Woodward Julia T
Psychological Services Program, Duke Fertility Center, Durham, North Carolina; and Department of Psychiatry and Behavioral Sciences and Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina.
Fertil Steril. 2015 Sep;104(3):525-30. doi: 10.1016/j.fertnstert.2015.05.030. Epub 2015 Jun 24.
The rise of the Internet Age has brought a host of sweeping changes to the landscape of third-party reproduction. What began as a dyadic relationship between doctor and patient has evolved into a more complex system in which patients are able to access information online from a variety of external sources. Patients often seek to play a more active role in their third-party reproductive care, and the Internet allows them to do so. Further, demand for both medical and psychosocial information about donors and donor-conceived siblings, available online through patient forums and genetic registries, has altered the perception of gamete donation from a one-time event to an ongoing relationship. The advantages and disadvantages for patients and providers of this freer flow of information between third-party participants are examined. Search motivations of recipients and offspring, as well as types of information sought, are detailed. Recommendations are made regarding strategies fertility programs can use to optimally support their patients and navigate this new landscape.
互联网时代的兴起给第三方生殖领域带来了一系列全面的变革。最初医患之间的二元关系已演变成一个更为复杂的系统，在这个系统中，患者能够从各种外部来源在线获取信息。患者常常希望在第三方生殖护理中发挥更积极的作用，而互联网使他们能够做到这一点。此外，通过患者论坛和基因登记处在线获取的有关捐赠者及捐赠者所育同胞的医学和心理社会信息的需求，已将配子捐赠的认知从一次性事件转变为一种持续的关系。本文探讨了第三方参与者之间这种更自由的信息流动对患者和提供者的利弊。详细阐述了受赠者和后代的搜索动机以及所寻求信息的类型。针对生育项目可用于最佳支持其患者并应对这一新局面的策略提出了建议。
