Cent Eur J Nurs Midw 2026, 17(3):2498-2506 | DOI: 10.15452/cejnm.2026.17.0017

Nurses’ and midwives’ perspectives on psychological problems among women with infertility, family responses, and the need for nursing and midwifery interventions

Suzanna1, Sri Yulia1, Aris Citra Wisuda2, Dedi Haryanto3, Arena Lestari4
1 Nursing Department, Faculty of Health Science, Universitas Muhammadiyah Ahmad Dahlan Palembang, Palembang 30254, Indonesia
2 Nursing Profession Study Program, Sekolah Tinggi Ilmu Kesehatan Bina Husada, Palembang 30131, Indonesia
3 Techology Information Department, Faculty of Engineering, Universitas Muhammadiyah Palembang, Palembang 30263, Indonesia
4 Nursing Department, Faculty of Health Science, Universitas Muhammadiyah Pringsewu, Lampung 35373, Indonesia

Aim: This study aimed to explore nurses’ and midwives’ perspectives on the psychological problems experienced by women with infertility, family responses, and the need for nursing and midwifery interventions.

Design: A qualitative study employing an empirical phenomenological approach.

Methods: In-depth interviews were conducted with 13 infertility counselors, including nurses and midwives, selected through purposive sampling based on predefined inclusion criteria. Data saturation was achieved, and interview transcripts were analyzed using Colaizzi’s method as adapted by Haase.

Results: Three main themes emerged: (1) psychological problems and emotional conditions among women with infertility, such as stress, depression, anxiety, and social isolation; (2) diverse family responses, ranging from emotional support to neglect and lack of understanding; and (3) the urgent need for nursing and midwifery interventions, particularly structured psycho-counseling. Participants emphasized the crucial role of nurses and midwives in early identification of psychological distress and in providing continuous emotional support.

Conclusion: Infertility presents a significant psychological and social burden for women. Nurses and midwives have a pivotal role in delivering holistic counseling and supportive care. Integrating technology-based psycho-counseling into nursing and midwifery practice may improve accessibility, individualization, and effectiveness of interventions, ultimately enhancing mental health outcomes for women with infertility.

Klíčová slova: family response, female infertility, nursing and midwifery care, psycho-counseling, psychological distress

Vloženo: 29. srpen 2025; Revidováno: 22. květen 2026; Přijato: 27. červenec 2026; Zveřejněno: 6. září 2026  Zobrazit citaci

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Suzanna, Yulia S, Wisuda AC, Haryanto D, Lestari A. Nurses’ and midwives’ perspectives on psychological problems among women with infertility, family responses, and the need for nursing and midwifery interventions. Central European Journal of Nursing and Midwifery. 2026;17(3):2498-2506. doi: 10.15452/cejnm.2026.17.0017.
Sdílet...
Stáhnout citaci
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Zobrazit celý článek

