French Lydia Rm, Sharp Debbie J, Turner Katrina M
Centre for Academic Primary Care, University of Bristol, Bristol.
Br J Gen Pract. 2015 Sep;65(638):e570-7. doi: 10.3399/bjgp15X686473.
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.
To explore the antenatal experiences of females and males who have successfully conceived through infertility treatment.
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.
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.
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.
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.
众所周知，夫妇在接受不孕治疗时可能会经历情绪困扰，但对于他们成功受孕后的妊娠经历了解较少。通常情况下，夫妇在生育诊所出院后接受标准的产前护理。最近的研究对这种护理是否能充分满足他们的需求提出了疑问。
探讨通过不孕治疗成功受孕的女性和男性的产前经历。
采用探索性定性研究方法，对在英格兰南部三家生育诊所之一成功接受不孕治疗的女性和男性进行个体深入访谈。
在妊娠28周时对20名参与者进行了访谈（12名女性和8名男性伴侣）。询问参与者关于他们不孕治疗、妊娠和产前护理的经历。访谈进行了录音、转录并进行主题分析。
访谈分析表明，从生育诊所转到标准产前护理时，女性和男性在护理的时间和强度方面经历了一个“缺口”。这个缺口，再加上他们之前的不孕治疗经历，加剧了他们对流产的恐惧，增加了他们对医疗保健专业人员支持的需求。参与者之前的不孕治疗经历似乎也阻碍了他们为分娩和为人父母做准备，以及向他人透露对妊娠的负面感受。
成功接受不孕治疗的女性和男性可能需要在初级保健中获得额外支持，以缓解孕期焦虑，促使他们能够透露负面感受，并帮助他们为分娩和为人父母做好准备。
