appreciation for
the donor; and 4. honesty among family members. The main reason for not disclosing information was to protect the
child from probable harm. Conclusion Although protecting children from possible harms was a major reason for infertile couples' secrecy,
keeping this secret would not be always easy. Therefore, increasing public awareness about the donation process in
order to change the beliefs of community and eliminate the infertile couples’ concerns would help them to overcome
this problem. Additionally, long-term psychological counselling during and after the donation process is highly rec-
ommended.
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Affiliation(s)
- Fatemeh Hadizadeh-Talasaz
- Department of Midwifery, Faculty of Medicine, Social Development and Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad, Iran
| | - Masoumeh Simbar
- Midwifery and Reproductive Health Research Centre, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Robab Latifnejad Roudsari
- Nursing and Midwifery Care Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran.,Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic Address:
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10
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Yaman Sözbir Ş, Erenoğlu R. Harmful traditional health practices used by Syrian refugee women in Turkey. EUR J CONTRACEP REPR 2020; 26:148-154. [PMID: 33025816 DOI: 10.1080/13625187.2020.1826427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE The aim of this descriptive study was to determine the traditional health practices used by Syrian refugee women in Turkey. METHODS A survey was carried out among Syrian refugee women in the Turkish province of Hatay, which has experienced heavy immigration. The study sample consisted of 75 married Syrian women over the age of 18. Questionnaires were completed during face-to-face interviews and took approximately 60 min. RESULTS All the women (100%) reported using a traditional health method in pregnancy; almost all had used a traditional health method during childbirth and the postpartum period (both 98.7%), and to treat a vaginal infection (92.0%) and induce an abortion (93.3%); most used a traditional method of contraception (85.3%). CONCLUSION Some of the reported known and used methods are harmless or beneficial to women's health. Some, however, can negatively affect women's health in terms of infection, bleeding and toxicity. In order to eliminate potentially harmful traditional health practices, it is recommended that Syrian refugee women receive health education.
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Affiliation(s)
- Şengül Yaman Sözbir
- Department of Gynaecology and Obstetrics, Department of Nursing, Faculty of Health Sciences, Gazi University, Ankara, Turkey
| | - Rabiye Erenoğlu
- Department of Gynaecology and Obstetrics, Department of Nursing, Faculty of Health Sciences, Hatay Mustafa Kemal University, Hatay, Turkey
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11
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Ebrahimzadeh Zagami S, Latifnejad Roudsari R, Janghorban R, Mousavi Bazaz SM, Amirian M, Allan HT. Iranian infertile couples' strategies to manage social interactions after unsuccessful treatment with assisted reproductive technologies. HUM FERTIL 2019; 24:341-352. [PMID: 31621448 DOI: 10.1080/14647273.2019.1677950] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Many infertile couples feel vulnerable after failed treatment cycles and find insensitive remarks or inappropriate support distressing. They fear that the stress of failed treatment cycles may affect their marriage and lead to marriage breakdown. This study explored the strategies a sample of infertile couples used to manage social interactions after unsuccessful treatment with assisted reproductive technologies. A descriptive qualitative study was conducted with 34 participants including nine infertile couples, nine infertile women and two infertile men with primary infertility, two relatives, and three fertility clinic staff. The participants were selected through purposive sampling at an infertility centre in Iran, between 2016 and 2017. Data were collected using semi-structured face-to-face interviews and analysed by qualitative content analysis approach. Participants found some social interactions after failed assisted reproductive treatment cycles to be distressing and painful. They described tolerating painful emotions which cause them sadness and sorrow as well as feeling embarrassed. As a result, they found they needed to maintain their adopting concealment strategies with their families through not permitting speculation, selective disclosure, not giving details and hiding the truth. This study showed that social interactions following failed assisted reproductive cycles can be upsetting for infertile couples. Couples use different strategies to manage potentially distressing social interactions. Healthcare providers and psychologists may provide a space for safe social interactions in order to help couples to use appropriate strategies in these circumstances.
