Centre for Biomedical Ethics and Law, KU Leuven, Leuven, Belgium.
Gynecol Obstet Invest. 2013;76(2):125-32. doi: 10.1159/000353901. Epub 2013 Jul 31.
To explore couples' experiences in the preconception phase of infertility treatment with donor gametes and how this may influence the disclosure process to the offspring and/or others.
In-depth interviews with 10 recipient couples were analyzed using a grounded theory approach.
In the context of their infertility and a culture in which definitions of gender and family are fundamentally biologically based, participants reconsidered the significance and meaning of genetics, and social connectedness in family-building and parenthood. When couples emphasized the similarities with the biologically based definitions of parenthood and family, the question of disclosing the donor conception to the offspring seemed less relevant. When couples adapted their view on families and parenthood to an alternative family formation, long-term consequences became more relevant, including the disclosure question. Support from others was needed to manage the challenges of this stage, but this could be in conflict with their decision of non-disclosing the donor conception to the potential offspring.
This study highlights the importance of couples' experiences in the preconception phase for their disclosure process. The treatment of infertility and a future-oriented, family-building approach should be addressed in a fertility program with donor gametes and valued as complementary.
探讨接受供体配子进行不孕治疗的夫妇在受孕前阶段的体验，以及这如何影响向后代和/或他人披露的过程。
采用扎根理论方法对 10 对接受者夫妇进行深入访谈。
在他们不孕的背景下，以及一个基本基于生物学定义性别和家庭的文化中，参与者重新考虑了遗传学的意义和意义，以及在家庭建设和育儿中的社会联系。当夫妇强调与基于生物学的父母身份和家庭定义的相似性时，向后代披露供体受孕的问题似乎不那么重要。当夫妇将他们对家庭和父母身份的看法调整为另一种家庭形成方式时，长期后果变得更加相关，包括披露问题。需要获得他人的支持来应对这一阶段的挑战，但这可能与他们不向潜在后代透露供体受孕的决定相冲突。
本研究强调了夫妇在受孕前阶段的体验对其披露过程的重要性。在供体配子的生育计划中，应解决不孕治疗和面向未来的家庭建设方法的问题，并将其视为互补的。
