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非营利性生育护理环境中卵母细胞捐赠者的体验和期望。

Oocyte donors' experience and expectations in a non-profit fertility care setting.

机构信息

Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.

Infertility Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

出版信息

J Assist Reprod Genet. 2024 Sep;41(9):2337-2347. doi: 10.1007/s10815-024-03203-9. Epub 2024 Jul 23.

Abstract

PURPOSE

In this survey, we aimed to provide the description of previous oocyte donors' profile in a Belgian tertiary fertility hospital clinic. The research question is as follows: could certain aspects be changed or improved, according to previous oocyte donors? The final purpose is to boost adherence to future oocyte donation (OD) programs, given the large gap between supply and demand.

METHODS

We set up an observational cross-sectional study of oocyte donors who were recruited in a tertiary referral hospital. Participants were asked to join an anonymous online survey with questions about demographic and reproductive variables, reasons to start or discontinue OD, satisfaction rate, experience, and attitude towards presumed anonymity.

RESULTS

A total of 218 women were eligible to join the study, with a response rate of 49% (108/218). The emerging profile of the oocyte donor is a well-educated (102/108 with at least a high school degree), employed (86/108) woman in her thirties. Altruism and solidarity were the main drivers of their choice (105/108), and a general permissive attitude towards disclosure of their personal information to the recipient (60/108) was registered. In case of negative experience or discontinuation, concerns regarding pain management and specific long-lasting psychological support were expressed (8/20).

CONCLUSIONS

Our findings suggest the need to improve pain relief and to offer psychological support even beyond ending the donation process. These interventions could improve both participation and adherence to OD programs, ensuring an autonomous and free choice while avoiding any risk of exploitation.

摘要

目的

在这项调查中,我们旨在描述一家比利时三级生育医院诊所中以前的卵子捐赠者的情况。研究问题如下:根据以前的卵子捐赠者,某些方面是否可以改变或改进?最终目的是提高未来卵子捐赠(OD)计划的参与度,因为供需之间存在巨大差距。

方法

我们对在三级转诊医院招募的卵子捐赠者进行了一项观察性横断面研究。参与者被要求加入一项匿名在线调查,调查内容包括人口统计学和生殖变量、开始或停止 OD 的原因、满意度、经验以及对假定匿名的态度。

结果

共有 218 名符合条件的女性参加了研究,应答率为 49%(108/218)。卵子捐赠者的新兴特征是受过良好教育(102/108 至少具有高中学历)、有工作(86/108)的 30 多岁女性。利他主义和团结是她们选择的主要驱动因素(105/108),并且有 60/108 的人普遍允许向接受者披露她们的个人信息。如果有负面经验或停止捐赠,她们会对疼痛管理和特定的长期心理支持表示关注(8/20)。

结论

我们的研究结果表明,需要改善疼痛缓解,并提供心理支持,甚至在捐赠过程结束后也需要提供。这些干预措施可以提高 OD 计划的参与度和依从性,确保自主和自由选择,同时避免任何剥削的风险。

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