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Affiliation(s)
| | | | - Roksana Janghorban
- Maternal-Fetal Medicine Research Centre, Shiraz University of Medical Sciences , Shiraz , Iran
| | | | - Maliheh Amirian
- Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences , Mashhad , Iran
| | - Helen T Allan
- Department of Adult Child and Midwifery, School of Health and Education, Middlesex University , London , UK
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12
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Kaya Z, Oskay U. Stigma, hopelessness and coping experiences of Turkish women with infertility. J Reprod Infant Psychol 2019; 38:485-496. [DOI: 10.1080/02646838.2019.1650904] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Zehra Kaya
- Department of Gynecologic and Obstetrics Nursing, Istanbul University-Cerrahpaşa Florence Nightingale Nursing Faculty, Istanbul, Turkey
| | - Umran Oskay
- Department of Gynecologic and Obstetrics Nursing, Istanbul University-Cerrahpaşa Florence Nightingale Nursing Faculty, Istanbul, Turkey
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13
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Hadizadeh-Talasaz F, Simbar M, Esmaily H, Latifnejad Roudsari R. Development and Validation of A Decision-Making Donor Conception Questionnaire in Iranian Infertile Couples. INTERNATIONAL JOURNAL OF FERTILITY & STERILITY 2019; 13:215-224. [PMID: 31310076 PMCID: PMC6642430 DOI: 10.22074/ijfs.2019.5700] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/15/2018] [Accepted: 03/03/2019] [Indexed: 11/04/2022]
Abstract
Background Despite the fact that many infertile couples have to decide about whether or not to choose donor con-
ception, there is no predictive scale for evaluating the process of decision-making on donor conception and its deter-
minants in such couples. The present study was conducted to develop a decision-making questionnaire for selecting
donor conception and assess its psychometric properties in Iranian infertile couples. Materials and Methods This cross-sectional validation study was conducted based on the method developed by
DeVellis (2012) in four steps at Milad Infertility Clinic, Mashhad, Iran. The dimensions of the concept of decision-
making were determined in the first step based on the qualitative results obtained from 38 semi-structured in-depth
interviews. Items that were appropriate for the questionnaire were developed in the second step using the qualitative
data and a review of the literature. In the third step, the research team reviewed and eliminated some of the items. The
fourth step evaluated the face, content and construct validity of the questionnaire through exploratory factor analysis
on a sample of 220 infertile couples using convenience sampling and investigated its initial and final reliability. Results Based on the results of the qualitative study, a pool of 170 items was developed, 101 of which were elimi-
nated after revision due to ambiguity, repetition or their poor face and content validity and initial reliability. The
questionnaire was evaluated for its construct validity with 69 items. After the exploratory factor analysis, the decision-
making donor conception questionnaire (DMDCQ) having 51 items and seven factors, was finalized. All the factors
had Cronbach’s alpha values of 0.75-0.87 and intra-class correlation coefficients (ICC) greater than 0.7. Conclusion This study led to development of a valid and reliable scale for examining infertile couples’ decision-
making about whether or not to use donor conception as well as the determinants of this decision.
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Affiliation(s)
- Fatemeh Hadizadeh-Talasaz
- Department of Midwifery, Faculty of Medicine, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
| | - Masoumeh Simbar
- Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Habibollah Esmaily
- Social Determinent of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Robab Latifnejad Roudsari
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.,Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic Address: ,
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14
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Ebrahimzadeh Zagami S, Latifnejad Roudsari R, Janghorban R, Mousavi Bazaz SM, Amirian M, Allan HT. Infertile Couples' Needs after Unsuccessful Fertility Treatment: a Qualitative Study. J Caring Sci 2019; 8:95-104. [PMID: 31249819 PMCID: PMC6589480 DOI: 10.15171/jcs.2019.014] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2018] [Accepted: 07/25/2018] [Indexed: 11/18/2022] Open
Abstract
Introduction: Infertility is a major medical issue. Investigations and treatment of infertility are the beginning of a complex, time-consuming and stressful process for couples that may fail well. The present study explored the needs of infertile couples following treatment failure with Assisted Reproductive Technologies (ARTs). Methods: A descriptive qualitative study was conducted in an Iranian infertility center, in the Northeast of the country between April 2016 and June 2017. The researchers recruited 29 individuals including 9 couples, 9 women and two men with primary infertility through purposive sampling. The data were collected using semi-structured interviews and analyzed iteratively, using conventional content analysis with MAXQDA software. Results: The main concepts obtained from the data were classified into one theme titled: ""The need for support"" and four main categories along with their subcategories, and included the need for psychological support, the need for more useful information, the need for social support and the need to access to supplementary services. Conclusion: The findings show that following treatment failure, the infertile patients’ expressed needs and preferences were not met. Identifying and meeting their needs may help the infertile couples to deal with ARTs failure and to reach a decision about future treatment.
