Oosit Kriyoprezervasyonu: Türk Ebelik ve Hemşirelik Öğrencilerinin Bilgi ve Tutumu
Year 2022,
Volume: 5 Issue: 2, 439 - 455, 30.09.2022
İlkay Güngör Satılmış
,
Gözde Küğcümen
,
Özden Tandoğan
Abstract
Amaç: Tanımlayıcı tipteki bu çalışmanın amacı, Türk hemşirelik ve ebelik öğrencilerinin oosit kriyoprezervasyonuna yönelik tutumlarını değerlendirmektir.
Yöntem-Gereçler: Çalışmanın örneklemini İstanbul'daki iki üniversitenin ebelik ve hemşirelik bölümlerinde okuyan 342 kız öğrenci oluşturmuştur. Araştırmaya katılmaya gönüllü öğrencilere literatür doğrultusunda hazırlanan anket formu online uygulanmıştır.
Bulgular: Katılımcıların yaş ortalaması 20.96±1.8’dir. Öğrenciler yaklaşık 25 yaşında çocuk sahibi olmak istediklerini belirtmişlerdir. %59.1’i kriyoprezervasyon hakkında bilgilerinin olduğunu, %19.9’u kariyeri için çocuk sahibi olmayı ertelemek için kullanabileceğini %57.6’sı ise kriyoprezervasyon ile kadınların annelik zamanını seçmede özgür olacaklarını belirtmiştir. Oosit kriyoprezervasyonunu daha çok tıbbi nedenlerle kabul edebilecekleri görülmektedir. Üreme hücrelerini etkileyen kanser tedavisi alacaklarsa (%63.7), yumurtalıkların etkilenmesine neden olacak cerrahi girişime maruz kalınmışsa (%59.9) ve erken yaşta menopoza girme riskleri varsa (%50.3) düşüneceklerini ifade etmişlerdir.
Sonuç: Öğrencilerin oosit kriyoprezervasyonu hakkındaki tutumları olumlu olmakla birlikte, daha çok tıbbi açıdan gerekli olması durumunda oosit kriyoprezervasyonunu kabul edebilecekleri bulunmuştur.
Supporting Institution
Yok
References
- Baldwin, K., Culley, L., Hudson, N., Mitchell, H., & Lavery, S. (2015). Oocyte cryopreservation for social reasons: demographic profile and disposal intentions of UK users. Reproductive Biomedicine Online, 31 (2): 239-245. http://dx.doi.org/10.1016/j.rbmo.2015.04.010.
- Birch Petersen, K., Hvidman, H.W., Sylvest, R., Pinborg, A., Larsen, E.C., Macklon, K.T.,…Schmidt, L. (2015). Family intentions and personal considerations on postponing childbearing in childless cohabiting and single women aged 35–43 seeking fertility assessment and counselling. Human Reproduction, 30 (11): 2563-2574. DOI:10.1093/humrep/dev237.
- Borovecki, A., Tozzo, P., Cerri, N., & Caenazzo, L. (2018) Social egg freezing under Public Health perspective: Just a medical reality or a women’s right? An ethical case analysis. Journal of Public Health Research, 7 (3):1484; 101-105. DOI:10.4081/jphr.2018.1484
- Daniluk, J.C., & Koert, E. (2016). Childless women's beliefs and knowledge about oocyte freezing for social and medical reasons. Human Reproduction, 31 (10): 2313-2320. DOI:10.1093/humrep/dew189.
- De Groot, M., Dancet, E., Repping, S., Goddijn, M., Stoop, D., Veen, F., & Gerrits, T. (2016). Perceptions of oocyte banking from women intending to circumvent age‐related fertility decline. Acta Obstetricia et Gynecologica Scandinavica, 95 (12): 1396-1401. DOI: 10.1111/aogs.13019.
