Reproductive Biomedicine and Society Online最新文献_第8页

Preimplantation genetic diagnosis for retinoblastoma survivors: a cost-effectiveness study 视网膜母细胞瘤幸存者的植入前遗传学诊断:一项成本-效果研究

Reproductive Biomedicine and Society Online Pub Date : 2020-06-01 DOI: 10.1016/j.rbms.2020.03.001

D. Schofield , M.J.B. Zeppel , S. Staffieri , R.N. Shrestha , D. Jelovic , E. Lee , R.V. Jamieson

{"title":"Preimplantation genetic diagnosis for retinoblastoma survivors: a cost-effectiveness study","authors":"D. Schofield , M.J.B. Zeppel , S. Staffieri , R.N. Shrestha , D. Jelovic , E. Lee , R.V. Jamieson","doi":"10.1016/j.rbms.2020.03.001","DOIUrl":"10.1016/j.rbms.2020.03.001","url":null,"abstract":"<div><p>This study aimed to investigate the cost-effectiveness of preimplantation genetic diagnosis (PGD) for the reproductive choices of patients with heritable retinoblastoma. The study modelled the costs of three cycles of in-vitro fertilization (IVF) and PGD across all uptake rates of PGD, number of children affected with retinoblastoma at each uptake rate and the estimated quality-adjusted life years (QALYs) gained. Cost-effectiveness analysis was conducted from the Australian public healthcare perspective. The intervention was the use of three cycles (one fresh and two frozen) of IVF and PGD with the aim of live births unaffected by the retinoblastoma phenotype. Compared with the standard care pathway (i.e. natural pregnancy), IVF and PGD resulted in a cost-saving to 18 years of age of AUD$2,747,294 for a base case of 100 couples with an uptake rate of 50%. IVF and PGD resulted in fewer affected (<em>n</em>  =78) live births compared with standard care (71 affected and 83 unaffected live births), and an additional 0.03 QALYs per live birth. This modelling suggests that the use of IVF and PGD to achieve an unaffected child for patients with heritable retinoblastoma resulted in an overall cost-saving. There was an increase in QALYs per baby across all uptake rates. However, in total, fewer babies were born following the IVF and PGD pathway.</p></div>","PeriodicalId":37973,"journal":{"name":"Reproductive Biomedicine and Society Online","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbms.2020.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38083257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Caesarean section in Benin and Mali: increased recourse to technology due to suffering and under-resourced facilities 贝宁和马里的剖腹产:由于痛苦和设施资源不足，更多地求助于技术

Reproductive Biomedicine and Society Online Pub Date : 2020-06-01 DOI: 10.1016/j.rbms.2019.12.001

Clémence Schantz , Moufalilou Aboubakar , Abou Bakary Traoré , Marion Ravit , Myriam de Loenzien , Alexandre Dumont

{"title":"Caesarean section in Benin and Mali: increased recourse to technology due to suffering and under-resourced facilities","authors":"Clémence Schantz , Moufalilou Aboubakar , Abou Bakary Traoré , Marion Ravit , Myriam de Loenzien , Alexandre Dumont","doi":"10.1016/j.rbms.2019.12.001","DOIUrl":"10.1016/j.rbms.2019.12.001","url":null,"abstract":"<div><p>In line with policies to combat maternal mortality, the medicalization of childbirth is increasing in low-income countries, while access to healthcare services remains difficult for many women. High caesarean section rates have been documented recently in hospitals in Mali and Benin, illustrating an a-priori paradoxical situation, compared with low caesarean section rates in the population. Through a qualitative approach, this article aims to describe the practice of caesarean section in maternity wards in Bamako and Cotonou. Workshops with obstetricians and midwives; participant observation inside labour rooms; and in-depth interviews with caregivers, patients and policy makers have indicated increased recourse to caesarean section due to women’s and caregivers’ suffering and under-resourced facilities. Within these procedures, two types of caesarean section were documented: ‘maternal distress caesarean section’ and ‘preventive caesarean section’. The main reasons for these caesarean sections are maternal fear and pain, and a lack of resources. Inadequately resourced facilities lead to staff suffering and ethical breakdowns, and encourage the inappropriate use of technology. The policy of access to free caesarean section procedures exacerbates the issue of non-medically-justified caesarean sections in these countries. The overuse of caesarean section is particularly alarming in countries with high fertility as it constitutes a danger to both mothers and babies in the short and long term. Currently, conditions are in place in Benin and Mali for an increase in non-medically-justified caesarean sections. In the short term, such an increase could constitute a new burden for these two sub-Saharan countries, where maternal mortality is high.</p></div>","PeriodicalId":37973,"journal":{"name":"Reproductive Biomedicine and Society Online","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbms.2019.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37745252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Child welfare assessments and the regulation of access to publicly funded fertility treatment 儿童福利评估和获得公费生育治疗的监管

