Volume 31, Issue 113 (August 2018)
IJN 2018, 31(113): 62-73 |
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Hasanpoor Azghdy S, Simbar M, Vedadhir A, Azin S, Amiri Farahani L. A Constructivist Analysis of the Management of Infertility in Iranian Women. IJN 2018; 31 (113) :62-73
URL: http://ijn.iums.ac.ir/article-1-2717-en.html
URL: http://ijn.iums.ac.ir/article-1-2717-en.html
1- Assistant Professor, Department of Midwifery and Reproductive, Nursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
2- Professor, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. (Corresponding Author) Tel: 09121777672 Email: msimbar@yahoo.com
3- Associate Professor, Department of Anthropology, School of Social Sciences, University of Tehran, Tehran, Iran
4- Associate Professor, Reproductive Biotechnology Research Center, Avicenna Research Institute (ACECR), Tehran, Iran.
5- Assistant Professor, Department of Midwifery and Reproductive, Nursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
2- Professor, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. (Corresponding Author) Tel: 09121777672 Email: msimbar@yahoo.com
3- Associate Professor, Department of Anthropology, School of Social Sciences, University of Tehran, Tehran, Iran
4- Associate Professor, Reproductive Biotechnology Research Center, Avicenna Research Institute (ACECR), Tehran, Iran.
5- Assistant Professor, Department of Midwifery and Reproductive, Nursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
Abstract: (4812 Views)
Background & Aims: The main focus of social construction is on the procedures by which individuals and groups participate in developing meaning and social products. Since infertility leads to the inability to properly play social roles, it is often associated with socio-psychological consequences. The present study aimed to perform a constructivist analysis of the process of managing infertility in Iranian women.
Materials & Methods: This qualitative study was based on the constructivist grounded theory. Purposive sampling was initiated at Valiasr and Avicenna fertility centers in Tehran, Iran and continued theoretically. Data were collected via semi-structured interviews with 30 infertile women, as well as observation and field notes. Data analysis was performed using the MAXQDA10 software and the method developed by Charmaz.
Results: Based on the principles of social constructivism by the changes in each of the elements of the social construction of infertility, changes in the other factors and their effects on each other lead to various experiences of infertility. The constructivist analysis of the management process of infertility in the present study indicated that infertility has a complex interaction with social relations, expectations, and social needs. Therefore, social feedback is of paramount importance to infertile women. According to social constructivism, the most important decisions regarding infertility (e.g., treatment and its type, terminating treatment, adoption, and other relevant issues) reflect the ideology and social structure of the community where infertile women live.
Conclusion: From the perspective of social constructivism, the process of managing infertility is a social construct that is influenced by several factors. In addition, the elements of social and cultural structures play a pivotal role in developing, maintaining, and changing this process. Therefore, all the influential factors and elements of infertility must be considered in the codification of supportive systems for infertile individuals.
Materials & Methods: This qualitative study was based on the constructivist grounded theory. Purposive sampling was initiated at Valiasr and Avicenna fertility centers in Tehran, Iran and continued theoretically. Data were collected via semi-structured interviews with 30 infertile women, as well as observation and field notes. Data analysis was performed using the MAXQDA10 software and the method developed by Charmaz.
Results: Based on the principles of social constructivism by the changes in each of the elements of the social construction of infertility, changes in the other factors and their effects on each other lead to various experiences of infertility. The constructivist analysis of the management process of infertility in the present study indicated that infertility has a complex interaction with social relations, expectations, and social needs. Therefore, social feedback is of paramount importance to infertile women. According to social constructivism, the most important decisions regarding infertility (e.g., treatment and its type, terminating treatment, adoption, and other relevant issues) reflect the ideology and social structure of the community where infertile women live.
Conclusion: From the perspective of social constructivism, the process of managing infertility is a social construct that is influenced by several factors. In addition, the elements of social and cultural structures play a pivotal role in developing, maintaining, and changing this process. Therefore, all the influential factors and elements of infertility must be considered in the codification of supportive systems for infertile individuals.
