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Exploring women's attitudes, knowledge, and intentions to use oocyte freezing for non-medical reasons: A systematic review.

探索女性出于非医学原因使用卵母细胞冷冻的态度、知识和意图: 系统综述。

  • 影响因子:2.21
  • DOI:10.1111/aogs.14030
  • 作者列表:"Platts S","Trigg B","Bracewell-Milnes T","Jones BP","Saso S","Parikh J","Nicopoullos J","Almeida P","Norman-Taylor J","Nikolaou D","Johnson M","Thum MY
  • 发表时间:2021-03-01
Abstract

INTRODUCTION:Women are postponing childbearing and preventing age-related fertility decline with oocyte freezing for non-medical reasons (OFNMR). The objective of this systematic evaluation was to gain an understanding of women's attitudes and knowledge of, and intentions to use OFNMR among users of OFNMR and the general public. MATERIAL AND METHODS:A systematic search of MEDLINE, EMBASE, and PyschINFO databases was undertaken, for studies that examined the psychosocial attitudes among women toward OFNMR. The search was limited to English language and no time restriction was set for publications. Extracted data were analyzed using thematic analysis and the study was performed according to PRISMA guidelines with prospective PROSPERO registration (CRD4201912578). RESULTS:Overall, 35 studies met the inclusion criteria. Studies were broadly categorized into studies investigating users or potential users of OFNMR, and studies examining the views of members of the general public. Users of OFNMR have good knowledge of age-related fertility decline and awareness of the OFNMR procedure. Lack of partner was identified as the most common motivating factor to undertake OFNMR, with cost as a predominant concern. Knowledge among the general public of OFNMR is highly variable. Underestimation of age-related fertility decline is common among the general public. Intentions of women to use OFNMR also varied drastically between studies. CONCLUSIONS:Women are predominantly motivated to freeze eggs by the lack of a suitable partner, but cost is a significant barrier. Increasing the number of women pursuing OFNMR at an earlier stage may positively impact upon the risk of future involuntary childlessness. Better information should be made available to both women and men about their fertility and options to inform their reproductive decision-making.

摘要

引言: 由于非医学原因冷冻卵母细胞 (OFNMR),女性正在推迟生育并防止与年龄相关的生育力下降。这项系统评估的目的是了解女性对核磁共振的态度和知识,以及在核磁共振用户和公众中使用核磁共振的意图。 材料和方法: 对MEDLINE、EMBASE和PyschINFO数据库进行系统检索,以研究女性对OFNMR的社会心理态度。搜索仅限于英语,对出版物没有时间限制。使用主题分析分析提取的数据,并根据PRISMA指南和前瞻性PROSPERO注册 (CRD4201912578) 进行研究。 结果: 共有35项研究符合纳入标准。研究大致分为调查nmr用户或潜在用户的研究,以及调查公众意见的研究。OFNMR的用户对年龄相关的生育力下降和OFNMR程序的认识有很好的了解。缺乏伙伴被认为是最常见的激励因素进行核磁共振,成本是主要的问题。普通公众对OFNMR的了解是高度可变的。对与年龄相关的生育率下降的低估在一般公众中很常见。女性使用核磁共振的意图在不同研究之间也有很大差异。 结论: 由于缺乏合适的伴侣,女性主要是出于冷冻卵子的动机,但成本是一个重要的障碍。在早期阶段增加追求核磁共振的女性数量可能会对未来非自愿无子女的风险产生积极影响。应向妇女和男子提供关于其生育能力的更好信息,以及为其生殖决策提供信息的选择。

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