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Individualised care for women with assisted conception pregnancies and midwifery practice implications: An analysis of the existing research and current practice

Younger, Mimi; Hollins Martin, Caroline J; Choucri, Lesley

Authors

Mimi Younger

Lesley Choucri



Abstract

Objective: the aim is to explore the psychosocial needs of women who are pregnant after assisted conception, specifically in vitro fertilisation and whether their needs are being addressed within the current maternity care service.
Design:critical review of the literature using a narrative approach.
Findings and key conclusions:15 papers were identified. These included both qualitative and quantitative studies, literature reviews and surveys. The findings of this limited narrative review imply that women who undergo assistive reproductive techniques to achieve pregnancy have higher levels of anxiety in pregnancy and may have some difficulties in the transition to parenthood leading to perinatal morbidity. It appears that for this group of women it is important that their history in achieving pregnancy is known to the care providers, to enable the alleviation of some of the anxieties they face. Various aspects of antenatal care have been identified as possible areas which if addressed may reduce these levels of anxiety leading to a reduction in perinatal morbidity.
Implications for practice: currently, there is insufficient evidence to suggest that providing specialist midwifery care reduces morbidity in these women. However, maternity service providers should consider offering additional antenatal and postnatal services to meet the needs of this group in advance of further research in this area.

Journal Article Type Article
Acceptance Date Jun 29, 2014
Online Publication Date Jul 8, 2014
Publication Date 2015-02
Deposit Date Jul 30, 2015
Journal Midwifery
Print ISSN 0266-6138
Electronic ISSN 1532-3099
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 31
Issue 2
Pages 265-270
DOI https://doi.org/10.1016/j.midw.2014.06.008
Keywords Assisted conception; IVF pregnancy; psychological issues; anxiety; perinatal morbidity; parenthood;
Public URL http://researchrepository.napier.ac.uk/id/eprint/8931
Publisher URL http://dx.doi.org/10.1016/j.midw.2014.06.008