Oocyte donation disclosure decisions

a longitudinal follow-up at middle childhood *

Patricia E. Hershberger, Martha Driessnack, Karen Kavanaugh, Susan C. Klock

Research output: Contribution to journalArticle

Abstract

Few studies have captured oocyte donation (OD) parents’ decision processes about intended and actual disclosure over time. Likewise, OD children’s perceptions about their family composition during middle childhood are underexplored. To address these gaps, a longitudinally followed cohort of OD recipient families was invited to participate in a qualitative, follow-up study. With an 86% response rate after 12 years, families were composed of oocyte recipient mothers (n = 6) and biological fathers (n = 6) representing 12 donor-oocyte conceived children (10.33 ± 1.23 years; mean ± SD). Of the 12 children, two that were aware and two that were unaware of their conceptual origins completed conversational interviews. Only one family in the initial cohort had disclosed OD to their children by the 12-year follow-up, despite 43% of parents intending to disclose and another 43% undecided about disclosure during pregnancy. Four parental disclosure patterns emerged at 12 years: (i) wanting to disclose; (ii) conflicted about disclosure; (iii) not planning to disclose; and (iv) having disclosed. Children that were unaware of their conceptual origins displayed no knowledge of their method of conception. There is a need for family-centric interventions to assist ‘wanting to disclose’ parents in their disclosure process and ‘conflicted about disclosure’ parents in their decision-making process post-OD treatment.

Original languageEnglish (US)
JournalHuman Fertility
DOIs
StatePublished - Jan 1 2019

Fingerprint

Oocyte Donation
Disclosure
Parents
Oocytes
Fathers
Decision Making
Mothers
Tissue Donors
Interviews
Pregnancy

Keywords

  • Assisted reproductive technology
  • donor conception
  • egg donation
  • family research
  • qualitative research

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Oocyte donation disclosure decisions : a longitudinal follow-up at middle childhood *. / Hershberger, Patricia E.; Driessnack, Martha; Kavanaugh, Karen; Klock, Susan C.

In: Human Fertility, 01.01.2019.

Research output: Contribution to journalArticle

@article{eb60b1e56ca54cc28b9f70b11b321b93,
title = "Oocyte donation disclosure decisions: a longitudinal follow-up at middle childhood *",
abstract = "Few studies have captured oocyte donation (OD) parents’ decision processes about intended and actual disclosure over time. Likewise, OD children’s perceptions about their family composition during middle childhood are underexplored. To address these gaps, a longitudinally followed cohort of OD recipient families was invited to participate in a qualitative, follow-up study. With an 86{\%} response rate after 12 years, families were composed of oocyte recipient mothers (n = 6) and biological fathers (n = 6) representing 12 donor-oocyte conceived children (10.33 ± 1.23 years; mean ± SD). Of the 12 children, two that were aware and two that were unaware of their conceptual origins completed conversational interviews. Only one family in the initial cohort had disclosed OD to their children by the 12-year follow-up, despite 43{\%} of parents intending to disclose and another 43{\%} undecided about disclosure during pregnancy. Four parental disclosure patterns emerged at 12 years: (i) wanting to disclose; (ii) conflicted about disclosure; (iii) not planning to disclose; and (iv) having disclosed. Children that were unaware of their conceptual origins displayed no knowledge of their method of conception. There is a need for family-centric interventions to assist ‘wanting to disclose’ parents in their disclosure process and ‘conflicted about disclosure’ parents in their decision-making process post-OD treatment.",
keywords = "Assisted reproductive technology, donor conception, egg donation, family research, qualitative research",
author = "Hershberger, {Patricia E.} and Martha Driessnack and Karen Kavanaugh and Klock, {Susan C.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1080/14647273.2019.1567945",
language = "English (US)",
journal = "Human Fertility",
issn = "1464-7273",
publisher = "Informa Healthcare",

}

TY - JOUR

T1 - Oocyte donation disclosure decisions

T2 - a longitudinal follow-up at middle childhood *

AU - Hershberger, Patricia E.

AU - Driessnack, Martha

AU - Kavanaugh, Karen

AU - Klock, Susan C.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Few studies have captured oocyte donation (OD) parents’ decision processes about intended and actual disclosure over time. Likewise, OD children’s perceptions about their family composition during middle childhood are underexplored. To address these gaps, a longitudinally followed cohort of OD recipient families was invited to participate in a qualitative, follow-up study. With an 86% response rate after 12 years, families were composed of oocyte recipient mothers (n = 6) and biological fathers (n = 6) representing 12 donor-oocyte conceived children (10.33 ± 1.23 years; mean ± SD). Of the 12 children, two that were aware and two that were unaware of their conceptual origins completed conversational interviews. Only one family in the initial cohort had disclosed OD to their children by the 12-year follow-up, despite 43% of parents intending to disclose and another 43% undecided about disclosure during pregnancy. Four parental disclosure patterns emerged at 12 years: (i) wanting to disclose; (ii) conflicted about disclosure; (iii) not planning to disclose; and (iv) having disclosed. Children that were unaware of their conceptual origins displayed no knowledge of their method of conception. There is a need for family-centric interventions to assist ‘wanting to disclose’ parents in their disclosure process and ‘conflicted about disclosure’ parents in their decision-making process post-OD treatment.

AB - Few studies have captured oocyte donation (OD) parents’ decision processes about intended and actual disclosure over time. Likewise, OD children’s perceptions about their family composition during middle childhood are underexplored. To address these gaps, a longitudinally followed cohort of OD recipient families was invited to participate in a qualitative, follow-up study. With an 86% response rate after 12 years, families were composed of oocyte recipient mothers (n = 6) and biological fathers (n = 6) representing 12 donor-oocyte conceived children (10.33 ± 1.23 years; mean ± SD). Of the 12 children, two that were aware and two that were unaware of their conceptual origins completed conversational interviews. Only one family in the initial cohort had disclosed OD to their children by the 12-year follow-up, despite 43% of parents intending to disclose and another 43% undecided about disclosure during pregnancy. Four parental disclosure patterns emerged at 12 years: (i) wanting to disclose; (ii) conflicted about disclosure; (iii) not planning to disclose; and (iv) having disclosed. Children that were unaware of their conceptual origins displayed no knowledge of their method of conception. There is a need for family-centric interventions to assist ‘wanting to disclose’ parents in their disclosure process and ‘conflicted about disclosure’ parents in their decision-making process post-OD treatment.

KW - Assisted reproductive technology

KW - donor conception

KW - egg donation

KW - family research

KW - qualitative research

UR - http://www.scopus.com/inward/record.url?scp=85061311874&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85061311874&partnerID=8YFLogxK

U2 - 10.1080/14647273.2019.1567945

DO - 10.1080/14647273.2019.1567945

M3 - Article

JO - Human Fertility

JF - Human Fertility

SN - 1464-7273

ER -