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Hum. Reprod. Advance Access published online on September 7, 2006

Human Reproduction, doi:10.1093/humrep/del344
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© The Author 2006. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Received January 18, 2006
Revised June 27, 2006
Accepted July 1, 2006

Article

A qualitative study of the experience of treatment for infertility among women who successfully became pregnant

M. Redshaw 1 *, C. Hockley 1, and L.L. Davidson 2

1 National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK
2 Department of Epidemiology, Mailman School of Public Health, Columbia University, NY, USA

* To whom correspondence should be addressed.
M. Redshaw, E-mail: maggie.redshaw{at}npeu.ox.ac.uk


   Abstract

BACKGROUND: In a study in which 18 503 women who had recently given birth were interviewed, 460 women who had received treatment for infertility (2.6%) were asked to participate in a postal study. The aim was to investigate the experience of women who had undergone treatment for infertility and given birth as a consequence, focusing on perceptions of treatment and care. METHODS: The study relies on responses to open-ended questions about the impact of treatment, how treatment could be improved and advice to policy makers. The text responses to these questions were analysed qualitatively. RESULTS: A total of 230 women responded (50%). Emergent themes related to the treatment process, pain and distress, lack of choice and control, timing, emotional and financial costs, fairness and contrasts in care. CONCLUSIONS: Women wished to be treated with respect and dignity and given appropriate information and support. They wanted their distress recognized, to feel cared for and to have confidence in health professionals in situations where outcomes are uncertain. Women acknowledged receiving care from motivated and skilled health professionals and value the children they have enormously. For many, there is now a sense of being complete, though for some this has been at great emotional and financial cost.

Keywords: infertility/infertility treatment/qualitative methods/women’s perceptions.
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