Greenfeld D A, Ort S I, Greenfeld D G, Jones E E, Olive D L
Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, Connecticut 06520, USA.
J Assist Reprod Genet. 1996 Mar;13(3):266-74. doi: 10.1007/BF02065948.
to assess parental attitudes regarding the IVF experience, the IVF pregnancy, and issues associated with raising their IVF child(ren).
parents (184 couples) of IVF children born between 1982 and 1992 were mailed individual anonymous questionnaires.
(31%) parents responded: 62 mothers and 41 fathers. One hundred-three (41%) of the mothers felt that our staff could have been more helpful during their pregnancy. Half the women subjects (52%) stated that they wished they had contact with other IVF couples during pregnancy. Fifty-two percent of the mothers reported that IVF created special feelings of attachment to the child, causing some difficulty with their initial separation. This was comparatively less an issue for fathers, with only 19% reporting similar difficulties (chi 2 = 8.39, P < 0.01). Ninety-eight percent of the subjects have told someone else about the IVF experience. Interestingly, 25% of the parents remained uncertain about whether they would tell the child. Sixteen couples (15%) had already told the child, and of the 57 (66%) who intended to tell the child later, they varied greatly in their views about which age would be appropriate (mean, 7.3 years; SD, 6.5 years; range, 2-21 years).
The results suggest that women undergoing IVF might profit from greater contact with staff during pregnancy and, again, later when dealing with issues of separation. A substantial proportion of couples expressed some concerns about the issue of disclosure to the child and might profit from counseling when they feel the issue is current.
评估父母对体外受精（IVF）经历、IVF 妊娠以及抚养其 IVF 子女相关问题的态度。
向 1982 年至 1992 年间出生的 IVF 儿童的父母（184 对夫妇）邮寄了个人匿名问卷。
（31%）的父母做出了回应，其中 62 位母亲和 41 位父亲。103 位（41%）母亲认为我们的工作人员在她们孕期本可以提供更多帮助。一半的女性受试者（52%）表示希望在孕期能与其他 IVF 夫妇有联系。52%的母亲报告称 IVF 产生了对孩子特殊的依恋情感，导致她们在最初与孩子分离时遇到一些困难。对父亲来说，这一问题相对较少，只有 19%的父亲报告有类似困难（卡方 = 8.39，P < 0.01）。98%的受试者已将 IVF 经历告知他人。有趣的是，25%的父母不确定是否会告诉孩子。16 对夫妇（15%）已经告诉了孩子，在打算之后告诉孩子的 57 对夫妇（66%）中，他们对于孩子多大年龄合适的看法差异很大（平均 7.3 岁；标准差 6.5 岁；范围 2 - 21 岁）。
结果表明，接受 IVF 的女性在孕期以及之后处理分离问题时，若能与工作人员有更多接触可能会受益。相当一部分夫妇对向孩子透露此事表示担忧，当他们觉得这个问题迫在眉睫时，咨询可能会有所帮助。
