Antenatal needs of couples following fertility treatment: a qualitative study in primary care
Open Access
- 31 August 2015
- journal article
- Published by Royal College of General Practitioners in British Journal of General Practice
- Vol. 65 (638), e570-e577
- https://doi.org/10.3399/bjgp15X686473
Abstract
Background It 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. Aim To explore the antenatal experiences of females and males who have successfully conceived through infertility treatment. Design and setting An 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. Method Twenty 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. Results Analysis 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. Conclusion Females 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.This publication has 31 references indexed in Scilit:
- A public health perspective of women's experiences of antenatal care: An exploration of insights from a community consultationMidwifery, 2013
- Reassured or fobbed off? Perspectives on infertility consultations in primary care: a qualitative studyBritish Journal of General Practice, 2012
- Risk for postpartum depression associated with assisted reproductive technologies and multiple births: a systematic reviewHuman Reproduction Update, 2010
- The experience of infertility: a review of recent literatureSociology of Health & Illness, 2010
- General practitioners? perceptions and attitudes to infertility management in primary care: focus group studyJournal of Evaluation in Clinical Practice, 2007
- The practice gap in the care of women following successful infertility treatments: Unasked research questions in midwifery and nursingHuman Fertility, 2007
- Using thematic analysis in psychologyQualitative Research in Psychology, 2006
- ‘Don't count your chickens’: A comparative study of the experience of pregnancy after IVF conceptionJournal of Reproductive and Infant Psychology, 1999
- Psychological Status of Previously Infertile Couples After a Successful PregnancyJournal of Obstetric, Gynecologic & Neonatal Nursing, 1988
- The Discovery of Grounded Theory; Strategies for Qualitative ResearchNursing Research, 1968