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A O, F., F O, F., OA, O., T O, A., IP, O., & U, O. (2017). Social Meaning and Consequences of Infertility in Ogbomoso, Nigeria. Sudan Journal of Medical Sciences (SJMS), 12(2), 63-77. https://doi.org/10.18502/sjms.v12i2.917

https://doi.org/10.18502/sjms.v12i2.917

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  • Fehintola A O
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  • Fehintola F O
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  • Ogunlaja OA
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  • Awotunde T O
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  • Ogunlaja IP
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  • Onwudiegwu U
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Published Date

  • Jul 4, 2017

Social Meaning and Consequences of Infertility in Ogbomoso, Nigeria

Sudan Journal of Medical Sciences (SJMS) / Sudan JMS: Volume 12 (2017), Issue No. 2 / Pages 63-77

Abstract

Background: This study examined the meaning of infertility from layman's perspective, and experiences of women suffering from infertility among reproductive age women seeking care at the gynaecology unit of the Bowen University Teaching Hospital, Ogbomoso, Nigeria.

Materials and Methods: It was a cross-sectional study. Quantitative and qualitative data collection methods were employed. Quantitative data collection was by the aid of a structured interviewer-administered questionnaire among 200 women seeking care for infertility at the hospital. Qualitative data collection was by Focus Group Discussions (FGDs) and Key Informant Interviews (KIIs).

Result: Approximately 40% and 60% of the respondents seeking care for infertility were suffering from primary and secondary infertility respectively. Perceived meaning and   etiologies of childlessness were multidimensional, but 33% of the respondents not sure of the causal factor. Seventy-nine percent   were under pressure to become pregnant. The high premium placed on fertility within marriage has placed   a larger proportion of them under pressure from their husbands (25%), their mother-in-laws (40%), and the community (14%).

Conclusion: This study concluded that women regard infertility to be caused by multiplicity of factors. Most of these etiologies were unscientific and unverifiable. Fruitful expectations also put enormous burden on those women suffering from infertility including adverse psychosexual effects. The unceasing pressure due to infertility   in this group of patients calls for urgent intervention as most of these women become susceptible to high risk sexual behavior, depression and other severe consequences.

References
[1] A. Fidler and J. Bernstein, “Infertility: From a personal to a public health problem,” Public Health Reports, vol. 114, no. 6, pp. 494–511, 1999.

[2] F. van Balen and M. Inhorn, Interpreting infertility: a view from the social sciences. In: Inhorn M., van Balen F., editors. Infertility around the globe: new thinking on childlessness, gender, and reproductive technologies, University of California Press,London, UK, 2002.

[3] E. Vayena, P. J. Rowe, and H. B. Peterson, “Assisted reproductive technology in developing countries: Why should we care?” Fertility and Sterility, vol. 78, no. 1, pp.13–15, 2002.

[4] American Society of Reproductive Medicine, Patient’s fact sheet: infertility. American Society of Reproductive Medicine.org. Dec. 1997. http://www.asrm.org/Patients/FactSheets/Infertility-Fact.pdf (26 Feb 2004).

[5] A. Daar and Z. Merali, “Infertility and social suffering: the case of ART in developing countries,” in Report of a meeting on Medical, Ethical, and Social Aspects of Assisted Reproduction, E. Vayena, P. Rowe, D. Griffin, and E. Vayena, Eds., pp. 17–21, WHO, Geneva, Switzerland, 2001.

[6] American Society of Reproductive Medicine, Frequently asked questions about infertility. asrm.org, www.asrm.org/Patients/faqs.html1#Q2: (12 Mar 2004).

[7] O. Giwa-Osagie, Social and ethical aspects of assisted conception in anglophonesub-saharanafrica. In: Vayena E, Rowe P, Griffin D, editors. Report of a meeting on ”Medical, Ethical, and Social Aspects of Assisted Reproduction; 2001, 17-21 Sept; Geneva, Switzerland: WHO; 2001. pp. 50-54.

