Lindheim S R, Sauer M V
Department of Obstetrics and Gynecology, Columbia Presbyterian Medical Center, College of Physicians & Surgeons, New York, New York 10032, USA.
J Assist Reprod Genet. 1998 Aug;15(7):444-6. doi: 10.1007/BF02744939.
Our purpose was to survey recipients in an ovum donation program and report on their expectations while waiting for their potential donor recipient match.
Accepted or rejected anonymous ovum donor matches (n = 80) from January 1996 to May 1997 were evaluated. Patients generated a "wish list" of desired traits and physical characteristics. From an approved donor pool of medically and psychologically screened women, candidates were drawn upon as potential matches and presented to the potential recipient, who decided whether to accept the donor. Reasons for accepting or rejecting the donor were tallied and were compared to the patient's wish list.
Medical history and race were ranked by 33 and 23% of recipient couples as the two most important characteristics, while 74 and 54% stated that these were among the three most important factors in a potential donor compared with other traits. Fifty-seven (71%) recipients accepted, while 23 (29%) rejected, the first donor presented to them. Eleven were subsequently given a second choice within 6 months, with 10 (91%) accepting the next presented match. Recipients waiting for a donor were just as likely to accept or reject a potential candidate whether waiting < 3 months (33%; 15/46), 3-6 months (25%; 4/16), or > 6 months (22%; 4/18) (P > 0.05; NS). In all but five recipients, the reason for rejection was consistent with their top three priorities reported in their wish list.
Phenotypic, ethnic, educational, and other interests are important in the selection of an ovum donor. Recipients are proactive in their decision process, making educated and well considered decisions in spite of the limited pool and the extended time frame in waiting for an appropriate ovum donor.
我们的目的是对一个卵子捐赠项目的受赠者进行调查,并报告他们在等待潜在供受者匹配期间的期望。
对1996年1月至1997年5月接受或拒绝的匿名卵子捐赠匹配情况(n = 80)进行评估。患者列出了所需特征和身体特征的“愿望清单”。从经过医学和心理筛查的女性的批准供者库中,挑选出潜在匹配对象并介绍给潜在受赠者,由潜在受赠者决定是否接受该供者。统计接受或拒绝供者的原因,并与患者的愿望清单进行比较。
33%的受赠夫妇将病史列为最重要的特征,23%将种族列为最重要的特征,而74%和54%的受赠夫妇表示,与其他特征相比,这些是潜在供者最重要的三个因素之一。57名(71%)受赠者接受了向他们介绍的第一位供者,而23名(29%)受赠者拒绝了。随后,11名受赠者在6个月内获得了第二次选择机会,其中10名(91%)接受了下一个介绍的匹配对象。等待供者的受赠者接受或拒绝潜在候选对象的可能性相同,无论等待时间是<3个月(33%;15/46)、3 - 6个月(25%;4/16)还是>6个月(22%;4/18)(P>0.05;无显著性差异)。除了5名受赠者外,拒绝的原因与他们在愿望清单中列出的前三个优先事项一致。
表型、种族、教育程度和其他因素在卵子供者的选择中很重要。受赠者在决策过程中很积极,尽管供者库有限且等待合适卵子供者的时间较长,但他们仍能做出明智且经过深思熟虑的决定。