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To continue or discontinue storage of cryopreserved embryos?: patients' decisions in view of their child wish

Veerle Provoost UGent, Guido Pennings UGent, Petra De Sutter UGent, Jan Gerris UGent, ANNELEEN VAN DE VELDE UGent and MARC DHONT UGent (2011) HUMAN REPRODUCTION. 26(4). p.861-872
abstract
OBJECTIVE: Cryopreservation of supernumerary embryos resulting from IVF treatment offers extra chances to conceive. The objective of this study is to describe patients' decisions to continue or discontinue storage of their embryos after a minimum storage period of 2 years. METHODS: Female patients who had embryos stored at the Infertility Centre of the Ghent University Hospital (Belgium) were sent a mail questionnaire to be completed anonymously. RESULTS: The questionnaire had a response rate of 79% (326/412). After an embryo storage period of at least 2 years, 40% of the couples who were still together wished to continue storage of their embryos. Half of these had no concrete plans for a transfer and wanted to postpone the decision or keep all options open. For those who decided to discontinue storage (60%), the main reason was the completion of their families. Despite the fact that the patients' child wish was the main factor in their storage decision, two groups of patients with distinct profiles made decisions that were inconsistent with their child wish: those who wanted to continue storage while not wanting a(nother) child (7% of those with no child wish), and those who wanted a(nother) child but decided to discontinue storage (25% of those with a child wish). Overall, these patients more often expressed emotional difficulties regarding this decision. CONCLUSIONS: This study demonstrates the importance of gaining more insight into patients' embryo storage decisions (along with their embryo disposition decisions) and into the emotional factors playing a role in patients' decision-making.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
decision-making, embryo disposition, ethics, IVF, IN-VITRO FERTILIZATION, FROZEN EMBRYOS, COUPLES DECISIONS, SURPLUS EMBRYOS, ATTITUDES, DONATION, DISPOSITION, PREFERENCES, DONORS
journal title
HUMAN REPRODUCTION
Hum. Reprod.
volume
26
issue
4
pages
861 - 872
Web of Science type
Article
Web of Science id
000288552200017
JCR category
OBSTETRICS & GYNECOLOGY
JCR impact factor
4.475 (2011)
JCR rank
3/78 (2011)
JCR quartile
1 (2011)
ISSN
0268-1161
DOI
10.1093/humrep/deq392
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1229033
handle
http://hdl.handle.net/1854/LU-1229033
date created
2011-05-22 20:00:34
date last changed
2015-06-17 09:34:57
@article{1229033,
  abstract     = {OBJECTIVE: Cryopreservation of supernumerary embryos resulting from IVF treatment offers extra chances to conceive. The objective of this study is to describe patients' decisions to continue or discontinue storage of their embryos after a minimum storage period of 2 years.
METHODS: Female patients who had embryos stored at the Infertility Centre of the Ghent University Hospital (Belgium) were sent a mail questionnaire to be completed anonymously.
RESULTS: The questionnaire had a response rate of 79\% (326/412). After an embryo storage period of at least 2 years, 40\% of the couples who were still together wished to continue storage of their embryos. Half of these had no concrete plans for a transfer and wanted to postpone the decision or keep all options open. For those who decided to discontinue storage (60\%), the main reason was the completion of their families. Despite the fact that the patients' child wish was the main factor in their storage decision, two groups of patients with distinct profiles made decisions that were inconsistent with their child wish: those who wanted to continue storage while not wanting a(nother) child (7\% of those with no child wish), and those who wanted a(nother) child but decided to discontinue storage (25\% of those with a child wish). Overall, these patients more often expressed emotional difficulties regarding this decision.
CONCLUSIONS: This study demonstrates the importance of gaining more insight into patients' embryo storage decisions (along with their embryo disposition decisions) and into the emotional factors playing a role in patients' decision-making.},
  author       = {Provoost, Veerle and Pennings, Guido and De Sutter, Petra and Gerris, Jan and VAN DE VELDE, ANNELEEN and DHONT, MARC},
  issn         = {0268-1161},
  journal      = {HUMAN REPRODUCTION},
  keyword      = {decision-making,embryo disposition,ethics,IVF,IN-VITRO FERTILIZATION,FROZEN EMBRYOS,COUPLES DECISIONS,SURPLUS EMBRYOS,ATTITUDES,DONATION,DISPOSITION,PREFERENCES,DONORS},
  language     = {eng},
  number       = {4},
  pages        = {861--872},
  title        = {To continue or discontinue storage of cryopreserved embryos?: patients' decisions in view of their child wish},
  url          = {http://dx.doi.org/10.1093/humrep/deq392},
  volume       = {26},
  year         = {2011},
}

Chicago
Provoost, Veerle, Guido Pennings, Petra De Sutter, Jan Gerris, ANNELEEN VAN DE VELDE, and MARC DHONT. 2011. “To Continue or Discontinue Storage of Cryopreserved Embryos?: Patients’ Decisions in View of Their Child Wish.” Human Reproduction 26 (4): 861–872.
APA
Provoost, Veerle, Pennings, G., De Sutter, P., Gerris, J., VAN DE VELDE, A., & DHONT, M. (2011). To continue or discontinue storage of cryopreserved embryos?: patients’ decisions in view of their child wish. HUMAN REPRODUCTION, 26(4), 861–872.
Vancouver
1.
Provoost V, Pennings G, De Sutter P, Gerris J, VAN DE VELDE A, DHONT M. To continue or discontinue storage of cryopreserved embryos?: patients’ decisions in view of their child wish. HUMAN REPRODUCTION. 2011;26(4):861–72.
MLA
Provoost, Veerle, Guido Pennings, Petra De Sutter, et al. “To Continue or Discontinue Storage of Cryopreserved Embryos?: Patients’ Decisions in View of Their Child Wish.” HUMAN REPRODUCTION 26.4 (2011): 861–872. Print.