[Reproductive techniques and concepts of psychosomatic medicine].

Gynakologisch-geburtshilfliche Rundschau Pub Date : 2008-01-01 Epub Date: 2008-12-03 DOI:10.1159/000154807
Ingrid Kowalcek
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Abstract

Objective: The objective of this study was to assess the expectations of the patients regarding prenatal examination and assisted reproductive treatment.

Methods: The first sample included patients and their partners at the commencement of assisted reproductive treatment. The couples were asked to predict the success of in vitro fertilization on a scale ranging from 0 to 100%. The second sample included pregnant women and their partners prior to prenatal examination (level III). These couples were asked what expectations they had regarding the prenatal examination.

Results: On average, 57% of the women and 61% of their partners expected a successful pregnancy in the course of the ongoing reproductive treatment. The expectations at the prenatal examination indicated that both the women and their partners wished, in the first instance, a reassuring outcome and a positive diagnosis of pregnancy. Lower down the scale in third and fourth position were safety and assurance.

Discussion: The patients focused their expectations mainly on the technical possibilities of the reproductive techniques. It is therefore necessary in psychosomatic medicine to introduce personal concepts for discussion in order to avoid being subordinated to prevalent facts.

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[生殖技术与心身医学概念]。
目的:本研究的目的是评估患者对产前检查和辅助生殖治疗的期望。方法:第一个样本包括辅助生殖治疗开始时的患者及其伴侣。这些夫妇被要求在0到100%的范围内预测体外受精的成功率。第二个样本包括产前检查前的孕妇及其伴侣(第三级)。这些夫妇被问及他们对产前检查有什么期望。结果:平均而言,57%的女性和61%的伴侣期望在持续的生殖治疗过程中成功怀孕。产前检查的期望表明,妇女和她们的伴侣首先都希望得到一个令人放心的结果和怀孕的积极诊断。排在第三和第四位的是“安全”和“保证”。讨论:患者的期望主要集中在生殖技术的技术可能性上。因此,在心身医学中有必要引入个人概念进行讨论,以避免从属于普遍的事实。
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