Couple's willingness to donate embryos for research: a longitudinal study
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://hdl.handle.net/1822/41385 |
Resumo: | Introduction. Decision-making on embryo disposition is a source of distress and is subject to change over time. This paper analyses the willingness of couples undergoing in vitro fertilization to donate cryopreserved embryos for research from 15 days after embryo transfer to 12 months later, taking into account the influence of psychosocial, demographic, and reproductive factors. Materials and methods. Prospective longitudinal study, with 74 heterosexual couples undergoing in vitro fertilization in a public fertility centre in Portugal, recruited between 2011 and 2012. Participants were evaluated twice: 15 days after embryo transfer and 12 months later. Results. A significant decrease in patients’ willingness to donate embryos for research over time was observed [86.5% to 73.6%; relative risk (RR) = 0.85; 95% CI 0.76–0.95]. A higher education level (>12 years) [adjusted RR (RRadj) = 0.79; 95% CI 0.64–0.96], considering research on human embryos to be important (vs. very important) (RRadj = 0.59; 95% CI 0.39–0.85) and practicing a religion less than once a month (vs. at least once a month) (RRadj = 0.73; 95% CI 0.53–1.00) seemed associated with unwillingness to donate embryos for research over time. Change towards non-donation happened mainly among couples who first considered that it was better to donate than wasting the embryos. Change towards donation occurred mostly among those stating that their priority at time 1 was to have a baby and who became pregnant in the meantime. Conclusions. Quality of care guided by patients’ characteristics, values, preferences, and needs calls for considering the factors and reasons underlying couples’ willingness to donate embryos for research over time as a topic in psychosocial guidelines for infertility and medically assisted reproductive care. |
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Couple's willingness to donate embryos for research: a longitudinal studyintracytoplasmic sperm injectionin vitro fertilizationadjusted relative riskrelative riskCryopreserved embryosdecision makingembryo dispositionlongitudinal studypatient-centred careCiências Sociais::PsicologiaScience & TechnologyIntroduction. Decision-making on embryo disposition is a source of distress and is subject to change over time. This paper analyses the willingness of couples undergoing in vitro fertilization to donate cryopreserved embryos for research from 15 days after embryo transfer to 12 months later, taking into account the influence of psychosocial, demographic, and reproductive factors. Materials and methods. Prospective longitudinal study, with 74 heterosexual couples undergoing in vitro fertilization in a public fertility centre in Portugal, recruited between 2011 and 2012. Participants were evaluated twice: 15 days after embryo transfer and 12 months later. Results. A significant decrease in patients’ willingness to donate embryos for research over time was observed [86.5% to 73.6%; relative risk (RR) = 0.85; 95% CI 0.76–0.95]. A higher education level (>12 years) [adjusted RR (RRadj) = 0.79; 95% CI 0.64–0.96], considering research on human embryos to be important (vs. very important) (RRadj = 0.59; 95% CI 0.39–0.85) and practicing a religion less than once a month (vs. at least once a month) (RRadj = 0.73; 95% CI 0.53–1.00) seemed associated with unwillingness to donate embryos for research over time. Change towards non-donation happened mainly among couples who first considered that it was better to donate than wasting the embryos. Change towards donation occurred mostly among those stating that their priority at time 1 was to have a baby and who became pregnant in the meantime. Conclusions. Quality of care guided by patients’ characteristics, values, preferences, and needs calls for considering the factors and reasons underlying couples’ willingness to donate embryos for research over time as a topic in psychosocial guidelines for infertility and medically assisted reproductive care.The authors thank Sandra Sousa for her collaboration in data collection. This study was funded by FEDER from the Operational Program Factors of Competitiveness – COMPETE and by national funding from the FCT – Foundation for Science and Technology (Portuguese Ministry of Education and Science) within the project “Health, governance and accountability in embryo research: couples’ decisions about the fates of embryos” (FCOMP-01-0124-FEDER014453), and the Grants SFRH/BD/75807/2011 (to CS) and SFRH/BPD/80530/2011 (to CF), co-funded by the POPH Program, the IF/00956/2013 (to SS) and the IF/ 00829/2013 (to HM).Nordic Federation of Societies of Obstetrics and GynecologyUniversidade do MinhoSamorinha, CatarinaSevero, MiltonMachado, HelenaFigueiredo, Bárbarade Freitas, CláudiaSilva, Susana2016-03-212016-03-21T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/1822/41385engSamorinha C, Severo M, Machado H, Figueiredo B, de Freitas C, Silva S. Couples’ willingness to donate embryos for research: a longitudinal study. Acta Obstet Gynecol Scand 2016. DOI: 10.1111/aogs.129000001-634910.1111/aogs.1290026998971info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:29:54Zoai:repositorium.sdum.uminho.pt:1822/41385Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:25:00.600915Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Couple's willingness to donate embryos for research: a longitudinal study |
