“My mother in-law forced my husband to divorce me”: Experiences of women with infertility in Zamfara State of Nigeria


Autoři: Florence Naab aff001;  Yakubu Lawali aff002;  Ernestina S. Donkor aff003
Působiště autorů: Department of Maternal and Child Health, School of Nursing and Midwifery, College of Health Sciences, University of Ghana, Accra, Ghana aff001;  Department of Nursing Science, College of Health Sciences, Usmanu DanFodiyo University Sokoto, Sokoto, Nigeria aff002;  Department of Maternal and Child Health, School of Nursing and Midwifery, College of Health Sciences, University of Ghana, Accra, Ghana aff003
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
doi: 10.1371/journal.pone.0225149

Souhrn

Introduction

Women with infertility have different experiences that determine the quality of their psychosocial health. Cultural constructions of infertility in Africa have made the experience of infertility among African women more burdensome. Yet, little is known about the psychosocial experiences of women with infertility in Zamfara State of Nigeria. The purpose of this study was to explore the psychosocial experiences of women with infertility in Zamfara.

Materials and methods

An exploratory qualitative design was used for this exploration. Individual in-depth interviews were conducted using a semi-structured interview guide. Ethical approval was received from the Institutional Review Board of the Nogouchi Memorial Institute for Medical Research in the University of Ghana. Women who were married and seeking treatment for infertility from a public hospital were recruited and interviewed. A total of 12 women were interviewed with each interview lasting 45 minutes. The interviews were audiotaped with permission from the participants, transcribed verbatim, and content analysed.

Results

The findings revealed that psychologically, majority of the women had experienced anxiety, stress and depression as a result of their inability to get pregnant. Socially, the women suffered self and social isolation, social stigma, social pressure and marital problems.

Conclusion

These women have psychosocial health problems that need the attention of health professionals to enhance their wellbeing.

Klíčová slova:

Anxiety – Depression – Female infertility – Human families – Children – Male infertility – Nigeria – Pregnancy


Zdroje

1. Hardee K, Gay J, Blanc AK. Maternal morbidity: neglected dimension of safe motherhood in the developing world. Glob Public Health. 2012;7(6):603–617. doi: 10.1080/17441692.2012.668919 22424546

2. Yildizhan R, Adali E, Kolusari A, Kurdoglu M, Yildizhan B, Sahin G. Domestic violence against infertile women in a Turkish setting. Int J Gynecol Obstet. 2009;104(2):110–112.

3. Özçelik B, Karamustafalıoğlu B, Özçelik A. The psychological and psychiatric aspects of infertility. Anadolu Psiki—Yatr. 2007;8:140–8.

4. Holter H, Anderheim L, Bergh C, Möller A. First IVF treatment-short-term impact on psychological wellbeing and the marital relationship. Hum Reprod. 2006;21(12):3295–302. doi: 10.1093/humrep/del288 16931802

5. Moghadam B., Salsali M, Erdabili E., Ramezanzadeh F, Veismoradi M. The impact of infertility on pschological and social status of women in Iran. Int J Fertil Steril. 2011;5(1):6.

6. Anozie O., Ameh N, Kene T., Onuh S., Okohue J., Umeora O., et al. Burden of domestic violence amongst infertile women attending infertility clinics in Nigeria. Niger J Med J Natl Assoc Resid Dr Niger. 2007;16(4):375–7.

7. Moyo S. Indigenous knowledge systems and attitudes towards male infertility in Mhondoro-Ngezi, Zimbabwe. Cult Health Sex. 2013;15(6):667–679. doi: 10.1080/13691058.2013.779029 23550631

8. Naab F, Roger L., Heidrich S. Common sense understanding of infertility among Ghanaian women with infertility. J Infertil Reprod Biol. 2014;2(1):11–22.

9. Greil AL, Slauson-Blevins K, McQuillan J. The experience of infertility: a review of recent literature. Sociol Health Illn. 2010;32(1):140–162. doi: 10.1111/j.1467-9566.2009.01213.x 20003036

10. Peterson BD, Newton CR, Feingold T. Anxiety and sexual stress in men and women undergoing infertility treatment. Fertil Steril. 2007;88(4):911–914. doi: 10.1016/j.fertnstert.2006.12.023 17433317

11. Dhont N, Wijgert J van de, Coene G, Gasarabwe A, Temmerman M. ‘Mama and papa nothing’: living with infertility among an urban population in Kigali, Rwanda. Hum Reprod. 2011 Jan 7;deq373.

12. Fledderjohann JJ. ‘Zero is not good for me’: implications of infertility in Ghana. Hum Reprod [Internet]. 2012 [cited 2012 Jul 2]; Available from: http://humrep.oxfordjournals.org/content/early/2012/02/21/humrep.des035.short

13. Naab F, Brown R, Heidrich SM. Psychosocial health of infertile Ghanaian women and their infertility beliefs. J Nurs Scholarsh. 2013;45(2):132–40. doi: 10.1111/jnu.12013 23731032

14. Dyer S, Mokoena N, Maritz J, Van Der Spuy Z. Motives for parenthood among couples attending a level 3 infertility clinic in the public health sector in South Africa. Hum Reprod. 2008;23(2):352. doi: 10.1093/humrep/dem279 18063652

15. Naab F. Women’s representations of infertility in Ghana. THE UNIVERSITY OF WISCONSIN-MADISON; 2012.

16. Naab F, Brown R, Heidrich S. Psychosocial Health of Infertile Ghanaian Women and Their Infertility Beliefs. J Nurs Scholarsh. 2013;45(2):132–40. doi: 10.1111/jnu.12013 23731032

17. Donkor ES, Sandall J. The impact of perceived stigma and mediating social factors on infertility-related stress among women seeking infertility treatment in Southern Ghana. Soc Sci Med. 2007;65(8):1683–1694. doi: 10.1016/j.socscimed.2007.06.003 17673344

18. Upkong M., Orji E. Mental health of infertile women in Nigeria. Turk J Psychiatry. 2007;17(4):259.

19. Dimka R.D & Dein S. The work of a woman is to give birth to children: cultural constructions of infertility in Nigeria. African Journal of Reproductive Health. 2013;17(2):103.

20. Adeyemi AS, Adekanle DA, Afolabi AF. Pattern of gynaecological consultations at Ladoke Akintola University of Technology Teaching Hospital. Niger J Clin Pract. 2009;12(1).

21. Panti A, Sununu Y. The profile of infertility in a teaching Hospital in North West Nigeria. Sahel Med J. 2014;17(1):7–7.

22. O'Reilly M., Parker N. 'Unsatisfactory Saturation': a critical exploration of the notion of saturated sample sizes in qualitative research. Qualitative Research. 2013;12(2):90–197.


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2019 Číslo 12