Aim, Background, and Introduction. Bearing and rearing children are an important part of life in nearly all cultures and are a central role for Jordanian Muslim women. Infertility can create anxiety, stress, and depression for couples who are infertile. Women frequently bear the emotional stigma of a couple’s infertility. There is a paucity of literature focusing on Jordanian Muslim women experiencing infertility and failed assistive reproductive technology. Therefore, this study explored these women’s lived experience. Methods. Qualitative data were collected through interviews with 30 Jordanian Muslim women who experienced failed assistive reproductive technology for infertility. Perceptions of experiences with failed treatment of infertility were documented and analyzed. Results. Major themes were identified: missing out on motherhood and living with infertility, experiencing marital stressors, feeling social pressure, experiencing depression and disappointment, having treatment associated difficulties, appreciating support from family and friends, using coping strategies, and fear of an unknown future. Discussion, Conclusion, and Implications for Clinical Practice. Being infertile significantly influences the physical, emotional, social, and spiritual health of Jordanian Muslim women as well as their quality of life. Perceived social support and personal coping strategies were used by study participants to mediate failed attempts to conceive. Designing and implementing culturally appropriate interventions for Muslim women globally who are experiencing infertility are essential. 1. Introduction Children provide their parents the existential role of participating in the continuity of the family, the culture, and the community. Most societies, especially in developing countries, are structured to rely on children for the future care and maintenance of older family members [1]. The United Nations (UN) Declaration of Human Rights recognizes that adults, without any limitations due to race, nationality, or religion, have the right to marry and have a family [2]. Infertility has been recognized by WHO as a public health issue, and the right to infertility treatment is part of Millennium Development Goal number 5 [3]. Infertility is a condition in which pregnancy has not occurred after one year of unprotected, well-timed intercourse [4]. Infertility is a reproductive health indicator, such as maternal mortality rates. It is an important global issue where infertility is perceived as a tragedy for many women who may be ostracized and stigmatized in their
References
[1]
I. Hassanin, T. Abd-El-Raheem, and A. Shahin, “Primary infertility and health-related quality of life in Upper Egypt,” International Journal of Gynecology and Obstetrics, vol. 110, no. 2, pp. 118–121, 2010.
[2]
World Health Organization, Reproductive Health Indicators: Guidelines for their Generation, Interpretation and Analysis for Global Monitoring, World Health Organization, Geneva, Switzerland, 2006.
[3]
United Nations, “Millennium Development Goals,” 2000, http://www.un.org/millennium/declaration/ares552e.
[4]
Centers for Disease Control, Outline for a National Action Plan for the Prevention, Detection and Management of Infertility, Centers for Disease Control, Atlanta, Ga, USA, 2010.
[5]
L. C. Callister, “Global infertility: are we caring yet?” The American Journal of Maternal Child Nursing, vol. 35, no. 3, p. 174, 2010.
[6]
M. C. Inhorn, “Right to assisted reproductive technology: overcoming infertility in low-resource countries,” International Journal of Gynecology and Obstetrics, vol. 106, no. 2, pp. 172–174, 2009.
[7]
M. N. Mascarenhas, S. R. Flaxman, T. Boerma, S. Vanderpoel, and G. A. Stevens, “National, regional and global trends in infertility prevalence since 1990. Health surveys,” PLoS Medicine, vol. 9, no. 12, Article ID e 1001356.
[8]
S. Rutstein and I. Shah, Infecundity, Infertility, and Childlessness in Developing Countries, DHS Comparative Reports No. 9, ORC Macro and the World Health Organization, Calverton, Md, USA, 2004.
[9]
S. K. Bardaweel, M. Shehadeh, G. A. R. Y. Suaifan, and M. V. Z. Kilani, “Complementary and alternative medicine utilization by a sample of infertile couples in Jordan for infertility treatment: clinics-based survey,” BMC Complementary and Alternative Medicine, vol. 13, article 35, 2013.
[10]
M. C. Inhorn and G. I. Serour, “Islam, medicine, and Arab-Muslim refugee health in America after 9/11,” The Lancet, vol. 378, no. 9794, pp. 935–943, 2011.
[11]
M. C. Inhorn, “Making Muslim babies: IVF and gamete donation in Sunni versus shi'a Islam,” Culture and Medicine and Psychiatry, vol. 30, no. 4, pp. 427–450, 2006.
[12]
G. Serour, “Islamic perspectives in human reproduction,” Reproductive BioMedicine, vol. 17, no. 3, pp. 34–38, 2008.
[13]
T. Cousineau and A. Domar, “Psychological impact of infertility,” Best Practice and Research: Clinical Obstetrics and Gynaecology, vol. 21, no. 2, pp. 293–308, 2007.
[14]
A. Galhardo, M. Cunha, and J. Pinto-Gouveia, “Psychological aspects in couples with infertility,” Sexologies, vol. 20, no. 4, pp. 224–228, 2011.
[15]
B. D. Peterson, C. S. Sejback, L. Pieritana, and L. Schmidt, “Are severe depressive symptoms associated with infertility-related distress in individuals and their partners?” Human Reproduction, vol. 29, no. 1, pp. 76–82, 2014.
[16]
L. Schmidt, “Infertility and assisted reproduction in Denmark: epidemiology and psychosocial consequences,” Danish Medical Bulletin, vol. 53, no. 4, pp. 390–417, 2006.
[17]
L. A. Pasch and C. Dunkel-Schetter, “Fertility problems: complex issues faced by women and couples,” in Health Care for Women: Psychological, Social, and Behavioral Influences, S. J. Gallant, G. P. Keita, and R. Royak-Schaler, Eds., American Psychological Association, Washington, DC, USA, 1997.
