Daniels Kenneth Raymond
Department of Social Work, University of Canterbury, New Zealand.
J Obstet Gynaecol Can. 2002 Jan;24(1):17-21. doi: 10.1016/s1701-2163(16)30269-9.
Donor insemination (DI) is the oldest and simplest method of "treating" male infertility. The medical profession, prospective parents, legislators, and society in general are increasingly recognizing that providing DI services involves far more than facilitation of conception. This paper explores a multidisciplinary family-building approach to DI as an alternative to a treatment-of-infertility approach, and describes the need to provide patients with a broader and deeper preparation for this special type of parenthood. The short-term medical ease of the procedure is contrasted with the complexity and seriousness of the long-term social and psychological issues generated for the gamete provider, the recipient couple, and the offspring by the secrecy surrounding the procedure.
供体人工授精(DI)是“治疗”男性不育最古老、最简单的方法。医学界、准父母、立法者以及整个社会越来越认识到,提供供体人工授精服务所涉及的远不止是促进受孕。本文探讨了一种多学科的组建家庭方式来进行供体人工授精,以此替代不育治疗方式,并描述了有必要为患者针对这种特殊类型的为人父母情况提供更广泛、更深入的准备。该程序短期的医疗简便性与围绕该程序的保密性给配子提供者、接受夫妇和后代所产生的长期社会和心理问题的复杂性和严重性形成了对比。