    Reference

    1. Alirezaei, S., Taghipour, A., & Roudsari, R. L. (2022). The effect of infertility counseling interventions on marital and sexual satisfaction of infertile couples: a systematic review and meta-analysis. International Journal of Reproductive BioMedicine, 20(10), 795-806. https://doi.org/10.18502/ijrm.v20i10.12264 Přejít k původnímu zdroji... Přejít na PubMed...
    2. Anindhita, I. G. A. I. T., Retnoningtias, D. W., & Ayuningtias, A. U. H. (2021). Hubungan stres infertilitas dengan kesepian pada wanita infertil di Bali [The relationship between infertility stress and loneliness in infertility women in Bali]. Jurnal Ilmiah Psikologi, 23(1), 78-90. https://doi.org/10.26486/psikologi.v23i1.1411 Přejít k původnímu zdroji...
    3. Assaysh-Öberg, S., Borneskog, C., & Ternström, E. (2023). Women's experience of infertility and treatment: a silent grief and failed care and support. Sexual & Reproductive Healthcare, 37, 100879. https://doi.org/10.1016/j.srhc.2023.100879 Přejít k původnímu zdroji... Přejít na PubMed...
    4. Asyura, F., Anwar, C., & Rosdiana, E. (2024). Analisis dampak infertil terhadap kesehatan jiwa pada wanita yang sudah menikah di Kabupaten Pidie tahun 2023 [Analysis of the impact of infertility on mental health in married women in Pidie Regency in 2023]. Journal of Healthcare Technology and Medicine, 10(1), 412-418.
    5. BKKBN Sumatera Selatan. (2020). Jumlah pasangan usia subur Sumatera Selatan [Number of fertile couples in South Sumatra]. https://sumsel.bps.go.id/
    6. Boivin, J., & Gameiro, S. (2015). Evolution of psychology and counseling in infertility. Fertility and Sterility, 104(2), 251-259. https://doi.org/10.1016/j.fertnstert.2015.05.035 Přejít k původnímu zdroji... Přejít na PubMed...
    7. Cao, D., Bai, C., & Zhang, G. (2022). Psychological distress among infertility patients: a network analysis. Frontiers in Psychology, 13, 906226. https://doi.org/10.3389/fpsyg.2022.906226 Přejít k původnímu zdroji... Přejít na PubMed...
    8. Çapik, A., Aksoy, M., Yilmaz, E., & Yilmaz, F. (2019). Infertility Stigma Scale: a psychometric study in a Turkish sample. Perspectives in Psychiatric Care, 55(2), 328-335. https://doi.org/10.1111/ppc.12360 Přejít k původnímu zdroji... Přejít na PubMed...
    9. Creswell, J. W. (2013). Qualitative inquiry and research design: choosing among five approaches (3rd ed.). Sage.
    10. Creswell, J. W., & Plano Clark, V. L. (2010). Designing and conducting mixed methods research (2nd ed.). Sage.
    11. Damayanti, F., Hakimi, M., Anwar, M., & Puspandari, D. A. (2022). Characteristics of people with infertility in Indonesia reflected in FertiQoL scores. Malaysian Journal of Public Health Medicine, 22(1), 100-108. Přejít k původnímu zdroji...
    12. Domar, A. D., Jasulaitis, L., Matevossian, K., Jasulaitis, S., Grill, E. A., & Uhler, M. L. (2023). The impact of the FertiStrong mobile application on anxiety and depression in men: a randomized control pilot study. Journal of Human Reproductive Sciences, 16(3), 195-203. https://doi.org/10.4103/jhrs.jhrs_75_23 Přejít k původnímu zdroji... Přejít na PubMed...
    13. Doyle, M., & Carballedo, A. (2014). Infertility and mental health. Advances in Psychiatric Treatment, 20(5), 297-303. https://doi.org/10.1192/apt.bp.112.010926 Přejít k původnímu zdroji...
    14. Dube, L., Nkosi-Mafutha, N., Balsom, A. A., & Gordon, J. L. (2021). Infertility-related distress and clinical targets for psychotherapy: a qualitative study. BMJ Open, 11(11), e050373. https://doi.org/10.1136/bmjopen-2021-050373 Přejít k původnímu zdroji... Přejít na PubMed...
    15. Fatemi, S. H., Folsom, T. D., Rooney, R. J., Mori, S., Kornfield, T. E., Reutiman, T. J., Kneeland, R. E., Liesch, S. B., Hua, K., Hsu, J., & Patel, D. H. (2012). The viral theory of schizophrenia revisited: abnormal placental gene expression and structural changes with lack of evidence for H1N1 viral presence in placentae of infected mice or brains of exposed offspring. Neuropharmacology, 62(3), 1290-1298. https://doi.org/10.1016/j.neuropharm.2011.01.011 Přejít k původnímu zdroji... Přejít na PubMed...
