Parental adjustment and attitudes to parenting after in vitro fertilization
Parental adjustment and attitudes to parenting after in vitro fertilization
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DOI：
10.1016/s0015-0282(99)00583-x
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发表时间：
2000-03-01
影响因子：
6.7
通讯作者：
Saunders, DM
中科院分区：
文献类型：
--
作者：
Gibson, FL;Ungerer, JA;Saunders, DM
目的：研究IVF父母产后1年的心理社会和父母特定的调整和对养育子女的态度。设计：前瞻性，对照研究。设置：教学医院环境中的志愿者。患者：65名单胎IVF妊娠的经产妇及其伴侣，以及61名无不孕症史的同龄经产妇及其伴侣。干预措施：完成问卷调查和interviews.Main Outcome Measure（s）：父母报告的一般和父母的具体调整和态度parenthood-specific adjustment and attitudes to parenthood. Results（s）：IVF母亲倾向于报告较低的自尊和育儿能力比对照组母亲。虽然在保护性方面没有群体差异，但与对照组相比，试管婴儿母亲认为他们的孩子更脆弱和“特殊”。试管婴儿的父亲报告显着较低的自尊和婚姻满意度，但在养育子女的能力。试管婴儿的母亲和父亲在其他一般调整措施（情绪）或更具体的为人父母措施（例如，结论：试管婴儿父母对亲子关系的适应与自然受孕对照家庭相似。尽管如此，试管婴儿之间存在微小的差异，反映了母亲对儿童的关注程度提高，对养育子女的信心降低，父亲对婚姻的满意度降低，以及父母双方的自尊心脆弱。(C)2000年，美国生殖医学会。
Objective: To examine the psychosocial and parenthood-specific adjustment and attitudes to parenting at 1 year postpartum of IVF parents.Design: Prospective, controlled study.Setting: Volunteers in a teaching hospital environment.Patient(s): Sixty-five primiparous women with singleton IVF pregnancies and their partners, and a control group of 61 similarly aged primiparous women with no history of infertility and their partners.Intervention(s): Completion of questionnaires and interviews.Main Outcome Measure(s): Parent reports of general and parenthood-specific adjustment and attitudes to parenting.Result(s): The IVF mothers tended to report lower self-esteem and less parenting competence than control mothers. Although there were no group differences on protectiveness, IVF mothers saw their children as significantly more vulnerable and "special" compared with controls. The IVF fathers reported significantly lower self-esteem and marital satisfaction, although not less competence in parenting. Both IVF mothers and fathers did not differ from control parents on other measures of general adjustment (mood) or those more specific to parenthood (e.g., attachment to the child and attitudes to child rearing).Conclusion(s): The IVF parents' adjustment to parenthood is similar to naturally conceiving comparison families. Nonetheless, there are minor IVF differences that reflect heightened child-focused concern and less confidence in parenting for mothers, less satisfaction with the marriage for the fathers, and vulnerable self-esteem for both parents.(C) 2000 by American Society for Reproductive Medicine.