Iranian Journal of Nursing and Midwifery Research1735-90661932014053122432EN20140531<p>&nbsp;</p><p><strong><span style="font-family: Humanist521BT-Bold;"><span style="font-family: Humanist521BT-Bold;">A</span><span style="font-family: Humanist521BT-Bold; font-size: xx-small;"><span style="font-family: Humanist521BT-Bold; font-size: xx-small;">BSTRACT</span></span></span><span style="font-family: Humanist521BT-Bold; font-size: xx-small;">&nbsp;</span><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><font face="Arial-BoldMT" size="1"><p>Background:</p></font></strong></span></strong></span></strong><span style="font-family: ArialMT; font-size: xx-small;"><span style="font-family: ArialMT; font-size: xx-small;">There are a few studies about commissioning mothers&rsquo; understanding from the surrogacy during 9 months of waiting for delivery in Iran and other countries. This study was conducted with an aim to explore and explain the nature of concerns (experiences) of commissioning mothers.</span></span></span></strong></span></strong></span></strong></span></strong></span></strong></span></strong></span></strong></span></strong></span></strong></span></strong></span></strong></span></strong></span></strong></span></strong></span></strong><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><font face="Arial-BoldMT" size="1"><p>Materials and Methods:&nbsp;</p></font></strong></span></strong></span></strong><span style="font-family: ArialMT; font-size: xx-small;"><span style="font-family: ArialMT; font-size: xx-small;">A qualitative design with a conventional content analysis approach was used to gather and analyze the experiences of commissioning mothers. They were selected from Royan Research Centre and other infertility centers in Iran. After purposive sampling for the selection of the participants, unstructured interviews were held for data collection. Twenty-four unstructured interviews were conducted with 12 commissioning mothers, 2 surrogate mothers, and 2 infertility center social workers who directly and continuously dealt with these mothers.</span></span></span></strong></span></strong></span></strong><span style="font-family: ArialMT; font-size: xx-small;"></span></span></strong></span></strong></span></strong><span style="font-family: ArialMT; font-size: xx-small;"></span></span></strong></span></strong></span></strong><span style="font-family: ArialMT; font-size: xx-small;"></span></span></strong></span></strong></span></strong><span style="font-family: ArialMT; font-size: xx-small;"></span><span style="font-family: ArialMT; font-size: xx-small;"><span style="font-family: ArialMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><font face="Arial-BoldMT" size="1"><p>Results:</p></font></strong></span></strong></span></strong><span style="font-family: ArialMT; font-size: xx-small;"><span style="font-family: ArialMT; font-size: xx-small;">Two main themes emerged from the data analysis: 1. cultural dilemma (consisting of three subthemes: Social taboo, concerns about disclosure to others and the child, concerns about altering maternal and child&rsquo;s identity, and 2. uncertain waiting (consisting of three subthemes: Concerns about health of fetus and surrogate, concerns about an unfamiliar surrogate, and concerns about lack of preparation for maternal role).</span></span></span></strong></span></strong></span></strong></span></strong></span></strong></span></strong></span></strong></span></strong></span></strong><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><strong><span style="font-family: Arial-BoldMT; font-size: xx-small;"><p>Conclusions:&nbsp;<span style="font-family: ArialMT; font-size: xx-small;"><span style="font-family: ArialMT; font-size: xx-small;">The study reveals the importance of maternal emotional care in this group and introduces a new arena for nurses&rsquo; activity. These </span></span><span style="font-family: ArialMT; font-size: xx-small;"><span style="font-family: ArialMT; font-size: xx-small;">fi</span></span><span style="font-family: ArialMT; font-size: xx-small;"><span style="font-family: ArialMT; font-size: xx-small;">ndings help the mothers by nurses&rsquo; activities in health care clinics and anywhere they deliver nursing care.</span></span><p>Key words: Iran, nursing, reproductive techniques, surrogacy</p></p></span></strong></span></strong></span></span></strong></span></strong></span></strong></span></span></p>http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/1020http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/1020/742