Rujas Bracamonte Sara, Serrano Gallardo Pilar, Martínez Marcos Mercedes
Departamento de Enfermería. Facultad de Medicina. Universidad Autónoma de Madrid. Madrid. España.
Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA). Hospital Universitario Puerta De Hierro. Majadahonda. España.
Rev Esp Salud Publica. 2021 Oct 13;95:e202110131.
Infertility is a huge reproductive health problem in developed countries. The aim was to understand the infertility experience of women who have undergone assisted reproduction technologies.
Qualitative study using Grounded Theory. Through intentional sampling and theoretical sampling, 20 women who had undergone Assisted Reproduction Technologies in public hospitals and specialized private clinics in Spain were selected. Data were collected using semi-structured interviews and were analysed using the principles of Grounded Theory: initial coding and focused coding, memo writing, theoretical sampling and constant comparative method.
"Uncovering infertility: unveiling the unknown" is the core category that explains the process which women go through. Four subcategories emerged and describe the temporal process from seeking pregnancy to reception and coping with the infertility diagnosis: "Seeking for a vital desire: being mothers/fathers", "Suspecting infertility: the absence of the natural", "In search of a diagnosis: knowing and understanding the problem" and "The impact of diagnosis: a vital grief".
Uncovering infertility is a process that has an impact on the different areas of women's lives. This process produces different emotions and feelings such as guilt, frustration, sadness or anger. This process could be easier if women have the support of their partner, their social environment and if they share their problem with women who have the same situation.
在发达国家,不孕症是一个巨大的生殖健康问题。本研究旨在了解接受辅助生殖技术的女性的不孕经历。
采用扎根理论进行定性研究。通过立意抽样和理论抽样,选取了20名在西班牙公立医院和专业私立诊所接受过辅助生殖技术的女性。使用半结构化访谈收集数据,并运用扎根理论的原则进行分析:初始编码和聚焦编码、撰写备忘录、理论抽样和持续比较法。
“揭开不孕的面纱:揭示未知”是解释女性所经历过程的核心类别。出现了四个子类别,描述了从寻求怀孕到接受并应对不孕诊断的时间过程:“寻求至关重要的愿望:成为母亲/父亲”、“怀疑不孕:自然受孕的缺失”、“寻求诊断:了解和认识问题”以及“诊断的影响:巨大的悲痛”。
揭开不孕的面纱是一个对女性生活的不同领域产生影响的过程。这个过程会产生诸如内疚、沮丧、悲伤或愤怒等不同的情绪和感受。如果女性得到伴侣、社会环境的支持,并且与有相同情况的女性分享自己的问题,这个过程可能会更容易。