Väestöliitto Fertility Clinic, Fredrikinkatu 47, FIN-00100 Helsinki, Finland.
Hum Reprod. 2010 Oct;25(10):2535-42. doi: 10.1093/humrep/deq194. Epub 2010 Aug 2.
Worldwide there is an increasing number of families created by oocyte donation (OD). The aim of this study was to gather information about parents' plans of disclosure to their child and to other people, as well as parents' attitudes and level of satisfaction up to 15 years after their OD treatment.
A questionnaire with separate material for each partner was sent to all parents (167 mothers, 163 fathers) who had had a child after treatment with donated oocytes at Väestöliitto Fertility Clinics in Helsinki during 1992-2006. These parents had a total of 231 children aged 1-14 years. Parents were asked if they had told or intended to tell their child about his/her origin and how and when they had done so and about the reasons to disclose or not. Other questions were about openness towards other people, concerns about donor characteristics, counselling and feelings towards the child.
Of the mothers, 61.1%, and of the fathers, 60.0%, had told or intended to tell the child of his/her conception. Of children over 3 years of age, 26% had already been informed. There was a statistically significant difference between parental telling in different age groups of children (P = 0.011, χ(2)). In the youngest age group (1-3 years), 83.3% of parents were inclined to disclosure compared with 44.4% in the oldest age group (13-14 years). A high proportion of mothers (86.7%) and fathers (71.0%) had told other people about the nature of their child's conception. The majority of parents did not have much concern about the characteristics of the donor. A higher proportion of the mothers (24%) compared with fathers (11%) thought that the psychological support had been insufficient. They thought that discussions with health professionals should be arranged routinely after delivery or when it was time to inform the child.
Parents with young OD children are clearly more inclined to disclosure compared with parents with older children.
全球范围内，通过捐卵（OD）生育的家庭数量不断增加。本研究旨在收集有关父母向孩子及其他人披露信息的计划，以及父母在接受捐卵治疗 15 年后的态度和满意度。
我们向 1992 年至 2006 年期间在赫尔辛基的 Väestöliitto 生育诊所接受捐卵治疗后生育子女的所有父母（167 位母亲，163 位父亲）发送了一份包含单独材料的问卷。这些父母共有 231 名 1-14 岁的孩子。父母被问及他们是否已经或打算告诉孩子其身世，以及他们是如何以及何时这样做的，以及披露或不披露的原因。其他问题包括对他人的开放程度、对供体特征的担忧、咨询情况以及对孩子的感受。
61.1%的母亲和 60.0%的父亲已经或打算告诉孩子其受孕的情况。在 3 岁以上的孩子中，有 26%已经被告知。不同年龄组的孩子的父母告知情况存在统计学差异（P=0.011，χ(2)）。在年龄最小的组（1-3 岁），83.3%的父母倾向于披露，而在年龄最大的组（13-14 岁），这一比例为 44.4%。大多数母亲（86.7%）和父亲（71.0%）已经向其他人讲述了孩子受孕的性质。大多数父母对供体的特征没有太多担忧。与父亲（11%）相比，更多的母亲（24%）认为心理支持不足。他们认为，在分娩后或告知孩子的时候，应该安排与健康专业人员进行例行讨论。
与有年龄较大孩子的父母相比，有年幼 OD 孩子的父母显然更倾向于披露。