Reproductive Biomedicine and Society Online Pub Date : 2020-06-01 DOI: 10.1016/j.rbms.2020.01.003

Judith Lind

{"title":"Child welfare assessments and the regulation of access to publicly funded fertility treatment","authors":"Judith Lind","doi":"10.1016/j.rbms.2020.01.003","DOIUrl":"10.1016/j.rbms.2020.01.003","url":null,"abstract":"<div><p>Assessment of the psychological and social circumstances of candidates for assisted reproduction is commonly justified with references to the welfare of the intended child. In nine focus group discussions with 64 clinic staff at four public fertility clinics in Sweden, the responsible use of public resources constituted another important justification for such assessments. Theoretically, this study draws on the identification of the role of regulatory conversations in decision makers’ policy interpretations. Focus groups defined the desired outcome of assisted reproductive technology (ART) treatment as a well-functioning family, and represented the aim of ART treatment as solving problems without creating new problems for the candidates, the intended child or society. In the discourse of solving and preventing problems, the welfare of the child argument, the responsible use of resources argument and the discourse of personal responsibility merge. Lack of consideration for the circumstances in which the child will grow up was not considered a responsible use of resources because ART treatment would then risk creating more problems than it solved. The results of this study suggest that while publicly funded subsidization of fertility treatment has increased accessibility to ART treatment for candidates who lack the financial means to pay, clinic staff justified restricting access to ART treatment with concern for how public resources are spent.</p></div>","PeriodicalId":37973,"journal":{"name":"Reproductive Biomedicine and Society Online","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbms.2020.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37905188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Corifollitropin alfa versus follitropin beta: an economic analysis alongside a randomized controlled trial in women undergoing IVF/ICSI 促卵泡素α与促卵泡素β:在接受IVF/ICSI的妇女中随机对照试验的经济分析

Reproductive Biomedicine and Society Online Pub Date : 2020-06-01 DOI: 10.1016/j.rbms.2020.01.002

Le Dang Khoa , Vuong Thi Ngoc Lan , Nguyen Minh Tai Loc , Dang Quang Vinh , Quang Nhat Tran , Ho Manh Tuong

{"title":"Corifollitropin alfa versus follitropin beta: an economic analysis alongside a randomized controlled trial in women undergoing IVF/ICSI","authors":"Le Dang Khoa , Vuong Thi Ngoc Lan , Nguyen Minh Tai Loc , Dang Quang Vinh , Quang Nhat Tran , Ho Manh Tuong","doi":"10.1016/j.rbms.2020.01.002","DOIUrl":"10.1016/j.rbms.2020.01.002","url":null,"abstract":"<div><p>This cost-effectiveness analysis was conducted from the patient’s perspective alongside a randomized controlled trial comparing corifollitropin alfa with follitropin beta for a single stimulation cycle. Only unit costs paid by patients are included in this analysis. The incremental cost-effectiveness ratio was calculated. One-way sensitivity analysis and probabilistic sensitivity analysis (PSA) were also performed. Baseline characteristics (except for the number of follicles and frozen embryos), treatment outcomes and complications were similar in the two groups. The live birth rate was comparable between the two groups, but the mean total cost per patient was higher for the corifollitropin alfa strategy (€4293) compared with the follitropin beta strategy (€4086). Costs per live birth were €13,726 and €12,511, respectively. The difference in effect between corifollitropin alfa and collitropin beta was three fewer live births, and the difference in costs was €24,048. The probability of live birth after the first and second embryo transfers and the proportion of patients who had no more frozen embryos available after non-achievement of live birth in the first or second transfer influenced the comparative cost-effectiveness of the two strategies. PSA showed that a corifollitropin alfa strategy would be rejected in up to 27.4% of scenarios. Follitropin beta 300 IU/day was more cost-effective than corifollitropin alfa 150 μg in women aged 35–42 years weighing ≥50 kg undergoing in-vitro fertilzation/intracytoplasmic sperm injection.</p></div>","PeriodicalId":37973,"journal":{"name":"Reproductive Biomedicine and Society Online","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbms.2020.01.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37976982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Applications to statutory donor registers in Victoria, Australia: information sought and expectations of contact 申请在澳大利亚维多利亚州的法定捐赠登记:信息的寻求和期望的联系

