Donor-centred care: the facilitating and constraining factors experienced by gamete donors in a public bank

Samorinha, Catarina; Freitas, Cláudia de; Silva, Susana

doi:10.1080/14647273.2021.1962987

Cited by 4 publications

(10 citation statements)

References 42 publications

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“…Gamete and embryo donors should be considered as patients/clients by the fertility clinics [22]. Only when the programs see donors as patients/clients the needs and experiences of donors becomes a necessary component of care [22,23]. Gamete and embryo donors go through medical interventions such as physical or psychological screenings or blood tests, that can be challenging for them, also donors may experience adverse effects of donation process on their physical, mental or even social health [5,22,[24][25][26].…”

Section: Introductionmentioning

confidence: 99%

“…Gamete and embryo donors go through medical interventions such as physical or psychological screenings or blood tests, that can be challenging for them, also donors may experience adverse effects of donation process on their physical, mental or even social health [5,22,[24][25][26]. Based on the challenges of third-party reproduction and the possible adverse effects they can have on the health, well-being, and quality of life of donors [5,22,[24][25][26], it is important for healthcare providers to access well-structured, evidence-based guidelines to care for gamete and embryo donors' needs [4,23].…”

Section: Introductionmentioning

confidence: 99%

“…Although respected organizations in the eld of infertility treatment such as American Society for Reproductive Medicine (ASRM), European Society of Human Reproduction and Embryology (ESHRE), and Human Fertilization and Embryology Authority (HFEA) have published guidelines regarding third party reproduction including care provided for donors [27][28][29][30][31], various studies from different countries have reported that gamete and embryo donors' needs and desires have not been met. These studies suggest that at least some donors are receiving insu cient information about practical issues and future consequences of their donation; also, they do not receive proper counseling as needed before, during and/or after donation, or receive no/limited support [12,22,23,32,33].…”

Section: Introductionmentioning

confidence: 99%

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A Systematic Review of Assisted and Third-Party Reproduction Guidelines Regarding Management of Donors

Iranifard,

Zagami,

Amirian

et al. 2024

Preprint

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Background: Gamete and embryo donors face complex challenges affecting their health and quality of life. Healthcare providers need to access well-structured, evidence-based, and needs-based guidance to care for gamete and embryo donors. Therefore, this systematic review aimed to synthesize current assisted and third-party reproduction guidelines regarding management of donors. Methods: The databases of ISI, PubMed, and Scopus and websites of organizations related to the assisted reproduction were searched using the keywords of "third party reproduction", "gamete donation", "embryo donation", "guidelines", "committee opinion", and "best practice", without time limit up to July 2023. All the clinical or ethical guidelines and best practice statements regarding management for gamete and embryo donors, written in the English language were included in the study. Quality assessment was carried using AGREE II tool. Included documents were reviewed and extracted data were qualitatively synthesized. Results: In this systematic review 14 related documents were reviewed of which eight were guidelines, three were practice codes and three were committee opinions. Five documents were developed in the United States, three in Canada, two in the United Kingdom, one in Australia, and one in Australia and New Zealand. Also, two guidelines developed by the European Society of Human Reproduction and Embryology were found. Management provided for donors were classified into four categories including screening, counseling, information provision, and ethical considerations. Conclusion: In order to inform current practices by developing evidence-based guidelines, it is needed to conduct robust and well-designed research studies to fill the knowledge gap about gamete and embryo donors' needs, psychosocial and long-term effects of donation on donors, their follow-up cares, and ethical aspects of donation.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Systematic Review of Assisted and Third-Party Reproduction Guidelines Regarding Management of Donors

Iranifard,

Zagami,

Amirian

et al. 2024

Preprint

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“…Gamete or embryo donation can also have adverse effects on the health and well-being of donors. Physical side effects related to the ovarian stimulation, psychological stress as a result of feeling responsibility and attachment to the donor-convinced child, fear of the revelation of identity, regretting the donation decision, and social burdens like stigma related to the gamete and sperm donation are among some of the psycho-social concerns of third-party reproduction, that could affect the health and well-being of donors [6,7,9,[13][14][15][16][17]. Therefore, it is important to understand the needs of gamete and embryo donors to prepare them for the donation process and its possible side effects.…”

