Onm-6: Seeking Security in Surrogacy Motherhood:A Grounded Theory

s:2087:"Background: Surrogacy is one of the scientific revolutions in infertility domain in recent decades. Despite the widespread use of this technique especially surrogacy in Iran, studies about experiences of its clients are rare. Optimal care of commissioning mothers in surrogacy, requires proper understanding the process of motherhood. The aim of this study was exploration of the motherhood process in commissioning mothers. Materials and Methods: A qualitative research approach using grounded theory approach was done. The experiences of commissioning mothers were assessed from decisive decision to use surrogacy to after child birth. Data were collected initially as purposeful sampling from Royan Institute and continued as theoretical sampling for 20 month from other infertility centers, offices and hospitals in Tehran and other provinces of Iran. After acquisition of informed consent, 39 unstructured interviews were done with 15 commissioning mother, 2 husband, 4 surrogate mother and 5 personnel of infertility centers. Data were analyzed with Strauss and Corbin (1998) approach. Results: The data analysis showed that becoming a mother in surrogacy happen in a cultural dilemma context and the main issues expressed by participants was "insecurity in motherhood". "Seeking security" was basic strategy of commissioning mothers that emerged as a core concept. "Having the support", "Non-effective support", "Couples Interactions", "Individual and environmental characteristics" that can influence this process may play a role in facilitating or inhibiting. Finally, the outcome of implementing strategies and affecting factors is "to achieve relative peace" and "physical and mental exhaustion" that occur because of discomfort stability. Conclusion: These findings suggest an interactive effect of multiple factors on the process of becoming a mother. With a greater understanding of the motherhood process in particular mothers, nurses can have more personal and professional care for this special population of mothers.";