University of Huddersfield, Queensgate, Huddersfield HD1 3DH, UK.
Hum Reprod. 2012 Jul;27(7):2046-57. doi: 10.1093/humrep/des112. Epub 2012 Apr 4.
It is widely accepted that infertility and involuntary childlessness, and the decision to engage with assisted reproduction technology (ART) services as a patient, donor or surrogate can entail wide-ranging psychosocial issues. Psychosocial counselling has, therefore, become valued as an integral element of ART services. The objective of this study was to begin to map out what exists globally by the way of guidelines for infertility counselling.
Data were analysed from formal guidelines produced by seven national infertility counselling bodies, onetransnational infertility counselling organization, reports of the American Society for Reproductive Medicine Ethics Committee and Practice Committee and the ESHRE Task Force on Ethics and Law. Additional sources of data were the International Infertility Counseling Organization and counselling colleagues internationally.
Four broad areas concerning contemporary practice in infertility counselling are identified: (i) the legal mandate for counselling; (ii) eligibility credentials for individuals carrying out professional counselling activities; (iii) different forms of counselling and (iv) counselling practice in relation to specific elements of assisted reproduction treatment.
Internationally, the development of infertility guidelines is best described as a 'work in progress', although key trends are evident.
人们普遍认为，不孕不育以及非自愿的无子状态，以及作为患者、供体或代孕者选择使用辅助生殖技术（ART）服务，可能会带来广泛的心理社会问题。因此，心理社会咨询已被视为 ART 服务的一个重要组成部分。本研究的目的是通过对来自七个国家不孕咨询机构、一个跨国不孕咨询组织、美国生殖医学伦理委员会和实践委员会以及 ESHRE 伦理和法律工作组的正式指南、报告，以及国际不孕咨询组织和国际咨询同事的数据进行分析，开始勾勒出全球范围内不孕咨询指南的现状。
从七个国家不孕咨询机构、一个跨国不孕咨询组织、美国生殖医学伦理委员会和实践委员会以及 ESHRE 伦理和法律工作组的正式指南、报告，以及国际不孕咨询组织和国际咨询同事的数据进行分析。额外的数据来源是国际不孕咨询组织和国际咨询同事。
确定了当代不孕咨询实践中的四个广泛领域：（i）咨询的法律授权；（ii）开展专业咨询活动的个人的资格认证；（iii）不同形式的咨询；（iv）与辅助生殖治疗特定要素相关的咨询实践。
在国际上，不孕不育指南的制定最好被描述为“正在进行中”，尽管已经出现了一些关键趋势。
