The experiences of infertile women discontinuing in vitro fertilization treatment: a grounded theory approach

초록

Purpose: This study aimed to develop a situation-specific theory by gaining an in-depth understanding of the deterrent processes experienced by infertile women who have discontinued in vitro fertilization (IVF) procedures, within the socio-cultural context of South Korea. Methods: The participants were 16 infertile women who discontinued IVF procedures. Data were collected through individual in-depth interviews from February to December 2023. Theoretical sampling was conducted, and the transcribed interview contents were analyzed using Strauss and Corbin’s grounded theory method. Results: In total, 37 concepts and 14 categories were extracted through the open coding process. The central phenomenon in axial coding was “Distress caused by the discontinuation of IVF treatment.” The core category was “A journey to break free from the identity of infertility toward self-determined womanhood.” The results were categorized into two types: “Detachment from the framework of attempting pregnancy” and “A continued longing for the fulfillment of a traditional family.” The situation-specific theory was the “Theory of reconstructing subjective identity through the acceptance of childfree life,” which illustrates how infertile women actively redefine their life trajectories after discontinuing IVF treatment. Conclusion: This study highlights the importance of public perceptions about infertile women who discontinue IVF procedures, which are seen as the last resort of assisted reproductive technology, because positive perceptions assists women in living a self-governing life. It may be necessary to develop educational and promotional programs to change negative social perceptions and to establish a psycho-social support system for infertile women who have been deterred from IVF procedures.

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