Reproductive Biomedicine and Society Online Pub Date : 2019-12-01 DOI: 10.1016/j.rbms.2019.08.002

Deborah Dempsey , Fiona Kelly , Briony Horsfall , Karin Hammarberg , Kate Bourne , Louise Johnson

{"title":"Applications to statutory donor registers in Victoria, Australia: information sought and expectations of contact","authors":"Deborah Dempsey , Fiona Kelly , Briony Horsfall , Karin Hammarberg , Kate Bourne , Louise Johnson","doi":"10.1016/j.rbms.2019.08.002","DOIUrl":"10.1016/j.rbms.2019.08.002","url":null,"abstract":"<div><p>Knowledge of genetic origins is widely believed to have consequences for health, family belonging and personal identity. Donor linking is the process by which donors, recipient parents (RP) and donor-conceived people (DCP) gain access to identifying information about each other. This paper reports on the information and contact sought by donor-linking applicants to the central and voluntary registers in the state of Victoria, Australia, which has one of the most comprehensive donor-linking legislative frameworks in the world.</p><p>Applicants to the Victorian registers complete a statement of reasons (SOR), a written document that is given to the subject of the application, outlining their reasons for applying and their short- and long-term goals. SOR written by applicants between 29 June 2015 and 28 February 2017 who had agreed to be recontacted for research were analysed. Forty-two of 93 eligible applicants took part (45%). All applications pertained to donor sperm.</p><p>RP were the largest applicant group (<em>n</em>  =17) and donors (<em>n</em>  <!-->6). All applicants wanted personal information and most expressed a desire for contact. Single mothers of young children used the registers more than any other parent group, indicating that family structure may influence application patterns. While it is apparent that all applicants are eager for information and some form of interpersonal contact, further research is needed on how the legal and policy landscape of different jurisdictions influences expectations, as well as what happens after parties are linked.</p></div>","PeriodicalId":37973,"journal":{"name":"Reproductive Biomedicine and Society Online","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbms.2019.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37559419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Knowledge and attitudes of subfertile couples towards disposition of supernumerary cryopreserved embryos: an Indian perspective 知识和态度的不育夫妇对处置多余的冷冻胚胎:一个印度的观点

Reproductive Biomedicine and Society Online Pub Date : 2019-12-01 DOI: 10.1016/j.rbms.2019.10.002

Achamma Chandy , Batiston Waanbah , Bijesh Yadav , Aleyamma T. Kunjummen , D.J.S. Riley , Mohan S. Kamath

