Development and evaluation of the Adaptation Support Program in Early Pregnancy after the use of assisted reproductive technology

Sakiyama, Toru

doi:10.1111/jjns.12238

Cited by 6 publications

(5 citation statements)

References 19 publications

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“…10 Women who have become pregnant through fertility treatment would expect that more attention would be paid to their fertility treatment history, 24,25 and have care needs to organize their feelings and experiences through a review of their infertility experience. 21 It may be useful to listen to their stories about infertility experiences. 21,43 Therefore, pregnant women following ART need to review their self-image of being infertile and prepare for childbirth or motherhood.…”

Section: Discussionmentioning

confidence: 99%

“…21 It may be useful to listen to their stories about infertility experiences. 21,43 Therefore, pregnant women following ART need to review their self-image of being infertile and prepare for childbirth or motherhood. Health care professionals should be aware of efforts to overcome infertility experiences, and support the identity transition to motherhood among women who become pregnant following ART.…”

Section: Discussionmentioning

confidence: 99%

“…Other qualitative primary studies suggested that the process of assuming a maternal identity during the transition to motherhood may qualitatively differ for pregnant women who conceived through ART. 11,13,14,16,21 These women may require more support from nurses/midwives to address anxiety during pregnancy and allow them to express any negative feelings, review their infertility experiences, and help them prepare for parenthood. [21][22][23] Understanding the context and complexity of emotional adaptation to pregnancy following ART is important for health care professionals working with these women.…”

Section: Introductionmentioning

confidence: 99%

“…11,13,14,16,21 These women may require more support from nurses/midwives to address anxiety during pregnancy and allow them to express any negative feelings, review their infertility experiences, and help them prepare for parenthood. [21][22][23] Understanding the context and complexity of emotional adaptation to pregnancy following ART is important for health care professionals working with these women. In particular, health care professionals need to remain sensitive to the unique needs of women after ART 16 and their paradoxical care needs during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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Experiences of transition to motherhood among pregnant women following assisted reproductive technology: a qualitative systematic review

Maehara

Iwata

Kimura

et al. 2021

JBI Evidence Synthesis

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This systematic review aimed to identify and synthesize available qualitative evidence regarding the experiences of the transition to motherhood among pregnant women following assisted reproductive technology.Introduction: Pregnant women experience unique challenges to their identity when transitioning to motherhood following assisted reproductive technology. It is important that health care professionals understand the context and complexity of emotional adaptation to pregnancy following assisted reproductive technology.Inclusion criteria: Any qualitative data from empirical studies that described experiences of the transition to motherhood during pregnancy among women who conceived through assisted reproductive technology were considered for inclusion.Methods: Several databases were searched for published and unpublished studies in English or Japanese from 1992 to 2019, including MEDLINE, CINAHL, PsycINFO, ProQuest Health and Medical Collection, Google Scholar, and Open Access Theses and Dissertations (in English); and Ichushi-Web, CiNii, and the Institutional Repositories Database (in Japanese). All included studies were assessed by two independent reviewers. Any disagreements were resolved through discussion. We used the recommended JBI approach to critical appraisal, data extraction, and data synthesis.Results: This review included seven studies that considered pregnant women's (n ¼ 110) experiences of transition to motherhood following assisted reproductive technology. The studies were assessed as moderate to high quality (scores 7-10) based on the JBI critical appraisal checklist for qualitative research. All studies used qualitative methodologies or methods including phenomenology, narrative approach, qualitative description, and qualitative content analysis. There were two studies from Japan, one from Brazil, one from Iran, one from Israel, one from the UK, and one from the USA. In total, 51 supported findings were aggregated into 14 categories, and five synthesized findings: i) Pregnant women following assisted reproductive technology require support to decrease anxiety and improve their belief in pregnancy to internalize a maternal identity; ii) Pregnant women following assisted reproductive technology need reassurance of their lifestyles to ensure a safe passage through pregnancy because of ambivalent feelings about becoming a mother; iii) Pregnant women following assisted reproductive technology develop a maternal identity with affection for the fetus if they switch their mindset from infertility to pregnancy; iv) Pregnant women following assisted reproductive technology need to review their self-image of being infertile and prepare for childbirth or motherhood; v) Pregnancy following assisted reproductive technology contributes to the emergence of positive feelings and changing the women's sense of self and other personal relationships. Based on the ConQual approach, the confidence in the synthesized findings was rated as moderate to low. Conclusions:The synthesized findings highlight the importance...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Experiences of transition to motherhood among pregnant women following assisted reproductive technology: a qualitative systematic review

Maehara

Iwata

Kimura

et al. 2021

JBI Evidence Synthesis

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“…The infertility reflection is part of the Adaptation Support Program in early pregnancy [15]. The gestational sac was diagnosed at the 5th week of pregnancy.…”

Section: Intervention Protocolmentioning

confidence: 99%

Implementation and Evaluation of Infertility Reflection in Early Pregnancy after the Use of Assisted Reproductive Technology: A Feasibility Study

Sakiyama¹

2021

OJN

Self Cite

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Background: This study aims to evaluate the infertility reflection in early pregnancy after assistive reproductive therapy (ART), including 1) process evaluation (the use and evaluation of infertility reflection) and 2) outcome evaluation (satisfaction of care needs, anticipatory anxiety towards the loss of a pregnancy or fetus, cognition of infertility experience, and depression and anxiety). Methods: This program evaluation study used a one-group pre-post-test design. The participants were 50 primiparas who had undergone ART at two fertility treatment facilities in a metropolitan area in Japan. For the infertility reflection, they conducted an online reflection. Data were collected three times: at the 5th week of pregnancy (Time 1), the 8th week of pregnancy as the final consultation at the clinic (Time 2), and the 16th week of pregnancy as the final point of early pregnancy (Time 3). Results: The data from 40 participants were analyzed. More than 80% of the users of the online reflection positively evaluated the appropriateness and usefulness of the methods and contents. Organized thoughts and feelings by reflection were shown as the reasons for the usefulness. The evaluation of the online reflection showed a relatively strong correlation with the Care Need Satisfaction Scale (CNSS) for both Time 2 and Time 3, but the online reflection did not show a significant correlation with the other outcome variables. There were no significant differences in outcome variables between users and non-users of online reflection between Time 2 and Time 3. Conclusions: Attempts at the reflection in early pregnancy require modified methods that do not have a negative impact and lead to the fulfillment of needs.

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Adjustment toward infertility mediates the relationship between coping, depression and anxiety in men: A confirmatory analysis

Kazemi

Torabi

AbdiShahshahani

2021

European Journal of Obstetrics & Gynecology and Reproductiv

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Development and evaluation of the Adaptation Support Program in Early Pregnancy after the use of assisted reproductive technology

Cited by 6 publications

References 19 publications

Experiences of transition to motherhood among pregnant women following assisted reproductive technology: a qualitative systematic review

Experiences of transition to motherhood among pregnant women following assisted reproductive technology: a qualitative systematic review

Implementation and Evaluation of Infertility Reflection in Early Pregnancy after the Use of Assisted Reproductive Technology: A Feasibility Study

Adjustment toward infertility mediates the relationship between coping, depression and anxiety in men: A confirmatory analysis

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