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Jan 2019, Vol 7, Issue 1
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Original Article
A Qualitative Study of The Experiences of Iranian Infertile Couples after Unsuccessful Assisted Reproductive Technologies
Samira Ebrahimzadeh Zagami1, Robab Latifnejad Roudsari2, Roksana Janghorban3, Seyed Mojtaba Mousavi Bazaz4, Maliheh Amirian5, Helen T Allan 6
1Nursing & Midwifery Care Research Center, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2Research Center for Patient Safety, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
3Maternal-fetal medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
4Department of Social Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
5Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
6Department of Adult Child and Midwifery, School of Health and Education, Middlesex University, London, UK


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Keywords : Assisted reproductive technologies, Infertile couples, failed treatment cycles, Qualitative content analysis, health insurance, support
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Abstract

Objectives : Assisted reproductive technologies (ARTs) give hope to some infertile couples; however In Vitro Fertilization (IVF) is expensive and not subsidized by the Iranian state. More than 75% of IVF cycles in Iranian couples are unsuccessful. The aim of this paper is to describe the experiences of Iranian infertile couples after unsuccessful treatment.

Materials and Methods: In a descriptive qualitative study 36 participants including 29 Iranian infertile couples recruited after unsuccessful ARTs treatment, five infertility treatment team members and two relatives of infertile couples, were interviewed at an Infertility Center in Northeastern Iran from April 2016 to June 2017. Data were collected using semi-structured, face-to-face interviews. Data analysis was carried out following Sandelowski.

Results: Iranian infertile couples’ experiences following failed ART cycles are described. The findings presented here show that Iranian infertile couples experience stressors during treatment cycles and systemic challenges which may be unique to the Iranian cultural context.

Conclusion: Iranian infertile couples face particular challenges related to the cultural context in which ARTs are delivered. Further exploration of the effects of culture on the experiences of failed ARTs need to be considered by infertility clinics in Iran.

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