Será que eu consigo levar essa gestação até o fim? A experiência materna da gestação no contexto da reprodução assistida

Dornelles, Lia Mara Netto; Lopes, Rita de Cássia Sobreira

doi:10.1590/s0103-166x2011000400009

Cited by 4 publications

(12 citation statements)

References 12 publications

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“…Most studies were rated as ‘moderate’ quality ( n = 13), followed by high ( n = 5). Two studies [ 37 , 51 ] were rated low in quality. To ensure comprehensiveness, papers of low quality were retained; however, it was necessary to report the quality ratings for each study for transparency.…”

Section: Resultsmentioning

confidence: 99%

“…Doubt and disbelief regarding the pregnancy were expressed [ 9 , 12 , 34 , 35 , 46 ], linked to previous failed attempts to conceive [ 27 , 35 , 51 ]. Intense states of worry were quickly followed by fears regarding the viability of the pregnancy and miscarriage prominent [ 11 , 12 , 27 , 34 – 37 , 46 , 48 , 51 ], particularly during the first trimester.…”

Section: Resultsmentioning

confidence: 99%

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Parents’ experiences of life after medicalised conception: a thematic meta-synthesis of the qualitative literature

Foyston

Higgins

Smith

et al. 2023

BMC Pregnancy Childbirth

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Background Medicalised Conception (MAC) assists many couples to achieve pregnancy worldwide. As the impact of MAC has been linked to increased pregnancy-specific anxiety and parenting difficulties, this review aimed to explore parental experiences of pregnancy and early parenting following MAC, identifying parents’ psychological, social and health needs. Method Five databases were searched systematically from inception to March 2023. Identified articles were screened for eligibility against the inclusion criteria and the results were analysed using thematic synthesis. The Critical Appraisal Skills checklist was employed to appraise methodological quality. Results Twenty qualitative studies, drawing on a total of 19 participant samples, were included in this review, most with samples with history of subfertility. The findings were synthesised into three main themes (consisting of seven subthemes): 1) The vulnerable parent: fear, doubt, uncertainty, 2) the stark realisation of the parental dream, 3) psychosocial needs and support. Parents lacked a sense of safety during pregnancy and reported acting protectively both antenatally and postnatally. Furthermore, their identity transition was complex and non-linear, influenced by sociocultural context. Conclusions Considerable unmet psychosocial needs were identified including the potential for anxiety in pregnancy, the possibility of feeling excluded and marginalised, and a reluctance to share distress and experiences with healthcare professionals. These findings suggest a need for consistent, holistic care, integrating psychological services.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Parents’ experiences of life after medicalised conception: a thematic meta-synthesis of the qualitative literature

Foyston

Higgins

Smith

et al. 2023

BMC Pregnancy Childbirth

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“…Concerns have been reported by ART mothers during the last trimester about the baby's well-being, the possibility of fetal death or congenital malformations, fear of labour, and the possibility of the baby having to stay in NICU (Dornelles, Lopes, 2011;Klock, Greenfeld, 2000;McMahon et al, 1997). Negative feelings related to the previous infertility may be still present after pregnancy is achieved and affect the experience of pregnancy (Harf-Kashdaei, Kaitz, 2007;Hjelmsted et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

‘Living each week as unique’: Maternal fears in assisted reproductive technology pregnancies

Dornelles¹,

MacCallum²,

Lopes³

et al. 2014

Midwifery

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(2014) "Living each week as unique" : maternal fears in Assisted Reproductive Technology pregnancies. Midwifery, 30 (3). e115-e120. Permanent WRAP url:http://wrap.warwick.ac.uk/49817 Copyright and reuse:The Warwick Research Archive Portal (WRAP) makes this work by researchers of the University of Warwick available open access under the following conditions. Copyright © and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners. To the extent reasonable and practicable the material made available in WRAP has been checked for eligibility before being made available.Copies of full items can be used for personal research or study, educational, or not-forprofit purposes without prior permission or charge. Provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way. A note on versions:The version presented here may differ from the published version or, version of record, if you wish to cite this item you are advised to consult the publisher's version. Please see the 'permanent WRAP url' above for details on accessing the published version and note that access may require a subscription.For more information, please contact the WRAP Team at: publications@warwick.ac.uk 1 Abstract INTRODUCTION: During pregnancy, expectant mothers may experience fears relating to various factors. Following stressful experiences of infertility and treatment, Assisted Reproductive Technology (ART) mothers may be particularly susceptible to fears during pregnancy. PURPOSE: This paper uses a qualitative approach to explore these fears following conception using ART. METHODS: Nineteen expectant first-time mothers were administered a semi-structured interview during the third trimester of their pregnancy. Interviews assessed perceptions of and feelings about pregnancy, and were analysed using content analysis. MAIN FINDINGS: Data were categorized into themes and subthemes with four overarching themes emerging: the baby's survival, the health of the baby, the efficacy of the mother, and the physical delivery of the baby. Of these, the most commonly reported fears were related to miscarriage or fetal death, and to the baby being born with an abnormality. CONCLUSIONS: In spite of expressing some fears that can be also seen in spontaneous pregnancy, women who conceived after ART report some fears that are more specific to this context, such as miscarriage or fetal death. Limitations of this study include not considering the partner's experience, and that the qualitative approach limits generalisability. However, results suggest that the concerns reported could be taken into consideration when providing psychological support for ART mothers.

