title: Barriers of child adoption in infertile couples: Iranian's views.
abstract: BACKGROUND
  There are many reasons why some couples do not become parents. Some are infertile, some do not want kids, children can be in a social context unacceptable and for others different life goals are more important.
  
  
  OBJECTIVE
  This study was designed to determine barriers of child adoption in infertile couples in Iran.
  
  
  METHODS
  This cross-sectional study was carried out at Iran from April 2010 to June 2011. The research program was comprised consecutively in 240 infertile couples. Experts in Guidance and Counseling vetted the instrument and set that it has content validity. Test re-test reliability was conducted by the investigators using a sample of 20 couples who have filled questionnaire.
  
  
  RESULTS
  Although 230 (96%) of the respondents heard of child adoption, only 89 (37.3%) of couples knew correct meaning of child adoption. Fifty four women (24%) knew how to adopt a baby while the rest did not; 196 (82%) respondents expressed their unwillingness to adopt a baby. Hoping of childbearing (78%) was the main barrier to adopt a child.
  
  
  CONCLUSIONS
  The barriers mentioned were cultural practices, stigmatization, financial implications, and technical problems. Most of the infertile Iranian couples prefer to stay even so without children or think about new treatment.
authors.affiliation: Department of Nursing and Midwifery, Faculty of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
authors.forename: Mahshid
authors.initials: M
authors.lastname: Bokaie
authors.affiliation: Department of Nursing and Midwifery, Faculty of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
authors.forename: Tahmineh
authors.initials: T
authors.lastname: Farajkhoda
authors.affiliation: Department of Nursing and Midwifery, Faculty of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
authors.forename: Behnaz
authors.initials: B
authors.lastname: Enjezab
authors.affiliation: Department of Nursing and Midwifery, Faculty of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
authors.forename: Pooran
authors.initials: P
authors.lastname: Heidari
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
authors.forename: Mojgan
authors.initials: M
authors.lastname: Karimi Zarchi
keywords: Barriers; Child Adoption; Cultural and social barrier; Infertility; Iranian views