Consulting gamete and embryo donors and surrogate mothers: problems and their solution ways in world practice

DOI

https://dx.doi.org/10.18565/aig.2021.11.50-55

Bashmakova N.V., Polyakova I.G., Symaniuk E.E., Khramtsova A.Yu.
1) Ural Research Institute for Maternal and Infant Care, Ministry of Health of the Russian Federation, Yekaterinburg, Russia; 2) Ural Federal University named after the First President of Russia B.N. Yeltsin, Yekaterinburg, Russia

Today, reproductive donation is one of the successful methods to solve infertility problems and is frequently the only chance for many people to become parents. The assisted reproductive technology (ART) procedures have not only medical aspects; a special role in them is played by both the mental state of all participants and their awareness about the social and legal consequences of ART. This paper analyzes the world practice of consulting reproductive donors. The authors consider how the need for advice given to donors is legislatively regulated or recommended in the documents of the responsible organizations, as well as how the goals and scope of consulting services are defined. Reproductive donor counseling varies from country to country and according to the reproductive material. But there are general trends. Most of the consultations with donors discuss their motives, the consequences of donation, both physical and psychological ones, future expectations, and legal issues, which is extremely important for signing their informed consents. Particular attention is paid to the consequences of donation for the current or future family of the donor, discussion of expectations and requirements for the exchange of information between all the parties concerned.
Conclusion: Timely information, legal, and psychological consultations to donors are a guarantee of their conscious signing of informed consent form and can dismantle many problems before donation. The favorable prognostic factors for effective ART are a conscious decision to become a reproductive donor, a high level of motivation, a willingness to cooperate with a physician and a recipient, and the stable mental state supported by a psychologist throughout the entire process.

infertility

donation

assisted reproductive technologies (ART)

donor counseling

reproductive donation

Full text (in Russian)

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Received 08.06.2021

Accepted 09.07.2021

Nadezda V. Bashmakova, Dr. Med. Sci., Professor, Superintendent in Obstetrics and Gynecology at the Ural Federal District, Director of the Center for Assisted Reproductive Technologies, Chief Researcher, Ural Research Institute of Maternity and Child Care, Ministry of Health of Russia, bashmakovanv@niiomm.ru,
http://orcid.org/0000-0001-5746-316X, 620028, Russia, Yekaterinburg, Repin str., 1.
Irina G. Polyakova, researcher, Ural Center for Advanced Studies, Ural Federal University, irinapolykova@yandex.ru, http://orcid.org/0000-0002-9619-2152,
620002, Russia, Yekaterinburg, Mira Ave., 19.
Elvira E. Symaniuk, Dr. Sci. (Psychology), Professor, Head of the Department of Psychology, Ural Federal University, e.e.symaniuk@urfu.ru,
http://orcid.org/0000-0002-7591-7230, 620002, Russia, Yekaterinburg, Mira Ave., 19.
Aleksandra Yu. Khramtsova, obstetrician-gynecologist, Junior Researcher, Ural Research Institute of Maternity and Child Care, Ministry of Health of Russia,
aleksaxr@mail.ru, https://orcid.org/0000-0002-4304-3516, 620028, Russia, Yekaterinburg, Repina str., 1.
Corresponding author: Irina G. Polyakova, irinapolykova@yandex.ru

Authors’ contributions: Bashmakova N.V., Symaniuk E.E. – concept and design of the investigation; Polyakova I.G., Khramtsova A.Yu. – material collection and processing; Polyakova I.G. – writing the text.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: The investigation has not been sponsored.
For citation: Bashmakova N.V., Polyakova I.G., Symaniuk E.E., Khramtsova A.Yu.
Consulting gamete and embryo donors and surrogate mothers:
problems and their solution ways in world practice.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 11: 50-55 (in Russian)
https://dx.doi.org/10.18565/aig.2021.11.50-55

Consulting gamete and embryo donors and surrogate mothers: problems and their solution ways in world practice

Bashmakova N.V., Polyakova I.G., Symaniuk E.E., Khramtsova A.Yu.

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