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Section: Introductionunclassified

“…Os medos aumentam, surgem dúvidas quanto à capacidade de cuidar de seu bebê corretamente, se será uma boa mãe, se irá amá-lo. É um período de adequação em que a rotina da futura mãe será completamente alterada, pois deverá dedicar 100% de sua atenção ao bebê, reorganizar seu tempo e sua energia (2) .O crescimento da barriga ocasionará um aumento na lordose lombar, podendo causar dor na região e interferir na qualidade de vida, pois pode levar à incapacidades motoras, má qualidade do sono, depressão, fadiga e diminuição no desempenho de atividades domésticas, trabalho e lazer (3,4) .Entre as alterações no corpo da mulher durante a gestação, encontramos a mudança de posição do útero; aumento de peso e das mamas causando sensação de dor; dispneia, pois o …”

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Desconforto Osteomuscular E Qualidade De Vida De Mulheres Em Diferentes Fases Da Gestação

Larrua¹,

Ribeiro²,

Teixeira³

et al. 2013

Colloq Vitae

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RESUMODurante a gestação, o corpo passa por intensas mudanças. O aumento constante de peso causa uma sensação de sobrecarga, fadiga e desconfortos. Mudanças físicas durante o 3º trimestre afetarão as atividades e habilidades da gestante, interferindo na qualidade de vida. O objetivo do estudo foi avaliar a percepção de desconforto osteomuscular, a qualidade de vida e a dor em diferentes fases da gestação comparadas a mulheres não grávidas. Participaram do estudo 49 mulheres entre 18 e 35 anos, divididas em: G1, do 3º ao 6º mês de gestação; G2, do 7º ao 9º mês de gestação; e G3, grupo controle. Foram aplicados o Questionário Nórdico de Sintomas Osteomusculares, o Questionário de Qualidade de Vida SF-36 e a Escala Visual Análoga. Constatou-se que a qualidade de vida é diminuída no 3º trimestre de gestação (G2). No G3 a prevalência de sintomas foi na região cervical, ombros e joelhos. Palavras-chave: Desconforto; gravidez; qualidade de vida; dor lombar; postura. INTRODUÇÃONo período da gestação, o corpo passa por uma intensa mudança e a mulher se depara com uma nova imagem corporal. Começam então, as mudanças físicas, em que o corpo se modifica para o acolhimento deste bebê nos próximos nove meses (1) . Durante esse período também há um grande envolvimento emocional e psicológico da mãe. Os medos aumentam, surgem dúvidas quanto à capacidade de cuidar de seu bebê corretamente, se será uma boa mãe, se irá amá-lo. É um período de adequação em que a rotina da futura mãe será completamente alterada, pois deverá dedicar 100% de sua atenção ao bebê, reorganizar seu tempo e sua energia (2) .O crescimento da barriga ocasionará um aumento na lordose lombar, podendo causar dor na região e interferir na qualidade de vida, pois pode levar à incapacidades motoras, má qualidade do sono, depressão, fadiga e diminuição no desempenho de atividades domésticas, trabalho e lazer (3,4) .Entre as alterações no corpo da mulher durante a gestação, encontramos a mudança de posição do útero; aumento de peso e das mamas causando sensação de dor; dispneia, pois o

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Será que eu consigo levar essa gestação até o fim? A experiência materna da gestação no contexto da reprodução assistida

Cited by 4 publications

References 12 publications

Parents’ experiences of life after medicalised conception: a thematic meta-synthesis of the qualitative literature

Parents’ experiences of life after medicalised conception: a thematic meta-synthesis of the qualitative literature

‘Living each week as unique’: Maternal fears in assisted reproductive technology pregnancies

Desconforto Osteomuscular E Qualidade De Vida De Mulheres Em Diferentes Fases Da Gestação

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