Nordic and Infertile : A study of options and decisions

• Main Author: Olafsdottir, Helga Sol
• Format: Doctoral or Postdoctoral Thesis
• Language: English
• Published: Nordiska ministerrÃ¥det, Nordic School of Public Health NHV 2012
• Subjects: Nordic countries; in fertility; decision - making process; access; qualitative; ART; Medical and Health Sciences; Medicin och hälsovetenskap; Iceland
• Online Access: http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3736

Aim: The aim of this thesis was to obtain an overview over the options of Nordic infertile couples regarding assisted reproduction treatment, and to follow couples’ arguments and decision-making process to make relevant decisions about these options. Methods: Quantitative and qualitative methods were used. The study design was inspired by Ecological systems theory, where data was gathered from laws and regulations (macro-level), fertility clinics (meso-level) and the couples using these options (micro-level). Study I consists of results from a review of the legislations in the five Nordic countries and results from a questionnaire that was sent to all fertility clinics to gather information about available options. Papers II and III present the findings of the interviews with 22 Nordic couples, after their first appointment with a specialist at the fertility clinic. The couples came from Denmark (3), Finland (6), Iceland (3), Norway (4) and Sweden (6). Study IV presents the findings of follow-up interviews with the same couples approximately three years later. For the qualitative study the tools of Grounded Theory were used. Findings: In Study I it was found that Nordic couples generally have good access to assisted reproductive technology treatments (ART), although it is not evenly distributed and there are restrictions related to certain criteria, such as age. There are national differences in the legislations, especially regarding gamete donation. These differences open up for cross-border reproductive care, andmore than one third of the fertility clinics offered treatment to people from other countries. Study II describes the decision-making process of the couples when determining the “right time†to try for a child. The couples mention the need to feel prepared for parenthood; such as a stable social situation, and once they felt prepared they became more susceptible to decision-making catalysts, such as influence from friends and family. Fear of infertility made the couple accelerate their decision ...