- Die Zukunft der Familie. (2016). Forsa-Studie im Auftrag der Zeitschrift ELTERN. https://www.eltern.de/public/mediabrowserplus_root_folder/PDFs/zukunft-der-familie-studie.pdf
- Erbaydar, T. (2016). Kadın Sağlığı ve Üreme Hakları Bağlamında Doğurganlık [Fertility in the Context of Women's Health and Reproductive Rights]. Dini Araştırmalar 19 (49): 163-174.
- Hammarberg, K., Kirkman, M., Pritchard, N., Hickey, M., Peate, M., McBain, J.,… Fisher, J. (2017). Reproductive experiences of women who cryopreserved oocytes for non-medical reasons. Human Reproduction, 32 (3):575-581. DOI:10.1093/humrep/dew342.
- Hashiloni-Dolev, Y., Kaplan, A., Rasmussen, C. A., & Kroløkke, C. (2020). Gamete preservation: knowledge, concerns and intentions of Israeli and Danish students regarding egg and sperm freezing. Reproductive BioMedicine Online, 41(5), 957-965.
- Hodes-Wertz, B., Druckenmiller, S., Smith, M., & Noyes, N. (2013). What do reproductive-age women who undergo oocyte cryopreservation think about the process as a means to preserve fertility? Fertility and Sterility, 100 (5): 1343-1349. http://dx.doi.org/10.1016/j.fertnstert.2013.07.201.
- Kanters, N. T. J., Brokke, K. E., Bos, A. M. E., Benneheij, S. H., Kostenzer, J., & Ockhuijsen, H. D. L. (2022). An unconventional path to conventional motherhood: A qualitative study of women's motivations and experiences regarding social egg freezing in the Netherlands. Journal of Gynecology Obstetrics and Human Reproduction, 51(2), 102268.
- Lallemant, C., Vassard, D., Nyboe Andersen, A., Schmidt, L., & Macklon, N. (2016). Medical and social egg freezing: internet‐based survey of knowledge and attitudes among women in Denmark and the UK. Acta Obstetricia et Gynecologica Scandinavica, 95 (12): 1402-1410. DOI: 10.1111/aogs.13024.
- Lemoine, M.E., & Ravitsky, V. (2015). Sleepwalking into infertility: The need for a public health approach toward advanced maternal age. The American Journal of Bioethics, 15 (11): 37–48. https://doi.org/10.1080/15265161.2015.1088973.
- Lewis, E.I., Missmer, S.A., Farland, L.V., & Ginsburg, E.S. (2016). Public support in the United States for elective oocyte cryopreservation. Fertility and Sterility, 106 (5): 1183-1189. http://dx.doi.org/10.1016/j.fertnstert.2016.07.004.
- Mahesan, A. M., Sadek, S., Ramadan, H., Bocca, S., Paul, A., & Stadtmauer, L. (2019). Knowledge and attitudes regarding elective oocyte cryopreservation in undergraduate and medical students. Fertility research and practice, 5(1), 1-7.
- Meissner, C., Schippert, C., & Von Versen-Höynck, F. (2016). Awareness, knowledge, and perceptions of infertility, fertility assessment, and assisted reproductive technologies in the era of oocyte freezing among female and male university students. Journal of Assisted Reproduction And Genetics, 33 (6): 719-729. DOI 10.1007/s10815-016-0717-1.
- Mesen, T.B., Mersereau, J.E., Kane, J.B., & Steiner, A.Z. (2015). Optimal timing for elective egg freezing. Fertility and Sterility, 103 (6):1551–1556. http://dx.doi.org/10.1016/j.fertnstert.2015.03.002.
- Mintziori, G., Veneti, S., Kolibianakis, E.M., Grimbizis, G.F., & Goulis, D.G. (2019). Egg freezing and late motherhood. Maturitas. 125:1-4. https://doi.org/10.1016/j.maturitas.2019.03.017.
