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Agneta Skoog Svanberg - One of the best experts on this subject based on the ideXlab platform.

  • Attitudes towards Embryo Donation among healthcare professionals working in child healthcare: a survey study.
    BMC pediatrics, 2019
    Co-Authors: Gabriela Armuand, Gunilla Sydsjö, Agneta Skoog Svanberg, Claudia Lampic
    Abstract:

    The aim of this study was to investigate attitudes towards Embryo Donation and Embryo Donation families among professionals working in primary child healthcare, and their experiences of these families. A cross-sectional online survey was conducted in Sweden between April and November 2016. A total of 712 primary healthcare physicians, registered nurses and psychologists were approached to participate in this study. The study-specific questionnaire measured attitudes and experiences in the following four domains: legalisation and financing, the family and the child’s health, clinical experience of meeting families following Embryo Donation, and knowledge of Embryo Donation. Of the 189 women and 18 men who completed the questionnaire (response rate 29%), relatively few (13%) had clinical experience of caring for families following Embryo Donation. Overall, 69% supported legalisation of Embryo Donation for infertile couples, and 54% agreed it should be publicly funded. The majority (88%) agreed the child should have the right to know the donors’ identity. Respondents did not believe that children conceived through Embryo Donation are as healthy as other children (50%), citing the risks of poor mental health (17%) and social stigmatization (18%). Approximately half reported low confidence in their own knowledge of Embryo Donation (47%) and wanted to know more (58%). These results indicate relatively large support among healthcare professionals in Sweden for the legalisation of Embryo Donation. In order to provide adequate healthcare to families following Embryo Donation, there is a need to develop educational resources to increase knowledge about the medical and psychosocial consequences of Embryo Donation among healthcare professionals working in primary healthcare.

  • Attitudes toward Embryo Donation among staff at in vitro fertilization clinics
    Acta obstetricia et gynecologica Scandinavica, 2014
    Co-Authors: Kjell Wånggren, Mario Baban, Agneta Skoog Svanberg
    Abstract:

    Objective To examine attitudes towards Embryo Donation among staff at in vitro fertilization clinics in Sweden. Design Descriptive questionnaire study. Setting University-based in vitro fertilization clinic. Sample Study participants were the staff at all in vitro fertilization clinics in Sweden. Methods A questionnaire with questions regarding different aspects of Embryo Donation was sent to the 338 healthcare professionals working at Swedish in vitro fertilization clinics. Main outcome measures Attitudes towards Embryo Donation. Results A total of 207 persons (61%) responded to the questionnaire. A majority of the respondents (77%) considered that Embryo Donation to infertile couples should be permitted in Sweden. Most respondents (76%), and especially the men (96%), stated that it should be possible to donate surplus Embryos for research. Forty-two percent of the respondents agreed with Embryo Donation to single women. A majority of respondents stated that special requirements with regard to the recipient's age, medical condition and criminal background should potentially be considered. The women stated that there should be special demands made concerning recipients' tobacco (48%) and alcohol abuse (92%). A majority considered that donors should be anonymous to the recipients (66%), but not to the child (9%). Conclusions Swedish in vitro fertilization staff have positive attitudes concerning Embryo Donation to infertile couples and also the use of surplus Embryos for research.

  • Attitudes towards Embryo Donation in Swedish women and men of reproductive age
    Upsala journal of medical sciences, 2013
    Co-Authors: Kjell Wånggren, Frida Prag, Agneta Skoog Svanberg
    Abstract:

    Abstract Background. When performing in-vitro fertilization (IVF), more Embryos than needed are often derived. These Embryos are usually frozen and stored, but as ruled by Swedish law they have to be discarded after 5 years. In other countries it is legal to donate the excess Embryos to other infertile couples who for different reasons cannot undergo the procedure of IVF. The aim of the present study was to investigate public opinion in Sweden regarding different aspects of Embryo Donation. Methods. A questionnaire regarding attitudes towards aspects of Embryo Donation was sent to a randomized sample of 1,000 Swedish women and men of reproductive age. Results. A total of 34% responded to the questionnaires. A majority of the respondents (73%) were positive towards Embryo Donation. Seventy-five per cent agreed that it should be possible to donate Embryos to infertile couples. Approximately half of the participants (49%) supported Embryo Donation to single women. A majority of the participants emphasized th...

