Journal of psychosomatic obstetrics and gynaecology · 2026
"Sailing Two Boats" the fragmented identity of working women and the hidden labor of infertility: a qualitative analysis.
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Dhar Swati, Poojari Vidyashree Ganesh, Adiga Prashanth, Mundkur Anjali, Tomar Akash, Kumar Pratap
Аннотация
OBJECTIVE: To explore how professional women undergoing assisted reproductive technology (ART) experience and manage conflicts between treatment demands and professional identity; and to identify ways healthcare professionals can support them.
METHODS: Following COREQ guidelines, semi-structured, in-depth interviews were conducted with 18 professional women undergoing ART in a tertiary care hospital. Reflexive Thematic Analysis bolstered by interdisciplinary investigator triangulation (clinical and basic science) ensured thematic confirmability.
RESULTS: Analysis revealed Gendered Occupational Asymmetry (female occupational burden regardless of clinical aetiology), the Insider Paradox (the role reversal for healthcare professionals) and the Workplace Panopticon (constant self-surveillance to preserve professional authority). Interestingly, work simultaneously often acted as a Sanctuary of Competence, providing psychological respite. Finally, narratives exposed an Existential Rumination (mourning past personal-professional decisions) and permanent temporal career stalling. These themes were further mapped onto a 'A Day in the Life' structural framework to illustrate compounding daily burdens.
CONCLUSIONS: Current clinical lifestyle directives inadequately account for the rigid psycho-socioeconomic structures governing professional women. Based on identified themes, we propose targeted measures for healthcare professionals to deliver patient-centric care by integrating occupational awareness and identity-sensitive counselling into routine ART practice, thereby potentially reducing distress and improving treatment experience.
METHODS: Following COREQ guidelines, semi-structured, in-depth interviews were conducted with 18 professional women undergoing ART in a tertiary care hospital. Reflexive Thematic Analysis bolstered by interdisciplinary investigator triangulation (clinical and basic science) ensured thematic confirmability.
RESULTS: Analysis revealed Gendered Occupational Asymmetry (female occupational burden regardless of clinical aetiology), the Insider Paradox (the role reversal for healthcare professionals) and the Workplace Panopticon (constant self-surveillance to preserve professional authority). Interestingly, work simultaneously often acted as a Sanctuary of Competence, providing psychological respite. Finally, narratives exposed an Existential Rumination (mourning past personal-professional decisions) and permanent temporal career stalling. These themes were further mapped onto a 'A Day in the Life' structural framework to illustrate compounding daily burdens.
CONCLUSIONS: Current clinical lifestyle directives inadequately account for the rigid psycho-socioeconomic structures governing professional women. Based on identified themes, we propose targeted measures for healthcare professionals to deliver patient-centric care by integrating occupational awareness and identity-sensitive counselling into routine ART practice, thereby potentially reducing distress and improving treatment experience.