[The other side of the ART, or when the desire takes shape].
OBJECTIVE
To study unconscious factors involved with the occurrence of spontaneous pregnancies in Assisted Reproductive Technologies process (ART).


METHODS
We wrote to 519 couples having received the benefit of an ART process in the years 2005-2007 in the center of ART of the CHU of Bordeaux. In the mail, they were asked whether a spontaneous pregnancy had occurred during the process and a psychoanalytical orientation talk was suggested to them.


RESULTS
Among 214 answers, 28 couples have declared a spontaneous pregnancy (so 13.1%). Twenty-six couples have been interviewed, 19 resulting from the questionnaire and seven registered in 2008 and having announced by their own the occurrence of a spontaneous pregnancy. Subjective factors directing the occurrence of a spontaneous pregnancy are found up to a significant degree. They are classified and studied by headings.


CONCLUSIONS
Each heading is confronted with the data of the psychoanalytical literature. We find a correlation between the elements collected in the talks and those of the literature. The conclusion is in favor of unconscious factors playing a predominant part in the occurrence of spontaneous pregnancies for the unfertile subjects.
26, rue Borie, 33300 Bordeaux, France. catvachervit@free.fr
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D000328:Adult; D005260:Female; D006801:Humans; D007246:Infertility / Q000209:etiology / Q000523:psychology* / Q000628:therapy*; D010287:Parent-Child Relations; D011247:Pregnancy; D027724:Reproductive Techniques, Assisted / Q000523:psychology*; D013315:Stress, Psychological / Q000150:complications; D011795:Surveys and Questionnaires