Virginia Commonwealth University, School of Nursing, Richmond, VA, USA.
MCN Am J Matern Child Nurs. 2010 May-Jun;35(3):156-64. doi: 10.1097/NMC.0b013e3181d7657d.
This article reviews the research related to parenting after assisted reproduction and uses that research to discuss clinical implications for nurses who work to support these families and the development of their children. The worldwide diagnosis of infertility continues to rise and now hovers near 20%. The increased availability and success of assisted reproductive technologies (ARTs) provides a potential option for infertile families to conceive and begin a family, but as nurses know, infertility treatments are not easy to tolerate, are time-consuming, physically taxing, and expensive. In addition, a positive outcome is far from guaranteed. Even when infertile couples successfully give birth, they can continue to struggle with the psychological aspects of infertility and the ongoing care of a child who may be premature, low birth weight, or afflicted with another high-risk condition such as long-term developmental or behavioral problems. Unfortunately, the psychological needs of the couple and the family may not be addressed during ART treatment or after the birth of a child. Parenting is a challenging life task; parenting when the partners may have to work through the psychological aspects of infertility and the care of a high-risk child is even more complex and may have long-lasting effects on the partners as well as their children.
本文回顾了与辅助生殖后育儿相关的研究，并利用这些研究讨论了对为这些家庭提供支持的护士的临床意义，以及对其子女成长的影响。全世界的不孕诊断率持续上升，现已接近 20%。辅助生殖技术（ART）的可用性和成功率不断提高，为不孕家庭提供了一个潜在的选择，让他们能够怀孕并组建家庭，但正如护士所知，不孕治疗并不容易，既耗时、耗力，又昂贵。此外，积极的结果也远非板上钉钉。即使不孕夫妇成功分娩，他们仍可能继续受到不孕的心理方面以及对早产儿、低出生体重儿或患有其他高风险疾病（如长期发育或行为问题）的孩子的持续照料的困扰。不幸的是，夫妇和家庭的心理需求在 ART 治疗期间或孩子出生后可能得不到满足。育儿是一项具有挑战性的生活任务；当伴侣必须应对不孕的心理方面和照顾高危儿童时，育儿就更加复杂，这可能会对伴侣以及他们的孩子产生持久的影响。