Type of Study: Research |
Subject:
nursing
Received: 2018/05/19 | Accepted: 2018/08/18 | Published: 2018/08/18
Received: 2018/05/19 | Accepted: 2018/08/18 | Published: 2018/08/18
References
1. McKinley J. Critical argument and writer identity: Social constructivism as a theoretical framework for EFL academic writing. Crit Inq Lang Stud. 2015; 12(3):184-207. [DOI:10.1080/15427587.2015.1060558]
2. Latifnejad R. How religious faiths and spiritual beliefs affect the experiences of infertile women seeking infertility treatments: A feminist grounded theory approach. Presented for Ph D, Guildford University of Surrey. 2008.
3. Greil AL, Slauson‐Blevins K, McQuillan J. The experience of infertility: a review of recent literature. Sociol Health Illn. 2010;32(1):140-62. [DOI:10.1111/j.1467-9566.2009.01213.x] [PMID] [PMCID]
4. Vayena E, Rowe PJ, Griffin PD. Current practices and controversies in assisted reproduction: report of a meeting on medical, ethical and social aspects of assisted reproduction, held at WHO Headquarters in Geneva, Switzerland. 2002.
5. Van Balen F, Gerrits T. Quality of infertility care in poor-resource areas and the introduction of new reproductive technologies. Hum Reprod. 2001;16(2):215-9. [DOI:10.1093/humrep/16.2.215] [PMID]
6. Hollos M. Profiles of infertility in southern Nigeria: women's voices from Amakiri. Afr J Reprod Health. 2003:46-56. [DOI:10.2307/3583213] [PMID]
7. Ombelet W. False perceptions and common misunderstandings surrounding the subject of infertility in developing countries. ESHRE Monographs. 2008;2008(1):8-11. [DOI:10.1093/humrep/den204]
8. Cousineau TM, Domar AD. Psychological impact of infertility. Best Practice & Research Clinical Obstetrics & Gynaecology. 2007;21(2):293-308. [DOI:10.1016/j.bpobgyn.2006.12.003] [PMID]
9. Serour G. Medical and socio-cultural aspects of infertility in the Middle East. ESHRE Monographs. 2008;2008(1):34-41. [DOI:10.1093/humrep/den143]
10. Abbasi SM, Asgari KA, Razeghi NH. [Women and Infertility Experience a Case Study in Tehran]. Womens Res. 2005; 3(3):113-91.
11. Fahami F, Hoseini Quchani S, Ehsanpour S, Zargham A. [Women's lived experiences of female infertility]. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2010;13(4):45-53.
12. DePoy E, Gitlin LN. Introduction to Research-E-Book: Understanding and Applying Multiple Strategies: Elsevier Health Sciences. 3th ed. Mosby Press; 2005.
13. Hesse-Biber S. Approaches to qualitative research: A reader on theory and practice. 2003.
14. Guba EG. The paradigm dialog: Sage publications; 1990.
15. Molid HA, Varaghchi J. [Psychological meta-analysis of the infertility researches in Iran]. Iranian Journal of Obstetrics, Gynecology and Infertility. 2012;15(13):26-33.
16. Corbin J, Strauss A. Basics of qualitative research: Techniques and procedures for developing grounded theory.Washington, DC. Sage Publications, Inc; 2008. [DOI:10.4135/9781452230153]
17. Charmaz K. Constructing grounded theory. London: Sage Publication; 2014.
18. Turner JH. Human emotions: A sociological theory. Routledge. 2007. [DOI:10.4324/9780203961278]
19. May T. Qualitative Research in Action. London: Sage Publications Ltd; 2002. Elliott A, Turner B. Profiles in Contemporary Social Theory. London and Thousand Oaks: Sage Publication; 2001. Haralambos M, Holborn M. Sociology: Themes and Perspective. 6th ed. London: Collins Educational Press; 2004.
