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Patients' conceptualization of cryopreserved embryos used in their fertility treatment

Veerle Provoost (UGent) , Guido Pennings (UGent) , Petra De Sutter (UGent) , Jan Gerris (UGent) , Anneleen Van De Velde (UGent) and Marc Dhont (UGent)
(2010) HUMAN REPRODUCTION. 25(3). p.705-713
Author
Organization
Abstract
background: Although IVF treatments using cryopreserved embryos are offered by most infertility centres, little is known about patients’ opinions regarding treatment using these embryos. The objective of this study is to describe how patients think about (treatment with) cryopreserved embryos. methods: In-depth interviews based on the method of interpretative phenomenological analysis were conducted with patients undergoing IVF/ICSI treatment at the Department of Reproductive Medicine of the Ghent University Hospital between May and July 2006. Seven couples (one couple considered as one participant) and 11 female patients who attended the clinic without their partner were interviewed. results: Most participants knew little about medical-technical procedures involved in treatment with cryopreserved embryos. This was compensated by a high confidence in the medical team. However, seven of the eighteen participants thought the quality of cryopreserved embryos diminished during the storage period. A lack of knowledge about medical-technical procedures was compensated by metaphors related to other domains of experience, especially kitchen metaphors: this might add to the belief that frozen embryos have an expiry date. However, none of the patients who considered treatment with cryopreserved embryos as less effective ever thought of refusing this type of treatment or discussed this with medical staff. In addition, patients rarely discussed the moral status of their cryopreserved embryos. conclusions: The beliefs of infertile patients about (the effectiveness of treatment with) cryopreserved embryos encompass misconceptions, and doubts and fears which may influence their decision-making but which are seldom discussed with the medical staff.
Keywords
CHILDREN, IDENTITY, INFERTILITY, DISPOSITION, INTERPRETATIVE PHENOMENOLOGICAL ANALYSIS, IN-VITRO FERTILIZATION, CUMULATIVE PREGNANCY RATES, FROZEN EMBRYOS, ATTITUDES, EXPERIENCE

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Citation

Please use this url to cite or link to this publication:

MLA
Provoost, Veerle et al. “Patients’ Conceptualization of Cryopreserved Embryos Used in Their Fertility Treatment.” HUMAN REPRODUCTION 25.3 (2010): 705–713. Print.
APA
Provoost, V., Pennings, G., De Sutter, P., Gerris, J., Van De Velde, A., & Dhont, M. (2010). Patients’ conceptualization of cryopreserved embryos used in their fertility treatment. HUMAN REPRODUCTION, 25(3), 705–713.
Chicago author-date
Provoost, Veerle, Guido Pennings, Petra De Sutter, Jan Gerris, Anneleen Van De Velde, and Marc Dhont. 2010. “Patients’ Conceptualization of Cryopreserved Embryos Used in Their Fertility Treatment.” Human Reproduction 25 (3): 705–713.
Chicago author-date (all authors)
Provoost, Veerle, Guido Pennings, Petra De Sutter, Jan Gerris, Anneleen Van De Velde, and Marc Dhont. 2010. “Patients’ Conceptualization of Cryopreserved Embryos Used in Their Fertility Treatment.” Human Reproduction 25 (3): 705–713.
Vancouver
1.
Provoost V, Pennings G, De Sutter P, Gerris J, Van De Velde A, Dhont M. Patients’ conceptualization of cryopreserved embryos used in their fertility treatment. HUMAN REPRODUCTION. OXFORD: Oxford University Press; 2010;25(3):705–13.
IEEE
[1]
V. Provoost, G. Pennings, P. De Sutter, J. Gerris, A. Van De Velde, and M. Dhont, “Patients’ conceptualization of cryopreserved embryos used in their fertility treatment,” HUMAN REPRODUCTION, vol. 25, no. 3, pp. 705–713, 2010.
@article{898035,
  abstract     = {background: Although IVF treatments using cryopreserved embryos are offered by most infertility centres, little is known about
patients’ opinions regarding treatment using these embryos. The objective of this study is to describe how patients think about (treatment
with) cryopreserved embryos.
methods: In-depth interviews based on the method of interpretative phenomenological analysis were conducted with patients undergoing
IVF/ICSI treatment at the Department of Reproductive Medicine of the Ghent University Hospital between May and July 2006. Seven
couples (one couple considered as one participant) and 11 female patients who attended the clinic without their partner were interviewed.
results: Most participants knew little about medical-technical procedures involved in treatment with cryopreserved embryos. This was
compensated by a high confidence in the medical team. However, seven of the eighteen participants thought the quality of cryopreserved
embryos diminished during the storage period. A lack of knowledge about medical-technical procedures was compensated by metaphors
related to other domains of experience, especially kitchen metaphors: this might add to the belief that frozen embryos have an expiry date.
However, none of the patients who considered treatment with cryopreserved embryos as less effective ever thought of refusing this type
of treatment or discussed this with medical staff. In addition, patients rarely discussed the moral status of their cryopreserved embryos.
conclusions: The beliefs of infertile patients about (the effectiveness of treatment with) cryopreserved embryos encompass misconceptions,
and doubts and fears which may influence their decision-making but which are seldom discussed with the medical staff.},
  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},
  keywords     = {CHILDREN,IDENTITY,INFERTILITY,DISPOSITION,INTERPRETATIVE PHENOMENOLOGICAL ANALYSIS,IN-VITRO FERTILIZATION,CUMULATIVE PREGNANCY RATES,FROZEN EMBRYOS,ATTITUDES,EXPERIENCE},
  language     = {eng},
  number       = {3},
  pages        = {705--713},
  publisher    = {Oxford University Press},
  title        = {Patients' conceptualization of cryopreserved embryos used in their fertility treatment},
  url          = {http://dx.doi.org/10.1093/humrep/dep387},
  volume       = {25},
  year         = {2010},
}

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