The impact of successful assisted reproduction treatment on female and male mental health during transition to parenthood: a prospective controlled study

Repokari, Leena; Punamäki, Raija‐Leena; Poikkeus, Piia; Vilska, Sirpa; Unkila‐Kallio, Leila; Sinkkonen, Jari; Almqvist, Fredrik; Tiitinen, Aila; Tulppala, Maija

doi:10.1093/humrep/dei214

Cited by 86 publications

(56 citation statements)

References 38 publications

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“…Alguns destes estudos abarcam desde a gestação até os primeiros meses de vida do bebê (Cox, Glazebrook, Sheard, Ndukwe, & Oates, 2006;Repokari et al, 2005;Sydsjö,Wadsby, Kjellberg, & Sydsjö, 2002;Ulrich, Gagel, Hemmerling, Pastor, & Kentenich, 2004), enquanto outros, contemplam somente o período pós-nascimento (Greenfeld & Klock, 2001;Golombok et al, 2007;Hjelmstedt et al, 2004;McMahon, Ungerer, Tennant, & Saunders, 1997).…”

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“…Quanto aos principais temas de interesse desses estudos, destacam-se ansiedade (Cox et al, 2006;Greenfeld & Klock, 2001;Repokari et al, 2005), depressão (Cox et al, 2006;Golombok et al, 2007;Greenfeld & Klock, 2001), estresse (Golombok et al, 2007;Greenfeld & Klock, 2001;Hjelmstedt et al, 2004;Repokari et al, 2005), temperamento, comportamento (Sydsjö et al, 2002) e percepção do bebê (Gibson, Ungerer, Tennant, & Saunders, 2000), ajustamento emocional à maternidade (McMahon et al,1997), relacionamento conjugal (Sydsjö et al,2002;Ulrich et al, 2004), competência parental (Cox et al, 2006), saúde mental (Repokari et al, 2005).…”

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“…Além disso, os achados apontaram para maior resiliência para enfrentar eventos estressores (Repokari et al, 2005) e uma visão mais otimista do relacionamento conjugal, da parentalidade e do próprio bebê, o que pode ser uma decorrência da experiência da infertilidade, segundo os autores (Sydsjö et al, 2002). Os desafios encontrados nesse período foram percebidos, pelos casais que utilizaram TRA, como inerentes à parentalidade (Hjelmstedt et al, 2004).…”

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Desafios para a maternidade no contexto da reprodução medicamente assistida: terceiro mês do bebê

Dornelles

Lopes

2010

Estud. psicol. (Natal)

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ResumoO desgaste físico e emocional decorrente das técnicas de reprodução medicamente assistida, pode conferir à maternidade um caráter específico, com repercussões ainda pouco conhecidas. Por meio deste estudo com três mulheres que engravidaram por técnicas reprodutivas, buscou-se conhecer o processo de tornarse mãe no contexto da reprodução medicamente assistida, com medidas coletadas aos três meses do bebê. Os resultados apontaram que a transição para a maternidade foi vivida por essas mulheres com sentimento de incapacidade de cuidar adequadamente de seu bebê e medo de que ele não sobrevivesse, sendo que o nascimento pré-termo, já temido desde a gestação, tornou real a possibilidade de perda do bebê e a vivência dessa etapa, um desafio. Entretanto, observou-se que superado esse período inicial, o medo da perda do bebê diminuiu, dando espaço para o estabelecimento da crença de que essas mães são capazes de garantir a sobrevivência de seus bebês.Palavras-chave: maternidade; reprodução medicamente assistida; infertilidade. Abstract Challenges to motherhood in the context of assisted reproduction: infant's third month of life.The physical and psychological stress produced by the assisted reproduction techniques (ART) may affect parenthood in a special way, with unknown repercussions. This study aims at knowing the process of becoming a mother in three women who conceived through ART and whose babies were three months old. The results showed that the participants of this study went through the transition to parenthood feeling uncapable of taking care of their babies in an appropriate way and also frightened by the possibility of losing them. In this way, the premature birth of the baby, already antecipated during pregnancy, turned real this possibility and made this experience a challenge. However, it was observed that when the initial moments of fear were overcome the belief of being capable of keeping the baby alive emerged.

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Desafios para a maternidade no contexto da reprodução medicamente assistida: terceiro mês do bebê

Dornelles

Lopes

2010

Estud. psicol. (Natal)

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“…Most studies have shown that those who become pregnant as a result of infertility treatment do not experience more general symptoms of depression (71)(72)(73)(74)(75)(76) or anxiety (71)(72)(73)(74) and have equal levels of self-esteem (77) during pregnancy compared with those who conceive spontaneously. However, feelings of stress (19) and pregnancy-specific anxiety (71,75) can be increased in these women.…”

Section: Successful Treatmentmentioning

confidence: 99%

“…Studies have shown that, during the first months postpartum, women and men who have become parents after IVF treatment have lower or equal levels of anxiety (74,78,79), depression (74,79) and similar general mental health (78) as those who have conceived spontaneously. However, women who conceive using infertility treatment can feel that they do not have the right to express ambivalence or regret in regard to parenthood (72,80) and might also have idealized parenthood beforehand (71,72,80).…”

Section: Successful Treatmentmentioning

confidence: 99%

The influence of infertility and in vitro fertilization treatment on postpartum and long-term mental health in women

Eckevall¹

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Psychosocial adjustment during the transition to parenthood of Portuguese couples who conceived spontaneously or through assisted reproductive technologies

Gameiro

Moura‐Ramos

Canavarro

et al. 2010

Research in Nursing & Health

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We examined the psychosocial adjustment of 35 Portuguese couples who conceived through Assisted Reproductive Technologies (ART) and 31 couples with a spontaneous conception during their transition to parenthood (pregnancy and 4 months postpartum). Couples completed self-report questionnaires regarding their perceptions of pregnancy and parenthood, psychological distress, quality of life, marital relationship, and parenting stress. Compared with parents who conceived spontaneously, parents who conceived through ART perceived pregnancy as being more risky and demanding, reported a decrease in their psychological quality of life, and ART fathers only perceived themselves as being more competent than fathers who conceived spontaneously. Healthcare professionals should be aware of need of couples in their efforts to adapt to the individual and relational challenges associated with the transition to parenthood.

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The impact of successful assisted reproduction treatment on female and male mental health during transition to parenthood: a prospective controlled study

Abstract: Successful ART did not predict mental health problems during the transition to parenthood. Moreover, ART couples' mental health was remarkably resistant to social and child-related stress during the transition to parenthood.

Cited by 86 publications

References 38 publications

Desafios para a maternidade no contexto da reprodução medicamente assistida: terceiro mês do bebê

Desafios para a maternidade no contexto da reprodução medicamente assistida: terceiro mês do bebê

The influence of infertility and in vitro fertilization treatment on postpartum and long-term mental health in women

Psychosocial adjustment during the transition to parenthood of Portuguese couples who conceived spontaneously or through assisted reproductive technologies

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