    16. Ferreira, M., Vicente, S., Duarte, J., & Chaves, C. (2015). Quality of life of women with infertility. Procedia - Social and Behavioral Sciences, 165, 21-29. https://doi.org/10.1016/j.sbspro.2014.12.600 Přejít k původnímu zdroji...
    17. Ford, E. A., Roman, S. D., McLaughlin, E. A., Beckett, E. L., & Sutherland, J. M. (2020). The association between reproductive health smartphone applications and fertility knowledge of Australian women. BMC Women's Health, 20(1), 45. https://doi.org/10.1186/s12905-020-00912-y Přejít k původnímu zdroji... Přejít na PubMed...
    18. Frederiksen, Y., O'Toole, M. S., Mehlsen, M. Y., Hauge, B., Elbaek, H. O., Zachariae, R., & Ingerslev, H. J. (2017). The effect of expressive writing intervention for infertile couples: a randomized controlled trial. Human Reproduction, 32(2), 391-402. https://doi.org/10.1093/humrep/dew320 Přejít k původnímu zdroji... Přejít na PubMed...
    19. Halkola, S. T., Koivula, M., & Aho, A. L. (2022). A qualitative study of the factors that help the coping of infertile women. Nursing Open, 9(1), 299-308. https://doi.org/10.1002/nop2.1062 Přejít k původnímu zdroji... Přejít na PubMed...
    20. Hanson, B., Johnstone, E., Dorais, J., Silver, B., Peterson, C. M., & Hotaling, J. (2017). Female infertility, infertility-associated diagnoses, and comorbidities: a review. Journal of Assisted Reproduction and Genetics, 34(2), 167-177. https://doi.org/10.1007/s10815-016-0836-8 Přejít k původnímu zdroji... Přejít na PubMed...
    21. Jafarzadeh-Kenarsari, F., Ghahiri, A., Habibi, M., & Zargham-Boroujeni, A. (2015). Exploration of infertile couples' support requirements: a qualitative study. International Journal of Fertility & Sterility, 9(1), 81-92. https://doi.org/10.22074/ijfs.2015.4212 Přejít k původnímu zdroji... Přejít na PubMed...
    22. Kaya, Z., & Oskay, U. (2020). Stigma, hopelessness and coping experiences of Turkish women with infertility. Journal of Reproductive and Infant Psychology, 38(5), 485-496. https://doi.org/10.1080/02646838.2019.1650904 Přejít k původnímu zdroji... Přejít na PubMed...
    23. Kementerian Kesehatan Republik Indonesia. (2018). Hasil utama Riskesdas 2018 [Main results of Riskesdas 2018]. https://www.litbang.kemkes.go.id/laporan-riskesdas-2018/
    24. Khusen, D. (2014). Rahasia kesehatan wanita [Secrets of womenʼs health]. Fakultas Kedokteran Universitas Indonesia.
    25. Kiani, Z., Simbar, M., Hajian, S., & Zayeri, F. (2021). The prevalence of depression symptoms among infertile women: a systematic review and meta-analysis. Fertility Research and Practice, 7(1), Article number 6. https://doi.org/10.1186/s40738-021-00098-3 Přejít k původnímu zdroji... Přejít na PubMed...
    26. Kirca, N., & Pasinlioglu, T. (2019). The effect of yoga on stress level in infertile women. Perspectives in Psychiatric Care, 55(2), 319-327. https://doi.org/10.1111/ppc.12352 Přejít k původnímu zdroji... Přejít na PubMed...
    27. Knoblock, J. (2022). COREQ (Consolidated Criteria for Reporting Qualitative Research) checklist. In J. F. Gubrium, A. M. Coppock, & M. C. Leavy (Eds.), Research design and methods in nursing (pp. 231-244). De Gruyter. https://doi.org/10.1515/9781503623057-016 Přejít k původnímu zdroji...
    28. Lee, Y. S. (2020). A survey on the current status and demands of infertility counseling towards the development of an infertility counseling delivery system. Journal of Korean Society of Maternal and Child Health, 24(1), 52-63. https://doi.org/10.21896/jksmch.2020.24.1.52 Přejít k původnímu zdroji...
    29. Lei, A., You, H., Luo, B., & Ren, J. (2021). The associations between infertility-related stress, family adaptability and family cohesion in infertile couples. Scientific Reports, 11, 24220. https://doi.org/10.1038/s41598-021-03715-9 Přejít k původnímu zdroji... Přejít na PubMed...
