The practice gap in the care of women following successful infertility treatments: Unasked research questions in midwifery and nursing

Summary

The aim of this paper is to highlight the gap between existing research evidence and nursing and midwifery practices in caring for women following successful in vitro fertilization (IVF) and gamete intrafallopian transfer (GIFT), and to suggest directions for research within these disciplines. We argue that although the number of couples in the UK experiencing fertility problems has risen, 1.4% of all births in the UK are as the result of infertility treatments (HFEA, ); yet there is little research into the experiences of motherhood for women who successfully achieve pregnancy following IVF or GIFT. Consequently, there is negligible research evidence for nurses and midwives practicing in this area, and British healthcare staff appear to be unaware of the specific needs of infertile women during pregnancy, birth and early motherhood. In this paper we review the existing literature on this group of women, which falls into three areas: studies into the psychosocial development of the child conceived via IVF/GIFT/donor insemination; comparative studies into experiences of women following successful infertility treatment and women who conceive naturally; and studies into the experiences of women following successful IVF treatment. We review this literature to argue for research into the needs of infertile women following successful IVF/GIFT, to inform evidence for practice.

Keywords:

• Gamete intrafallopian transfer (GIFT)
• in vitro fertilization (IVF)
• motherhood

Notes

1 Scotland has had a National Service Framework for care of infertile couples since 1999. In 2005, The Welsh Assembly introduced specific guidelines to Wales.

2 CASP provides frameworks for analysing research papers – <http://www.phru.nhs.uk/casp/critical_appraisal_tools.htm>.