[Motherhood at any price].

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)