Student Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Sciences Development Research Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
Reprod Health. 2019 Feb 26;16(1):23. doi: 10.1186/s12978-019-0687-8.
Gestational surrogacy is one of the options for women whom pregnancy is contraindicated. Despite of increasing demand for gestational surrogacy, its various aspects are controversial. The unique nature of surrogacy causes surrogate mothers to face a variety of problems such as, ethical confusion, psychological disturbance and reproductive health matters. Therefore, it is necessary to develop a comprehensive care program for reproductive and sexual health providing specific care at prenatal and pregnancy as well as delivery and postpartum period in socio- cultural context of Iran.
This research is an exploratory study with the qualitative-quantitative sequencing design (mixed) that is consisted of three sequential phases. In the first phase, following a qualitative approach, the researcher will explain needs of reproductive and sexual health in surrogate mothers. In the second phase, a primary reproductive and sexual health care program is designed for surrogate mothers in which, in addition to using the qualitative study results, related papers and texts will be also used. In the third phase of the study, reproductive and sexual health care program will be evaluated by RAND method (RAM).
The results of this mixed method study are expected to lead to the development of a reproductive and sexual health care program meeting the needs of surrogate mothers and are in accordance with the cultural conditions of the research community, ultimately leading to improvement in reproductive and sexual health of surrogate mothers.
代孕是妊娠禁忌女性的选择之一。尽管代孕的需求不断增加，但它的各个方面仍存在争议。代孕的独特性质导致代孕母亲面临各种问题，如伦理困惑、心理困扰和生殖健康问题。因此，有必要在伊朗的社会文化背景下，为生殖和性健康制定全面的护理计划，在产前、孕期、分娩和产后期间提供具体的护理。
本研究是一个探索性研究，采用定性-定量序列设计（混合），包括三个连续阶段。在第一阶段，研究人员将采用定性方法解释代孕母亲的生殖和性健康需求。在第二阶段，将为代孕母亲设计一个初级生殖和性健康护理方案，除了使用定性研究结果外，还将使用相关论文和文本。在研究的第三阶段，将使用 RAND 方法（RAM）对生殖和性健康护理方案进行评估。
这项混合方法研究的结果有望制定出满足代孕母亲需求并符合研究社区文化条件的生殖和性健康护理方案，最终提高代孕母亲的生殖和性健康水平。
