Emotional adaptation following successful in vitro fertilization

Emotional adaptation following successful in vitro fertilization
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DOI:
10.1016/j.fertnstert.2003.09.061
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发表时间:
2004-05-01
影响因子:
6.7
通讯作者:
Collins, A
Collins, A
中科院分区:
医学2区
文献类型:
--
作者:
Hjelmstedt, A;Widström, AM;Collins, A

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目的:评估成功IVF后不孕症的情绪影响,并比较接受IVF的父母(试管婴儿父母)和未接受试管婴儿的父母(非试管婴儿父母)关于父母压力和婚姻关系在过渡到父母身份。设计:一项定性和纵向定量评估的研究。设置:大学试管婴儿诊所和产前诊所在斯德哥尔摩。患者:55名IVF母亲,53名IVF父亲,40名非IVF母亲和36名非IVF父亲。所有受试者在怀孕早期和产后2个月和6个月完成自评量表.Main Outcome Measure(S):不孕症的感知和父母压力和婚姻关系的标量测量的访谈结果(S):不孕症相关的负面情绪是不容易克服的IVF父母。他们的压力水平与父母的非试管婴儿的父母是相似的,这两组报告的婚姻关系的满意度下降,在过渡到parenthood. Conclusions(S):无法自然受孕继续影响目前的生活的试管婴儿父母的比例。结果表明,试管婴儿父母可能会受益于关于不孕症的潜在长期影响,披露问题和关于未来孩子的决定的咨询。然而,父母的压力水平和伴侣的满意度模式与那些“自然受孕”的父母相似。(Fertil Steril((R))2004;81:1254-64.(C)2004年由美国生殖医学协会。
Objective: 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.Design: A study with qualitative and longitudinal quantitative assessments.Setting: University IVF clinics and antenatal clinics in Stockholm.Patient(s): Fifty-five IVF mothers, 53 IVF fathers, 40 non-IVF mothers, and 36 non-IVF fathers.Intervention(s): IVF parents were interviewed. All subjects completed self-rating scales in early pregnancy and at 2 and 6 months postpartum.Main Outcome Measure(s): Interviews about perception of infertility and scalar measurement of parental stress and the marital relationship.Result(s): 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.Conclusion(s): 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." (Fertil Steril((R)) 2004;81:1254-64. (C)2004 by American Society for Reproductive Medicine.).