Communication Experiences of Pekanbaru City Patients Receiving In Vitro Fertilisation (IVF) Treatment in Malaysia Fertility Clinics

2021 ◽  
Vol 37 (4) ◽  
pp. 1-19
Author(s):  
Rumyeni Rumyeni ◽  
◽  
Susanne Dida ◽  
Purwanti Hadisiwi ◽  
Yanti Setianti ◽  
...  
Keyword(s):  
Interpersonal Communication ◽  
Service Providers ◽  
Patient Communication ◽  
Fertility Treatment ◽  
In Vitro Fertilisation ◽  
Structured Interviews ◽  
Medical Practitioners ◽  
Doctor Patient Communication ◽  
Cross Border

Doctor-patient communication is important in all medical consultations including for In Vitro Fertilisation (IVF) treatment. An unfavourable communication experience can cause a patient to stop taking the treatment, move to another local fertility clinic, or even seek treatment abroad. There are still few studies documenting communication experiences of patients with infertility seeking reproductive treatment in other countries. This study aimed to describe the communication experiences of Indonesian IVF patients receiving IVF treatment from medical practitioners in fertility clinics in Malaysia. This study used Benner's interpretive phenomenology framework in its approach and when analysing the results. Data collection was carried out using in-depth and semi-structured interviews with 11 IVF patients from Pekanbaru city Indonesia who received IVF treatment in fertility clinics in Malaysia. This study found three main themes shared by the IVF patients’ communication experiences: 1) memorable experiences (friendliness and caring, empathy, honesty and openness, clarity and adequacy of the information, and easiness of communication; 2) less memorable experiences (less interpersonal communication, less warm non-verbal communication, and miscommunication); and 3) communication barriers (English). These findings have important implications for both the prospective patients receiving cross-border fertility treatment in the future and for service providers providing fertility treatment to improve doctor-patient communication. Keywords: Health communication, doctor-patient communication, communication experience, infertility, cross-border reproductive care, in vitro fertilisation treatment.

Age and Gender Differences in Relationship and Psychological Adjustment to Parenthood in Couples Conceiving Through In-Vitro Fertilisation (IVF)

2010 ◽  
Vol 27 (2) ◽  
pp. 90-103 ◽  
Author(s):  
Peggy Bracks-Zalloua ◽  
Frances Gibson ◽  
Catherine McMahon
Keyword(s):  
Gender Differences ◽  
Relationship Satisfaction ◽  
Psychological Adjustment ◽  
Transition To Parenthood ◽  
Age Groups ◽  
Fertility Treatment ◽  
In Vitro Fertilisation ◽  
Mothers And Fathers ◽  
And Gender

AbstractFifteen per cent of Australian couples now experience fertility problems and many turn to assisted reproductive technology such as in-vitro fertilisation (IVF) to conceive their child. This study investigated gender differences in relationship satisfaction during the transition to parenthood, and the effects of gender and age on relationship and psychological adjustment at six–nine months postpartum, in a sample of IVF conceiving couples initially recruited from a private fertility treatment clinic in Sydney. The results revealed different patterns of adjustment for mothers and fathers, whereby mothers showed a significant decline in relationship satisfaction from pregnancy to early parenthood while fathers did not. However, fathers exhibited more consistent relationship concern than mothers in both pregnancy and parenthood, and also reported greater parenting stress related to interaction with their child. There were negligible differences between older and younger parents, suggesting comparable adjustment across age groups. While the outcomes of this research do not indicate problematic adjustment, for those professionals who might be working with families conceiving through IVF they do highlight some specific adjustment issues for mothers and fathers during the postpartum period.

