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Status one year after fertility assessment and counselling in women of reproductive age-a qualitative study.
Ups J Med Sci. 2018 Dec; 123(4):264-270.UJ

Abstract

INTRODUCTION

Over the past 50 years women and men have postponed family formation in high-income societies. Fertility assessment and counselling has been suggested as a method to reduce delayed childbearing and its consequences. This study explored women's perceptions of how attending a fertility assessment intervention influenced their decisions and choices regarding family formation and childbearing.

MATERIAL AND METHODS

Follow-up data from a longitudinal semi-structured qualitative interview study including 20 women aged 35-40 years seeking individual fertility counselling at the Fertility Assessment and Counselling Clinic at Rigshospitalet, Copenhagen, Denmark. The interviews were conducted one year after their consultation. Data were analysed by qualitative content analysis.

RESULTS

The women perceived an increase in their knowledge after they had attended the counselling. The women saw the counselling as a catalyst for change-they changed their behaviour and relationship status. The women stopped thinking about the pros and cons of childbearing and acted instead. The women did not experience any regrets about acting. Some of the women felt that they were still in limbo as they were still in doubt concerning childbearing. The consultation had not given them an answer with a clear deadline in terms of delaying attempts to become pregnant, and this frustrated them.

CONCLUSIONS

Our study highlights the impact of a fertility assessment and counselling intervention which included a perceived increase in knowledge. The clinic allows for an individualized approach to fertility awareness which is necessary given the unique nature of childbearing decisions.

Authors+Show Affiliations

a Department of Obstetrics and Gynecology , Fertility Clinic, Hvidovre Hospital, University of Copenhagen , Hvidovre , Denmark.b Fertility Clinic , University Hospital Copenhagen, Rigshospitalet , Copenhagen , Denmark.b Fertility Clinic , University Hospital Copenhagen, Rigshospitalet , Copenhagen , Denmark.c Fertility Clinic , University Hospital of Zealand, Køge , Denmark.b Fertility Clinic , University Hospital Copenhagen, Rigshospitalet , Copenhagen , Denmark.b Fertility Clinic , University Hospital Copenhagen, Rigshospitalet , Copenhagen , Denmark.d Department of Public Health , University of Copenhagen , Copenhagen , Denmark.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30539672

Citation

Sylvest, Randi, et al. "Status One Year After Fertility Assessment and Counselling in Women of Reproductive Age-a Qualitative Study." Upsala Journal of Medical Sciences, vol. 123, no. 4, 2018, pp. 264-270.
Sylvest R, Koert E, Vittrup I, et al. Status one year after fertility assessment and counselling in women of reproductive age-a qualitative study. Ups J Med Sci. 2018;123(4):264-270.
Sylvest, R., Koert, E., Vittrup, I., Birch Petersen, K., Nyboe Andersen, A., Pinborg, A., & Schmidt, L. (2018). Status one year after fertility assessment and counselling in women of reproductive age-a qualitative study. Upsala Journal of Medical Sciences, 123(4), 264-270. https://doi.org/10.1080/03009734.2018.1546243
Sylvest R, et al. Status One Year After Fertility Assessment and Counselling in Women of Reproductive Age-a Qualitative Study. Ups J Med Sci. 2018;123(4):264-270. PubMed PMID: 30539672.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Status one year after fertility assessment and counselling in women of reproductive age-a qualitative study. AU - Sylvest,Randi, AU - Koert,Emily, AU - Vittrup,Ida, AU - Birch Petersen,Kathrine, AU - Nyboe Andersen,Anders, AU - Pinborg,Anja, AU - Schmidt,Lone, Y1 - 2018/12/12/ PY - 2018/12/13/pubmed PY - 2019/2/12/medline PY - 2018/12/13/entrez KW - Childbearing KW - fertility KW - fertility assessment and counselling KW - postponing childbearing KW - qualitative interviews KW - women SP - 264 EP - 270 JF - Upsala journal of medical sciences JO - Ups J Med Sci VL - 123 IS - 4 N2 - INTRODUCTION: Over the past 50 years women and men have postponed family formation in high-income societies. Fertility assessment and counselling has been suggested as a method to reduce delayed childbearing and its consequences. This study explored women's perceptions of how attending a fertility assessment intervention influenced their decisions and choices regarding family formation and childbearing. MATERIAL AND METHODS: Follow-up data from a longitudinal semi-structured qualitative interview study including 20 women aged 35-40 years seeking individual fertility counselling at the Fertility Assessment and Counselling Clinic at Rigshospitalet, Copenhagen, Denmark. The interviews were conducted one year after their consultation. Data were analysed by qualitative content analysis. RESULTS: The women perceived an increase in their knowledge after they had attended the counselling. The women saw the counselling as a catalyst for change-they changed their behaviour and relationship status. The women stopped thinking about the pros and cons of childbearing and acted instead. The women did not experience any regrets about acting. Some of the women felt that they were still in limbo as they were still in doubt concerning childbearing. The consultation had not given them an answer with a clear deadline in terms of delaying attempts to become pregnant, and this frustrated them. CONCLUSIONS: Our study highlights the impact of a fertility assessment and counselling intervention which included a perceived increase in knowledge. The clinic allows for an individualized approach to fertility awareness which is necessary given the unique nature of childbearing decisions. SN - 2000-1967 UR - https://www.unboundmedicine.com/medline/citation/30539672/Status_one_year_after_fertility_assessment_and_counselling_in_women_of_reproductive_age_a_qualitative_study_ L2 - https://www.tandfonline.com/doi/full/10.1080/03009734.2018.1546243 DB - PRIME DP - Unbound Medicine ER -