Objective: To examine the psychosocial and parenthood-specific adjustment a
nd attitudes to parenting at 1 year postpartum of IVF parents.
Design: Prospective, controlled study.
Setting: Volunteers in a teaching hospital environment.
Patient(s): Sixty-five primiparous women with singleton IVF pregnancies and
their partners, and a control group of 61 similarly aged primiparous women
with no history of infertility and their partners.
Intervention(s): Completion of questionnaires and interviews.
Main Outcome Measure(s): Parent reports of general and parenthood-specific
adjustment and attitudes to parenting.
Result(s): The IVF mothers tended to report lower self-esteem and less pare
nting competence than control mothers. Although there were no group differe
nces on protectiveness, IVF mothers saw their children as significantly mor
e vulnerable and "special" compared with controls. The IVF fathers reported
significantly lower self-esteem and marital satisfaction, although not les
s competence in parenting. Both IVF mothers and fathers did not differ from
control parents on other measures of general adjustment (mood) or those mo
re specific to parenthood (e.g., attachment to the child and attitudes to c
hild rearing).
Conclusion(s): The IVF parents' adjustment to parenthood is similar to natu
rally conceiving comparison families. Nonetheless, there are minor IVF diff
erences that reflect heightened child-focused concern and less confidence i
n parenting for mothers, less satisfaction with the marriage for the father
s, and vulnerable self-esteem for both parents.(C) 2000 by American Society
for Reproductive Medicine.