Birth weight for gestational age and the risk of infertility: a Danish cohort study

2019 ◽  
Vol 35 (1) ◽  
pp. 195-202 ◽  
Author(s):  
A Thorsted ◽  
J Lauridsen ◽  
B Høyer ◽  
L H Arendt ◽  
B Bech ◽  
...  
Keyword(s):  
Cohort Study ◽  
Birth Weight ◽  
Study Design ◽  
Gestational Age ◽  
Fertility Treatment ◽  
In Vitro Fertilisation ◽  
Similar Distribution ◽  
Health Seeking ◽  
Men And Women

Abstract STUDY QUESTION Is birth weight for gestational age associated with infertility in adulthood among men and women? SUMMARY ANSWER Being born small for gestational age (SGA) was associated with infertility in adulthood among men. WHAT IS KNOWN ALREADY Fetal growth restriction may affect fertility, but results from previous studies have been inconsistent. STUDY DESIGN, SIZE, DURATION In this population-based cohort study, we used data from a Danish birth cohort, including 5594 men and 5342 women born between 1984 and 1987. Information on infertility was obtained from Danish health registers during the period from the participants’ 18th birthday and up until 31 December 2017. PARTICIPANTS/MATERIALS, SETTING, METHODS Participants were men and women born in two Danish municipalities, Aalborg and Odense. Information on birth weight and gestational age was obtained from birth records, and information on infertility diagnoses and fertility treatment was retrieved from the Danish National Patient Registry (NPR) and the Danish In Vitro Fertilisation (IVF) registry. Information on potential maternal confounders was obtained from questionnaires during pregnancy and was included in adjusted analyses. Logistic regression analysis was used to estimate crude and adjusted odds ratios (ORs) with 95% confidence intervals (CIs) for infertility according to birth weight for gestational age. MAIN RESULTS AND THE ROLE OF CHANCE Men born SGA had a 55% higher risk of being diagnosed with or treated for infertility compared to men born appropriate for gestational age (AGA) (adjusted OR = 1.55, 95% CI: 1.09–2.21). The association attenuated after exclusion of men born with hypospadias or cryptorchidism (OR = 1.37, 95% CI: 0.93–2.01). No association was found between women’s birth weight for gestational age and risk of infertility (adjusted OR = 1.00, 95% CI: 0.73–1.37). LIMITATIONS, REASONS FOR CAUTION Estimation of gestational age is associated with some uncertainty and might have caused non-differential misclassification. The study design implicitly assumed similar distribution of reproductive and health-seeking behaviour across the groups that were compared. WIDER IMPLICATIONS OF THE FINDINGS Men born SGA had a higher risk of infertility. Genital malformations may account for part of the observed association, but this must be explored further. STUDY FUNDING/COMPETING INTEREST(S) This study was supported by Health, Aarhus University. No competing interests are declared. TRIAL REGISTRATION NUMBER N/A

scholarly journals VALUE study: a protocol for a qualitative semi-structured interview study of IVF add-ons use by patients, clinicians and embryologists in the UK and Australia

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e047307
Author(s):  
Sarah C Armstrong ◽  
Sarah Lensen ◽  
Emily Vaughan ◽  
Elaine Wainwright ◽  
Michelle Peate ◽  
...  
Keyword(s):  
Online Survey ◽  
Randomised Trial ◽  
Structured Interview ◽  
In Vitro Fertilisation ◽  
Snowball Sampling ◽  
Traffic Light ◽  
Structured Interviews ◽  
The Uk ◽  
Media Channels

