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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 |
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creator | 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 |
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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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.</description><identifier>ISSN: 1472-6874</identifier><identifier>EISSN: 1472-6874</identifier><identifier>DOI: 10.1186/1472-6874-11-21</identifier><identifier>PMID: 21627812</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>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</subject><ispartof>BMC women's health, 2011-05, Vol.11 (1), p.21-21, Article 21</ispartof><rights>COPYRIGHT 2011 BioMed Central Ltd.</rights><rights>Copyright ©2011 Záchia et al; licensee BioMed Central Ltd. 2011 Záchia et al; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b584t-f256b71a241838af75fcaea52c6d6525eafc2d7cb53e568cce468f05b444aa623</citedby><cites>FETCH-LOGICAL-b584t-f256b71a241838af75fcaea52c6d6525eafc2d7cb53e568cce468f05b444aa623</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3125239/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3125239/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,36992,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21627812$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Záchia, Suzana</creatorcontrib><creatorcontrib>Knauth, Daniela</creatorcontrib><creatorcontrib>Goldim, José R</creatorcontrib><creatorcontrib>Chachamovich, Juliana R</creatorcontrib><creatorcontrib>Chachamovich, Eduardo</creatorcontrib><creatorcontrib>Paz, Ana H</creatorcontrib><creatorcontrib>Felberbaum, Ricardo</creatorcontrib><creatorcontrib>Crosignani, PierGiorgio</creatorcontrib><creatorcontrib>Tarlatzis, Basil C</creatorcontrib><creatorcontrib>Passos, Eduardo P</creatorcontrib><title>Assisted reproduction: what factors interfere in the professional's decisions? Are single women an issue?</title><title>BMC women's health</title><addtitle>BMC Womens Health</addtitle><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.</description><subject>Adult</subject><subject>Analysis</subject><subject>Attitude of Health Personnel</subject><subject>Biology - ethics</subject><subject>Brazil</subject><subject>Cross-Cultural Comparison</subject><subject>Cross-Sectional Studies</subject><subject>Decision Making - ethics</subject><subject>Decision-making</subject><subject>Female</subject><subject>Gay couples</subject><subject>Germany</subject><subject>Greece</subject><subject>Health aspects</subject><subject>HIV Seronegativity</subject><subject>HIV Seropositivity</subject><subject>Homosexuality, Female</subject><subject>Humans</subject><subject>Italy</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Middle Aged</subject><subject>Physicians - ethics</subject><subject>Practice</subject><subject>Reproductive Techniques, Assisted - ethics</subject><subject>Sex Preselection</subject><subject>Single Person</subject><issn>1472-6874</issn><issn>1472-6874</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp1ksFu1DAQhiMEoqVw5oYscegpbezYjsOBaqkoVKrEBc7WxBnvukrsxc624u1xSLvqSkU-eDz-5_OMZ4riPa3OKFXynPKGlVI1vKS0ZPRFcbz3vHxiHxVvUrqtKtoo0bwujhiVrFGUHRdulZJLE_Yk4jaGfmcmF_wncr-BiVgwU4iJOD9htBgxW2TaIMlKizkweBhOE-nRuPmQLsgqi5Lz6wHJfRjRE_DEpbTDi7fFKwtDwncP-0nx6-rrz8vv5c2Pb9eXq5uyE4pPpWVCdg0FxqmqFdhGWAMIghnZS8EEgjWsb0wnahRSGYNcKluJjnMOIFl9Ulwv3D7Ard5GN0L8owM4_c8R4lpDnJwZULf5pVa0EoEjrwSH2ipla2S25VUtVGZ9XljbXTdib9BPEYYD6OGNdxu9Dne6pkywus2ALwugc-E_gMMbE0Y9t03PbdOUakYz5PQhixh-7zBNenTJ4DCAx7BLOitZq4Saa_-4KNeQy3Pehgw1s1qvmKzyAKi6yqqzZ1R59Tg6Ezxal_0HAedLgIkhpYh2XwCt9DyHz6T84enH7fWPg1f_Bd8d2UI</recordid><startdate>20110531</startdate><enddate>20110531</enddate><creator>Záchia, Suzana</creator><creator>Knauth, Daniela</creator><creator>Goldim, José R</creator><creator>Chachamovich, Juliana R</creator><creator>Chachamovich, Eduardo</creator><creator>Paz, Ana H</creator><creator>Felberbaum, Ricardo</creator><creator>Crosignani, PierGiorgio</creator><creator>Tarlatzis, Basil C</creator><creator>Passos, Eduardo P</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20110531</creationdate><title>Assisted reproduction: what factors interfere in the professional's decisions? 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Are single women an issue?</atitle><jtitle>BMC women's health</jtitle><addtitle>BMC Womens Health</addtitle><date>2011-05-31</date><risdate>2011</risdate><volume>11</volume><issue>1</issue><spage>21</spage><epage>21</epage><pages>21-21</pages><artnum>21</artnum><issn>1472-6874</issn><eissn>1472-6874</eissn><abstract>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.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>21627812</pmid><doi>10.1186/1472-6874-11-21</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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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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