Thorn P, Katzorke T, Daniels K
Practice for Family Therapy, Langener Street 37, 64546 Moerfelden, Germany.
Hum Reprod. 2008 Nov;23(11):2415-20. doi: 10.1093/humrep/den279. Epub 2008 Jul 24.
Germany is one of the countries where donor insemination (DI) is shrouded in secrecy and where, until recently, donors were assured of anonymity, and clinics were able to destroy documents after 10 years. For many years, preparation seminars for recipients have been conducted. Almost all participants of these seminars intend to disclose the nature of conception to their child, thus representing the beginning of a culture change. This study sought the views of donors regarding their willingness to be identified and therefore meet these expectations.
Thirteen of 15 clinics in Germany agreed to participate and of 153 anonymous questionnaires sent, 41% (n = 63, from eight clinics) were returned. Thirty-seven per cent of donors suggested that parents should disclose the nature of the conception to their child, 34% uncertain and 29% opposed. Forty-three percentage were willing to meet offspring, 22% uncertain and 35% opposed.
One-third of the donors supported parental disclosure and just under half of the donors are willing to be identifiable, despite a climate and history of secrecy. This study indicates that there are donors who are agreeable to be part of the move away from secrecy, and this will have implications for professionals involved in providing DI services in Germany.
德国是捐赠人工授精(DI)处于保密状态的国家之一,直到最近,捐赠者仍能确保匿名,且诊所能够在10年后销毁文件。多年来,一直为受助者举办准备研讨会。这些研讨会的几乎所有参与者都打算向他们的孩子披露受孕的性质,从而代表了一种文化变革的开端。本研究旨在了解捐赠者对于被识别并因此满足这些期望的意愿。
德国15家诊所中的13家同意参与,在发出的153份匿名问卷中,41%(n = 63,来自8家诊所)被收回。37%的捐赠者建议父母应向孩子披露受孕的性质,34%不确定,29%反对。43%愿意与后代见面,22%不确定,35%反对。
尽管存在保密的氛围和历史,但三分之一的捐赠者支持父母披露信息,且不到一半的捐赠者愿意被识别。这项研究表明,有捐赠者愿意参与到摒弃保密做法的行动中来,这将对德国参与提供DI服务的专业人员产生影响。