a Department of Obstetrics and Gynaecology, Centre for Reproductive Medicine , Academic Medical Centre, University of Amsterdam , Amsterdam , The Netherlands.
b Faculty of Social and Behavioral Sciences , Research Institute of Child Development and Education, University of Amsterdam , Amsterdam , The Netherlands.
J Psychosom Obstet Gynaecol. 2019 Mar;40(1):29-37. doi: 10.1080/0167482X.2017.1396313. Epub 2017 Nov 7.
We aimed at exploring the wishes of Dutch donor-conceived offspring for parental support, peer support and counseling and sought to contribute to the improvement of health care for all parties involved with assisted reproductive technologies.
We held semi-structured in-depth interviews with 24 donor-conceived offspring (M = 26.9, range 17-41) born within father-mother, two-mother and single mother families. The majority of the donor offspring was conceived with semen of anonymous donors. All offspring were recruited by network organizations and snowball sampling. The interviews were fully transcribed and analyzed using the constant comparative method.
Donor-conceived offspring wished that their parents had talked openly about donor conception and had missed parental support. They wished that their parents would have received counseling before donor sperm treatment on how to talk with their children about donor conception in several stages of life. They valued the availability of peer contact to exchange stories with other donor-conceived offspring and would have liked assistance in getting access to trustworthy information about characteristics and identifying information of their donor. Donor-conceived offspring wished to know where to find specialist counseling when needed.
Peer support and counseling by professionals for donor-conceived offspring should be available for those who need it. The findings also support professional counseling for intended parents before treatment to improve parental support for donor-children.
我们旨在探讨荷兰供体受孕后代对父母支持、同伴支持和咨询的愿望,并为改善所有涉及辅助生殖技术的各方的医疗保健做出贡献。
我们对 24 名供体受孕后代(M=26.9,范围 17-41)进行了半结构式深入访谈,这些后代出生于父母、两位母亲和单身母亲家庭。大多数供体后代都是通过匿名供体的精液受孕的。所有的受赠者都是通过网络组织和滚雪球抽样招募的。采访内容全部转录,并使用恒定比较法进行分析。
供体受孕后代希望父母能坦诚地谈论供体受孕,并希望得到父母的支持。他们希望父母在接受供精治疗之前,能接受咨询,了解如何在生命的几个阶段与孩子谈论供体受孕。他们重视与其他供体受孕后代交流故事的同伴接触,并希望能获得有关供体特征和身份识别信息的可靠信息。供体受孕后代希望在需要时能找到专业咨询。
应向有需要的供体受孕后代提供专业的同伴支持和咨询。这些发现也支持在治疗前为意向父母提供专业咨询,以改善对供体子女的父母支持。