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伊朗女性的不孕经历:一项定性研究。

Iranian women's experiences of infertility: A qualitative study.

作者信息

Aghakhani Nader, Marianne Ewalds-Kvist Béatrice, Sheikhan Fatemeh, Merghati Khoei Effat

机构信息

Inpatient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran.

Department of Psychology, Stockholm University, Sweden.

出版信息

Int J Reprod Biomed. 2020 Jan 27;18(1):65-72. doi: 10.18502/ijrm.v18i1.6203. eCollection 2019 Apr.

Abstract

BACKGROUND

There are concerns and diverse experiences related to infertility and childlessness. The lived experience of infertile people from various cultures needs to be explored.

OBJECTIVE

The aim of this qualitative study was to explore Iranian women experiences of their infertility.

MATERIALS AND METHODS

The data comprised interviews about fertility issues in the Persian language with eighteen women, aged 17-45 yr old, who agreed to be interviewed at the Mottahari Infertility Treatment Clinic, affiliated to the Urmia University of Medical Sciences about their fertility problems. They were approached by the researchers at the time of their first visit. The verbatim transcribed interviews were analyzed using deductive conventional content analysis.

RESULTS

The experiences of the informants were conceptualized into four major themes: 1) Shock (subthemes: Disbelief and Denial); 2) Reaction (subthemes: Distress, Guilt, Loss of self-esteem and Sexual reluctance); 3) Processing (subthemes: Internal processing, Avoidance, Marriage at risk, External processing, Stigma caused by the family and Stigma caused by the community) and 4) Reorientation (subthemes: Forgetting, Marriage to saving marriage and Sexual consent).

CONCLUSION

Infertility can be a challenging condition. Considering that infertility-related issues affect Iranian women more contextual factors is necessary. So, culturally sensitive and gender specific protocols are suggested to provide suitable and about culturally sensitive and gender-specific protocols is a necessity in order to provide suitable care to infertile women.

摘要

背景

人们对不孕不育和无子女存在担忧且有着不同经历。需要探索来自不同文化背景的不孕不育者的生活经历。

目的

这项定性研究的目的是探索伊朗女性的不孕经历。

材料与方法

数据包括对18名年龄在17至45岁之间的女性进行的波斯语生育问题访谈,这些女性同意在乌尔米亚医科大学附属的莫塔哈里不孕治疗诊所接受关于其生育问题的访谈。研究人员在她们首次就诊时与她们接触。使用演绎式传统内容分析法对逐字转录的访谈进行分析。

结果

受访者的经历被归纳为四个主要主题:1)震惊(子主题:怀疑和否认);2)反应(子主题:痛苦、内疚、自尊丧失和性方面的不情愿);3)应对(子主题:内心应对、回避、婚姻面临风险、外部应对、家庭造成的污名和社区造成的污名)以及4)重新定位(子主题:遗忘、为挽救婚姻而结婚和性同意)。

结论

不孕不育可能是一种具有挑战性的状况。鉴于与不孕不育相关的问题对伊朗女性影响更大,考虑更多背景因素是必要的。因此,建议制定文化敏感且针对性别的方案,以便为不孕不育女性提供合适的护理,制定关于文化敏感且针对性别的方案对于为不孕不育女性提供合适护理是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b24/6996123/41b167dd5690/ijrb-18-65-g001.jpg

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