20. Dyer SJ, Abrahams N, Hoffman M, van der Spuy ZM. Men leave me as I cannot have children': women's experiences with involuntary childlessness. Hum Reprod. 2002;17(6):1663-8. [DOI:10.1093/humrep/17.6.1663] [PMID]
21. Ried K, Alfred A. Quality of life, coping strategies and support needs of women seeking Traditional Chinese Medicine for infertility and viable pregnancy in Australia: a mixed methods approach. BMC Womens Health. 2013;13(1):17. [DOI:10.1186/1472-6874-13-17] [PMID] [PMCID]
22. Ameh N, Kene T, Onuh S, Okohue J, Umeora O, Anozie O. Burden of domestic violence amongst infertile women attending infertility clinics in Nigeria. Niger J Med. 2007;16(4):375-7. [PMID]
23. Sami N, Ali TS. Domestic violence against infertile women in Karachi, Pakistan. Asian Review of Social Sciences. 2012;1(1):15.
24. Drosdzol A, Skrzypulec V. Quality of life and sexual functioning of Polish infertile couples. Eur J Contracept Reprod Health Care. 2008;13(3):271-81. [DOI:10.1080/13625180802049187] [PMID]
25. Riahi ME, Zarezade ME. [A study on the gender differences in psycho-social consequences of infertility: infertile couples using Yazd'Infertility Center Services]. Q Soc Cult Fam Counc. 2012; 56 (14):155-210.
26. Savadzadeh s, Madadzadeh N. [Explanation of Emotional Feelings of Women with Infertility: A Qualitative Study]. J Ilam University Med Sci. 2013; 21(1): 24-16.
27. Omoaregba JO, James BO, Lawani AO, Morakinyo O. Psychosocial characteristics of female infertility in a tertiary health institution in Nigeria. Ann Afr Med. 2011;10(1). [DOI:10.4103/1596-3519.76567] [PMID]
28. Hasanpoor-Azghdy SB, Simbar M, Vedadhir A. [The emotional-psychological consequences of infertility among infertile women seeking treatment: Results of a qualitative study]. Iranian journal of reproductive medicine. 2014;12(2):131-8. [PMID] [PMCID]
29. Hasanpoor-Azghdy SB, Simbar M, Vedadhir A. [The social consequences of infertility among Iranian women: a qualitative study]. International journal of fertility & sterility. 2015;8(4):409-20. [PMID] [PMCID]
30. Mumtaz Z, Shahid U, Levay A. Understanding the impact of gendered roles on the experiences of infertility amongst men and women in Punjab. Reproductive health. 2013;10(1):3. [DOI:10.1186/1742-4755-10-3] [PMID] [PMCID]
31. Bharadwaj A. Why adoption is not an option in India: the visibility of infertility, the secrecy of donor insemination, and other cultural complexities. Soc Sci Med. 2003;56(9):1867-80. [DOI:10.1016/S0277-9536(02)00210-1]
32. Sundby J. Infertility in the Gambia: traditional and modern health care. Patient Educ Couns. 1997;31(1):29-37. [DOI:10.1016/S0738-3991(97)01006-9]
33. Bokaie M, Farajkhoda T, Enjezab B, Heidari P, Zarchi MK. [Barriers of child adoption in infertile couples: Iranian's views]. Iranian journal of reproductive medicine. 2012;10(5):429-34. [PMID] [PMCID]
34. Adewunmi AA, Etti EA, Tayo AO, Rabiu KA, Akindele RA, Ottun TA, et al. Factors associated with acceptability of child adoption as a management option for infertility among women in a developing country. Int J Womens Health. 2012;4:365-72. [DOI:10.2147/IJWH.S31598] [PMID] [PMCID]
35. Bernal R, Hu L, Moriguchi C, Nagypal E. Child Adoption in the United States: Historical Trends and the Determinants of Adoption Demand and Supply, 1951-2002. Unpublished Working Paper http://www economics uci edu/docs/THD% 20workshop/f07/moriguchi pdf. 2007.
36. Dyer SJ. I99 Psychological and social aspects of infertility in developing countries. Int J Gynecol & Obste. 2009; 107 (Supplement 2) S25-S26.
https://doi.org/10.1016/S0020-7292(09)60098-9 [DOI:10.1016/S0020-7292(09)60099-0]
37. Schmidt L. Infertility and assisted reproduction in Denmark. Dan Med Bull. 2006;53(4):390-417. [PMID]
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