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捐卵者的经验和心理结果:来自一个中心的捐卵后调查。

Experiences and psychological outcomes of the oocyte donor: a survey of donors post-donation from one center.

机构信息

NYU Langone Fertility Center, NYU Langone Health, 660 First Avenue, 5th Floor, New York, NY, 10016, USA.

NYU Langone School of Medicine, 550 First Avenue, New York, 10016, NY, USA.

出版信息

J Assist Reprod Genet. 2019 Oct;36(10):1999-2005. doi: 10.1007/s10815-019-01527-5. Epub 2019 Jul 13.

Abstract

PURPOSE

To assess the experiences and psychological outcomes of oocyte donors from one fertility center.

METHODS

An anonymous survey was distributed via a secure email to 161 donors who underwent oocyte donation-anonymous, directed/known, and recruited agency-between January 2008 and January 2019 at the NYU Langone Fertility Center.

RESULTS

Thirty-six donors completed the survey with the majority between 2 and 10 years since donation. Respondents reported a high prevalence of psychiatric symptoms or diagnoses post-donation. The majority of donors reported positive thoughts and feelings toward their donation process as well as to the knowledge of children born from their donation. Negative comments about donation were in the minority but focused on unexpected aspects about the process or outcome. Based on qualitative analysis, thoughts about family or "family-oriented thoughts" were the most frequent theme in respondent comments. 62.5% of respondents reporting that they would be open to identity-disclosure or open donation after experiencing the process.

CONCLUSIONS

Despite a high reported prevalence of psychiatric symptoms, the majority of respondents felt positively about the donation experience as well as the prospect of open donation or identity-disclosure post-donation. Further research on long-term psychological outcomes, related to all aspects of donation, is important as the counseling and informed consent of oocyte donors continues to evolve. These data will be particularly important with regard to the aspect of disclosure, both planned and unplanned, in the modern era of electronic information sharing.

摘要

目的

评估一家生育中心的卵母细胞捐赠者的经验和心理结果。

方法

通过安全电子邮件向 2008 年 1 月至 2019 年 1 月期间在 NYU Langone 生育中心进行匿名、定向/已知和招募机构的卵母细胞捐赠的 161 名捐赠者匿名分发了一份匿名调查。

结果

36 名捐赠者完成了调查,其中大多数在捐赠后 2 至 10 年。受访者报告称,捐赠后存在较高的精神症状或诊断率。大多数捐赠者对自己的捐赠过程以及对自己捐赠所生孩子的了解表示积极的想法和感受。对捐赠的负面评价较少,但集中在过程或结果的意想不到的方面。基于定性分析,关于家庭或“家庭为导向的想法”的想法是受访者评论中最常见的主题。62.5%的受访者表示,在经历了这个过程后,他们愿意公开身份或开放捐赠。

结论

尽管报告的精神症状患病率较高,但大多数受访者对捐赠体验以及开放捐赠或捐赠后身份披露的前景感到满意。随着卵母细胞捐赠者的咨询和知情同意继续演变,对与捐赠的所有方面相关的长期心理结果的进一步研究很重要。这些数据对于现代电子信息共享时代的披露(包括计划和非计划)方面将尤为重要。

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Advocating for longitudinal follow-up of the health and welfare of egg donors.倡导对卵子捐赠者的健康和福利进行长期跟踪。
Fertil Steril. 2014 Sep;102(3):662-6. doi: 10.1016/j.fertnstert.2014.05.037. Epub 2014 Jun 25.
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Recommendations for gamete and embryo donation: a committee opinion.配子和胚胎捐赠建议:委员会意见。
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