{"title":"Knowledge and attitudes of subfertile couples towards disposition of supernumerary cryopreserved embryos: an Indian perspective","authors":"Achamma Chandy , Batiston Waanbah , Bijesh Yadav , Aleyamma T. Kunjummen , D.J.S. Riley , Mohan S. Kamath","doi":"10.1016/j.rbms.2019.10.002","DOIUrl":"10.1016/j.rbms.2019.10.002","url":null,"abstract":"<div><p>In many cases, supernumerary embryos are cryopreserved for future use following assisted reproductive technology (ART) treatment. Once a couple has completed their family following treatment, the fate of these excess cryopreserved embryos becomes uncertain. The options available for the disposition of cryopreserved embryos are donation to other infertile couples, donation to research and discontinuation of cryostorage. In order to evaluate the knowledge and attitudes of subfertile couples from the Indian subcontinent regarding the fate of their excess cryopreserved embryos, a cross-sectional study was planned at a university-level infertility unit. A two-stage structured interview was conducted with the couples. Some questions in the interview were hypothetical in nature. In total, 87 couples were interviewed, of which 33 (37.9%) were unaware of the options for disposition of supernumerary embryos. Forty (46%) couples indicated a preference to donate their embryos to other subfertile couples, while 10 (11.5%) couples preferred donation to research. Twenty-four (27.6%) couples opted for donation to both other couples and research, while three (3.4%) couples indicated a preference to discontinue storage. Penalized bivariable logistic regression showed that none of the factors examined (i.e. age, education, income or presence of a living child) influenced the couple’s decision regarding embryo donation. The majority of subfertile couples preferred to donate the embryos rather than discontinue storage. The donation of embryos to other subfertile couples was the most preferred option for disposition of embryos.</p></div>","PeriodicalId":37973,"journal":{"name":"Reproductive Biomedicine and Society Online","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbms.2019.10.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37544697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Patient perceptions and understanding of treatment instructions for ovarian stimulation during infertility treatment 不孕症治疗中患者对卵巢刺激治疗说明的认知和理解

Reproductive Biomedicine and Society Online Pub Date : 2019-12-01 DOI: 10.1016/j.rbms.2019.08.003

Paul Barrière , Catherine Avril , Amel Benmahmoud-Zoubir , Nathalie Bénard , Sylvie Dejager

{"title":"Patient perceptions and understanding of treatment instructions for ovarian stimulation during infertility treatment","authors":"Paul Barrière , Catherine Avril , Amel Benmahmoud-Zoubir , Nathalie Bénard , Sylvie Dejager","doi":"10.1016/j.rbms.2019.08.003","DOIUrl":"10.1016/j.rbms.2019.08.003","url":null,"abstract":"<div><p>The impact of patient–physician communication and levels of understanding of treatment on patient knowledge and compliance has been studied in patients undergoing their first cycle of infertility treatment. This observational, real-life, longitudinal study involved 488 patients from 28 infertility centres in France. Data on communication quality, understanding of treatment instructions, patient knowledge and compliance to treatment protocol were collected through questionnaires administered before treatment initiation (V1) and at oocyte retrieval (V2). At V1, patients were very satisfied with their levels of understanding of the injection and monitoring schedules, the information given by the medical team, and the way of receiving instructions, with average ratings on a scale of 0–100% of >75%. They rated their understanding of possible treatment side-effects as satisfactory (average score 71.1%). Gaps in patient knowledge about their treatment, revealed by discrepancies between physician and patient reports, were observed in 20.5% of patients (<em>n</em>  =83/305) did not comply with or had doubts about the injection schedule or dose injected. Meanwhile physicians reported high levels of patient compliance (94.3%; <em>n</em>  <!-->350/371). In conclusion, even when patient–physician relationships appear to be satisfactory, patient miscomprehension and non-compliance during infertility treatment may be underestimated. Further interventions are required to improve these outcomes.</p></div>","PeriodicalId":37973,"journal":{"name":"Reproductive Biomedicine and Society Online","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbms.2019.08.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37589830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12

Biology and Medicine in the Memoirs of Five North American Gay Dads Who Adopted in the 1990s 《生物学和医学:五个1990年代收养孩子的北美同性恋父亲的回忆录》

Reproductive Biomedicine and Society Online Pub Date : 2019-12-01 DOI: 10.1016/j.rbms.2019.10.001

Linda Layne

引用次数: 2

Societal pressures and procreative preferences for gay fathers successfully pursuing parenthood through IVF and gestational carriers 社会压力和生育偏好使同性恋父亲通过试管受精和妊娠载体成功地成为父母

Reproductive Biomedicine and Society Online Pub Date : 2019-12-01 DOI: 10.1016/j.rbms.2019.09.001

