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卵子捐赠父母及其子女:12岁时的随访

Egg donation parents and their children: follow-up at age 12 years.

作者信息

Murray Clare, MacCallum Fiona, Golombok Susan

机构信息

Family and Child Psychology Research Centre, City University, London, United Kingdom.

出版信息

Fertil Steril. 2006 Mar;85(3):610-8. doi: 10.1016/j.fertnstert.2005.08.051.

Abstract

OBJECTIVE

To assess the quality of parenting and psychological adjustment of egg donation families as the child approaches adolescence in comparison with donor insemination (DI) and IVF families.

DESIGN

A study of 17 egg donation families, 35 DI families, and 34 IVF families with a 12-year-old child. Standardized interview and questionnaire measures were administered to mothers and children.

SETTING

Follow-up of families recruited from three assisted conception units in the United Kingdom.

PATIENT(S): Mothers and their 12-year-old children conceived through egg donation, DI, and IVF.

INTERVENTION(S): Mothers and children were interviewed and administered questionnaires.

MAIN OUTCOME MEASURE(S): Parents' marital and psychological state, quality of parent-child relationships, father's contribution to parenting, and children's socioemotional development.

RESULT(S): No differences were found between the egg donation and IVF families. The differences between egg donation and DI families reflected lower levels of sensitive responding of egg donation mothers toward their children compared with DI mothers. Donor insemination mothers were more likely to be emotionally over-involved with their child than egg donation mothers. The egg donation children were well adjusted in terms of their social and emotional development.

CONCLUSION(S): The findings are discussed in relation to the different pattern of genetic relationships between egg donation and DI families and the secrecy surrounding the use of donated gametes to conceive a child.

摘要

目的

与供精人工授精(DI)家庭和体外受精(IVF)家庭相比,评估卵子捐赠家庭在孩子接近青春期时的养育质量和心理调适情况。

设计

对17个卵子捐赠家庭、35个供精人工授精家庭和34个体外受精家庭以及他们12岁的孩子进行研究。对母亲和孩子进行标准化访谈和问卷调查。

地点

对从英国三个辅助生殖中心招募的家庭进行随访。

研究对象

通过卵子捐赠、供精人工授精和体外受精受孕的母亲及其12岁孩子。

干预措施

对母亲和孩子进行访谈并发放问卷。

主要观察指标

父母的婚姻和心理状态、亲子关系质量、父亲在养育中的贡献以及孩子的社会情感发展。

结果

卵子捐赠家庭和体外受精家庭之间未发现差异。卵子捐赠家庭和供精人工授精家庭之间的差异反映出,与供精人工授精母亲相比,卵子捐赠母亲对孩子的敏感反应水平较低。供精人工授精母亲比卵子捐赠母亲更有可能在情感上过度卷入孩子。卵子捐赠孩子在社会和情感发展方面调适良好。

结论

结合卵子捐赠家庭和供精人工授精家庭之间不同的遗传关系模式以及围绕使用捐赠配子受孕孩子的保密性来讨论研究结果。

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