    30. Maleki-Saghooni, N., Amirian, M., Sadeghi, R., & Roudsari, R. L. (2017). Effectiveness of infertility counseling on pregnancy rate in infertile patients undergoing assisted reproductive technologies: a systematic review and meta-analysis. International Journal of Reproductive BioMedicine, 15(7), 391-402. https://doi.org/10.29252/ijrm.15.7.391 Přejít k původnímu zdroji...
    31. Massarotti, C., Gentile, G., Ferreccio, C., Scaruffi, P., Remorgida, V. & Anserini, P. (2019). Impact of infertility and infertility treatments on quality of life and levels of anxiety and depression in women undergoing in vitro fertilization. Gynecological Endocrinology, 35(6), 485-489. https://doi.org/10.1080/09513590.2018.1540575 Přejít k původnímu zdroji... Přejít na PubMed...
    32. Mete, S., Fata, S., & Aluş Tokat, M. (2020). Feelings, opinions and experiences of Turkish women with infertility: a qualitative study. Health Informatics Journal, 26(1), 528-538. https://doi.org/10.1177/1460458219839628 Přejít k původnímu zdroji... Přejít na PubMed...
    33. Meyers, A. J., & Domar, A. D. (2021). Research-supported mobile applications and internet-based technologies to mediate the psychological effects of infertility: a review. Reproductive BioMedicine Online, 42(3), 679-689. https://doi.org/10.1016/j.rbmo.2020.12.004 Přejít k původnímu zdroji... Přejít na PubMed...
    34. Naab, F., Brown, R., & Ward, E. C. (2019). Culturally adapted depression intervention to manage depression among women with infertility in Ghana. Journal of Health Psychology, 26(7), 949-961 https://doi.org/10.1177/1359105319857175 Přejít k původnímu zdroji... Přejít na PubMed...
    35. Njogu, A., Njogu, J., Mutisya, A., & Luo, Y. (2022). Experiences of infertile women pursuing treatment in Kenya: a qualitative study. BMC Women's Health, 22, 364. https://doi.org/10.1186/s12905-022-01950-4 Přejít k původnímu zdroji... Přejít na PubMed...
    36. Nouman, H., & Benyamini, Y. (2019). Religious women's coping with infertility: do culturally adapted religious coping strategies contribute to well-being and health? Journal of Religion and Health, 26(2), 154-164. https://doi.org/10.1007/s12529-018-9757-5 Přejít k původnímu zdroji... Přejít na PubMed...
    37. Patel, A., Sharma, P. S. V. N., & Kumar, P. (2020). Application of mindfulness-based psychological interventions in infertility. Journal of Human Reproductive Sciences, 13(1), 3-21. https://doi.org/10.4103/jhrs.JHRS_51_19 Přejít k původnímu zdroji... Přejít na PubMed...
    38. Patton, M. Q. (2002). Qualitative research and evaluation methods (3rd ed.). Sage.
    39. Priandono, T. E., Ramdani, A. H., & Affandi, A. F. M. (2022). Perempuan tanpa anak [Childless women]. Jurnal Common, 6(2), 205-221. https://doi.org/10.34010/common.v6i2.7105 Přejít k původnímu zdroji...
    40. Ramli, M., Hidayah, N., Eva, N., Nor, D. M. B. M., Saputra, N. M. A., & Hanafi, H. (2020). The counselors' need for the development of a solution-focused cybercounseling model for junior high school students. In 2020 6th International Conference on Education and Technology (ICET) (pp. 209-213). IEEE. https://doi.org/10.1109/ICET51153.2020.9276597 Přejít k původnímu zdroji...
    41. Rimer, L. (2020). The effect of family structure and family support on women's coping with fertility treatments. International Journal of Nursing, 7(1), 18-29. Přejít k původnímu zdroji...
    42. Robertson, I., Harrison, C., Ng, K. Y. B., MacKlon, N., Cheong, Y., & Boivin, J. (2022). Development, implementation and initial feasibility testing of the MediEmo mobile application to provide support during medically assisted reproduction. Human Reproduction, 37(5), 1007-1017. https://doi.org/10.1093/humrep/deac046 Přejít k původnímu zdroji... Přejít na PubMed...