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Affiliation(s)
| | - Robab Latifnejad Roudsari
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.,Research Center for Patient Safety, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Roksana Janghorban
- Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Seyed Mojtaba Mousavi Bazaz
- Department of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Maliheh Amirian
- Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Helen T Allan
- Department of Adult Child and Midwifery, School of Health and Education, Middlesex University, London, UK
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15
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Collins SC, Kim S, Chan E. Racial and Ethnic Differences in the Utilization of Prayer and Clergy Counseling by Infertile US Women Desiring Pregnancy. JOURNAL OF RELIGION AND HEALTH 2018; 57:2230-2240. [PMID: 29188549 DOI: 10.1007/s10943-017-0536-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Religion can have a significant influence on the experience of infertility. However, it is unclear how many US women turn to religion when facing infertility. Here, we examine the utilization of prayer and clergy counsel among a nationally representative sample of 1062 infertile US women. Prayer was used by 74.8% of the participants, and clergy counsel was the most common formal support system utilized. Both prayer and clergy counsel were significantly more common among black and Hispanic women. Healthcare providers should acknowledge the spiritual needs of their infertile patients and ally with clergy when possible to provide maximally effective care.
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Affiliation(s)
- Stephen C Collins
- Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, 150 Sargent Drive, Second Floor, New Haven, CT, 06511, USA.
| | - Soorin Kim
- Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, 150 Sargent Drive, Second Floor, New Haven, CT, 06511, USA
| | - Esther Chan
- Department of Sociology, Yale University, New Haven, CT, USA
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16
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Latifnejad Roudsari R, Jafari H, Taghipour A. The relationship of sociocultural beliefs and infertile couples' attitude toward reproductive donation: A descriptive-correlational study. Int J Reprod Biomed 2018; 17. [PMID: 31435614 PMCID: PMC6653494 DOI: 10.18502/ijrm.v17i5.4599] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2018] [Revised: 10/18/2018] [Accepted: 01/19/2019] [Indexed: 12/01/2022] Open
Abstract
Background There are controversial views on accepting a reproductive donation in the world. Objective This study aimed to determine the relationship between the sociocultural beliefs and infertile couples' attitude toward reproductive donation in Mashhad, Iran. Materials and Methods This descriptive correlational study was conducted out on 115 infertile couples visiting Milad Infertility Center in Mashhad, Iran with using convenience sampling. The research instruments were valid and reliable sociocultural beliefs and attitude questionnaires, which were completed by the respondents on a self-report basis. Results The mean score of attitude toward reproductive donation in infertile women and men was 58.3 ± 12.6 and 57.8 ± 12.0, and the mean score of sociocultural beliefs in infertile women and men was 67.7 ± 11.5 and 67.6 ± 12.4, respectively. There was a direct correlation between sociocultural beliefs and attitude toward reproductive donation in infertile women (p < 0.001) and men (p < 0.001), that is, women and men with a higher score of sociocultural beliefs had a higher score of attitude as well. A direct correlation was also seen between sociocultural beliefs and infertile women and men's public attitude, their attitude towards genetic bound between parents and children, their attitude regarding the issue of confidentiality of the donation process, as well as attitude in relation to oocyte donation, embryo donation, and surrogacy (p < 0.001). Conclusion The findings suggest that sociocultural beliefs that surround reproductive donation could influence infertile couple's attitude toward accepting these therapeutic alternatives in infertile couples. It is therefore recommended to take steps to incorporate sociocultural beliefs into the routine care of infertile couples with the help of social media to give them ability for making more pragmatic decision in relation to their chosen options.
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Affiliation(s)
| | - Hamideh Jafari
- Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Ali Taghipour
- Social Determinants of Health, Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran
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17
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Dehghan M, Mokhtarabadi S, Heidari FG. Complementary and alternative medicine usage and its determinant factors among Iranian infertile couples. JOURNAL OF COMPLEMENTARY & INTEGRATIVE MEDICINE 2018; 15:/j/jcim.ahead-of-print/jcim-2017-0138/jcim-2017-0138.xml. [PMID: 29617269 DOI: 10.1515/jcim-2017-0138] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2017] [Accepted: 03/12/2018] [Indexed: 11/17/2022]
Abstract
Background The aim of this study was to determine the status of utilizing some complementary and alternative medicine techniques in infertile couples. Methods This was a cross-sectional study conducted on 250 infertile couples referred to a hospital in Kerman using convenience sampling. A researcher-made questionnaire was used to study the prevalence and user satisfaction of complementary and alternative medicines. Results Results indicated that 49.6% of the infertile couples used at least one of the complementary and alternative medicines during the past year. Most individuals used spiritual techniques (71.8% used praying and 70.2% used Nazr) and medicinal plants (54.8%). Safety is the most important factor affecting the satisfaction of infertile couples with complementary treatments (couples think that such treatments are safe (54.8%)). Discussion Concerning high prevalence of complementary and alternative treatments in infertile couples, incorporating such treatments into the healthcare education and promoting the awareness of infertile individuals seem crucial.
