Luisa Baron | Médica psiquiatra especialista en Fertilidad

Psychological aspects of single woman choosing di sperm bank before, during and after procedure

I. AIM:
l.To perform a psychological follow-up in order to assess
a. the main emotional features single women went through before, while, and after undergoing D.I. through sperm bank.
b. the reasons for choosing this type of motherhood
c. their state of relationship throughout five years before treatment.
d. the need for routine psychological support as well as the most appropriate medical approach.
2.To perform a psychological follow-up in mothers and children.
3.To analyze the medical team’s feelings towards the procedure.
II. MATERIAL
The fírst 50 patients who entered the single woman/sperm bank psychological follow-up of 1MPSI foundation fromMarch 1997 to June 2000. (Patients carne from different infertility clinics in Argentina). 6 children born under this program,5 accepted the follow-up.
III. METHOD
1 .Medical data was collected from medical records 2.Semi-structured psychological interviews conducted by a specialized psychiatrist before, during, and after D.I. S.Specially designed questionnaires 4.1n cases resulting in pregnancy, interviews every 3 months after delivery. S.Mother-child direct joint psych. interviews every 3 months after delivery. Every ómonths from lyr.old on ó.Anonymous questionnaires for doctors
IV. RESULTS
1 .Throughout 5 yrs. before treatment 30% were divorced; 3.33%were widows; 20%were involved with married men who wouldn t divorce; 3.33% became involved with someone during the treatment; 36.66% separated from a significant partner; 6.66% had no important relationships.
1. Reasons for resorting to D.I. through sperm bank 100% stated their biological clock as being the main reason behind having chosen it as a method; 70% preferred not to lie to occasional partners; 78% preferred not to forcé someone into fatherhood;48% feared diseases (trusted the sperm bank) 100%would have preferred to conceive with a partner
2. Fantasies about having a partner in the fiíture 94% acknowledged these fantasies, wished for a partner and a father for the child 6% did not consider a partner imperative.
3. Secrecy vs. disclosure 50 feared telling everybody their decisión to go under treatment;27 told mothers/relatives; 38 told sisters; 45 told friends ;0 told co-workers/acquaintances ; 2 told no one S.When treatment resulted in pregnancy:
First trimester: Fear of child reproaching absence of father. Concerns about what they would tell others as pregnancy matures Second trimester: Concerns about financial problems once they have the baby. Worries about who will help them take care of the baby. Third trimester: they began to wonder how they would explain to the child how he or she was conceived. Fears of being judged by society . At delivery: in this group patients all felt supported by friends /family.
Child ren,s follow-up The 5 children went through the expected evolutivo stages. Normal mother-child bond.
Medical point of view. medical team s feelings: equal degree of sympathy towards the patient s choice regardless of doctor,s gender. questions about ethical/social issues. Greater need for an opinión based on psychological reference as well as interdisciplinary discussions before decisión making than in other procedures. uneasyness about disclosure too.
CONCLUSION: Despite the secrecy that the procedure involves, patients and children who underwent routine psychological support and a multidisciplinary treatment presented no pathology. Further research is needed.

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