Blennborn M, Hellberg D, Nilsson S
In Vitro Fertilization Unit, Falun Hospital, S-79182, Falun, Sweden.
J Assist Reprod Genet. 2007 Aug;24(8):337-42. doi: 10.1007/s10815-007-9132-y. Epub 2007 Jul 17.
The aim of this study was to evaluate the information and the factors that contribute to the decision to accept and choose single embryo transfer (SET) in females and males.
Fifty-four females and males undergoing SET were interviewed separately using a structured questionnaire.
The women were significantly more satisfied with the information than the men (odds ratio 3.3), but the decision to accept SET was nevertheless more difficult for women (OR 3.1). Only one-third of both female and males were aware of the increased maternal risks with twin pregnancies. There was a tendency that the women who accepted SET had previous children, shorter duration of infertility, and were younger. Cryopreservation of embryos and a good pregnancy chance were important irrespective of gender.
The female needs more support to choose SET. The male needs better information and further involvement in decision-making. The females were more aware of the fetal risks, but the awareness of the increased maternal risks with twin pregnancies was low.
本研究旨在评估促使女性和男性接受并选择单胚胎移植（SET）的信息及因素。
采用结构化问卷分别对54例行单胚胎移植的女性和男性进行访谈。
女性对信息的满意度显著高于男性（优势比3.3），但女性接受单胚胎移植的决定却更难做出（优势比3.1）。只有三分之一的女性和男性知晓双胎妊娠会增加孕产妇风险。接受单胚胎移植的女性往往有过子女、不孕时间较短且年龄较轻。胚胎冷冻保存和良好的妊娠机会无论对男性还是女性都很重要。
女性在选择单胚胎移植时需要更多支持。男性需要更好的信息并进一步参与决策制定。女性更了解胎儿风险，但对双胎妊娠增加孕产妇风险的认知较低。