  • Attitudes towards Embryo Donation among infertile couples having frozen Embryos
    2013
    Co-Authors: Kjell Wånggren, Agneta Skoog Svanberg
    Abstract:

    Background: IVF-treatment often results in surplus Embryos that can be cryo-preserved and used for later personal purposes. In Sweden these Embryos are allowed by law to be cryo-stored for five years and if not used when this time expire, the couples are left with the decision to discard or to donate them for medical research. The Swedish law does not approve Embryo Donation, but there are some other countries in Europe and in the world that does. In these countries the procedure is allowed in purpose to help infertile couple to have children where conventional adoption otherwise should be the only way. The purpose of this study was to investigate attitudes towards the Donation of surplus Embryos among couples with cryo preserved Embryos i.e. potential Embryo donors in Sweden. Methods: Semi-anonymous questionnaires were sent to 471 infertile couples from an official and a private clinic with stored Embryos for 2 or more years. Results: A total of fifty-eight per cent (544/942) responded to the questionnaires. A majority of the respondents, seventy-six percent (416/544) of the participants, supported the Donation of Embryos to other infertile couples, but divided opinions were identified regarding the disclosure of the biological parents’ identities. About sixty percent of the participants indicated that Donations of Embryos should be allowed for research and forty-five percent of the participants approved Donations of Embryos to single women. Conclusions: Embryo Donation, from a medical perspective, is a relatively simple procedure, where the difficulty lies mainly in its complexity in terms of legal, moral and ethical aspects. This study demonstrates that nearly three quarters of infertile couples with surplus Embryos are in favour of Embryo Donation. Some of these couples can be considered to be potential Embryo donors. A majority of respondents are also in favour of Embryos being donated for research. The result from the study indicates that cryopreserved Embryos are available for Donation to other infertile couples.

Mark V. Sauer - One of the best experts on this subject based on the ideXlab platform.

  • revisiting the early days of oocyte and Embryo Donation relevance to contemporary clinical practice
    Fertility and Sterility, 2018
    Co-Authors: Mark V. Sauer
    Abstract:

    Oocyte and Embryo Donation have evolved significantly since they were first introduced to treat human infertility nearly four decades ago. Social, ethical, and regulatory challenges to oocyte and Embryo Donation have generated controversy and invited public scrutiny. However, oocyte and Embryo Donation continued to provide physicians the opportunity to treat the "untreatable." Undoubtedly, clinical practices related to oocyte and Embryo Donation have greatly changed over the years. Yet, they have endured as viable choices of treatment for many patients and their physicians, remained popular owing to their versatility, and, perhaps most importantly, provided consistently high pregnancy success rates.

  • History of Oocyte and Embryo Donation
    Principles of Oocyte and Embryo Donation, 2013
    Co-Authors: Mark V. Sauer
    Abstract:

    Both oocyte and Embryo Donation will soon be celebrating thirtieth anniversaries as viable treatments for human infertility. This also means, of course, that the original children conceived as a result of these novel experiments are approaching middle age! It seems hard to believe that so much time has passed for those of us lucky enough to be a part of the early development of these methods, but soon, we will be entering the twilight of our own professional years. Humbly speaking on behalf of those who were truly the “pioneers” of this noteworthy medical achievement, I think it is important to point out that many aspects of modern assisted reproductive care were either directly or indirectly attributable to developments within the field of egg and Embryo Donation. To that end, I wish to reflect back on some of these noteworthy achievements and highlight the events that, in my opinion, were integral to the evolution of today’s modern practice.

  • principles of oocyte and Embryo Donation
    2012
    Co-Authors: Mark V. Sauer
    Abstract:

    Historical Evolution of Oocyte and Embryo Donation As a Treatment For Intractable Infertility.- Indications, Success Rates and Outcomes.- Selection and Screening of Potential Recipients.- Selection and Screening of Potential Donors.- Genetic Aspects of Donor Selection.- Endometrial Preparation.- Synchrozination of Donors and Recipients.- Obstetrical Considerations.- Complications.- Cost Effectiveness of Care.- Ultrasound's Role in Preparation and Surveillance.- Endometrial Dynamics Seen in Assisted Reproduction.- Psychological Aspects of Care.- Consents and Contracts.- Ethics.- Statutory and Case Law Governing Oocyte and Embryo Donation.- Treating Women of Advanced Age.- Alternative Planning.- Developments in Embryo and Oocyte Banking.- Gestational Surrogacy International Views and Practices.- Future Directions.- Oocyte Donation: Religious Perspectives.

  • oocyte and Embryo Donation 2006 reviewing two decades of innovation and controversy
    Reproductive Biomedicine Online, 2006
    Co-Authors: Mark V. Sauer, Suzanne Kavic
    Abstract:

    Abstract For over 21 years, oocyte and Embryo Donation have been used to treat infertility caused by a variety of conditions affecting the ovary. Many disorders, including premature ovarian failure, advanced reproductive age, unexplained recurrent implantation failure and inherited conditions, are amenable to gamete Donation, with high pregnancy rates and good obstetrical outcomes observed in recipients. Protocols for the medical screening of recipients and donors, as well as infectious disease and genetic testing, have become relatively uniform and well accepted. Established guidelines allow synchronization of the menstrual cycles of both women to ensure that Embryos are transferred to a receptive endometrium. The high demand for donor services has led to escalating costs and long waiting lists. American programmes bid against each other to secure the participation of young women often motivated as much by financial reward as altruism. In the United States, where the majority of oocyte Donation is practised, more than 100,000 treatment cycles have occurred. However, to date no meaningful longitudinal studies detailing the long term effects of treatment on donors, recipients, children born, or families created have been published. Throughout its history, oocyte and Embryo Donation has proven to be both efficacious and clinically innovative, yet remains highly controversial.

