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供者和受者对无偿知情供卵后向儿童披露信息的看法。

Views of donors and recipients regarding disclosure to children following altruistic known oocyte donation.

机构信息

Centre for Fertility and Reproductive Health, Mount Sinai Hospital, 250 Dundas Street West, Toronto, Ontario, Canada.

出版信息

Reprod Biomed Online. 2011 Dec;23(7):851-9. doi: 10.1016/j.rbmo.2011.06.003. Epub 2011 Jun 15.

Abstract

This paper reports on a Canadian study of the views of 15 women who had altruistically donated oocytes to a friend or a relative for family building and 18 women who had received oocytes donated by a friend or a relative towards disclosure of the donation to both the donor-conceived child and the child(ren) of the donor. Semi-structured interviews were undertaken with participants either in person or by telephone. The vast majority of donors and recipients reported concordance regarding disclosure. There was a greater tendency towards disclosure than for non-disclosure, especially where the donation had resulted in the birth of a child. Nevertheless, participants expressed considerable ambiguity around the optimum time for disclosure. The study highlights unique characteristics in co-ordinating disclosure plans to children in both families when the donors also had young child(ren) and how the relationships between donors and recipients and their families may be expected to impact on, and be impacted by, their disclosure decisions. These include the psychological and social costs that may occur when donors and recipients disagree regarding disclosure. Findings from this study contribute to the currently limited research evidence on disclosure to children in both donor and recipient families following known oocyte donation. This paper reports on a Canadian study of the views of 15 women who had altruistically donated oocytes to a friend or a relative for family building and 18 women who had received oocytes donated by a friend or a relative towards disclosure of the donation to both the donor-conceived child and the child(ren) of the donor. Semi-structured interviews were undertaken with participants either in person or by telephone. The vast majority of donors and recipients reported concordance regarding disclosure. There was a greater tendency towards disclosure than for non-disclosure, especially where the donation had resulted in the birth of a child. Nevertheless, participants expressed considerable ambiguity around the optimum time for disclosure. The study highlights unique characteristics in co-ordinating disclosure plans to children in both families when the donors also had young child(ren), and how the relationships between donors and recipients and their families may be expected to impact on, and be impacted by, their disclosure decisions. These include the psychological and social costs that may occur when donors and recipients disagree regarding disclosure. Findings from this study contribute to the currently limited research evidence on disclosure to children in both donor and recipient families following known oocyte donation.

摘要

本文报告了一项加拿大研究的结果,该研究调查了 15 名女性的观点,这些女性为了家庭建设而利他地向朋友或亲属捐赠了卵子,以及 18 名接受了朋友或亲属捐赠卵子的女性,这些女性希望向供卵所生的孩子和供卵者的孩子披露捐赠信息。研究人员通过面对面或电话的方式对参与者进行了半结构化访谈。绝大多数供卵者和受卵者都报告说在披露方面意见一致。披露的倾向大于不披露,尤其是在捐赠导致孩子出生的情况下。然而,参与者对最佳披露时间表示出相当大的模糊性。这项研究强调了在协调两个家庭中孩子的披露计划时的独特特征,当供卵者也有年幼的孩子时,以及供卵者和受卵者及其家庭之间的关系如何可能影响和受到他们的披露决定的影响。这些因素包括供卵者和受卵者在披露问题上存在分歧时可能产生的心理和社会成本。本研究的结果有助于目前关于已知卵子捐赠后向供卵者和受卵者家庭的孩子披露信息的有限研究证据。

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