title |
Couple's willingness to donate embryos for research: a longitudinal study |
spellingShingle |
Couple's willingness to donate embryos for research: a longitudinal study Samorinha, Catarina intracytoplasmic sperm injection in vitro fertilization adjusted relative risk relative risk Cryopreserved embryos decision making embryo disposition longitudinal study patient-centred care Ciências Sociais::Psicologia Science & Technology |
title_short |
Couple's willingness to donate embryos for research: a longitudinal study |
title_full |
Couple's willingness to donate embryos for research: a longitudinal study |
title_fullStr |
Couple's willingness to donate embryos for research: a longitudinal study |
title_full_unstemmed |
Couple's willingness to donate embryos for research: a longitudinal study |
title_sort |
Couple's willingness to donate embryos for research: a longitudinal study |
author |
Samorinha, Catarina |
author_facet |
Samorinha, Catarina Severo, Milton Machado, Helena Figueiredo, Bárbara de Freitas, Cláudia Silva, Susana |
author_role |
author |
author2 |
Severo, Milton Machado, Helena Figueiredo, Bárbara de Freitas, Cláudia Silva, Susana |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade do Minho |
dc.contributor.author.fl_str_mv |
Samorinha, Catarina Severo, Milton Machado, Helena Figueiredo, Bárbara de Freitas, Cláudia Silva, Susana |
dc.subject.por.fl_str_mv |
intracytoplasmic sperm injection in vitro fertilization adjusted relative risk relative risk Cryopreserved embryos decision making embryo disposition longitudinal study patient-centred care Ciências Sociais::Psicologia Science & Technology |
topic |
intracytoplasmic sperm injection in vitro fertilization adjusted relative risk relative risk Cryopreserved embryos decision making embryo disposition longitudinal study patient-centred care Ciências Sociais::Psicologia Science & Technology |
description |
Introduction. Decision-making on embryo disposition is a source of distress and is subject to change over time. This paper analyses the willingness of couples undergoing in vitro fertilization to donate cryopreserved embryos for research from 15 days after embryo transfer to 12 months later, taking into account the influence of psychosocial, demographic, and reproductive factors. Materials and methods. Prospective longitudinal study, with 74 heterosexual couples undergoing in vitro fertilization in a public fertility centre in Portugal, recruited between 2011 and 2012. Participants were evaluated twice: 15 days after embryo transfer and 12 months later. Results. A significant decrease in patients’ willingness to donate embryos for research over time was observed [86.5% to 73.6%; relative risk (RR) = 0.85; 95% CI 0.76–0.95]. A higher education level (>12 years) [adjusted RR (RRadj) = 0.79; 95% CI 0.64–0.96], considering research on human embryos to be important (vs. very important) (RRadj = 0.59; 95% CI 0.39–0.85) and practicing a religion less than once a month (vs. at least once a month) (RRadj = 0.73; 95% CI 0.53–1.00) seemed associated with unwillingness to donate embryos for research over time. Change towards non-donation happened mainly among couples who first considered that it was better to donate than wasting the embryos. Change towards donation occurred mostly among those stating that their priority at time 1 was to have a baby and who became pregnant in the meantime. Conclusions. Quality of care guided by patients’ characteristics, values, preferences, and needs calls for considering the factors and reasons underlying couples’ willingness to donate embryos for research over time as a topic in psychosocial guidelines for infertility and medically assisted reproductive care. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-03-21 2016-03-21T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://hdl.handle.net/1822/41385 |
url |
https://hdl.handle.net/1822/41385 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Samorinha C, Severo M, Machado H, Figueiredo B, de Freitas C, Silva S. Couples’ willingness to donate embryos for research: a longitudinal study. Acta Obstet Gynecol Scand 2016. DOI: 10.1111/aogs.12900 0001-6349 10.1111/aogs.12900 26998971 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Nordic Federation of Societies of Obstetrics and Gynecology |
publisher.none.fl_str_mv |
Nordic Federation of Societies of Obstetrics and Gynecology |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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