Wednesday, April 28, 2010

Insights for Family and Friends


The following suggestions are advice for family members and couples struggling with infertility and is based, in part, on Patricia Irwin Johnston's Understanding Infertility:Insights for Family and Friends:

For Family Members:

Acknowledge infertility as a medical and emotional crisis with a wide variety of losses, disappointments and 'costs': physical, financial, social, marital. Do not attempt to deny or minimize involuntary childlessness either by avoiding the topic or offering empty platitudes like, "Everything will be fine" or "Just relax". Avoid offering unsolicited advice and never interfere by taking sides, blaming, or imposing rigid expectations or limitations.
Be sensitive to the pain, stress, and emotional pressure of childlessness or the inability to expand one's family as desired. If it is difficult to know what to say, tell the couple rather than saying nothing. Ask them what you might say or do that would be helpful. Try to frequently convey care and compassion and do not 'forget' the couple over time as the months and years of the infertility struggle drag on. Be cognizant that some junctures in the journey may be more difficult than others such as after a miscarriage, failed in vitro fertilization cycle, or surgery that fails to produce the hoped for results. Remembering the couple with a card, phone call, donation in their names, flowers, or some other kind gesture can make the journey less difficult.
Be supportive. Do not assume you know what supportive means to your loved one but, instead, ask how you can be supportive: what would they find most helpful and useful? If you are able, consider ways in which you can assist emotionally (listening during a 'good cry') and functionally (offering financial assistance). Offer to simply listen and be ready to listen when called upon.
Emphasize the importance and value of the couple (and each partner) in the family. Encourage and welcome their involvement as a couple or individually in family events and activities. Once it occurs, infertility becomes a part of the family's history; how a family adapts and copes with the events and stress will be forever part of the family's past. Like any stressor, infertility can strain family functioning or improve it. Families need to be sensitive about the needs of the infertile couple, particularly around child centered family gatherings. It is important that they understand the infertile couple's decision not to come may be important.
Always keep the lines of communications open. Stress the importance of honesty, candor, tact, and diplomacy in family interactions. It is not a good idea to hide pregnancies 'out of kindness' or not invite the infertile couple to child-centered family events; or keep secrets out of fear of upsetting the couple. Always think about how things are told as much as what is being told: tact, kindness, and privacy can go a long way to soften the blow of difficult news. Open communication also means being able to express concern if there is evidence of significant emotional distress. When expressing concern always offer suggestions for help, such as seeking support and counseling through RESOLVE or an infertility counselor.
Respect the boundaries the infertile couple sets regarding their infertility. Some couples prefer a high level of privacy about infertility. Other choose a more open approach. When in doubt, ask the couple their preference.

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