Bonetti T C S, Melamed R M M, Braga D P A F, Madaschi C, Iaconelli A, Pasqualotto F F, Borges E
Scientific Department, Sapientiae Institute, Research Center, Sao Paulo, Brazil.
Hum Fertil (Camb). 2008 Dec;11(4):254-8. doi: 10.1080/14647270802245885.
Professionals involved in assisted reproductive technologies (ART) have in-depth awareness and knowledge of the risks of multiple pregnancies at the conclusion of in vitro fertilization (IVF) treatment. The aim of the study was to investigate ART professionals' attitudes towards the awareness of the risk of infertility, as well as the decision-making process in IVF issues.
Seventy ART professionals answered a questionnaire covering demographic data, infertility awareness and attitudes towards IVF.
Approximately half (50.8%) of the participants thought that they were not at risk of infertility. However, if they received a diagnosis of infertility, none would accept childlessness and almost all would undergo IVF. In an IVF cycle, the number of high-quality embryos transferred would be around three, but if treatment was extended to a third cycle, a higher percentage of participants would elect to transfer four or more embryos. All participants would prefer to undergo IVF and accept the risk of multiple pregnancy than remaining childless. It was found that less than a third of ART professionals considered triplets to be an unacceptable complication of IVF.
Diagnosis of infertility affects all participants psychosocially, supporting the idea that the emotional aspects of wanting a biological child, and decision making about whether to undertake ART, outweigh the medical position regarding the risks and benefits of IVF.
