Third-Party Assisted Reproduction: Awareness and Acceptability among Women Attending Infertility Clinic in a Hospital in Northern Nigeria
Keywords:
surrogacy, gamete donation, infertility, Third-party assisted reproductionAbstract
Background: Third-party assisted reproduction refers to assisted reproductive technique in which there is biological involvement or contribution from a person other than the individual or couple that plans to raise the child (intended parent[s]) in the process of reproduction. It includes the use of donated ova, sperm, or embryos (or their components) and gestational-carrier arrangements, in
which the pregnancy is carried by someone other than the intended parent(s).
Objectives: To determine the awareness and acceptability of third-party assisted reproduction among women attending Ahmadu Bello University Teaching Hospital infertility clinic and to identify concerns which may hinder utilization of these services.
Methods: This is a cross-sectional study conducted among infertile women using an interviewer administered, structured questionnaire. The result was analyzed using SPSS version 20 and presented using Microsoft Excel 2017.
Result: A total of 274 women were interviewed and 189 (69%) of the respondents were aware of at least a method of third party reproduction. The majority (95.8 %) of them were aware of gamete donation followed by surrogacy (86.2%). On the contrary the acceptability was highest for surrogacy (36.5%) and lowest for gamete donation (15.9%). The reasons given for this low acceptability included: religious beliefs, the process seeming unnatural, ineffective and even harmful. Despite these, the respondents expressed that confidentiality would improve the acceptability of these services.
Conclusion: The study revealed a high disparity between awareness and acceptability of the various methods of TPR that will be interesting to explore in future studies.
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