    43. Romiko, Adelia Intan Kencana, Suzanna, & Ayu Dekawaty. (2023). Hubungan persepsi dengan dukungan masyarakat pada wanita infertilitas [The relationship between perception and community support for women with infertility]. Journal of Telenursing, 5(2), 4081-4088. https://doi.org/10.31539/joting.v5i2.7702 Přejít k původnímu zdroji...
    44. Safitri, Y. I., Rahayu, E. P., Rizki, L. K., Abidah, S. N., & Nadatien, I. (2024). Analysis of determinants of infertility among women at in vitro fertilization clinic in Surabaya. Healthcare in Low-Resource Settings, 12(3), 11985. https://doi.org/10.4081/hls.2024.11985 Přejít k původnímu zdroji...
    45. Sargeant, J. (2012). Qualitative research part II: participants, analysis, and quality assurance. Journal of Graduate Medical Education, 4(1), 1-3. https://doi.org/10.4300/jgme-d-11-00307.1 Přejít k původnímu zdroji... Přejít na PubMed...
    46. Streubert, H., & Carpenter, D. R. (2011). Qualitative research in nursing: advancing the humanistic imperative (5th ed.). Lippincott Williams & Wilkins.
    47. Suzanna, S., Abdul Majid, Y., & Tanda Bela, L. G. (2022). Identifikasi pengalaman istri mendapatkan stigma negatif dengan kondisi infertilitas [Identification of wivesʼ experiences of receiving negative stigma due to infertility conditions]. Jurnal Keperawatan Silampari, 6(1), 183-191. https://doi.org/10.31539/jks.v6i1.4107 Přejít k původnímu zdroji...
    48. Taebi, M., Kariman, N., Montazeri, A., & Majd, H. A. (2021). Infertility stigma: a qualitative study on feelings and experiences of infertile women. International Journal of Fertility & Sterility, 15(3), 189-196. https://doi.org/10.22074/IJFS.2021.139093.1039 Přejít k původnímu zdroji... Přejít na PubMed...
    49. Temitope, L. (2022). A qualitative synthesis of the impact of infertility on the mental health of African women. African Journal of Reproductive Health, 26(12), 49-57. https://doi.org/10.29063/ajrh2022/v26i12.6 Přejít k původnímu zdroji... Přejít na PubMed...
    50. Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349-357. https://doi.org/10.1093/intqhc/mzm042 Přejít k původnímu zdroji... Přejít na PubMed...
    51. World Health Organization. (2015). Global prevalence of infertility, infecundity and childlessness.
    52. World Health Organization. (2021). Infertility prevalence estimates, 1990-2021. https://www.who.int/publications/i/item/978920068315
    53. Yazdani, F., Elyasi, F., Peyvandi, S., Moosazadeh, M., Samadaee Galekolaee, K., Kalantari, F., Rahmani, Z., & Hamzehgardeshi, Z. (2017). Counseling-supportive interventions to decrease infertile women's perceived stress: a systematic review. Electronic Physician, 9(6), 4694-4702. https://doi.org/10.19082/4694 Přejít k původnímu zdroji... Přejít na PubMed...
    54. Yokota, R., Okada, H., Okuhara, T., Goto, E., Furukawa, E., Shirabe, R., Sakakibara, K., & Kiuchi, T. (2022). Development of the japanese version of the Infertility Stigma Scale: examination of its reliability and validity. Healthcare, 10(3), 505. https://doi.org/10.3390/healthcare10030505 Přejít k původnímu zdroji... Přejít na PubMed...
    55. Zhao, Q., Huangfu, C., Li, J., Liu, H., & Tang, N. (202). Psychological resilience as the mediating factor between stigma and social avoidance and distress of infertility patients in China: a structural equation modeling analysis. Psychology Research and Behavior Management, 15, 391-403. https://doi.org/10.2147/PRBM.S354803 Přejít k původnímu zdroji... Přejít na PubMed...

    Tento článek je publikován v režimu tzv. otevřeného přístupu k vědeckým informacím (Open Access), který je distribuován pod licencí Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), která umožňuje nekomerční distribuci, reprodukci a změny, pokud je původní dílo řádně ocitováno. Není povolena distribuce, reprodukce nebo změna, která není v souladu s podmínkami této licence.


    Zpět na obsah