- Stoop, D., Maes, E., Polyzos, N.P., Verheyen, G., Tournaye, H., & Nekkebroeck, J. (2015). Does oocyte banking for anticipated gamete exhaustion influence future relational and reproductive choices? A follow-up of bankers and non-bankers. Human Reproduction, 30 (2): 338-344. doi:10.1093/humrep/deu317.
- Tan, S.Q., Tan, A.W.K., Lau, M.S.K., Tan, H.H., & Nadarajah, S. (2014). Social oocyte freezing: a survey among Singaporean female medical students. Journal of Obstetrics and Gynaecology Research, 40 (5): 1345-1352. doi:10.1111/jog.12347.
- The American College of Obstetricians and Gynecologists Women’s Health Care Physicians (ACOG) (2014). “Oocyte Cryopreservation, Committee Opinion” Accessed from: https://www.acog.org/-/media/project/acog/acogorg/clinical/files/committee-opinion/articles/2014/01/oocyte-cryopreservation.pdf
- Tozzo, P., Fassina, A., Nespeca, P., Spigarolo, G., & Caenazzo, L. (2019). Understanding social oocyte freezing in Italy: a scoping survey on university female students’ awareness and attitudes. Life sciences, society and policy, 15(1), 1-14.
- Turkish Demography and Health Survey – TDHS (2018). Accessed from: http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/TNSA2018_ana_Rapor.pdf Retrieved: 29.01.2020
- Wennberg, A.L., Rodriguez‐Wallberg, K.A., Milsom, I., & Brännström, M. (2016). Attitudes towards new assisted reproductive technologies in Sweden: a survey in women 30–39 years of age. Acta Obstetricia et Gynecologica Scandinavica, 95 (1): 38-44. DOI: 10.1111/aogs.12781.
- Yu, L., Peterson, B., Inhorn, M.C., Boehm, J.K., & Patrizio, P. (2016). Knowledge, attitudes, and intentions toward fertility awareness and oocyte cryopreservation among obstetrics and gynecology resident physicians. Human Reproduction, 31 (2): 403-411. DOI:10.1093/humrep/dev308
OOCYTE CRYOPRESERVATION: KNOWLEDGE and ATTITUDES among TURKISH MIDWIFERY and NURSING STUDENTS
Year 2022,
Volume: 5 Issue: 2, 439 - 455, 30.09.2022
İlkay Güngör Satılmış
,
Gözde Küğcümen
,
Özden Tandoğan
Abstract
Aim: The objective of this descriptive study was to evaluate the attitudes towards oocyte cryopreservation among Turkish nursing and midwifery students.
Method: The sample consisted of 342 female students in midwifery and nursing departments of two universities in Istanbul. A questionnaire about their socio-demographic characteristics, knowledge and views about oocyte cryopreservation was applied online to the volunteer students.
Results: The average age of the participants was 20.96±1.8. The students wanted to have a baby at the age of 25 in average, 59.1% had knowledge about cryopreservation, 19.9% stated that they can use cryopreservation to postpone having children for their career and 57.6% agreed that women would be free to choose the motherhood timing thanks to cryopreservation. Students would think about it if they were going to have cancer treatment affecting the reproductive cells (63.7%), they underwent surgical intervention that would affect the ovaries (59.9%) and they were under the risk of going through early menopause (50.3%).
Conclusion: Although the attitudes of students about oocyte cryopreservation were positive, it was found that they could accept oocyte cryopreservation mostly in case of a medical necessity.
References
- Baldwin, K., Culley, L., Hudson, N., Mitchell, H., & Lavery, S. (2015). Oocyte cryopreservation for social reasons: demographic profile and disposal intentions of UK users. Reproductive Biomedicine Online, 31 (2): 239-245. http://dx.doi.org/10.1016/j.rbmo.2015.04.010.
- Birch Petersen, K., Hvidman, H.W., Sylvest, R., Pinborg, A., Larsen, E.C., Macklon, K.T.,…Schmidt, L. (2015). Family intentions and personal considerations on postponing childbearing in childless cohabiting and single women aged 35–43 seeking fertility assessment and counselling. Human Reproduction, 30 (11): 2563-2574. DOI:10.1093/humrep/dev237.
