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通过卵子捐赠组建的家庭:产科结局与心理社会调适的初步调查。

Families created through ovum donation: a preliminary investigation of obstetrical outcome and psychosocial adjustment.

作者信息

Applegarth L, Goldberg N C, Cholst I, McGoff N, Fantini D, Zellers N, Black A, Rosenwaks Z

机构信息

Center for Reproductive Medicine and Infertility, Cornell University Medical College, New York, New York 10021, USA.

出版信息

J Assist Reprod Genet. 1995 Oct;12(9):574-80. doi: 10.1007/BF02212577.

DOI:10.1007/BF02212577
PMID:8580652
Abstract

PURPOSE

This study attempted to obtain preliminary follow-up information regarding obstetrical outcomes and the psychosocial well-being of families created through the ovum donation. There is presently very little known about this population with respect to obstetrical care, health status of offspring, family and marital relationships of recipient couples, or how couples feel about having chosen ovum donation as a family-building option.

RESULTS

Fifty-nine couples were initially surveyed and, ultimately, extensive information was obtained for 30 husbands, 31 wives, and 51 offspring. There was a very high percentage of cesarean section deliveries (81.6%), and although a few children experienced health problems at birth, they are all now in good health and developmental milestones are within normal limits. Information was also obtained about breast-feeding experiences, choice of donor (known [sister] or anonymous), reasons for choosing ovum donation over other parenting options, and the impact of this choice on marital and family relationships. Demographic data were also obtained.

CONCLUSIONS

For many infertile couples, the long struggle to become parents culminated in a successful birth, and the experience of pregnancy seemed to meet a need to be both biological and psychosocial parents. In general, subjects were extremely cooperative with the investigation and they indicated a desire to learn as much as possible about the psychosocial status of families created through ovum donation. As the assisted reproductive technologies move rapidly into the 21st century, it now seems imperative that health and mental health professionals gain more knowledge about the impact of third party reproduction and the psychosocial adjustment and well-being of families created by this medical technology.

摘要

目的

本研究试图获取有关通过卵子捐赠组建的家庭的产科结局及心理社会幸福感的初步随访信息。目前,关于这一人群在产科护理、后代健康状况、受赠夫妻的家庭及婚姻关系,或者夫妻对于选择卵子捐赠作为组建家庭方式的感受等方面,我们了解得非常少。

结果

最初对59对夫妻进行了调查,最终获得了30位丈夫、31位妻子及51名后代的详尽信息。剖宫产分娩的比例非常高(81.6%),尽管有少数孩子出生时出现健康问题,但他们现在都身体健康,发育里程碑均在正常范围内。还获取了有关母乳喂养经历、捐赠者的选择(已知[姐妹]或匿名)、相较于其他育儿方式选择卵子捐赠的原因,以及这一选择对婚姻和家庭关系的影响等信息。同时也收集了人口统计学数据。

结论

对于许多不孕不育夫妻而言,漫长的求子历程最终迎来了成功分娩,怀孕的经历似乎满足了他们成为生理和心理意义上父母的需求。总体而言,研究对象对调查极为配合,他们表示渴望尽可能多地了解通过卵子捐赠组建的家庭的心理社会状况。随着辅助生殖技术迅速迈入21世纪,健康和心理健康专业人员现在似乎迫切需要更多地了解第三方生殖的影响以及这项医疗技术所组建家庭的心理社会调适和幸福感。

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Understanding differences in the perception of anonymous parties: a comparison between gamete donors and their recipients.

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