Beaudoin D, Marquis M, Tailleur D, Gendron C
Can Nurse. 1993 Mar;89(3):41-5.
What are the real benefits of in-vitro fertilization? (IVF) Does it offer a service to women and couples or does it present itself more as a type of controlled reproduction for which all the consequences are yet unknown? To uncover the answers to these questions, the authors explore the reasons that attract certain women to choose IVF. The authors question if it is appropriate in all infertility cases. They describe IVF including the various stages involved in the process. An overview of the inherent risks and problems with this type of reproductive therapy provide some food for thought. An account of a professional experience illustrates this point. Lucy's story is filled with trials and setbacks. It is the story of a woman exhausted from the IVF process, unhappy, powerless and misunderstood. The nurse is ultimately able to communicate with her. The authors suggest that a "woman's touch" is essential in helping women who are undergoing IVF treatment because of the special comfort and understanding that can be provided to the client. During the IVF process some of the nursing interventions suggested include: using a global approach; providing an empathetic attitude and a reassuring presence; being a good listener; and offering support and encouragement. The nurse must not only create an atmosphere of confidence but should also be able to differentiate between the client's true desire to have a baby and her fantasy of being pregnant. It is essential for the nurse to be able to help the "mother to be" examine and discuss her views and feelings.(ABSTRACT TRUNCATED AT 250 WORDS)
体外受精的真正益处是什么？它是为女性和夫妻提供一种服务，还是更多地呈现为一种所有后果尚不明了的控制性生殖方式？为了找到这些问题的答案，作者探究了吸引某些女性选择体外受精的原因。作者质疑它是否适用于所有不孕不育病例。他们描述了体外受精，包括该过程涉及的各个阶段。对这种生殖治疗的内在风险和问题的概述引人深思。一段专业经历的叙述阐明了这一点。露西的故事充满了考验和挫折。这是一个女性在体外受精过程中疲惫不堪、不开心、无助且被误解的故事。护士最终得以与她沟通。作者认为，“女性的关怀”对于帮助接受体外受精治疗的女性至关重要，因为它能给客户提供特别的安慰和理解。在体外受精过程中，建议的一些护理干预措施包括：采用整体方法；给予共情的态度和令人安心的陪伴；做一个好的倾听者；以及提供支持和鼓励。护士不仅要营造信任的氛围，还应能够区分客户想要孩子的真实愿望和她对怀孕的幻想。护士能够帮助“准母亲”审视和讨论她的观点及感受至关重要。（摘要截选至250词）
