背景:经历过一段时间不孕症的女性通常会决定选择体外受精治疗(IVF)。然而,寻求帮助并成为母亲的一部分,他们有时会在生育之旅中失败。研究人员旨在探索加纳妇女不孕症和体外受精(IVF)治疗失败的含义和情绪,因为在非洲,特别是在加纳的背景下,这一调查领域的探索较少。
方法:本研究遵循定性方法,并从海德格尔的现象学哲学和设计中汲取灵感。六(6)名女性,年龄在29至40岁之间,至少经历过一次试管婴儿周期不成功的人,是有目的地从库马西的私人生育专科医院挑选的,加纳。与参加者进行了一对一的访谈,采访是逐字抄写的。使用VanManen六步框架分析收集的数据,这有助于揭示这些女性归因于她们经历的存在意义和解释。
结果:研究结果揭示了四个主要主题,这些主题被认为是参与者意义的重要方面。这些主题是:(1)体验存在的信念和希望。参与者将他们通过不孕症和体外受精(IVF)治疗的旅程描述为对他们生存信念的深刻考验,并希望在面临挑战和挫折的情况下找到保持积极前景的力量。,(2)直面焦虑:这个主题突出了参与者面对斗争的情感层面的勇气。妇女们承认并面对她们的焦虑,恐惧,以及与他们的不孕症和试管婴儿治疗失败相关的情绪困扰。,(3).非披露:这个主题是指参与者保持他们与IVF治疗斗争的经验,通常是由于社会和文化因素。(4).在没有母亲的世界中表现出不足的感觉:参与者表达了不足的感觉,自我怀疑,以及由于无法怀孕和履行母亲的社会角色而导致的不完整感。他们的叙述揭示了社会期望对他们的自我感知和身份的深远影响。
结论:这项研究的发现揭示了加纳妇女不孕症和IVF治疗失败的经验和解释。采用海德格尔解释学,这项研究阐明了多样化的存在,情感,以及不孕症斗争中固有的社会方面。这些女性旅程的多面性强调了一种全面的不孕症护理方法的重要性,这种方法认识到文化,社会,情感,和IVF过程的存在维度。此外,该研究强调了对文化敏感的支持系统和干预措施的必要性,以应对这一人群面临的独特挑战。
BACKGROUND: Women having experienced infertility over a period usually decide on an option for an invitro fertilisation treatment (IVF). However, in the quest to seek help and to be part of motherhood, they sometimes become unsuccessful in their fertility journey. The researchers aimed to explore the meanings and emotions attached to infertility and unsuccessful invitro fertilisation (IVF) treatment among Ghanaian women, as this area of inquiry is less explored in Africa and specifically in the Ghanaian context.
METHODS: The
study followed a qualitative approach and drew inspiration from the Heideggerian phenomenological philosophy and design. Six (6) women, aged between 29 and 40 years, who had experienced at least one unsuccessful IVF cycle, were purposefully selected from a private specialist fertility hospital in Kumasi, Ghana. One-on-one interviews were conducted with the participants, and the interviews were transcribed verbatim. The collected data was analyzed using Van Manen six-step framework, which helped to uncover the existential meanings and interpretations these women ascribed to their experiences.
RESULTS: The results of the
study revealed four main themes that were deemed essential aspects of meaning for the participants. These themes were: (1) Experiencing an Existential Faith and Hope. The participants described their journey through infertility and invitro fertilisation (IVF) treatment as a profound test of their existential faith and hope finding strength in maintaining a positive outlook despite the challenges and setbacks they faced., (2) Facing up to the Angst: This theme highlights the participants\' courage in confronting the emotional dimensions of their struggles. The women acknowledged and confronted their anxieties, fears, and emotional distress associated with their infertility and unsuccessful IVF treatment., (3). Non-disclosedness: This theme refers to the participants\' experiences of keeping their struggles with IVF treatment private, often due to societal and cultural factors. (4). Endured feelings of inadequacy of being-in-the-world-of-motherless: Participants expressed feelings of inadequacy, self-doubt, and a sense of being incomplete due to their inability to conceive and fulfill the societal role of motherhood. Their narratives revealed the profound impact of societal expectations on their self-perception and identity.
CONCLUSIONS: The
study\'s findings reveal insights into the experiences and interpretations of infertility and unsuccessful IVF treatment among Ghanaian women. Employing Heideggerian hermeneutics, the research elucidates the diverse existential, emotional, and societal aspects inherent in the struggles of infertility. The multifaceted nature of these women\'s journeys underscores the significance of a comprehensive approach to infertility care that recognizes the cultural, social, emotional, and existential dimensions of the IVF process. Additionally, the
study emphasizes the necessity for culturally sensitive support systems and interventions to address the unique challenges faced by this population.