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Being a donor-child: wishes for parental support, peer support and counseling
Anne Schrijvers1, Henny Bos2, Floor van Rooij2
1a Department of Obstetrics and Gynaecology, Centre for Reproductive Medicine , Academic Medical Centre, University of Amsterdam , Amsterdam , The Netherlands.
Insights
Donor-conceived individuals desire open communication about their conception and better parental support. They also seek peer connections and professional counseling for navigating their unique experiences.
Area of Science:
- Reproductive Medicine
- Psychology
- Sociology
Background:
- Assisted reproductive technologies (ART) involve third-party reproduction, such as donor conception.
- Donor-conceived offspring may have unique psychosocial needs related to their origins.
- Understanding these needs is crucial for improving healthcare surrounding ART.
Purpose of the Study:
- To explore the wishes of Dutch donor-conceived individuals regarding parental support, peer support, and counseling.
- To inform healthcare improvements for all parties involved in donor conception.
Main Methods:
- Semi-structured in-depth interviews were conducted with 24 donor-conceived individuals (aged 17-41).
- Participants were born into various family structures (father-mother, two-mother, single mother).
- Interviews were transcribed and analyzed using the constant comparative method.
Main Results:
- Participants desired open communication from parents about donor conception and expressed a need for parental support.
- They recommended pre-treatment counseling for intended parents on discussing donor conception across life stages.
- Access to peer support and reliable donor information (characteristics, identifying details) was highly valued.
Conclusions:
- Professional counseling and peer support should be accessible to donor-conceived individuals.
- Professional counseling for intended parents before ART is recommended to enhance parental support for donor-conceived children.
Objectives:
We aimed at exploring the wishes of Dutch donor-conceived offspring for parental support, peer support and counseling and sought to contribute to the improvement of health care for all parties involved with assisted reproductive technologies.
Methods:
We held semi-structured in-depth interviews with 24 donor-conceived offspring (Mage = 26.9, range 17-41) born within father-mother, two-mother and single mother families. The majority of the donor offspring was conceived with semen of anonymous donors. All offspring were recruited by network organizations and snowball sampling. The interviews were fully transcribed and analyzed using the constant comparative method.
Results:
Donor-conceived offspring wished that their parents had talked openly about donor conception and had missed parental support. They wished that their parents would have received counseling before donor sperm treatment on how to talk with their children about donor conception in several stages of life. They valued the availability of peer contact to exchange stories with other donor-conceived offspring and would have liked assistance in getting access to trustworthy information about characteristics and identifying information of their donor. Donor-conceived offspring wished to know where to find specialist counseling when needed.
Conclusions:
Peer support and counseling by professionals for donor-conceived offspring should be available for those who need it. The findings also support professional counseling for intended parents before treatment to improve parental support for donor-children.
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