Department of Psychotherapy, Hertfordshire Partnership Foundation Trust, 82-90 London Road, St Albans, Herts AL1 1NG, UK.
Hum Reprod. 2012 Jul;27(7):2067-75. doi: 10.1093/humrep/des116. Epub 2012 Apr 6.
This study aims to provide insight into the reasons for choosing an unknown oocyte donor and to explore recipients' feelings and wishes regarding donor information.
In-depth interviews were carried out with 11 women at different stages of treatment. Seven were on a waiting list and four have given birth to donor oocyte babies. The interviews were analysed using interpretative phenomenological analysis.
The choice of unknown donor route was motivated by a wish to feel secure in the role of mother as well as to avoid possible intrusions into family relationships. The information that is available about unknown donors is often very limited. In the preconception phase of treatment, some participants wanted more information about the donor but others adopted a not-knowing stance that protected them from the emotional impact of needing a donor. In the absence of information that might normalize her, there was a tendency to imagine the donor in polarised simplistic terms, so she may be idealized or feared. Curiosity about the donor intensified once a real baby existed, and the task of telling a child was more daunting when very little was known about the donor. A strong wish for same-donor siblings was expressed by all of the participants who had given birth.
This qualitative study throws light on the factors that influence the choice of unknown donation. It also highlights the scope for attitudes to donor information to undergo change over the course of treatment and after giving birth. The findings have implications for pretreatment counselling and raise a number of issues that merit further exploration.
本研究旨在深入了解选择未知卵母细胞供体的原因，并探讨接受者对供体信息的感受和愿望。
对处于不同治疗阶段的 11 名女性进行了深入访谈。其中 7 名正在等待名单上，4 名已生育供体卵母细胞婴儿。采用解释性现象学分析方法对访谈进行分析。
选择未知供体途径的动机是希望在母亲的角色中感到安全，同时避免可能对家庭关系的干扰。关于未知供体的可用信息通常非常有限。在治疗的受孕前阶段，一些参与者希望获得更多关于供体的信息，但另一些人则采取了不知道的立场，以保护自己免受需要供体的情感影响。在没有可能使她正常化的信息的情况下，人们倾向于将供体想象成两极化的简单术语，因此她可能被理想化或被恐惧。一旦有了一个真正的婴儿，对供体的好奇心就会加剧，而当对供体知之甚少时，告诉孩子的任务就更加艰巨了。所有生育过的参与者都强烈希望有同一位供体的兄弟姐妹。
这项定性研究揭示了影响选择未知供体的因素。它还强调了在治疗过程中和生育后，对供体信息的态度可能会发生变化。研究结果对预处理咨询具有重要意义，并提出了一些值得进一步探讨的问题。
