Family Alliance Trajectories from Infertility to Parenthood
- 85 Downloads
This chapter focuses on coparenting and family dynamics during the transition from infertility to parenthood. Eighty couples who had infertility issues were assessed before they underwent infertility medical treatment. Of these, 29 couples who were successful in becoming pregnant within 1 year were assessed again during pregnancy and after childbirth. We analyzed their family alliance trajectories from the fifth month of pregnancy to the ninth month after birth. Our results revealed three distinct family alliance trajectory groups from pregnancy to the postpartum period: One group showed a decrease in family alliance (average to low pattern, n = 11); a second group remained stable in their family alliance (high stable pattern, n = 11); and a third group showed improvements in their family alliance (low to high pattern, n = 7). Analysis of the pretreatment data revealed no significant group differences in narrative quality, infertility-related stress, and marital satisfaction. Additionally, pretreatment variables did not predict subsequent family alliance trajectories. We provide a case illustration of each family alliance trajectory, in order to illustrate the challenges faced by couples who have experienced infertility and successfully undergone medically assisted procreation.
KeywordsPrenatal coparenting Family alliance Infertility Reproductive techniques Pregnancy
This work was supported by the Swiss National Science Foundation (Grant N° 32003B-111985).
- Altenburger, L. E., Schoppe-Sullivan, S., Lang, S. N., Bower, D. J., & Kamp Dush, C. M. (2014). Associations between prenatal coparenting behavior and observed coparenting behavior at 9-months postpartum. Journal of Family Psychology, 28, 495–504. https://doi.org/10.1037/fam0000012.CrossRefPubMedPubMedCentralGoogle Scholar
- Cumming, G. (2014). The New Statistics: Why and How. Psychological Science, 25, 7–29. https://doi.org/10.1177/0956797613504966
- Cowan, P. (1991). Individual and family life transitions: A proposal for a new definition. In P. A. Cowan & M. Hetherington (Eds.), Family transitions (pp. 3–30). Hillsdale: Lawrence Erlbaum Associates, Publishers.Google Scholar
- Crane, D. R., Allgood, S. M., Larson, J. H., & Griffin, W. (1990). Assessing marital quality with distressed and nondistressed couples: A comparison and equivalency table for three frequently used measures. Journal of Marriage and the Family, 52, 87–93. https://doi.org/10.2307/352841.CrossRefGoogle Scholar
- Darwiche, J., Favez, N., Simonelli, A., Antonietti, J. P., & Frascarolo, F. (2015). Prenatal coparenting alliance and marital satisfaction when pregnancy occurs after assisted reproductive technologies or spontaneously. Family Relations, 64, 534–546. https://doi.org/10.1111/fare.12131.CrossRefGoogle Scholar
- Favez, N., Lavanchy Scaiola, C. L., Tissot, H., Darwiche, J., & Frascarolo, F. (2011). The family alliance assessment scales: Steps toward validity and reliability of an observational assessment tool for early family interactions. Journal of Child and Family Studies, 20, 23–37. https://doi.org/10.1007/s10826-010-9374-7.CrossRefGoogle Scholar
- Favez, N., Lopes, F., Bernard, M., Frascarolo, F., Lavanchy Scaiola, C., Corboz-Warnery, A., & Fivaz-Depeursinge, E. (2012). The development of family alliance from pregnancy to toddlerhood and child outcomes at 5 years. Family Process, 51, 542–556. https://doi.org/10.1111/j.1545-5300.2012.01419.x.CrossRefPubMedGoogle Scholar
- Fiese, B. H., Sameroff, A. J., Grotevant, H. D., Wamboldt, F. S., Dickstein, S., & Fravel, D. L. (1999). The stories that families tell: Narrative coherence, narrative interaction, and relationship beliefs (Monographs of the Society for Research in Child Development, 64 (serial N° 257)). Malden: Blackwell Publishers.Google Scholar
