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Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
Published on: September 19, 2019
Parents' concerns regarding their ART children
L J Fisher-Jeffes1, I Banerjee, A G Sutcliffe
1Royal Free and University College Medical School, University College London, Department of Community Child Health, Royal Free Campus, Rowland Hill Street, London NW3 2PF.
Insights
Parents of children conceived via assisted reproductive therapy (ART) expressed concerns, primarily regarding their child's future fertility. Intra-cytoplasmic sperm injection (ICSI) parents raised these questions more often than in-vitro fertilisation (IVF) parents.
Area of Science:
- Reproductive Medicine
- Pediatric Development
- Genetics
Background:
- Assisted reproductive therapy (ART) encompasses in vitro fertilisation (IVF) and intra-cytoplasmic sperm injection (ICSI).
- Long-term follow-up studies are crucial for understanding the developmental and health outcomes of ART-conceived children.
- Parental concerns can provide valuable insights into the psychosocial aspects of ART conception.
Purpose of the Study:
- To investigate parental concerns regarding children conceived through ART.
- To identify specific themes of parental questioning related to ART conception.
- To compare concerns between IVF and ICSI conceived children.
Main Methods:
- A cohort of ART-conceived children from a National Child Development Study was assessed.
- Parents were surveyed to identify concerns about their ART-conceived child.
- Response rate was 90% (329 replies), with 86 families posing additional questions.
Main Results:
- 26% of responding parents raised concerns about their ART-conceived child.
- The most frequent concern (8% of all respondents) related to the child's future fertility.
- Parents of ICSI-conceived children were more likely to ask about future fertility than IVF parents.
Conclusions:
- While most parents had no specific concerns, a notable minority did.
- Future fertility is a significant parental concern for ART-conceived children, particularly those conceived via ICSI.
- Further research is warranted to address parental anxieties surrounding ART and long-term child outcomes.
Abstract:
A cohort of children conceived by assisted reproductive therapy (ART)--in vitro fertilisation (IVF) and intra-cytoplasmic sperm injection (ICSI) has been followed up in a National Child Development Study (Sutcliffe et al. 1999, 2001 and Bonduelle et al. 2005). Their parents were contacted and asked questions designed to elicit any concerns on their part about their child. 329 replies were received (90% response rate), and 86 of the families posed additional questions. We found that a small number of parents (26% of respondents) raised questions about a variety of issues regarding their ART-conceived child. The most commonly expressed theme (8% of all respondents, or 27/86 (31%) of the respondents with questions) pertained to their child's future fertility. This question was asked more frequently by ICSI than IVF parents.
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