Women With Infertility Want Registered Term Paper

2. Sociocultural needs. The study by Gibson and Myers examined the relationships among social coping resources, growth-fostering relationships, and infertility stress in 83 women who participated in fertility treatments at urban medical clinics. The findings of their study suggest that both social coping resources and growth-fostering relationships contribute significantly to the variance in infertility stress, with infertility stress decreasing as social coping resources increase; these findings are congruent with the findings of earlier research on the positive effects of social coping on emotional health, particularly as they concern infertile women. In addition, Gibson and Myers found that partner support and family support contribute significantly to the prediction of the variance in infertility stress. "Based on these results," they say, "it is clear that family and partner supports are very important coping resources for women coping with infertility stress" (emphasis added) (p. 69).

3. Biological needs. While the psychosocial and sociocultural aspects of infertility can extend to both men and women, the biological component naturally tends to affect women more severely than their male counterparts, who may not experience any discernible needs in this regard at all. According to Rutter (1996), "During the baby boom, couples began having children at about age 20. But by 1980-when women were in the workforce in record numbers and putting off motherhood -- 10.5% of first births were to women age 30 and older" (p. 48). As a result, by 1990, 18% of first births were among women age 30-year and over. This author notes that because more aspiring parents are older today, when the time comes to try to conceive and the results are not as immediate as they would like, both men and women may become impatient."But how much of a factor is age in the conception game?" she asks. "Men have fewer age-related fertility problems than women do. The quality of their sperm may diminish with age; when they reach their 50s, men may experience low sperm motility (slow-moving sperm are less likely to inseminate)" (Rutter, 1996, p. 49). After about age 37 years, the woman's eggs will tend to exhibit their age and may disintegrate more easily; this process makes it increasingly difficult for women to conceive or maintain a pregnancy; however, this is not to say that there is anything unusual about a 40-year-old woman having a baby. According to Rutter, "Some older women may even be as fertile as their younger sisters. A 40-year-old woman who has been taking birth control pills for a good part of her reproductive life -- thus inhibiting the release of an egg each month may actually benefit from having conserved her eggs. She may even have a slight edge over a 40-year-old mother with one or two children trying to conceive" (1996, p. 50). Other clinicians suggest that focusing on aging as the primary source of infertility is a distraction. "Age becomes a factor when women have unknowingly always been infertile. These are women who, even if they'd tried to get pregnant at age 20 or 27, would have had difficulty despite the best technology" (Rutter, 1996, p. 50).

Implication for Nursing Practice.

1. Advance Practice Role.

2. Primary Prevention Nursing Interventions.

3. Secondary Prevention Nursing Interventions.

4. Tertiary Prevention Nursing Interventions.

V. Conclusion.

References

Atwood, J.D., & Dobkin, S. (1992). Storm clouds are coming: Ways to help reconstruct the crisis of infertility. Contemporary Family Therapy, 14, 385-403.

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