Nordic couples' decision-making processes during assisted reproduction treatments.

• Published in: Sexual & Reproductive Healthcare
• Main Authors: Olafsdottir, Helga Sol, Wikland, Matts, Möller, Anders
• Other Authors: Landspitali Univ Hosp, Dept Obstet & Gynaecol, IS-101 Reykjavik, Iceland; Fertil Ctr Scandinavia, Gothenburg, Sweden; Ersta Skondal Univ Coll, Stockholm, Sweden; Ersta Skondal Univ Coll, Gothenburg, Sweden; Univ Iceland, Dept Social Work, Reykjavik, Iceland;
• Format: Article in Journal/Newspaper
• Language: English
• Published: Elsevier Science 2014
• Subjects: Adult; Decision Making; Female; Finland; Humans; Iceland; Interviews as Topic; Male; Patient Participation; Professional-Patient Relations; Qualitative Research; Reproductive Techniques; Assisted; Scandinavia; Spouses
• Online Access: http://hdl.handle.net/2336/317581; https://doi.org/10.1016/j.srhc.2013.04.003

To access publisher's full text version of this article. Please click on the hyperlink in Additional Links field. To study couples' perceptions of their decision-making process during the first three years of infertility treatments. This study is a part of a larger project studying the decision-making processes of 22 infertile heterosexual couples, recruited from fertility clinics in all five Nordic countries, over a three year period. A descriptive qualitative method was used. Process of decision-making during assisted reproduction treatments. Seventeen couples had succeeded in becoming parents after approximately three years. Our study suggests that the decision-making process during fertility treatments has three phases: (i) recognizing the decisions to be made, with subcategories; the driving force, mutual project, (ii) gathering knowledge and experience about the options, with subcategories; trust, patient competence, personalized support, and (iii) adapting decisions to possible options, with subcategories; strategic planning, adaption. The core category was "maintaining control in a situation of uncertainty." Two parallel processes affect couples' decision-making process, one within themselves and their relationship, and the other in their contact with the fertility clinic. Couples struggle to make decisions, trusting clinic personnel for guidance, knowledge, and understanding. Nevertheless, couples expressed disappointment with the clinics' reactions to their requests for shared decision-making.