Holter Herborg, Bergh Christina, Gejervall Ann-Louise
Department of Obstetrics and Gynaecology, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg University, Reproductive Medicine, Sahlgrenska University Hospital, Gothenburg SE-41345, Sweden.
Department of Obstetrics and Gynaecology, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Reproductive Medicine, Sahlgrenska University Hospital, Gothenburg SE-41345, Sweden.
Hum Reprod Open. 2021 Jan 19;2021(1):hoaa062. doi: 10.1093/hropen/hoaa062. eCollection 2021.
What are the experiences of women undergoing IVF who could not receive an embryo transfer because of failed fertilization or poor embryo development?
No embryo transfer because of failed embryo development is associated with considerable emotional suffering and the need for an early appointment with a physician to obtain information on what went wrong and new alternatives.
The psychological and emotional impact of IVF treatments as experienced by IVF patients is well known, particularly following the failure to achieve pregnancy.
A qualitative study running from January 2018 to April 2019 was carried out at one public and one private IVF clinic. The invitation to participate was sent to women within 1 month after the cycle failed.
PARTICIPANTS/MATERIALS SETTING METHODS: The women undergoing IVF were diverse in terms of cause of infertility, age, number of previous cycles, country of birth and educational level. Nineteen of the 41 invited women who had experienced no embryo transfer because of non-fertilization or poor embryo development took part in a semi-structured interview. Data were analysed by thematic content analysis.
The master theme was identified as: 'Lost and lonely' organized in two main themes 'Experience of the event' and 'Perception of needs from healthcare providers'. Considerable emotional suffering was recognized after no embryo transfer. The need for support was expressed as to be offered an early appointment with a physician for information about what went wrong, looking at new alternatives and, for many women, providing information about counselling.
Only women participated, not partners. Of the women invited, 46% participated. Several declined to participate because of high levels of emotional stress.
Patients undergoing IVF and not achieving embryo transfer due to poor embryo development are a vulnerable group. They need early feedback concerning reasons for failure and future alternatives. They also require psychological support. This ought to be offered by IVF clinics.
STUDY FUNDING/COMPETING INTERESTS: The study was financed by grants from the Swedish state under the agreement between the Swedish government and the county councils, the ALF-agreement (ALFGBG-70940). It was also financed by the Local Research and Development Board for Gothenburg and Södra Bohuslän (VGFOUGSB-866771) and by Hjalmar Svensson's research foundation (HJSV-2017012). None of the authors declares any conflicts of interest.
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因受精失败或胚胎发育不良而无法进行胚胎移植的接受体外受精（IVF）的女性有哪些经历？
因胚胎发育失败而未进行胚胎移植与相当大的情感痛苦相关，并且需要尽早预约医生以获取关于问题所在及新的选择的信息。
体外受精患者所经历的体外受精治疗的心理和情感影响是众所周知的，尤其是在未能成功怀孕之后。
于2018年1月至2019年4月在一家公立和一家私立体外受精诊所开展了一项定性研究。在周期失败后的1个月内，向女性发出了参与邀请。
参与者/材料设置方法：接受体外受精的女性在不孕原因、年龄、既往周期数、出生国家和教育水平方面各不相同。41名因受精失败或胚胎发育不良而未进行胚胎移植的受邀女性中有19名参加了半结构化访谈。通过主题内容分析对数据进行了分析。
主要主题被确定为：“失落与孤独”，分为两个主要主题“事件经历”和“对医疗服务提供者需求的认知”。在未进行胚胎移植后，人们认识到存在相当大的情感痛苦。对支持的需求表现为希望尽早预约医生以了解问题所在、寻找新的选择，并且对许多女性来说，希望获得有关咨询的信息。
仅女性参与，未包括伴侣。在受邀女性中，46%参与了。有几名女性因情绪压力过大而拒绝参与。
因胚胎发育不良而接受体外受精但未进行胚胎移植的患者是一个弱势群体。他们需要关于失败原因和未来选择的早期反馈。他们也需要心理支持。体外受精诊所应该提供这些支持。
研究资金/利益冲突：该研究由瑞典政府与郡议会之间的协议下瑞典国家提供的赠款资助，即ALF协议（ALFGBG - 70940）。它还由哥德堡和南博胡斯兰的地方研究与发展委员会（VGFOUGSB - 866771）以及 Hjalmar Svensson研究基金会（HJSV - 2017012）资助。作者均未声明存在任何利益冲突。
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