IntroductionFor couples undergoing assisted reproduction, a plethora of adjuncts are available; these are known as ‘add-ons’. Most add-ons are not supported by good quality randomised trial evidence of efficacy, with some proven to be ineffective. However, estimates suggest that over 70% of fertility clinics provide at least one add-on, often at extra cost to the patient. This study has three aims. First, to undertake a survey of in vitro fertilisation (IVF) clinics in the UK to ascertain which add-ons are being offered and at what cost. Second, to undertake qualitative semi-structured interviews of patients, clinicians and embryologists, to explore their opinions and beliefs surrounding add-ons. Third, to review the interpretation of the Human Fertilisation and Embryology Authority traffic light system, to better understand the information required by IVF patients, clinicians and embryologists when making decisions about add-ons.Methods and analysisAll UK IVF clinics will be contacted by email and invited to complete an online survey. The survey will ask them which add-ons they offer, at what cost per cycle and how information is shared with patients. Semi-structured interviews will be conducted in the UK and Australia with three groups of participants: (i) fertility patients; (ii) clinicians and (iii) embryologists. Participants for the interviews will be recruited via social media channels, website adverts, email and snowball sampling. Up to 20 participants will be recruited for each group in each country. Following an online consent process, interviews will be conducted via video-conferencing software, transcribed verbatim and data subjected to inductive thematic analysis.Ethics and disseminationEthical approval has been granted by the Universities of Sheffield, Bath Spa and Melbourne. Findings will be published in a peer-reviewed journal and disseminated to regulatory bodies in the UK and Australia. A lay summary of findings will be shared via Fertility Network, UK.

scholarly journals Perspectives on access to in vitro fertilization in Portugal

2012 ◽  
Vol 46 (2) ◽  
pp. 344-350 ◽  
Author(s):  
S. Silva ◽  
H. Barros
Keyword(s):  
In Vitro Fertilization ◽  
Time Management ◽  
Insurance Coverage ◽  
Legal Regulation ◽  
Fertility Treatment ◽  
National Council ◽  
Structured Interviews ◽  
Vitro Fertilization ◽  
Interpretative Approach

OBJECTIVE: To analyze users' reasons for choosing in vitro fertilization treatment in public or private services and to identify their suggestions for improving fertility treatment. METHODS: A qualitative study using an interpretative approach was conducted. Fifteen semi-structured interviews were conducted with patients undergoing in vitro fertilization treatment (nine women, one man and five couples) at home or at their workplace in the districts of Viana do Castelo, Braga, Porto and Lisbon, Portugal, between July 2005 and February 2006. RESULTS: Users evaluated access to in vitro fertilization treatment in public and private services based mainly on their individual experiences and called for more access to less costly, faster and friendlier care with suitable facilities, appropriate time management and caring medical providers. These perceptions were also associated with views on the need for fighting stigmatization of infertility, protecting children's rights and guaranteeing sustainability of health care system. Interviewees sought to balance reduced waiting time and more attentive care with costs involved. The choice of services depended on the users' purchase power and place of residence and availability of attentive care. CONCLUSIONS: Current national policies on in vitro fertilization treatment meet user's demands of promoting access to, and quality, availability and affordability of in vitro fertilization treatment. However, their focus on legal regulation and technical-scientific aspects contrasts with the users' emphasis on reimbursement, insurance coverage and focus on emotional aspects of the treatment. The study showed these policies should ensure insurance coverage, participation of user representatives in the National Council for Assisted Reproductive Technology, promotion of infertility research and certification of fertility laboratories.

scholarly journals Could Seeking Human Germline Genome Editing Force Journeys of Transnational Care?

2020 ◽  
Vol 9 (2) ◽  
pp. 184
Author(s):  
Amarpreet Kaur
Keyword(s):  
Genome Editing ◽  
In Vitro Fertilisation ◽  
Gender Inequalities ◽  
Structured Interviews ◽  
Data Set ◽  
The United Kingdom ◽  
Public Survey ◽  
Final Data ◽  
The Uk

