Solo mother by donor – the plan B of motherhood. A perspective on person-centered reproductive medicine

Solo mother by donor – the plan B of motherhood. A perspective on person-centered reproductive medicine
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捐赠者的单身母亲——母性的B计划。以人为本的生殖医学的视角。

DOI:
10.5750/ijpcm.v1i4.56
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发表时间:
2011
期刊:
影响因子:
--
通讯作者:
L. Schmidt
L. Schmidt
中科院分区:
--
文献类型:
--
作者:
M. Frederiksen;U. Christensen;T. Tjørnhøj‐Thomsen;L. Schmidt

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辅助生殖技术已经被开发出来,用于治疗患有生殖疾病的夫妇。然而,最近,想要通过捐赠者人工授精(DI)生孩子的单身、有生育能力的女性有所增加。在丹麦,自2007年以来,医生向单身女性提供辅助生殖服务一直是合法的。为了探索单身女性决定使用人工授精来成为母亲的原因,我们对在一家公共生育诊所接受人工授精治疗的6名单身异性恋女性进行了深入的访谈。这些数据用解释学的方法进行了分析。我们确定了三个主要主题:1)孩子和家庭的形象,2)采取行动,3)缺席的父亲。尽管她们决定使用人工授精,但这些女性更愿意在与男性的关系中生孩子。然而,母亲的身份如此重要,以至于这些妇女选择了捐赠者,因为她们担心否则自己会变得太老而不能生育。这些妇女意识到,父亲的缺席可能会对她们和她们的孩子产生影响,她们仍然希望她们未来的家庭将包括一名男子。实证结果是在社会学家吉登关于现代社会中的选择的概念的背景下讨论的。生育诊所的工作人员需要扩大他们对单身母亲的了解,以便为这一新的患者群体开发以人为本的生殖医学方法,这些患者的需求与因生育状况(如不孕不育)而寻求生育治疗的夫妇不同。
Assisted reproductive technology has been developed to treat couples with reproductive diseases. Recently, however, there has been an increase in single, fertile women who want a child by donor insemination (DI). In Denmark, it has been legal since 2007 for medical doctors to offer assisted reproduction to single women. To explore the reason why single women decide to use DI for becoming a mother we conducted in-depth interviews with six single, heterosexual women receiving DI treatment at a public fertility clinic.  Data were analysed by a hermeneutic approach. We identified three main themes; 1) Images of children and family, 2) Taking action and 3) Absent fathers. Despite their decision to use DI, the women would have preferred to have a child in a relationship with a man. However, motherhood was of such importance that the women chose to use a donor because they feared they would otherwise become too old to have children. The women were aware that the absence of a father may have consequences for them and their child and they still hoped that their future family would include a man. The empirical findings are discussed in the context of the sociologist Gidden’s notions about choice in modern society. Staff at fertility clinics need to expand their knowledge of single motherhood in order to develop person-centered reproductive medicine approaches for this new group of patients who differ in their needs from couples seeking fertility treatment due to having a reproductive condition such as infertility.