[8] M. Gijsels, Z. Mgalla, and L. Wambura, ’No child to send’: context and consequences of female infertility in northwest tanzania. In: Boerma T, Mgalla A, editors. Women and infertility in sub-saharanafrica. Amsterdam: Royal Tropical Institute; 2001. pp.203-221.

[9] F. E. Okonofua, H. Diana, and O. Adetanwa, “The social meaning of infertility in south-west Nigeria,” Health Transition Review 7, pp. 205–220, 1997.

[10] F. E. Okonofua, U. Onwudiegwu, and O. A. Odunsi, “Illegal Induced Abortion: A Study of 74 Cases in Ile-Ife, Nigeria,” Tropical Doctor, vol. 22, no. 2, pp. 75–78, 1992.

[11] Research methodology with statistics for health and social sciences by Margarent Olabisi Araoye. pp. 177–122, 2004 edition.

[12] O. Olusanya, E. Okpere, and M. Ezimokhai, “The importance of social class in voluntary fertility control in a developing country,” West Afr J Med, vol. 4, pp. 205– 211, 1985.

[13] J. O. Sule, P. Erigbali, and L. Eruom, (2008). Prevalence of infertility in women in a Southwestern Nigerian community. African Journal of Biomedical research, 11:225-227. Amsterdam: Royal Tropical Institute Press. Sage, University of Michigan Press.

[14] P. Butler, “Assisted reproduction in developing countries-facing up to the issues,” Progress in Reproductive Health Research, vol. 63, pp. 1–8, 2003.

[15] P. Devroey, M. Vandervorst, P. Nagy, and A. Van Steirteghem, “Do we treat the male or his gamete?” Human Reproduction, vol. 13, suppl. 1, pp. 178–185, 1998.

[16] J. T. Boerma and Mgallaz, Eds., Women and infertility in Sub-Saharan Africa: a multidisciplinary perspective. Amsterdam the Netherlands, KIT Publishers, Amsterdam the Netherlands, 2001.

[17] A. S. Jegede, “The Yoruba cultural construction of health and illness,” Nordic journal of African studies, vol. 11, no. 3, pp. 322–335, 2002.

[18] B. J. Feyisetan, S. Asa, and J. A. Ebigbola, “Mothers’ management of childhood diseases in Yorubaland: the influence of cultural beliefs,” Health transition review: the cultural, social, and behavioural determinants of health, vol. 7, no. 2, pp. 221– 234, 1997.

[19] B. Datta and F. Okonofua, “What about us? Bringing infertility intoreproductivecare,”Quality/Calidad/Qualite, vol. 13, pp. 1–31, 2002.

[20] L. Leonard, (2001). Problematizing fertility: Scientific accounts and Chadian women’s narratives. In M.C Inhorn, and F. Van Balen (Eds.). Infertility around the globe: New thinking on childlessness, gender, and reproductive technologies(pp.193-213). Berkeley: University of Califonia Press.

[21] E. Vayena, P. Rowe, D. Griffin, P. Van Look, and T. Turmen, Current practices and controversaries in assisted reproduction. In: Vayena E., Rowe P., Griffin D., editors. Report of a meeting on ”Medical, Ethical, and Social A Reproduction; 2001, 17-21 Sept; Geneva, Switzerland: WHO; 2002. p. xv-xxi.

[22] P. Butler, “Assisted reproduction in developing countries-facing up to the issues,” Progress in Reproductive Health Research, vol. 63, pp. 1–8, 2003.

[23] B. Datta and F. Okonofua, “What about us? Bringing infertility into reproductive care,” Quality/Calidad/Qualite, vol. 13, 2002.

[24] L. Leonard, (2001). Problematizing fertility: Scientific accounts and Chadian women’s narratives. In M. C. Inhorn, and F. Van Balen (Eds.). Infertility around the globe: New thinking on childlessness, gender, and reproductive technologies (pp.193-213). Berkeley: University of Califonia Press.

[25] S. Carr, N. Unwin, and T. Pless-Mulloli, An introduction to Public Health and Epidemiology. Bershire, Open University Press, McGraw- Hill Education, England,2007.