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探讨卵母细胞捐赠者的动机、态度和经验:一项定性研究。

Exploring motivations, attitudes and experiences of oocyte donors: A qualitative study.

机构信息

The Fertility Clinic, Department of Obstetrics and Gynecology, Herlev Gentofte Hospital, University of Copenhagen, Herlev, Denmark.

Department of Obstetrics and Gynecology, Herlev Gentofte Hospital, University of Copenhagen, Herlev, Denmark.

出版信息

Acta Obstet Gynecol Scand. 2019 Aug;98(8):1055-1062. doi: 10.1111/aogs.13583. Epub 2019 Mar 18.

Abstract

INTRODUCTION

The demand for fertility treatment with donated oocytes is increasing in many European countries. In order to offer oocyte donors an attractive treatment, it is necessary to understand the views of the donors. Therefore, the aim of this study was to explore how women who donate oocytes describe their motives and attitudes towards oocyte donation, as well as their experiences with oocyte donation.

MATERIAL AND METHODS

A qualitative study based on individual face-to-face interviews with 12 oocyte donors with a donor identity as either anonymous or open. Oocyte donors who had donated oocytes at least once were recruited from the fertility clinic at Herlev University Hospital, Denmark. Data were collected using a piloted, semi-structured interview guide and were analyzed using qualitative content analysis. The analysis was handled in NVIVO 11 PRO.

RESULTS

The analysis resulted in three themes: (1) helping others, (2) the treatment, and (3) being an oocyte donor. The financial compensation had varying degrees of importance for the oocyte donors but was always secondary to the desire to help others. All participants were interested in knowing whether their donation had resulted in pregnancy or birth of a child. Many donors had not gained a full understanding of the realistic outcomes of their donation.

CONCLUSIONS

Our results suggest that oocyte donors are mainly motivated by altruism, and financial compensation was found to be a secondary motive. Further, political awareness could be directed toward particularly open donors and the need to provide information about the outcome of their donation. Finally, it seems that future oocyte donors, in a treatment with a high need for information, can benefit from clinicians giving more exact information in relation to the probability of the birth of a donor child.

摘要

简介

在许多欧洲国家,对捐赠卵子进行生育治疗的需求正在增加。为了为卵子捐赠者提供有吸引力的治疗,有必要了解捐赠者的观点。因此,本研究旨在探讨卵子捐赠者如何描述他们对卵子捐赠的动机和态度,以及他们的卵子捐赠经验。

材料和方法

这是一项基于对 12 名卵子捐赠者的个体面对面访谈的定性研究,这些捐赠者的捐赠身份是匿名或公开的。从丹麦 Herlev 大学医院的生育诊所招募了至少捐过一次卵的卵子捐赠者。使用经过试点的半结构化访谈指南收集数据,并使用定性内容分析进行分析。分析在 NVIVO 11 PRO 中进行。

结果

分析产生了三个主题:(1)帮助他人,(2)治疗,(3)成为卵子捐赠者。经济补偿对卵子捐赠者有不同程度的重要性,但始终次于帮助他人的愿望。所有参与者都有兴趣了解他们的捐赠是否导致怀孕或孩子出生。许多捐赠者对他们的捐赠的实际结果没有充分的了解。

结论

我们的结果表明,卵子捐赠者主要是出于利他主义的动机,经济补偿被认为是次要动机。此外,可以针对特别开放的捐赠者提高政治意识,并需要提供有关其捐赠结果的信息。最后,在治疗中需要大量信息的未来卵子捐赠者可能会受益于临床医生提供与捐赠儿童出生概率相关的更准确信息。

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