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Struggles with Infertility: A Case Study on Jennifer Bradshaw, Summaries of Social Work

This reflection and theoretical analysis paper explores the challenges faced by jennifer bradshaw, a 36-year-old african american woman struggling with infertility. The case study delves into her personal and professional life, the medical treatments she and her husband have undergone, and the emotional toll it has taken on their relationship. The paper also discusses the rational choice theory, its application in this case, and the potential benefits of social worker intervention, including counseling and referrals. Additionally, the paper presents a recommendation for jennifer and her husband to commit to individual and couples counseling, establish a timeline for trying in vitro fertilization, and consider adoption if necessary.

Typology: Summaries

2023/2024

Uploaded on 02/24/2024

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Reflection and Theoretical Analysis Paper
Jennifer Corraro
Arkansas State Department of Social Work
Human Behavior and the Social Environment 1 (SW-5003-10A)
Professor Rhoades
January 21, 2024
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Reflection and Theoretical Analysis Paper Jennifer Corraro Arkansas State Department of Social Work Human Behavior and the Social Environment 1 (SW-5003-10A) Professor Rhoades January 21, 2024

This case study is based on Jennifer Bradshaw an African American thirty-six-year-old woman who is struggling with infertility. Jennifer has always wanted to have children, so she focused on education and a career to help support her future family. Jennifer was the first in her family to graduate college she wanted to have a career as a clinical social worker. She had her life planned out and so far, everything was going well for her until she tried having children. The thought never occurred to her that she may have problems getting pregnant. Waiting until age 36 to have children has created challenges for her and her husband Allan. Jennifer and her husband have had medical consultations, surgeries, acupuncture, and fertility drugs to name a few. Their frustration is taking a toll on them personally and as a couple. With each home pregnancy test confirming she was not pregnant Jennifer grew more stressed out. She was blaming herself and then Allen for not being able to conceive. Jennifer started to isolate herself from her friends and family, she couldn’t handle their comments and just wanted to be alone. This situation has made Allen feel less than a man. After numerous pregnancy tests and getting nowhere on their own, they decide to go to a specialist. They end up going to Reproductive Endocrinologists who suggest they try in vitro fertilization. Jennifer thought they were going to go they would give her a pill and she would get pregnant. Though it sounds promising they were not planning on such a high cost of treatment, $16,000 per cycle including medication. They were also informed that because of her age, there was only a 35% to 40% chance of success. Unfortunately, Jennifer and Allen live in a state where fertility coverages are not required to be covered by insurance. Before they decided to go through with the in vitro Jennifer kept track of her basal body temperature, used an ovulation microscope, used a high- tech electronic fertility monitor as well as took many fertility supplements. When none of those helped them conceive Jennifer heard of the high success rate of IVF when used with

C57BL/6 sperm for routine application based on the CARD protocol. They developed a Simple Economical set-up for Rederivation approach with an inexpensive commercially available fertilization medium recommended and used by many laboratories” (Wigger, M. 2022). It would be my recommendation that Jennifer and Allen not only commit to individual counseling as well as couples counseling. When couples are having difficulty conceiving a child it could be stressful and some end up divorcing over it. They will need each other’s support and to be there for one another. I also recommend they have a timeline they can go by for trying in vitro. That way if they decide to adopt, they know they tried everything they said they would do. This will allow them to have a good start with a healthy foundation. It will be important that whatever they decide to do they leave the past in the past, so they don’t blame each in the future for not being able to conceive. That could put a lot of strain on a relationship. There are a lot of children in this world that need to be adopted and if Jennifer and her husband do not end up being able to conceive, they don't give up on becoming parents. After everything they tried, they both decided they would give IVF three tries, only then they would consider adoption if it failed. Jennifer had heard how most women turn into emotional wrecks through the whole process and the artificial hormones just make it worse. In the first part of the process, the woman is forced into menopause and her ovaries are hyperstimulated to release seventeen eggs instead of one. They have also considered taking out a second mortgage on their home to be able to afford the IVF process. All these reasons that were mentioned will cause stress which could make it more difficult to conceive. It would be really helpful for Jennifer and Allen to get support and references from a social worker, so they don’t have to go through this alone.

References: Tian, Tian, et al. “Prediction of fertilization disorders in the in vitro fertilization/intracytoplasmic sperm injection: A retrospective study of 106,728 treatment cycles.” Frontiers in Endocrinology , vol. 13, 2022, https://doi.org/10.3389/fendo.2022.870708. Wigger, Magdalena. A Simple and Economic Protocol for Efficient in Vitro Fertilization Using Cryopreserved Mouse Sperm V3 , 2022, https://doi.org/10.17504/protocols.io.261ge4j3yv47/v3.