| خلاصه مقاله | Background: Systemic lupus erythematosus (SLE) is a multisystem disease that mostly affects women of the reproductive
age. Since women’s reproductive health is all aspects related
to the reproductive system. The effect of SLE on the reproductive health has been largely ignored in the clinical performance
and life of these individuals. This study was conducted with the
aim of exploring the perceptions of women with SLE regarding
challenging fertility.
Materials and Methods: This qualitative research was conducted using 27 semi-structured deep interviews with 19 married women suffering from SLE (15-49 years old) selected
through purposive sampling in the referral Rheumatology Center in Iran. Data analysis was performed with a content analysis approach using the conventional method proposed by the
Zhang and Wildemuth (2016) by 10 MAXQDA.
Results: The women’s perceptions about Challenging fertility were categorized in 2 subcategories included bothersome
pregnancy (According to the women talking, women with SLE
experienced pregnancy problems such as frequent abortions,
increased fetal disorders, seizure during pregnancy, lack of will
for making decisions about pregnancy, psychological problems,
activation of the disease after delivery, and inability to use preventive methods.) and impaired parenting (according to the
women perception, disturbed parenting occurs due to loss of
a sense of motherhood, impatience in taking care of the child,
fear from death with the child being left alone, and concerns
about the child’s future).
Conclusion: The findings clearly suggested the negative effects of SLE on the reproductive health experience of these
women. Also emphasized, women with SLE requires strategic
and multidisciplinary management. |