Hammarberg K, Fisher J R W, Wynter K H
Key Centre for Women's Health in Society, School of Population Health, The University of Melbourne, VIC 3010, Australia.
Hum Reprod Update. 2008 Sep-Oct;14(5):395-414. doi: 10.1093/humupd/dmn030. Epub 2008 Jul 24.
It is known that infertility affects emotional well-being, satisfaction with life and self-esteem and that failed assisted reproductive technology (ART) treatment is associated with diminished life satisfaction, reduced self-confidence and substantial psychological distress. Investigations of whether these persist when treatment results in a pregnancy and live birth have been undertaken.
A systematic search for English-language research articles on psychological and social aspects of pregnancy, childbirth and the first post-partum year after ART conception.
Of 466 retrieved papers, 46 met inclusion criteria. These reported data from 28 studies. There is consistent evidence that marital satisfaction, emotional well-being and self-regard in pregnancy, attachment to the fetus and parent-infant relationship in ART groups are similar to comparison groups. Anxiety about the survival of the fetus and early parenting difficulties appear to be higher and post-natal self-confidence lower. Evidence about adjustment to pregnancy and parenthood and the experience of childbirth is inconclusive and reports of parental perceptions of infant temperament and behaviour are contradictory. Between-study methodological differences may explain the lack of consistency in findings of the influence of infertility and ART on some aspects of the transition to parenthood.
Overall, this body of evidence is best described as emergent. It is possible that in pregnancy after ART, parenthood might be idealized and this might then hinder adjustment and the development of a confident parental identity.
众所周知，不孕症会影响情绪健康、生活满意度和自尊，而辅助生殖技术（ART）治疗失败与生活满意度降低、自信心下降以及严重的心理困扰有关。人们已经对治疗成功受孕并分娩后这些情况是否依然存在进行了调查。
系统检索关于ART受孕后妊娠、分娩及产后第一年心理和社会方面的英文研究文章。
在检索到的466篇论文中，46篇符合纳入标准。这些论文报告了28项研究的数据。有一致的证据表明，ART组在妊娠期间的婚姻满意度、情绪健康和自尊、对胎儿的依恋以及亲子关系与对照组相似。对胎儿存活的焦虑和早期育儿困难似乎更高，产后自信心更低。关于适应妊娠和为人父母以及分娩经历的证据尚无定论，关于父母对婴儿气质和行为看法的报告相互矛盾。研究间的方法学差异可能解释了不孕症和ART对向父母角色转变某些方面影响的研究结果缺乏一致性的原因。
总体而言，这组证据最好被描述为初步的。ART受孕后的妊娠过程中，为人父母的角色可能被理想化，这可能会阻碍适应过程以及自信的父母身份的形成。
