Centre for Family Research, University of Cambridge, Cambridge, UK.
Thomas Coram Research Unit, University College London, London, UK.
Hum Reprod. 2022 Sep 30;37(10):2426-2437. doi: 10.1093/humrep/deac174.
How do parents understand and feel about identity-release egg donation?
Almost one-third of mothers and fathers did not understand the identifiable nature of their egg donation; mothers expressed complex and sometimes difficult feelings about the prospect of future donor-child contact.
Identity-release egg donation has been the only treatment option available to patients wishing to pursue this route to parenthood in the UK since 2005. However, little is known about how well parents understand this legislation, and how they feel about potential donor-child contact.
STUDY DESIGN, SIZE, DURATION: This qualitative interview study included 61 mothers and 51 fathers whose 5-year-old children were conceived via identity-release egg donation. Interviews were conducted between April 2018 and December 2019.
PARTICIPANTS/MATERIALS, SETTING, METHODS: Data are reported from phase two of a longitudinal study of families created using open-identity egg donation. In-depth, semi-structured interviews were conducted with mothers and fathers. The interviews contained a section on what parents understood about the identifiable nature of the donor. These data were analysed using qualitative content analysis. Mothers who understood the identifiable nature of their egg donation (n = 44) were then asked about their thoughts and feelings regarding the prospect of future donor-child contact. Mothers' narratives were analysed using thematic analysis.
Almost one-third of parents (28% of mothers, n = 17; 31% of fathers, n = 16) did not understand the identifiable nature of their egg donation. Mothers' and fathers' misunderstandings about identity-release egg donation fell into two categories: (i) Unclear about identity-release and (ii) Belief that the donor is anonymous. Reflexive thematic analysis revealed that egg donation mothers' feelings about identity-release donation could be understood via three organizing themes: (i) identity-release as a threat, (ii) acceptance: it is what it is and (iii) embracing identity-release. The findings indicated that egg donation mothers utilized various strategies to manage their feelings about identity-release egg donation in day-to-day life, and each theme was associated with at least one coping strategy.
LIMITATIONS, REASONS FOR CAUTION: Participants were predominantly from White, middle-class backgrounds. Further research with a more diverse sample is needed to improve generalizability.
These findings indicate that parents would benefit from more comprehensive provision of information, both at time of treatment and following conception, to ensure they have fully understood the nature of the donation. Parents may also benefit from follow-up care to help manage any complex or difficult feelings about donor-child contact.
STUDY FUNDING/COMPETING INTEREST(S): This research was supported by a Wellcome Trust Collaborative Award [208013/Z/17/Z]. The authors have no conflicts of interest to declare.
N/A.
父母如何理解和看待身份可识别的捐卵？
近三分之一的母亲和父亲不了解捐卵的可识别性质；母亲对未来供卵儿童接触的前景表达了复杂且有时是困难的感受。
自 2005 年以来，身份可识别的捐卵一直是希望通过这种方式成为父母的患者唯一的治疗选择。然而，对于父母对这一立法的理解程度以及他们对潜在供卵儿童接触的感受，人们知之甚少。
研究设计、规模和持续时间：本定性访谈研究包括 61 名母亲和 51 名父亲，他们 5 岁的孩子是通过身份可识别的捐卵受孕的。访谈于 2018 年 4 月至 2019 年 12 月进行。
参与者/材料、地点、方法：本研究是一项使用开放身份捐卵创建家庭的纵向研究的第二阶段报告。对母亲和父亲进行了深入的半结构化访谈。访谈包含了关于父母对供体可识别性的理解的部分。使用定性内容分析对这些数据进行了分析。然后，询问了理解捐卵可识别性的母亲（n=44）关于他们对未来供卵儿童接触前景的想法和感受。使用主题分析对母亲的叙述进行了分析。
近三分之一的父母（28%的母亲，n=17；31%的父亲，n=16）不了解捐卵的可识别性质。父母对身份可识别捐卵的误解分为两类：（i）对身份可识别捐卵不了解，（ii）认为供体是匿名的。反思性主题分析显示，捐卵母亲对身份可识别捐卵的感受可以通过三个组织主题来理解：（i）身份可识别捐卵是一种威胁，（ii）接受：这就是事实，（iii）接受身份可识别捐卵。研究结果表明，捐卵母亲在日常生活中利用各种策略来管理她们对身份可识别捐卵的感受，每个主题都与至少一种应对策略相关。
局限性、谨慎的原因：参与者主要来自白人中产阶级背景。需要更多具有不同背景的样本进行进一步研究，以提高普遍性。
这些发现表明，父母将受益于更全面的信息提供，包括在治疗时和受孕后，以确保他们充分了解捐赠的性质。对于任何关于供卵儿童接触的复杂或困难的感受，父母也可能受益于后续护理。
研究资金/利益冲突：本研究由惠康信托基金会合作奖[208013/Z/17/Z]资助。作者没有利益冲突需要声明。
无。
Zotero 插件