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Ethic and psychosocial problems of donor program in artificial reproduction
DVOŘÁKOVÁ, Alena
My degree work focused on the problem of involuntary childlessness, which is a situation that a number of couples are facing nowadays and this issue has been growing. The work specifically deals with the donor programme in assisted reproduction. I described the method of treatment with the use of donor gametes and ethical and legislative issues related to it. The empiric part of the work is divided into two research projects each of which corresponds with one objective of the work. The first one monitors the situation when receiving couples are making a decision whether to join the assisted reproduction programme with donor gametes and the mental and social consequences of this situation. This research part is based on partly structured and non-structured interviews with 10 couples and on observations. The data was transcribed and subsequently qualitatively analysed. The second research comprises data obtained from non-structured interviews with female donors and from on-site observations. This part relates to the second objective of the degree work. In the discussion section of the work the interviews and observations are assessed and compared with literature on this topic. I focused mainly on the issue of anonymous donation, on motivation of oocyte donors and on subsequent comparison with receivers´ expectations. Based on the research I determined a hypothesis that donation of gametes is a difficult problem which our society should deal with in detail. This degree work could be used by people from centres of assisted reproduction. It can also be used as a study material by students of the Faculty of Health and Social Studies, especially those who attend the midwife course.
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Psychosocial problems of infertility verbaled by patients of fertility treatment ambulance.
DVOŘÁKOVÁ, Alena
Infertility is the inability to naturally conceive a child or to carry a pregnancy to full term. There are many reasons why a couple may not be able to conceive, or may not be able to conceive without medical assistance. Infertility may have profound psychological effects. Partners may become more anxious to conceive. Marital discord often develops in infertile couples, especially when they are under pressure to make medical decisions. Women trying to conceive often have clinical depression. Even couples undertaking IVF face considerable stress, especially the female partner. In vitro fertilisation (IVF) is a technique in which egg cells are fertilised by sperm outside the woman's womb. IVF is a major treatment in infertility when other methods of achieving conception have failed. The process involves hormonally controlling the ovulatory process, removing eggs from the woman's ovaries and letting sperm fertilise them in a fluid medium. The fertilised egg (zygote) is then transferred to the patient's uterus with the intent to establish a successful pregnancy. In this study ten couples using fertility treatment were analysed. The purpose of this study was to follow and describe their problems during the treatment, troubles with partners, jobs and friends. The author tried to find a solution how to communicate with patients, how to help them to manage the treatment. The elected experimental strategy was qualitative analysis. This study could be used by stuff in centres of artificial reproduction.
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