Decision-making Process of Women who Discontinue Fertility Treatment after Unsuccessful Attempts: an Analysis with the Trajectory Equifinality Model

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  • Mio Akiyo
    Former Nursing Course, School of medicine, Gifu University School of Nursing & Health, Aichi Prefectural University
  • Sato Miki
    School of Nursing & Health, Aichi Prefectural University
  • Komatsu Makiko
    School of Nursing & Health, Aichi Prefectural University

Bibliographic Information

Other Title
  • 子どもを得ず不妊治療を終結する女性の意思決定プロセス
  • 子どもを得ず不妊治療を終結する女性の意思決定プロセス : 複線径路・等至性モデル(TEM)による分析
  • コドモ オ エズ フニン チリョウ オ シュウケツ スル ジョセイ ノ イシ ケッテイ プロセス : フクセン ケイロ ・ トウ シ セイ モデル(TEM)ニ ヨル ブンセキ
  • ―複線径路・等至性モデル(TEM)による分析―

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<p>Objective: To illustrate the diverse decision-making pathways followed by women who decide to discontinue fertility treatment and the factors affecting their decision, in order to find ways to support such women at the time of treatment termination.</p><p>Method: Fifteen women who had discontinued fertility treatment after unsuccessful attempts were interviewed, and the results were analyzed using the Trajectory Equifinality Model.</p><p>Results: The decision-making process was found to involve the following divergences before leading to the discontinuation of fertility treatment: a decision on whether to tell people that they are undergoing a treatment, conflict over whether to continue with the treatment, a decision on whether to seek counseling, and conflict over whether they are certain about discontinuing the treatment. Factors such as the anticipation of other people, the sense of urgency because of their age, and the difficulty to let go of their desire prompted the women to continue with the treatment. In contrast, factors such as acceptance by their husband and parents; care given by health professionals; and realization of their limits, the possible risk to their future child, and the finite nature of life persuaded the women to discontinue with the treatment.</p><p>Conclusion: Understanding the patients’ feelings toward continuation or discontinuation of treatment as well as the factors affecting their decision, providing appropriate information, and ensuring opportunities for counseling are required in order for patients and their significant others to make a wholehearted decision.</p>


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