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Gender differences and perceptions about childbearing among infertile couples
L J Halman1, F M Andrews, A Abbey
1Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor 48109-2029.
Objective:
To explore gender differences and responses of infertile couples to childbearing issues.
Design:
Data analysis from the first wave of a larger three-wave prospective panel study. Face-to-face interviews with both husbands and wives were conducted.
Setting:
Husbands and wives were interviewed separately in their homes. One was generally interviewed immediately after the other.
Participants:
One hundred sixty-one infertile couples in southeastern Michigan were interviewed in 1988.
Measures:
Variables of interest included the self-recognized source of the fertility problem, the importance of children to individuals, stress associated with infertility treatment, the number of tests and treatments received, the acceptability of indicated treatments, the length of time couples expected it would take to have a child, and the ideal and expected number of children.
Results:
Women experienced significantly more stress from tests and treatment, placed greater importance on having children, were more accepting of indicated treatments, and wanted more children than men did.
Conclusions:
Implications for nurses working with infertile couples are discussed, including provision of emotional support, evaluation of perceptions of success, assessment of couples' expectations, and inclusion of husbands in decision making.