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The Long and Winding Road: Emotional Reactions during In Vitro Fertilization and Attitudes towards Cryopreserved Embryos and Oocyte Donation
Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Women's and Children's Health.
2003 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The main aims were to investigate emotional reactions during in vitro fertilization (IVF) treatment among women and men, attitudes of IVF couples towards cryopreserved embryos and public attitudes towards various aspects of oocyte donation in Sweden. Assessments of emotional, physical and social reactions were made on a daily reaction scale and attitudes on the basis of study-specific questionnaires. Both women and men experienced the stages of oocyte retrieval and embryo transfer, as well as the luteal phase, as being particularly stressful and there was a similarity in the type of reaction pattern. Presence of supernumerary embryos for cryopreservation increased the women’s optimism, but did not seem to reduce their level of distress on the day of embryo transfer. One-third of IVF couples chose not to use their cryopreserved embryos. The main reasons among the respondents concerned family planning and too short a legally allowed time of embryo storage. There was strong support for oocyte donation among a subset of the Swedish population. Women were more positive than men towards oocyte donation and to disclosure of the origin to offspring. Factors that might increase the likelihood of women becoming oocyte donors were talking to women with experience of donating oocytes, proximity to the clinic, accessibility of counselling and having children of their own. These results indicate that different approaches to psychological care for women and men may not be warranted during IVF treatment. Contact should be maintained during the cryopreservation period in order to adress the couple’s questions and concerns about the embryos. To increase the donor pool, IVF clinics could provide information about donation to potential donors through the Internet and through experienced donors. The information to donors and recipient couples about different consequences of donation seems to be of great importance.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis , 2003. , p. 64
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1298
Keywords [en]
Caring sciences, attitude, cryopreservation, discarding, disclosure, distress, emotion, gender, infertility, in vitro fertilization, oocyte donation, psychology, public
Keywords [sv]
Vårdvetenskap
National Category
Nursing
Research subject
Obstetrics and Gynaecology
Identifiers
URN: urn:nbn:se:uu:diva-3733ISBN: 91-554-5777-0 (print)OAI: oai:DiVA.org:uu-3733DiVA, id: diva2:163551
Public defence
2003-12-05, Rosénsalen, Kvinnokliniken, Akademiska sjukhuset, Uppsala, 09:15
Opponent
Supervisors
Available from: 2003-11-07 Created: 2003-11-07Bibliographically approved
List of papers
1. Psychological reactions during in-vitro fertilization:similar response pattern in husbands and wives
Open this publication in new window or tab >>Psychological reactions during in-vitro fertilization:similar response pattern in husbands and wives
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1998 In: Human Reproduction, Vol. 13, no 11, p. 3262-3267Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-90989 (URN)
Available from: 2003-11-07 Created: 2003-11-07Bibliographically approved
2. The impact of frozen embryos on emotional reactions during in vitro fertilization
Open this publication in new window or tab >>The impact of frozen embryos on emotional reactions during in vitro fertilization
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2001 In: Acta Obstetricia et Gynecologica Scandinavica, Vol. 80, p. 1110-1114Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-90990 (URN)
Available from: 2003-11-07 Created: 2003-11-07Bibliographically approved
3. Factors influencing the decision to use or discard cryopreserved embryos
Open this publication in new window or tab >>Factors influencing the decision to use or discard cryopreserved embryos
2001 In: Acta Obstetricia et Gynecologica Scandinavica, Vol. 80, p. 849-855Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-90991 (URN)
Available from: 2003-11-07 Created: 2003-11-07Bibliographically approved
4. Public opinion regarding oocyte donation in Sweden
Open this publication in new window or tab >>Public opinion regarding oocyte donation in Sweden
2003 In: Human Reproduction, Vol. 18, no 5, p. 1107-1114Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-90992 (URN)
Available from: 2003-11-07 Created: 2003-11-07Bibliographically approved
5. Characterization of potential oocyte donors in Sweden
Open this publication in new window or tab >>Characterization of potential oocyte donors in Sweden
2003 In: Human Reproduction, Vol. 18, no 10, p. 2205-2215Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-90993 (URN)
Available from: 2003-11-07 Created: 2003-11-07Bibliographically approved

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Citation style
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