title: The transition of care from fertility specialists to obstetricians: maternal adjustment and postpartum depressive symptoms.
abstract: OBJECTIVE
  This study examines the transition from fertility to obstetrical care of women who conceived through IVF.
  
  
  METHODS
  33 women filled out questionnaires before IVF, during pregnancy and after birth on infertility stress, maternal adjustment and depressive symptoms. During pregnancy, they participated in an interview about their emotional experiences regarding the transition. Responses were sorted into three categories: Autonomy, Dependence and Avoidance.
  
  
  RESULTS
  Exploratory results show that 51.5% of women had no difficulties making the transition (Autonomy), 21.2% had become dependent (Dependence) and 27.3% had distanced themselves from the specialists (Avoidance). Women who became dependent had more trouble adjusting to motherhood and more depressive symptoms.
  
  
  CONCLUSIONS
  Difficulty making the transition may be linked to decreased ability to adjust to motherhood and more postpartum depressive symptoms.
authors.affiliation: Department of Psychiatry, University of Lausanne, Lausanne, Switzerland. Joelle.Darwiche@chuv.ch
authors.forename: Joëlle
authors.initials: J
authors.lastname: Darwiche
authors.forename: Florine
authors.initials: F
authors.lastname: Maillard
authors.forename: Marc
authors.initials: M
authors.lastname: Germond
authors.forename: Nicolas
authors.initials: N
authors.lastname: Favez
authors.forename: Deborah
authors.initials: D
authors.lastname: Lancastle
authors.forename: Yves
authors.initials: Y
authors.lastname: de Roten
authors.forename: Patrice
authors.initials: P
authors.lastname: Guex
authors.forename: Jean-Nicolas
authors.initials: JN
authors.lastname: Despland
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D003266:Continuity of Patient Care / Q000458:organization & administration*; D019052:Depression, Postpartum / Q000523:psychology*; D005260:Female; D005307:Fertilization in Vitro / Q000523:psychology*; D006801:Humans; D007246:Infertility / Q000523:psychology* / Q000628:therapy; D007247:Infertility, Female / Q000523:psychology* / Q000628:therapy; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D049590:Postpartum Period / Q000523:psychology; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000523:psychology*; D012917:Social Adjustment; D055815:Young Adult