KNOWLEDGE ON THE COPING STRATEGIES OF CLIENTS WITH FERTILITY CHALLENGES AT GYNECOLOGICAL CLINIC IN NAUTH, NNEWI ANAMBRA STATE

Abstract

Infertility remains a significant health concern that affects the psychological and emotional well-being of individuals and couples globally. The inability to conceive often leads to emotional distress, marital conflicts, low self-esteem, and social stigma, especially in societies where childbearing is highly valued. This study explores the coping strategies employed by clients experiencing fertility challenges while attending obstetrics and gynecology clinics. The aim of the study is to identify and analyze the various coping mechanisms adopted by these clients and provide insight into possible interventions that can enhance their psychological resilience and improve their quality of life. A descriptive cross-sectional study design was adopted, and data were collected through structured questionnaires administered to 150 clients attending obstetrics and gynecology clinics in selected hospitals. The participants were selected using a purposive sampling technique based on specific inclusion criteria such as duration of fertility challenges and willingness to participate. Data were analyzed using descriptive statistics and thematic analysis for qualitative responses to provide a comprehensive understanding of their coping patterns. Findings revealed that the most commonly used coping strategies included seeking social support from partners, friends, and family, engaging in religious or spiritual activities, participating in counseling sessions, and distraction techniques such as focusing on work or hobbies. A significant number of participants also reported using avoidance or denial as coping mechanisms, often trying to suppress their emotions. The use of maladaptive strategies like isolation, withdrawal, and excessive worry was noted among a few respondents, highlighting the emotional burden faced by these clients. The study concludes that while most clients employ adaptive coping strategies, there is a need to strengthen support systems within healthcare facilities. It is recommended that psychological counseling, health education, and support groups be made readily available and integrated into routine fertility care to assist clients in managing the psychological burden associated with infertility.