Section: Introductionmentioning

confidence: 99%

“…Gamete and embryo donors should be considered as patients/clients by the fertility clinics [25]. Only when the programs see donors as patients/clients the needs and experiences of donors becomes a necessary component of care [25,26]. Gamete and embryo donors go through medical interventions such as physical or psychological screenings or blood tests, that can be challenging for them; also donors may experience adverse effects of donation process on their physical, mental or even social health [5,25,[27][28][29].…”

Section: Introductionmentioning

confidence: 99%

A systematic review of assisted and third-party reproduction guidelines regarding management and care of donors

Iranifard,

Ebrahimzadeh Zagami,

Amirian

et al. 2024

Reprod Health

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Background Gamete and embryo donors face complex challenges affecting their health and quality of life. Healthcare providers need access to well-structured, evidence-based, and needs-based guidance to care for gamete and embryo donors. Therefore, this systematic review aimed to synthesize current assisted and third-party reproduction guidelines regarding management and care of donors. Methods The databases of ISI, PubMed, Scopus, and websites of organizations related to the assisted reproduction were searched using the keywords of “third party reproduction”, “gamete donation”, “embryo donation”, “guidelines”, “committee opinion”, and “best practice”, without time limit up to July 2023. All the clinical or ethical guidelines and best practice statements regarding management and care for gamete and embryo donors written in the English language were included in the study. Quality assessment was carried using AGREE II tool. Included documents were reviewed and extracted data were narratively synthesized. Results In this systematic review 14 related documents were reviewed of which eight were guidelines, three were practice codes and three were committee opinions. Five documents were developed in the United States, three in Canada, two in the United Kingdom, one in Australia, and one in Australia and New Zealand. Also, two guidelines developed by the European Society of Human Reproduction and Embryology were found. Management and care provided for donors were classified into four categories including screening, counseling, information provision, and ethical considerations. Conclusion While the current guidelines include some recommendations regarding the management and care of gamete/embryo donors in screening, counseling, information provision, and ethical considerations, nevertheless some shortcomings need to be addressed including donors’ psychosocial needs, long-term effects of donation, donors’ follow-up cares, and legal and human rights aspects of donation. Therefore, it is needed to conduct robust and well-designed research studies to fill the knowledge gap about gamete and embryo donors’ needs, to inform current practices by developing evidence-based guidelines.

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Reproductive Donors’ Needs and Preferences in the Process of Embryo and Gamete Donation: A Mixed-methods Systematic Review of the Current Evidence

Iranifard,

Roudsari,

Amirian

et al. 2024

Preprint

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Background Reproductive donation is a challenging task, in which donors’ needs are sometimes neglected. To provide reproductive donors with a well-structured, evidence-based and donor-centered care, it is important to acknowledge their needs. This study aimed to synthesize current evidence regarding donors’ needs and preferences. Methods This mixed-methods systematic review (MMSR) was conducted based on the recommended approach for MMSR by the Joanna Briggs Institute’s manual for data synthesis. The databases of ISI, PubMed, and Scopus were searched using the keywords of "egg donor", "sperm donor", "ovum donor", "gamete donor", "embryo donor", desire, expectation, preference, and need; without a time limit, up to September 2024. All the original research articles regarding reproductive donors’ needs, written in the English language were included in the study. Quality assessment was carried out using JBI tools for cross-sectional, cohort and qualitative studies. Data was integrated and synthesized by convergent integrated approach. Results Through data synthesis of 34 eligible articles, seven categories of reproductive donors’ needs emerged. These categories included 1) Need for support, 2) Informational needs, 3) Need for counseling, 4) Requirements for financial policies, 5) Preference towards recognition of donors’ rights, 6) Need for preserving donors’ dignity and respect, and 7) Desire for improvement of socio-cultural beliefs and public stigma of reproductive donation. Conclusion Various reproductive donors’ needs are not completely met by the current care provided by fertility clinics. Healthcare policymakers and fertility clinics must consider donors’ needs and preferences in policymaking and/or clinical practice to provide the service that donors deserve. Registration: The protocol of this systematic review is registered in PROSPERO (CRD42024588821).

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Donor-centred care: the facilitating and constraining factors experienced by gamete donors in a public bank

Cited by 4 publications

References 42 publications

A Systematic Review of Assisted and Third-Party Reproduction Guidelines Regarding Management of Donors

A Systematic Review of Assisted and Third-Party Reproduction Guidelines Regarding Management of Donors

A systematic review of assisted and third-party reproduction guidelines regarding management and care of donors

Reproductive Donors’ Needs and Preferences in the Process of Embryo and Gamete Donation: A Mixed-methods Systematic Review of the Current Evidence

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