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Proces odločanja za zdravljenje v primeru ugotovljene neplodnosti
ID Satler, Mateja (Author), ID Leskošek, Vesna (Mentor) More about this mentor... This link opens in a new window

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Abstract
V teoretičnem uvodu sem najprej opredelila pojem neplodnosti ter predstavila statistično pogostost pojavljanja neplodnosti. Nadalje sem se lotila opredelitve fenomena odloženega materinstva in nato podrobneje obravnavala posledice ter pozitivne vidike odloženega materinstva za ženske. Poudarila sem tudi pomembnost plodnosti in zmožnosti rojevanja. Dotaknila sem se starševstva in psiholoških koristi ter izzivov, ki jih ta prinaša. Na koncu sem opredelila še faze soočanja z neplodnostjo, predstavila stanje zdravljenja neplodnosti v Sloveniji in poudarila pomembnost psihosocialne podpore in svetovanja v tem procesu. V empiričnem delu sem opravila osem intervjujev z ženskami, ki so bile vključene v proces zdravljenja neplodnosti. Da bi razumela, kako se ženske odločajo poiskati zdravniško pomoč in kako doživljajo diagnozo neplodnosti, sem kvalitativno analizirala intervjuje. Prav tako so me zanimali družbeni pritiski in pričakovanja ter kako jih ženske doživljajo. Ugotoviti sem želela, kakšna je korist psihosocialne podpore in kakšna podpora je ženskam takrat koristna, nazadnje pa kako ženske sprejemajo odločitev o morebitnem zaključku zdravljenja in kako razmišljajo o alternativnih poteh k starševstvu. Ugotovila sem, da se ženske začnejo zavedati težav z zanositvijo postopoma in se za zdravljenje neplodnosti odločijo glede na dolgotrajnost poskušanja zanositve brez zaščite, že obstoječe ginekološke težave ali družinsko anamnezo. Časovni razpon med zavedanjem težav in obiskom zdravnika je različen. Po postavitvi diagnoze neplodnosti ženske izražajo strahove in dvome v uspešnost zdravljenja ali diagnozo preprosto sprejmejo. Ženske glede svojega materinstva občutijo družbene pritiske in pričakovanja drugih ljudi, ki jih lahko doživljajo kot neprijetne. Ženske občutijo pomanjkanje razumevanja okolice, saj ta minimalizira njihove težave z neplodnostjo. Prav tako se pojavljajo predsodki glede umetne oploditve. Ženske, ki se soočajo z zdravljenjem neplodnosti, se srečujejo z različnimi izzivi, vključno s čustvenimi stiskami, kot so čakanje na rezultate postopkov oploditve, soočanje z razočaranji, strah pred neuspehom zdravljenja, občutki nelagodja, jeze in zavisti ob opazovanju drugih mater in nosečnic, soočanje z občutki krivde in manjvrednosti. Psihosocialna podpora na klinikah je pomembna, vendar so večja ozaveščenost, ponudba te podpore in njena dolgoročnost več kot potrebne. Kot pogosto merilo za zaključek zdravljenja ženske navajajo izkoriščenost postopkov, ki jih krije zavarovalnica. Pri razmišljanju o alternativnih poteh k starševstvu se med ženskami pojavljajo različne stopnje naklonjenosti. Del pomembne podpore ženskam pa je prav raziskovanje možnosti in načrtovanje alternativnih scenarijev, če se želja po otroku ne uresniči.

Language:Slovenian
Keywords:neplodnost, zdravljenje neplodnosti, plodnost, psihosocialna podpora, čustvene stiske in izzivi, diagnoza neplodnosti, družbeni pritiski in pričakovanja, alternativne poti k starševstvu, odloženo materinstvo
Work type:Bachelor thesis/paper
Organization:FSD - Faculty of Social Work
Year:2023
PID:20.500.12556/RUL-148766 This link opens in a new window
Publication date in RUL:31.08.2023
Views:138
Downloads:35
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Secondary language

Language:English
Title:Decision-making process for treatment in case of diagnosed infertility
Abstract:
In the theoretical introduction, I first explained the concept of infertility and presented the statistical frequency of infertility. I then went on to define the phenomenon of delayed motherhood and then discussed in more detail the consequences and positive aspects of delayed motherhood for women. I also emphasised the importance of fertility and the ability to give birth. I also touched on parenthood and the psychological benefits and challenges that it brings. Finally, I defined the phases of coping with infertility, described the situation of infertility treatment in Slovenia and emphasised the importance of psychosocial support and counselling in this process. In the empirical part, I conducted 8 interviews with women who have experienced infertility treatment. I qualitatively analysed the interviews to understand how women decide to seek medical help and how they experience the diagnosis of infertility. I was also interested in social pressures and expectations and how women experience these. I wanted to find out how women benefit from psychosocial support and what kind of support is useful to women at that time and finally how women make the decision about whether to end treatment and how they think about alternative paths to parenthood. I have found that women gradually become aware of the difficulties of conceiving and decide to seek medical treatment for infertility depending on the length of time they have been trying to conceive without protection, pre-existing gynaecological problems or family medical history. The time span between becoming aware of the problem and seeing a doctor varies. After the diagnosis of infertility, women express doubts and fears about the success of treatment or simply accept the diagnosis. Women feel social pressure and other people's expectations of their motherhood, which they may experience as unpleasant. Women feel a lack of understanding from those around them as they minimise their infertility problems. There is also prejudice against IVF (In vitro fertilisation). Women experiencing infertility treatment face various challenges, including emotional distress such as waiting for the results of IVF treatments, dealing with disappointments, fear of treatment failures, feelings of discomfort, anger and envy when observing other mothers and pregnant women, dealing with feelings of guilt and worthlessness. Psychosocial support in clinics is important, but there is a need for greater awareness and offer of this support, and this support needs be long term. Women often cite the use of procedures covered by insurance as a criterion for the completion of treatment. When considering alternative approaches to parenthood, there are different levels of acceptance among women. However, exploring options and planning alternative scenarios in case the desire to have a biological child does not come true is an important support for women.

Keywords:Infertility, infertility treatment, fertility, psychosocial counselling, emotional distress and challenges, infertility diagnosis, social pressure and expectations, alternative approaches to parenthood, delayed motherhood

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