Gibson F L, Ungerer J A, Tennant C C, Saunders D M
Macquarie University, Sydney, New South Wales, Australia.
Fertil Steril. 2000 Mar;73(3):565-74. doi: 10.1016/s0015-0282(99)00583-x.
To examine the psychosocial and parenthood-specific adjustment and attitudes to parenting at 1 year postpartum of IVF parents.
Prospective, controlled study.
Volunteers in a teaching hospital environment.
PATIENT(S): Sixty-five primiparous women with singleton IVF pregnancies and their partners, and a control group of 61 similarly aged primiparous women with no history of infertility and their partners.
INTERVENTION(S): Completion of questionnaires and interviews.
MAIN OUTCOME MEASURE(S): Parent reports of general and parenthood-specific adjustment and attitudes to parenting.
RESULT(S): The IVF mothers tended to report lower self-esteem and less parenting competence than control mothers. Although there were no group differences on protectiveness, IVF mothers saw their children as significantly more vulnerable and "special" compared with controls. The IVF fathers reported significantly lower self-esteem and marital satisfaction, although not less competence in parenting. Both IVF mothers and fathers did not differ from control parents on other measures of general adjustment (mood) or those more specific to parenthood (e.g., attachment to the child and attitudes to child rearing).
CONCLUSION(S): The IVF parents' adjustment to parenthood is similar to naturally conceiving comparison families. Nonetheless, there are minor IVF differences that reflect heightened child-focused concern and less confidence in parenting for mothers, less satisfaction with the marriage for the fathers, and vulnerable self-esteem for both parents.
研究体外受精（IVF）父母产后1年时的心理社会状况、为人父母的特定适应情况以及对养育子女的态度。
前瞻性对照研究。
教学医院环境中的志愿者。
65名单胎IVF妊娠的初产妇及其伴侣，以及61名年龄相仿、无不孕史的初产妇及其伴侣作为对照组。
完成问卷调查和访谈。
父母关于总体及为人父母特定的适应情况和对养育子女态度的报告。
与对照组母亲相比，IVF母亲往往报告自尊较低且养育能力较差。尽管在保护意识方面两组没有差异，但与对照组相比，IVF母亲认为自己的孩子明显更脆弱且“特殊”。IVF父亲报告的自尊和婚姻满意度显著较低，尽管养育能力并不差。在总体适应情况（情绪）或为人父母更特定的方面（如与孩子的依恋关系及对育儿的态度）的其他指标上，IVF父母与对照父母没有差异。
IVF父母对为人父母的适应情况与自然受孕的对照家庭相似。尽管如此，IVF父母仍存在一些细微差异，表现为母亲对孩子的关注度更高、对养育孩子的信心较低，父亲对婚姻的满意度较低，父母双方的自尊都较脆弱。