The scope and use of in vitro fertilisation (IVF), a technology which inherently presents gender inequalities, and its platform applications differ across countries according to respective legislation and regulation (Inhorn, 2015). Using the context of human germline genome editing (hGGE) as a framework, this article will explore and discuss whether differences in legislation and regulation across countries force individuals/couples to seek transnational care to fulfil their reproductive desires. This article will primarily focus on regulation and practices in the United Kingdom (UK) and use these as a comparative to regulation and practices in other countries. The primary research upon which this article is based was conducted in the UK between 1st March 2018 – 31st October 2019. The research consisted of a largely qualitative, online public survey with a final data set of 521 respondents, semi-structured interviews with 11 experts/professionals who were/are involved in the scope of hGGE in the UK, and semi-structured/interactive interviews with 21 people affected by a respective range of genetic conditions. The findings reveal that 65.64% of respondents were supportive of people utilising transnational care to achieve their reproductive desires in relation to hGGE and that 76.39% felt they should not be prosecuted if they do.

scholarly journals The rise of non-traditional pregnancies through assisted reproductive technologies

2021 ◽  
Vol 29 (2) ◽  
pp. 82-88
Author(s):  
Amarpreet Kaur
Keyword(s):  
Mixed Methods ◽  
Genome Editing ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
In Vitro Fertilisation ◽  
Structured Interviews ◽  
Midwifery Care ◽  
Three Phase ◽  
The Uk

This article explores how the development of assisted reproductive technologies (ARTs), arisen from in vitro fertilisation, have perpetuated an increase in non-traditional pregnancies ( Franklin, 1997 ). This article discusses what this increase means for midwifery practices and what care midwives may need to consider for such pregnancies. The discussions in this article are based on triangulated findings from a three-phase research design. The research consisted of an online mixed-methods survey of 521 citizens of the UK, semi-structured interviews with experts and professionals who speak to the future of ARTs, and structured interviews with people who are affected by genetic conditions. Findings reveal that applications of ARTs are anticipated to continue to expand with the potential introduction of genome editing technologies to reproductive choices for the prevention of disease. Thus, this article concludes that because of this expansion, the rise of non-traditional pregnancies is likely to continue, and that midwives may benefit from considering the implications the rise could have for midwifery care.

scholarly journals DIDACTIC ASSISTANCE FOR OPTIMIZING DOCTOR-PATIENT COMMUNICATION

2020 ◽  
Author(s):  
Silvia Nastasiu ◽  
◽  
◽  
Keyword(s):  
Medical Students ◽  
Foreign Language ◽  
Interpersonal Communication ◽  
Creative Thinking ◽  
Communication Competence ◽  
Patient Communication ◽  
Linguistic Knowledge ◽  
Active Listening ◽  
Medical Terminology ◽  
Doctor Patient Communication

The Methodological Guide to the Discipline Romanian as a foreign language for medical students Didactic assistance for optimizing doctor-patient communication is structured in 3 chapters: the first chapter includes conceptual milestones of competency-based education, data on the concept of competences and their role in modern education; the second chapter analyzes the concept of interpersonal communication versus linguistic competence including general considerations on the communication competence between linguistic knowledge and performance as an integral part of the competence formation process of doctor-patient interpersonal communication looked through the prism of medical terminology knowledge; the third chapter highlights pragmatic hypostases of formation/development of doctor-patient communication competence focused on Romanian medical language, as well, are presented practical reasonings for optimizing doctor-patient communication competence focused on specialized language and methodological recommendations for formation/development of doctor-patient communication competence within the Discipline Romanian as a foreign language for medical students. To attain the established objectives, the formation/development of doctor-patient interpersonal communication competence within the Discipline Romanian as a foreign language for medical students, we focused on the innovative teaching and creative learning of some curricular content and on contextualized use of a number of communication methods and techniques based on the development of critical and creative thinking such as: Ciorchinele; Mosaic; SINELG; Glottodrama, Cinquain, Project, etc. According to therapeutic and ethical perspectives, the modern doctor should be able to create and maintain correct relationship with patients, their relatives, as well as in relationship with colleagues and society, etc. The modern doctor is able to effectively use communication techniques, request and provide information, correctly apply active listening, explanation, silence, paraphrasing, empathy, acceptance, etc. Physicians should receive adequate training that meets the patients’ current needs and is based on their holistic approach.

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