  • Embryo Donation: a programmed approach
    Fertility and sterility, 1999
    Co-Authors: Steven R. Lindheim, Mark V. Sauer
    Abstract:

    Abstract Objective: To describe the establishment of an Embryo Donation program using a large oocyte donor registry to produce Embryos. Design: Descriptive study. Setting: A university-based practice. Patient(s): Embryos were obtained either through traditional Donation from couples who underwent IVF-ET (n = 8) or through ovum Donation (n = 15) with Embryos produced by the program. In select cases, ovum donors were inseminated either with donor sperm selected following an advance directive from the patient or couple (n = 13) or with sperm designated by an IVF medical advisory board (n = 11). Intervention(s): Donated Embryos or donor oocyte/donor sperm Embryos were provided to patients with backgrounds and physical attributes compatible with the Embryonic phenotype. In some of the cycles, fresh ET was performed, with Embryos shared among two, three, or four couples (n = 18); in other cycles, Embryos were cryopreserved and transferred later (n = 21). Main Outcome Measure(s). Clinical and ongoing-delivered pregnancy rates. Result(s): The mean (±SD) numbers of Embryos for cycles in which fresh ET and frozen ET was performed were 3.1 ± 0.7 (range, 2–5) and 3.6 ± 0.2 (range, 3–5), respectively. The clinical and ongoing-delivered pregnancy rates were 44.4% (8/18) and 33.3% (6/18), respectively, for cycles in which fresh ET was performed and 57.1% (12/21) and 47.6% (10/21), respectively, for cycles in which frozen ET was performed. Conclusion(s): Embryo Donation is an alternative approach to assisted reproduction that meets the needs of single and lesbian women as well as older and less affluent couples. It is a cost-effective and efficacious means of achieving pregnancy.

Clare Bartholomaeus - One of the best experts on this subject based on the ideXlab platform.

  • Formal and informal support and counselling for Embryo Donation and receipt: An Australian qualitative study.
    Health & social care in the community, 2019
    Co-Authors: Damien W. Riggs, Clare Bartholomaeus
    Abstract:

    Despite growing numbers of people engaging in Embryo Donation for the purposes of family building, public access to information about the process may be limited. As such, support and counselling - both formal (i.e. through clinics) and informal (i.e. through online communities) - can play an important role in information provision. This article draws on a sub-sample of nine people from a qualitative study of Embryo Donation and receipt in Australia undertaken in 2017-2018. Themes developed suggest that formal support and counselling provided by clinics can be useful, though can require persistence to access and may not sufficiently address needs. In terms of informal support, themes developed suggest that sharing lived experiences in online communities can be important; however, there may also be challenges associated with differing viewpoints and threats to anonymity. The article concludes with a discussion of the ongoing importance of formal support and counselling while also suggesting that informal support is an avenue requiring further investigation.

  • Embryo Donation and receipt in Australia: views on the meanings of Embryos and kinship relations
    New Genetics and Society, 2018
    Co-Authors: Clare Bartholomaeus, Damien W. Riggs
    Abstract:

    Research on Embryo Donation and receipt continues to grow, highlighting how specific national contexts shape views and experiences. The present article reports on a qualitative study on Embryo dona...

Damien W. Riggs - One of the best experts on this subject based on the ideXlab platform.

  • Formal and informal support and counselling for Embryo Donation and receipt: An Australian qualitative study.
    Health & social care in the community, 2019
    Co-Authors: Damien W. Riggs, Clare Bartholomaeus
    Abstract:

    Despite growing numbers of people engaging in Embryo Donation for the purposes of family building, public access to information about the process may be limited. As such, support and counselling - both formal (i.e. through clinics) and informal (i.e. through online communities) - can play an important role in information provision. This article draws on a sub-sample of nine people from a qualitative study of Embryo Donation and receipt in Australia undertaken in 2017-2018. Themes developed suggest that formal support and counselling provided by clinics can be useful, though can require persistence to access and may not sufficiently address needs. In terms of informal support, themes developed suggest that sharing lived experiences in online communities can be important; however, there may also be challenges associated with differing viewpoints and threats to anonymity. The article concludes with a discussion of the ongoing importance of formal support and counselling while also suggesting that informal support is an avenue requiring further investigation.

  • Embryo Donation and receipt in Australia: views on the meanings of Embryos and kinship relations
    New Genetics and Society, 2018
    Co-Authors: Clare Bartholomaeus, Damien W. Riggs
    Abstract:

    Research on Embryo Donation and receipt continues to grow, highlighting how specific national contexts shape views and experiences. The present article reports on a qualitative study on Embryo dona...

Laura Machin - One of the best experts on this subject based on the ideXlab platform.