- Fivaz-Depeursinge, E., & Corboz-Warnery, A. (1999). The primary triangle: A developmental systems view of mothers, fathers, and infants. New York: Basic Books.Google Scholar
- Fivaz-Depeursinge, E., Frascarolo, F., & Corboz-Warnery, A. (2010). Observational tool: The Pre- natal Lausanne Trilogue Play. In S. Tyano, M. K. Head, H. Herrman, & J. Cox (Eds.), Parenthood and mental health: A bridge between infant and adult psychiatry (pp. 121–127). New York: Wiley. https://doi.org/10.1002/9780470660683.CrossRefGoogle Scholar
- Frederiksen, Y., Farver-Vestergaard, I., Skovgård, N. G., Ingerslev, H. J., & Zachariae, R. (2015). Efficacy of psychosocial interventions for psychological and pregnancy outcomes in infertile women and men: A systematic review and meta-analysis. BMJ Open, 5, e006592. https://doi.org/10.1136/bmjopen-2014-006592.CrossRefPubMedPubMedCentralGoogle Scholar
- Greil, A. L., Slauson-Blevins, K., McQuillan, J., Lowry, M. H., Burch, A. R., & Shreffler, K. M. (2018). Relationship satisfaction among infertile couples: Implications of gender and self-identification. Journal of Family Issues, 39, 1304–1325. https://doi.org/10.1177/2F0192513X17699027.CrossRefGoogle Scholar
- Hjelmstedt, A., Widström, A.-M., Wramsby, H., & Collins, A. (2003). Patterns of emotional responses to pregnancy, experience of pregnancy and attitudes to parenthood among IVF couples: A longitudinal study. Journal of Psychosomatic Obstetrics and Gynecology, 24, 153–162. https://doi.org/10.3109/01674820309030669.CrossRefPubMedGoogle Scholar
- Monti, F., Agostini, F., Fagandini, P., Paterlini, M., La Sala, G. B., & Blickstein, I. (2008). Anxiety symptoms during late pregnancy and early parenthood following assisted reproductive technology. Journal of Perinatal Medicine, 36, 425–432. https://doi.org/10.1515/JPM.2008.0741.CrossRefPubMedGoogle Scholar
- Nicoloro-Santa Barbara, J., Busso, C., Moyer, A., & Lobel, M. (2018). Just relax and you'll get pregnant? Meta-analysis examining women’s emotional distress and the outcome of assisted reproductive technology. Social Science & Medicine. https://doi.org/10.1016/j.socscimed.2018.06.033.
- Pandey, S., Shetty, A., Hamilton, M., Bhattacharya, S., & Maheshwari, A. (2012). Obstetric and perinatal outcomes in singleton pregnancies resulting from IVF/ICSI: A systematic review and meta-analysis. Human Reproduction Update, 18, 485–503. https://doi.org/10.1093/humupd/dms018.CrossRefPubMedGoogle Scholar
- Pianta, R. C., & Marvin, R. S. (1993). Manual for classification of the reaction to diagnosis interview. Unpublished material, University of Virginia, Charlottesville.Google Scholar
- Ratkowsky, D. A., & Lance, G. N. (1978). A criterion for determining the number of groups in a classification. Australian Computer Journal, 10(3), 115–117.Google Scholar
- Ross, L. E., & McLean, L. M. (2006). Anxiety disorders during pregnancy and the postpartum period: A systematic review. The Journal of Clinical Psychiatry. https://doi.org/10.4088/JCP.v67n0818.
- Sydsjö, G., Wadsby, M., Kjellberg, S., & Sydsjö, A. (2002). Relationships and parenthood in couples after assisted reproduction and in spontaneous primiparous couples: A prospective long-term follow-up study. Human Reproduction, 17, 3242–3250. https://doi.org/10.1093/humrep/17.12.3242.CrossRefPubMedGoogle Scholar
- Vänskä, M., Punamäki, R. L., Tolvanen, A., Lindblom, J., Flykt, M., Unkila-Kallio, L., et al. (2017). Paternal mental health trajectory classes and early fathering experiences: Prospective study on a normative and formerly infertile sample. International Journal of Behavioral Development, 41, 570–580. https://doi.org/10.1177/0165025416654301.CrossRefGoogle Scholar
- Verhaak, C. M., Smeenk, J. M. J., Van Minnen, A., Kremer, J. A. M., & Kraaimaat, F. W. (2005). A longitudinal, prospective study on emotional adjustment before, during and after consecutive fertility treatment cycles. Human Reproduction, 20, 2253–2260. https://doi.org/10.1093/humrep/dei015.CrossRefPubMedGoogle Scholar