Steven R. Lindheim , Jody Lyneé Madeira , Artur Ludwin , Emily Kemner , J. Preston Parry , Georges Sylvestre , Guido Pennings

{"title":"Societal pressures and procreative preferences for gay fathers successfully pursuing parenthood through IVF and gestational carriers","authors":"Steven R. Lindheim , Jody Lyneé Madeira , Artur Ludwin , Emily Kemner , J. Preston Parry , Georges Sylvestre , Guido Pennings","doi":"10.1016/j.rbms.2019.09.001","DOIUrl":"10.1016/j.rbms.2019.09.001","url":null,"abstract":"<div><p>This retrospective study surveyed decision-making and challenges among 78 gay cisgender male couples utilizing in-vitro fertilization (IVF) and a gestational carrier. While most couples (67.1%) found the decision to actively pursue fertility treatment ‘not difficult’, 32.9% felt that it was ‘somewhat difficult’ or ‘very or extremely difficult’. Almost 30% of couples had not undertaken financial planning for treatment, which introduced delays of >2 years for 25.3% of participants. Conceiving twins was ‘important to very important’ in 52.3% of couples, and 84.2% of couples chose to transfer two embryos to ‘increase the odds’ or reach an ideal family size in a single attempt despite increased complications with multiple pregnancies. Paternal leave was granted for one partner in 47.3% of couples, and for both partners in 43.2% of couples. One-third of couples reported experiencing discrimination, prompting a partner to seek employment, and 38% changed jobs or careers. For 80.3% of couples, the estimated cost exceeded US$100,000. Couples where one partner was aged >50 years were significantly more likely to find the decision to actively pursue fertility treatment ‘very or extremely difficult’ (28.6%), and less likely to agree on becoming parents (64.3%). Gay male couples undergoing assisted reproduction face challenges regarding decision-making, lack of infertility benefits and discrimination, which appear to be influenced by age and country of residence. Policy and educational changes are needed, including broader fertility benefits, more egalitarian parental leave, and greater awareness of risks inherent to multiple gestation.</p></div>","PeriodicalId":37973,"journal":{"name":"Reproductive Biomedicine and Society Online","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbms.2019.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37541248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

A wonderful experience or a frightening commitment? An exploration of men's reasons to (not) have children 是美好的经历还是可怕的承诺?探讨男人不生孩子的原因

Reproductive Biomedicine and Society Online Pub Date : 2019-12-01 DOI: 10.1016/j.rbms.2019.11.002

Maja Bodin , Lars Plantin , Eva Elmerstig

{"title":"A wonderful experience or a frightening commitment? An exploration of men's reasons to (not) have children","authors":"Maja Bodin , Lars Plantin , Eva Elmerstig","doi":"10.1016/j.rbms.2019.11.002","DOIUrl":"10.1016/j.rbms.2019.11.002","url":null,"abstract":"<div><p>Research on reproductive decision-making mainly focuses on women's experiences and desire for children. Men included in this type of research usually represent one-half of a heterosexual couple and/or men who are involuntarily childless. Perspectives from a broader group of men are lacking. This study is based on the results of a baseline questionnaire answered by 191 men aged 20–50 years who attended two sexual health clinics in two major Swedish cities. The questionnaire included questions about sociodemographic background, reproductive history and fertility, but also two open-ended questions focusing on reasons for having or not having children. The results of these two questions were analysed by manifest content analysis and resulted in five categories: ‘(non-)ideal images’, ‘to pass something on’, ‘personal development and self-image’, ‘the relationship with the (potential) co-parent’ and ‘practical circumstances and prerequisites’. Reasons for having children were mainly based on ideal images of children, family and parenthood. Meanwhile, reasons for not having children usually concerned practical issues. The type of answer given was related to men's procreative intentions but not to background characteristics. In conclusion, men raised many different aspects for and against having children. Therefore, reproductive decision-making should not be considered a non-choice among men.</p></div>","PeriodicalId":37973,"journal":{"name":"Reproductive Biomedicine and Society Online","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbms.2019.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37544698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7