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非识别和定向胚胎捐赠:关于捐赠者和接受者观点的问卷研究
Noga Fuchs Weizman1,2, Samantha Yee1, Anya Kazay1
1Create Fertility Center, Toronto, Canada.
Human fertility (Cambridge, England)
|July 27, 2023
概括
胚胎捐赠为未使用的胚胎提供了一条道路,但决策可能很困难. 定向胚胎捐赠导致比非识别捐赠更高的满意度.
科学领域:
- 生殖医学 生殖医学
- 胚胎学 胚胎学
- 不孕症治疗 不孕症治疗
背景情况:
- 在辅助生殖技术 (ART) 中,遗弃的多余胚胎面临越来越大的挑战.
- 胚胎捐赠作为胚胎处置选择的有限采用.
- 需要了解胚胎捐赠计划中的障碍和参与者的经验.
研究的目的:
- 探索有针对性和非识别胚胎捐赠计划参与者的观点和经验.
- 确定影响决策和满意度水平的因素.
- 了解患者对胚胎捐赠的认识来源.
主要方法:
- 对胚胎捐赠计划参与者的纵向队列调查研究 (2016-2020).
- 在线调查问卷通过德尔菲程序进行精细化,以确定有效性.
- 分析包括描述性统计,交叉表格,费舍尔的精确测试和t测试.
主要成果:
- 大多数非身份捐赠者通过医生了解该计划;指导捐赠者在线学习.
- 捐赠的主要动机是让其他人成为父母.
- 45%的人表示在决策方面存在中度到明显的困难;队列之间没有差异.
- 非识别的捐赠者报告了更高的胚胎附着;指导捐赠导致了更大的满意度.
结论:
- 与非识别捐赠相比,有针对性的胚胎捐赠可能会导致参与者更高的满意度.
- 对胚胎捐赠的决策对相当一部分参与者来说是个挑战.
- 建议在不同的环境和更大的样本中进行进一步验证.
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