[18]
A. Greil, K. Slauson-Blevins, and J. McQuillan, “The experience of infertility: a review of recent literature,” Sociology of Health and Illness, vol. 32, no. 1, pp. 140–162, 2010.
[19]
P. Jennings, “God had something else in mind: family, religion, and infertility,” Journal of Contemporary Ethnography, vol. 39, no. 2, pp. 215–237, 2010.
[20]
I. A. Khalaf, F. Abu-Moghli, L. C. Callister, and R. Rasheed, “Jordanian women's experiences with the use of traditional family planning,” Health Care for Women International, vol. 29, no. 5, pp. 527–538, 2008.
[21]
I. Khalaf and L. C. Callister, “Cultural meanings of childbirth: muslim women living in Jordan,” Journal of Holistic Nursing, vol. 15, no. 4, pp. 373–388, 1997.
[22]
A. Y. Ali, An English Interpretation of the Holy Quran, Ashraf Printing, Lahore, Pakistan, 1992.
[23]
M. Farsoun, N. Khoury, and C. Underwood, In Their Own Words: A Qualitative Study of Family Planning in Jordan, IEC Field Report no. 6, John Hopkins University Center for Communication Programs, Baltimore, Md, USA, 1996.
[24]
S. A. Kridli and K. Libbus, “Contraception in Jordan: a cultural and religious perspective,” International Nursing Review, vol. 48, no. 3, pp. 144–151, 2001.
[25]
S. A. Kridli, “Health beliefs and practices among Arab women,” The American Journal of Maternal Child Nursing, vol. 27, no. 3, pp. 178–182, 2002.
[26]
J. Schmid, S. Kirchengast, E. Vytiska-Binstorfer, and J. Huber, “Infertility caused by PCOS—Health-related quality of life among Austrian and Moslem immigrant women in Austria,” Human Reproduction, vol. 19, no. 10, pp. 2251–2257, 2004.
[27]
A. S. Huppelschoten, A. J. C. M. van Dongen, C. M. Verhaak, J. M. J. Smeenk, J. A. M. Kremer, and W. L. D. M. Nelen, “Differences in quality of life and emotional status between infertile women and their partners,” Human Reproduction, vol. 28, no. 8, pp. 2168–2176, 2013.
[28]
M. V. Martins, B. D. Peterson, V. Almeida, L. Mesquita-Guimaraes, and M. C. Costa, “Dyadic dynamics of perceived social support in couples facing infertility,” Human Reproduction, vol. 29, no. 1, pp. 85–89, 2014.
[29]
T. Wischmann, “Implications of psychosocial support in infertility a critical appraisal,” Journal of Psychosomatic Obstetrics and Gynecology, vol. 29, no. 2, pp. 83–90, 2008.
[30]
D. Gibson and J. Myers, “The effect of social coping resources and growth-fostering relationships on infertility stress in women,” Journal of Mental Health Counseling, vol. 1, pp. 1–6, 2005.
[31]
P. McCarthy, “Women's lived experience of infertility after unsuccessful medical intervention,” Journal of Midwifery and Women's Health, vol. 53, no. 4, pp. 319–324, 2008.
[32]
B. Peterson, C. Newton, K. Rosen, and R. Schulman, “Coping processes of couples experiencing infertility,” Family Relations, vol. 55, no. 2, pp. 227–239, 2006.
[33]
H. S. Speziale, H. J. Streubert, and D. Carpenter, Qualitative Research in Nursing, Lippincott Williams & Wilkins, Philadelphia, Pa, USA, 2011.
[34]
P. Colaizzi, Reflection and Research in Psychology, Kendall Kent, Dubque, IL, USA, 1973.
[35]
A. Fido and M. A. Zahid, “Coping with infertility among Kuwaiti women: cultural perspectives,” International Journal of Social Psychiatry, vol. 50, no. 4, pp. 294–300, 2004.
[36]
F. B. van Rooij, F. van Balen, and J. Hermanns, “The experiences of involuntarily childless Turkish immigrants in the Netherlands,” Qualitative Health Research, vol. 19, no. 5, pp. 621–632, 2009.
[37]
D. Gerrity, “A biopsychosocial theory of infertility,” The Family Journal, vol. 9, no. 2, pp. 151–158, 2001.
[38]
V. Madge, “Infertility, women and assisted reproductive technologies: an exploratory study in Pune, India,” Indian Journal of Gender Studies, vol. 18, no. 1, pp. 1–26, 2011.
[39]
B. Peterson, M. Pirritano, J. Block, and L. Schmidt, “Marital benefit and coping strategies in men and women undergoing unsuccessful fertility treatments over a 5-year period,” Fertility and Sterility, vol. 95, no. 5, pp. 1759–1763, 2011.
[40]
P. S. Hinds, J. S. Gattuso, E. Barnwell et al., “Translating psychosocial research findings into practice guidelines,” Journal of Nursing Administration, vol. 33, no. 7-8, pp. 397–403, 2003.
[41]
I. D. Cooke, L. Gianaroli, O. Hovatta, et al., “Affordable ART and the Third World: difficulties to overcome,” Human Reproduction, vol. 10, no. 1, pp. 93–96, 2008.
[42]
H. Azaizeh, B. Saad, E. Cooper, and O. Said, “Traditional Arabic and Islamic medicine: a re-emerging health aid,” Evidence-based Complementary and Alternative Medicine, vol. 7, no. 4, pp. 419–424, 2010.
[43]
A. Oweis, “The Hashemite Kingdom of Jordan,” in Cultural Health Assessment, A. Polyanskaya, Ed., Elsevier, New York, NY, USA, 4th edition, 2008.
