In Vitro Fertilization Informed Consent: Revisited, Empirically

A thorough informed consent (IC) process is required before in vitro fertilization (IVF) treatments can begin because these treatments are by and large elective and they have expectable and preventable complications, such as ovarian hyper-stimulation syndrome and multi-fetal pregnancies. To empirica...

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Veröffentlicht in:The Israel Medical Association journal 2020-11, Vol.11 (22), p.681-683
Hauptverfasser: Voskoboynikov-Ugortsev, Ilona, Rosenfeld, Yaakov, Keinan Boker, Lital
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container_issue 22
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container_title The Israel Medical Association journal
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creator Voskoboynikov-Ugortsev, Ilona
Rosenfeld, Yaakov
Keinan Boker, Lital
description A thorough informed consent (IC) process is required before in vitro fertilization (IVF) treatments can begin because these treatments are by and large elective and they have expectable and preventable complications, such as ovarian hyper-stimulation syndrome and multi-fetal pregnancies. To empirically examine whether patient knowledge and understanding of potential hazards associated with IVF treatment are better after the IC process compared to before. The authors hypothesized that patients' better understanding of potential complications would be translated and expressed as rational choices of treatment alternatives. Responses of 48 IVF patients after IC process (study group) from two IVF units in northern Israel were compared to those of 46 patients before IVF (control group). Only women undergoing IVF for first time who were older than 18 years of age were eligible for the study. Socio-demographic parameters were found to be quite similar between the study group and the control group. Contrary to our expectations, in the study group 12 women (25.5%) considered delivery of a single baby as their optimal result, compared to 15 (32.6%) in the control group. Furthermore, preferences shifted toward triplets: eight patients (17%) after IC considered this option as their best result, compared to only five patients (11%) before IC. C process goals are not achieved under current practices, at least as far as IVF treatment are concerned. New tools and incentives should be implemented to meet the requirements dictated by the laws regarding patient rights.
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To empirically examine whether patient knowledge and understanding of potential hazards associated with IVF treatment are better after the IC process compared to before. The authors hypothesized that patients' better understanding of potential complications would be translated and expressed as rational choices of treatment alternatives. Responses of 48 IVF patients after IC process (study group) from two IVF units in northern Israel were compared to those of 46 patients before IVF (control group). Only women undergoing IVF for first time who were older than 18 years of age were eligible for the study. Socio-demographic parameters were found to be quite similar between the study group and the control group. Contrary to our expectations, in the study group 12 women (25.5%) considered delivery of a single baby as their optimal result, compared to 15 (32.6%) in the control group. 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subjects Adult
Comprehension
Female
Fertilization in Vitro - adverse effects
Fertilization in Vitro - legislation & jurisprudence
Humans
Informed Consent - legislation & jurisprudence
Israel
Ovarian Hyperstimulation Syndrome - etiology
Pregnancy
Pregnancy, Multiple - statistics & numerical data
Surveys and Questionnaires
Young Adult
title In Vitro Fertilization Informed Consent: Revisited, Empirically
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