|A Qualitative Study of the Challenges Experienced by Iranian Infertile Couples After Unsuccessful Assisted Reproductive Technologies|
|Samira Ebrahimzadeh Zagami1, Robab Latifnejad Roudsari1, Roksana Janghorban2, Seyed Mojtaba Mousavi Bazaz3, Maliheh Amirian4, Helen T Allan5|
|1Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
2Maternal-fetal Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
3Department of Social Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
4Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
5Department of Adult Child and Midwifery, School of Health and Education, Middlesex University, London, UK
IJWHR 2019; 7: 331?338
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Keywords : Assisted reproductive technologies, Infertile couples, Failed treatment cycles, Psychological stressors, Healthcare system challenges
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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 study is to describe the challenges experienced by infertile couples after unsuccessful treatment.
Materials and Methods: In this descriptive qualitative study, 36 participants including 29 Iranian infertile couples recruited after unsuccessful ART treatments, five infertility treatment team members and 2 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.
Conclusions: 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 needs to be considered by infertility clinics in Iran.
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