卵子捐赠妊娠:女性对风险了解多少?一项对接受卵母细胞捐赠妊娠妇女的访谈研究。

IF 2.1 4区 医学 Q2 OBSTETRICS & GYNECOLOGY
Human Fertility Pub Date : 2025-12-01 Epub Date: 2025-03-10 DOI:10.1080/14647273.2025.2470356
Jacqueline Nicholls, Saibhan Bains, Katherine Maslowski, Melissa Whitten, Anne Lanceley
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引用次数: 0

摘要

患者同意是向患者提供任何干预措施的基本法律和专业要求,必须包括对风险和收益的讨论。近年来,通过捐赠卵母细胞而怀孕的妇女人数显著增加。与自然怀孕相比,这种怀孕伴随着不同的风险。轶事证据表明,寻求卵母细胞捐赠怀孕的妇女在同意讨论中对卵母细胞捐赠的风险认识有限。为了探讨妇女对卵母细胞捐赠妊娠相关风险的理解,在一家城市医院的产前设施进行了定性访谈研究。16名接受过卵母细胞捐赠妊娠的妇女参加了半结构化的录音访谈,探讨了她们对卵母细胞捐赠同意过程的经历以及怀孕后对妊娠相关风险的认识。采用专题分析对数据进行分析。我们的主要发现是女性不知道她们的卵母细胞捐赠怀孕比典型的体外受精怀孕有更高的风险。结果显示:(1)女性最关心卵母细胞捐赠成功/失败的风险;(2)妇女不知道捐卵妊娠在体外受精妊娠之外存在特定风险;(3)女性在接受风险信息时存在矛盾心理。对于接受卵母细胞捐赠的妇女,在接受体外受精时应包括对后续妊娠风险的讨论,以确保妇女充分了解情况。应该在产前定期检查妇女对风险的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Oocyte donation pregnancy: What do women understand about risk? an interview study of women who underwent oocyte donation pregnancy.

Patient consent is a fundamental legal and professional requirement of any intervention offered to a patient and must include discussion of risks and benefits. The number of women becoming pregnant via oocyte donation has increased markedly in recent years. Such pregnancies are accompanied by different risks to those of naturally conceived pregnancies. Anecdotal evidence suggests that women seeking oocyte donation pregnancy gain limited appreciation of the risks attending oocyte donation during consent discussions. To explore women's understanding of the risks associated with oocyte donation pregnancy a qualitative interview study was conducted in an ante-natal facility in an urban hospital. Sixteen women who had experienced oocyte donation pregnancy participated in semi-structured, audio-recorded interviews exploring their experience of the consent process for oocyte donation and their awareness of pregnancy-related risks once pregnant. Data were analysed using thematic analysis. Our principal finding was that women were unaware that their oocyte donation pregnancy carried higher risks than a typical IVF pregnancy. Three themes emerged: (1) women tended to care most about risks associated with success/failure of oocyte donation; (2) women did not know that oocyte donation pregnancies carry specific risks above and beyond IVF pregnancies; (3) women were ambivalent towards receiving risk information. For women accepting an oocyte donation consent at the time of undergoing IVF should include discussion of the risks of subsequent pregnancy to ensure that women are fully informed. Women's understanding of risks should be routinely checked ante-natally.

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来源期刊
Human Fertility
Human Fertility OBSTETRICS & GYNECOLOGY-REPRODUCTIVE BIOLOGY
CiteScore
3.30
自引率
5.30%
发文量
50
期刊介绍: Human Fertility is a leading international, multidisciplinary journal dedicated to furthering research and promoting good practice in the areas of human fertility and infertility. Topics included span the range from molecular medicine to healthcare delivery, and contributions are welcomed from professionals and academics from the spectrum of disciplines concerned with human fertility. It is published on behalf of the British Fertility Society. The journal also provides a forum for the publication of peer-reviewed articles arising out of the activities of the Association of Biomedical Andrologists, the Association of Clinical Embryologists, the Association of Irish Clinical Embryologists, the British Andrology Society, the British Infertility Counselling Association, the Irish Fertility Society and the Royal College of Nursing Fertility Nurses Group. All submissions are welcome. Articles considered include original papers, reviews, policy statements, commentaries, debates, correspondence, and reports of sessions at meetings. The journal also publishes refereed abstracts from the meetings of the constituent organizations.
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