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Priorities for family building among patients and partners seeking treatment for infertility

View Article: PubMed Central - PubMed

ABSTRACT

Background: Infertility treatment decisions require people to balance multiple priorities. Within couples, partners must also negotiate priorities with one another. In this study, we assessed the family-building priorities of couples prior to their first consultations with a reproductive specialist.

Methods: Participants were couples who had upcoming first consultations with a reproductive specialist (N = 59 couples (59 women; 59 men)). Prior to the consultation, couples separately completed the Family-Building Priorities Tool, which tasked them with ranking from least to most important 10 factors associated with family building. We describe the highest (top three) and lowest (bottom three) priorities, the alignment of priorities within couples, and test for differences in prioritization between men and women within couples (Wilcoxon signed rank test).

Results: Maintaining a close and satisfying relationship with one’s partner was ranked as a high priority by majorities of men and women, and in 25% of couples, both partners ranked this factor as their most important priority for family building. Majorities of men and women also ranked building a family in a way that does not make infertility obvious to others as a low priority, and in 27% of couples, both partners ranked this factor as the least important priority for family building. There were also differences within couples that involved either men or women ranking a particular goal more highly than their partners. More women ranked two factors higher than did their partners: 1) that I become a parent one way or another (p = 0.015) and 2) that I have a child in the next year or two (p < 0.001), whereas more men ranked 4 factors higher than their partners: 1) that our child has [woman’s] genes (p = 0.025), 2) that our child has [man’s] genes (p < 0.001), 3) that I maintain a close relationship with my partner (p = 0.034), and 4) that I avoid side effects from treatment (p < 0.001).

Conclusions: Clinicians who support patients in assessing available family-building paths should be aware that: (1) patients balance multiple priorities as a part of, or beside, becoming a parent; and (2) patients and their partners may not be aligned in their prioritization of achieving parenthood. For infertility patients who are in relationships, clinicians should encourage the active participation of both partners as well as frank discussions about each partner’s priorities for building their family.

No MeSH data available.


Highest and lowest priorities for family-building decision making by role. Displays percentages of women (n = 59) and men (n = 59) ranking each factor among their top 3 priorities (top half of figure) and bottom 3 priorities (bottom half of figure)
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Fig2: Highest and lowest priorities for family-building decision making by role. Displays percentages of women (n = 59) and men (n = 59) ranking each factor among their top 3 priorities (top half of figure) and bottom 3 priorities (bottom half of figure)

Mentions: Figure 2 provides a snapshot of the importance of each of the factors by displaying the percentages of men and women who ranked each factor as a high priority (top half of figure) or a low priority (bottom half of figure). A majority of women ranked having a child in the next year or two, becoming a parent one way or another, and maintaining a close relationship with one’s partner as high priorities and building a family in a way that doesn’t make infertility obvious to others and avoiding side effects from treatment as low priorities. A majority of men ranked maintaining a close relationship with one’s partner as a high priority and building a family in a way that doesn’t make infertility obvious to others as a low priority. The importance of other factors proved to be more polarizing within each role, that is, at least one quarter of the group ranked the factor as a high priority while at least as many ranked the factor as a low priority. For women, cost was the single polarizing factor, and for men, the polarizing factor was becoming a parent one way or another.Fig. 2


Priorities for family building among patients and partners seeking treatment for infertility
Highest and lowest priorities for family-building decision making by role. Displays percentages of women (n = 59) and men (n = 59) ranking each factor among their top 3 priorities (top half of figure) and bottom 3 priorities (bottom half of figure)
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC5382407&req=5

Fig2: Highest and lowest priorities for family-building decision making by role. Displays percentages of women (n = 59) and men (n = 59) ranking each factor among their top 3 priorities (top half of figure) and bottom 3 priorities (bottom half of figure)
Mentions: Figure 2 provides a snapshot of the importance of each of the factors by displaying the percentages of men and women who ranked each factor as a high priority (top half of figure) or a low priority (bottom half of figure). A majority of women ranked having a child in the next year or two, becoming a parent one way or another, and maintaining a close relationship with one’s partner as high priorities and building a family in a way that doesn’t make infertility obvious to others and avoiding side effects from treatment as low priorities. A majority of men ranked maintaining a close relationship with one’s partner as a high priority and building a family in a way that doesn’t make infertility obvious to others as a low priority. The importance of other factors proved to be more polarizing within each role, that is, at least one quarter of the group ranked the factor as a high priority while at least as many ranked the factor as a low priority. For women, cost was the single polarizing factor, and for men, the polarizing factor was becoming a parent one way or another.Fig. 2

View Article: PubMed Central - PubMed

ABSTRACT

Background: Infertility treatment decisions require people to balance multiple priorities. Within couples, partners must also negotiate priorities with one another. In this study, we assessed the family-building priorities of couples prior to their first consultations with a reproductive specialist.

Methods: Participants were couples who had upcoming first consultations with a reproductive specialist (N = 59 couples (59 women; 59 men)). Prior to the consultation, couples separately completed the Family-Building Priorities Tool, which tasked them with ranking from least to most important 10 factors associated with family building. We describe the highest (top three) and lowest (bottom three) priorities, the alignment of priorities within couples, and test for differences in prioritization between men and women within couples (Wilcoxon signed rank test).

Results: Maintaining a close and satisfying relationship with one’s partner was ranked as a high priority by majorities of men and women, and in 25% of couples, both partners ranked this factor as their most important priority for family building. Majorities of men and women also ranked building a family in a way that does not make infertility obvious to others as a low priority, and in 27% of couples, both partners ranked this factor as the least important priority for family building. There were also differences within couples that involved either men or women ranking a particular goal more highly than their partners. More women ranked two factors higher than did their partners: 1) that I become a parent one way or another (p = 0.015) and 2) that I have a child in the next year or two (p < 0.001), whereas more men ranked 4 factors higher than their partners: 1) that our child has [woman’s] genes (p = 0.025), 2) that our child has [man’s] genes (p < 0.001), 3) that I maintain a close relationship with my partner (p = 0.034), and 4) that I avoid side effects from treatment (p < 0.001).

Conclusions: Clinicians who support patients in assessing available family-building paths should be aware that: (1) patients balance multiple priorities as a part of, or beside, becoming a parent; and (2) patients and their partners may not be aligned in their prioritization of achieving parenthood. For infertility patients who are in relationships, clinicians should encourage the active participation of both partners as well as frank discussions about each partner’s priorities for building their family.

No MeSH data available.