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Affiliation(s)
- Mahlagha Dehghan
- Department of Nursing, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
- Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Haft-Bagh Highway, Kerman, Iran
| | | | - Fatemeh Ghaedi Heidari
- Department of Nursing, Student Research Committee, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
- School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
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18
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Casu G, Ulivi G, Zaia V, Fernandes Martins MDC, Parente Barbosa C, Gremigni P. Spirituality, infertility-related stress, and quality of life in Brazilian infertile couples: Analysis using the actor-partner interdependence mediation model. Res Nurs Health 2018; 41:156-165. [PMID: 29399819 DOI: 10.1002/nur.21860] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Accepted: 12/22/2017] [Indexed: 12/28/2022]
Abstract
Infertility has a stressful impact on both partners, with adverse effects on the quality of life of infertile couples. Spirituality is a meaning-based strategy that can protect couples against infertility's negative impact on quality of life, but analysis of this mediator relationship in infertile couples has not been reported. We adopted a dyadic approach and used the actor-partner interdependence mediation model to examine whether and how women's and men's spirituality was associated with their own and their partners' infertility-related stress and quality of life. In 2014, 152 infertile couples starting their first fertility treatment at a private clinic in Brazil were recruited and completed self-reports of spirituality, infertility-related stress, and quality of life. Results indicated that women's and men's level of spirituality was positively associated with their own quality of life directly and indirectly, by reducing their own infertility-related stress. Their spirituality was associated with an increase in their partners' quality of life only indirectly, by reducing their partners' infertility-related stress. Findings highlight the importance of assessing and promoting spirituality as a coping resource that infertile women and men might use to deal with the stress of infertility and reduce its adverse effects on quality of life.
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Affiliation(s)
- Giulia Casu
- Department of Psychology, University of Bologna, Bologna, Italy
| | - Giulia Ulivi
- School of Medical and Health Sciences, Methodist University of São Paulo, São Bernardo do Campo, Brazil
| | - Victor Zaia
- School of Medical and Health Sciences, Methodist University of São Paulo, São Bernardo do Campo, Brazil.,Institute Ideia Fértil of Reproductive Health, Santo André, Brazil.,Faculdade de Medicina do ABC, Santo André, Brazil
| | | | - Caio Parente Barbosa
- Institute Ideia Fértil of Reproductive Health, Santo André, Brazil.,Faculdade de Medicina do ABC, Santo André, Brazil
| | - Paola Gremigni
- Department of Psychology, University of Bologna, Bologna, Italy
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19
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Latifnejad Roudsari R, Rasoulzadeh Bidgoli M. The Effect of Collaborative Infertility Counseling on Marital Satisfaction in Infertile Women Undergoing In Vitro Fertilization: A Randomized Controlled Trial. Nurs Midwifery Stud 2017. [DOI: 10.17795/nmsjournal36723] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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20
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The Effect of Collaborative Infertility Counseling on Marital Satisfaction in Infertile Women Undergoing In Vitro Fertilization: A Randomized Controlled Trial. Nurs Midwifery Stud 2017. [DOI: 10.5812/nmsjournal.36723] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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21
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Grinstein-Cohen O, Katz A, Sarid O. Religiosity: Its Impact on Coping Styles Among Women Undergoing Fertility Treatment. JOURNAL OF RELIGION AND HEALTH 2017; 56:1032-1041. [PMID: 28025759 DOI: 10.1007/s10943-016-0344-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The Israeli worldview places great significance on childbearing. This could create emotional and ethical difficulties for women coping with fertility issues in addition to their treatments. This study examined the relations between coping strategies and level of religiosity in 159 women undergoing infertility treatment. Statistically significant relations were found between the problem-solving coping style and religious observance (p < 0.01) and religious beliefs (p < 0.05). An inverse correlation was found between the emotional coping style and religious beliefs (p < 0.001). Health professionals should recognize the patient's coping styles and understand the patient's religious belief system as part of an ongoing fertility treatment.
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Affiliation(s)
- O Grinstein-Cohen
- Department of Nursing, Recanati School of Community Health, Ben Gurion University of the Negev, Beer-Sheva, Israel.
| | - A Katz
- Department of Nursing, Recanati School of Community Health, Ben Gurion University of the Negev, Beer-Sheva, Israel
- Labor and Delivery Room, Soroka Medical Center, Beer-Sheva, Israel
| | - O Sarid
- The Spitzer Department of Social Work, Ben Gurion University of the Negev, Beer-Sheva, Israel
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