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Assisted reproduction: what factors interfere in the professional's decisions? Are single women an issue?

With the development of medical technology, many countries around the world have been implementing ethical guidelines and laws regarding Medically Assisted Reproduction (MAR). A physician's reproductive decisions are not solely based on technical criteria but are also influenced by society valu...

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Published in:BMC women's health 2011-05, Vol.11 (1), p.21-21, Article 21
Main Authors: Záchia, Suzana, Knauth, Daniela, Goldim, José R, Chachamovich, Juliana R, Chachamovich, Eduardo, Paz, Ana H, Felberbaum, Ricardo, Crosignani, PierGiorgio, Tarlatzis, Basil C, Passos, Eduardo P
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creator Záchia, Suzana
Knauth, Daniela
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description With the development of medical technology, many countries around the world have been implementing ethical guidelines and laws regarding Medically Assisted Reproduction (MAR). A physician's reproductive decisions are not solely based on technical criteria but are also influenced by society values. Therefore, the aim of this study was to analyze the factors prioritized by MAR professionals when deciding on whether to accept to perform assisted reproduction and to show any existing cultural differences. Cross-sectional study involving 224 healthcare professionals working with assisted reproduction in Brazil, Italy, Germany and Greece. Instrument used for data collection: a questionnaire, followed by the description of four special MAR cases (a single woman, a lesbian couple, an HIV discordant couple and gender selection) which included case-specific questions regarding the professionals' decision on whether to perform the requested procedure as well as the following factors: socio-demographic variables, moral and legal values as well as the technical aspects which influence decision-making. Only the case involving a single woman who wishes to have a child (without the intention of having a partner in the future) demonstrated significant differences. Therefore, the study was driven towards the results of this case specifically. The analyses we performed demonstrated that professionals holding a Master's Degree, those younger in age, female professionals, those having worked for less time in reproduction, those in private clinics and Brazilian health professionals all had a greater tendency to perform the procedure in that case. A multivariate analysis demonstrated that the reasons for the professional's decision to perform the procedure were the woman's right to gestate and the duty of MAR professionals to help her. The professionals who decided not to perform the procedure identified the woman's marital status and the child's right to a father as the reason to withhold treatment. The study indicates differences among countries in the evaluation of the single woman case. It also discloses the undervaluation of bioethics committees and the need for a greater participation of healthcare professionals in debates on assisted reproduction laws.
doi_str_mv 10.1186/1472-6874-11-21
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subjects Adult
Analysis
Attitude of Health Personnel
Biology - ethics
Brazil
Cross-Cultural Comparison
Cross-Sectional Studies
Decision Making - ethics
Decision-making
Female
Gay couples
Germany
Greece
Health aspects
HIV Seronegativity
HIV Seropositivity
Homosexuality, Female
Humans
Italy
Male
Medical personnel
Middle Aged
Physicians - ethics
Practice
Reproductive Techniques, Assisted - ethics
Sex Preselection
Single Person
title Assisted reproduction: what factors interfere in the professional's decisions? Are single women an issue?
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