Individualised care for women with assisted conception pregnancies and midwifery practice implications: An analysis of the existing research and current practice

Younger, Mimi; Martin, Caroline J. Hollins; Choucri, Lesley

doi:10.1016/j.midw.2014.06.008

Cited by 15 publications

(24 citation statements)

References 27 publications

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“…These negative consequences are found in both men and women, and while some authors suggest these consequences may be somewhat stronger in women [8] [13] [14], others did not [12] [15]. A successful fertility treatment does not resolve all negativity, as parents who conceived through fertility treatment had higher levels of anxiety in early pregnancy [5] [16] and perceived pregnancy as being more risky and demanding [17] [18].…”

Section: Introductionmentioning

confidence: 99%

“…Awareness of subfertility issues [20] [21] [22], knowledge on (the impact of) subfertility and subfertility treatments [23] and understanding of the needs of clients who successfully conceive after treatment [16] [17] [24] [25] [26] may be present for fertility staff in hospitals, this information have been found lacking in midwifery care practice in community. Increasing knowledge and awareness of the client's experiences through research could bring perinatal care more in line with the needs of couples who have undergone successful fertility treatment.…”

Section: Introductionmentioning

confidence: 99%

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Perception of the Psychosocial Aspects of Subfertility by Parents Following Successful Medically Assisted Conception: A Qualitative Study

Warmelink¹,

Meijer²,

Mulder³

et al. 2016

OJOG

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Nearly 5% of new-borns in the Netherlands are now born following Medically Assisted Conception (MAC), a steadily increasing number. Our qualitative study explored the subjective impact of subfertility and fertility treatment for parents who successfully achieve pregnancy following MAC and make health professionals more aware of the psychological needs of those clients. The study was based on the constructive/interpretative paradigm using a constant comparison/grounded theory design. Two men and nine women in the Netherlands who conceived as a result of MAC were interviewed in 2011. Our findings show that MAC-parents were exposed to a range of emotions such as disappointment, hope and uncertainty during the subfertile period, and these feelings were even felt after successful fertility treatment. The relationship and social support from friends and others in the same position were very important. Regarding the relationship with the partner during the subfertile period, the main thing the couple have to do is to keep talking with one another. Although they did not always agree on all issues, it was found that maintaining the communication strengthened the links between them by the end of the process. We concluded that the feelings and emotions during fertility treatment play a big role during the subfertile period and remain important during pregnancy and even after childbirth. Subfertile clients want maternity care providers to ask those who successfully achieve pregnancy following MAC about their experiences during fertility treatment, check that they still are receiving adequate social support, and involve the partner in prenatal checks.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perception of the Psychosocial Aspects of Subfertility by Parents Following Successful Medically Assisted Conception: A Qualitative Study

Warmelink¹,

Meijer²,

Mulder³

et al. 2016

OJOG

View full text Add to dashboard Cite

show abstract

“…It responds to the request from healthcare practitioners for further research into the needs and experiences of couples following successful fertility treatment, 3,4 and provides synthesis and explanation to the few isolated findings that have considered the mental wellbeing of females following fertility treatment.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

“…3 There is little research that considers their experiences, 3 providing little evidence for healthcare professionals on which to base appropriate antenatal care. 4 These individuals have become the 'forgotten women', 5 and to transfer their care to a health professional who has no knowledge of their conception history can lead to them feeling abandoned.…”

Section: Implications For Practicementioning

confidence: 99%

“…1 Consequently, in 2011, 2% of all births in the UK resulted from assisted reproductive treatments; considerably more resulted from other surgical and medical treatments. 1 Despite these figures, a number of studies have highlighted the lack of research into females' experiences of pregnancy following conception through fertility treatment; [2][3][4] these individuals have been termed the 'forgotten women'. 5 Even less research considers the experiences of males.…”

Section: Introductionmentioning

confidence: 99%

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Antenatal needs of couples following fertility treatment: a qualitative study in primary care

2015

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Research Abstract BackgroundIt is known that couples may experience emotional distress while undergoing infertility treatment, but less is known about their experience of pregnancy following successful conception. Typically, couples are discharged from the fertility clinic to receive standard antenatal care. Recent research has raised questions about whether this care adequately meets their needs. AimTo explore the antenatal experiences of females and males who have successfully conceived through infertility treatment. Design and settingAn exploratory qualitative approach was undertaken, using individual, in-depth interviews with females and males who had successfully undergone infertility treatment in one of three fertility clinics in the south of England. MethodTwenty participants were interviewed (12 females and eight male partners) when their pregnancy had reached 28 weeks' gestation. Participants were asked about their experiences of infertility treatment, pregnancy, and antenatal care. Interviews were audiorecorded, transcribed, and analysed thematically. ResultsAnalysis of the interviews suggested females and males experienced a 'gap' in their care, in terms of time and intensity, when discharged from the fertility clinic to standard antenatal care. This gap, combined with their previous experience of infertility treatment, heightened their fear of pregnancy loss and increased their need for support from their health professionals. Participants' previous experience of infertility treatment also appeared to deter them from preparing for the birth and parenthood, and disclosing negative feelings to others about the pregnancy. ConclusionFemales and males who have successfully undergone infertility treatment may require additional support in primary care to address anxiety during pregnancy, enable disclosure of negative feelings, and to help them prepare for childbirth and parenthood. Keywords infertility; mental health; prenatal care; primary health care.

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The Intrapartum and Postpartum Care of Women Following Assisted Reproduction Techniques (ART)

Asif

Vindla

2016

Clinical Management of Pregnancies Following ART

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Individualised care for women with assisted conception pregnancies and midwifery practice implications: An analysis of the existing research and current practice

Cited by 15 publications

References 27 publications

Perception of the Psychosocial Aspects of Subfertility by Parents Following Successful Medically Assisted Conception: A Qualitative Study

Perception of the Psychosocial Aspects of Subfertility by Parents Following Successful Medically Assisted Conception: A Qualitative Study

Antenatal needs of couples following fertility treatment: a qualitative study in primary care

The Intrapartum and Postpartum Care of Women Following Assisted Reproduction Techniques (ART)

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