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P 524
1. ”A chance to (a) hope” – opinions of transplanted women
of the first uterus transplantation (UTx) trial.
Stina Järvholm1, 2
, Liza Johannesson1
, Mats Brännström1
1 Department of Obstetrics and Gynaecology, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, Reproductive Medicine, Blå stråket 6, 413 45, Gothenburg, Sweden
2 University of Gothenburg, Department of Psychology,, Box 500, 405 30 Gothenburg, Sweden
E-mail: stina.jarvholm@vgregion.se
OBJECTIVES
No data on the psychology of any patients undergoing uterus transplantation are available in this field
with only 11 cases performed worldwide, and with nine of the women participating in the present study.
This study is a qualitative interview study one year past the first uterus transplantation.
METHOD
All eligible women n=9, were included in the study. Eight of the participants were lacking the uterus
from birth (MRKH syndrome) and one after hysterectomy due to cervical cancer. Age; median 33,
range 27-38. All women (9) who had undergone uterus transplantation in early 2013 in Sweden
were interviewed. The interviews were recorded and transcribed verbatim. Data was analysed with
thematic approach (Braun & Clark, 2006).
RESULTS
The analysis lead to the formation of a master theme, labelled:
A chance to (a) hope
”I put a great hope into the transplantation, it was the only way to go, the
solution”
In addition three subthemes emerged with underlying categories as
presented in the model.
CONCLUISON
This first group of women undergoing uterus transplantation already at baseline showed large adherence in how they reported their
psychological wellbeing and commitment to the project. In spite of outcome and adverse events common themes were found among the
recipients one year after the first transplantation. The recipients were all able to reflect about both strains and possibilities with UTx. The
results of the present study can be used for focus in counselling in coming UTx trials.
This project was funded by Jane and Dan Olsson Foundation.