- Borovecki, A., Tozzo, P., Cerri, N., & Caenazzo, L. (2018) Social egg freezing under Public Health perspective: Just a medical reality or a women’s right? An ethical case analysis. Journal of Public Health Research, 7 (3):1484; 101-105. DOI:10.4081/jphr.2018.1484
- Daniluk, J.C., & Koert, E. (2016). Childless women's beliefs and knowledge about oocyte freezing for social and medical reasons. Human Reproduction, 31 (10): 2313-2320. DOI:10.1093/humrep/dew189.
- De Groot, M., Dancet, E., Repping, S., Goddijn, M., Stoop, D., Veen, F., & Gerrits, T. (2016). Perceptions of oocyte banking from women intending to circumvent age‐related fertility decline. Acta Obstetricia et Gynecologica Scandinavica, 95 (12): 1396-1401. DOI: 10.1111/aogs.13019.
- Die Zukunft der Familie. (2016). Forsa-Studie im Auftrag der Zeitschrift ELTERN. https://www.eltern.de/public/mediabrowserplus_root_folder/PDFs/zukunft-der-familie-studie.pdf
- Erbaydar, T. (2016). Kadın Sağlığı ve Üreme Hakları Bağlamında Doğurganlık [Fertility in the Context of Women's Health and Reproductive Rights]. Dini Araştırmalar 19 (49): 163-174.
- Hammarberg, K., Kirkman, M., Pritchard, N., Hickey, M., Peate, M., McBain, J.,… Fisher, J. (2017). Reproductive experiences of women who cryopreserved oocytes for non-medical reasons. Human Reproduction, 32 (3):575-581. DOI:10.1093/humrep/dew342.
- Hashiloni-Dolev, Y., Kaplan, A., Rasmussen, C. A., & Kroløkke, C. (2020). Gamete preservation: knowledge, concerns and intentions of Israeli and Danish students regarding egg and sperm freezing. Reproductive BioMedicine Online, 41(5), 957-965.
- Hodes-Wertz, B., Druckenmiller, S., Smith, M., & Noyes, N. (2013). What do reproductive-age women who undergo oocyte cryopreservation think about the process as a means to preserve fertility? Fertility and Sterility, 100 (5): 1343-1349. http://dx.doi.org/10.1016/j.fertnstert.2013.07.201.
- Kanters, N. T. J., Brokke, K. E., Bos, A. M. E., Benneheij, S. H., Kostenzer, J., & Ockhuijsen, H. D. L. (2022). An unconventional path to conventional motherhood: A qualitative study of women's motivations and experiences regarding social egg freezing in the Netherlands. Journal of Gynecology Obstetrics and Human Reproduction, 51(2), 102268.
- Lallemant, C., Vassard, D., Nyboe Andersen, A., Schmidt, L., & Macklon, N. (2016). Medical and social egg freezing: internet‐based survey of knowledge and attitudes among women in Denmark and the UK. Acta Obstetricia et Gynecologica Scandinavica, 95 (12): 1402-1410. DOI: 10.1111/aogs.13024.
- Lemoine, M.E., & Ravitsky, V. (2015). Sleepwalking into infertility: The need for a public health approach toward advanced maternal age. The American Journal of Bioethics, 15 (11): 37–48. https://doi.org/10.1080/15265161.2015.1088973.
- Lewis, E.I., Missmer, S.A., Farland, L.V., & Ginsburg, E.S. (2016). Public support in the United States for elective oocyte cryopreservation. Fertility and Sterility, 106 (5): 1183-1189. http://dx.doi.org/10.1016/j.fertnstert.2016.07.004.
- Mahesan, A. M., Sadek, S., Ramadan, H., Bocca, S., Paul, A., & Stadtmauer, L. (2019). Knowledge and attitudes regarding elective oocyte cryopreservation in undergraduate and medical students. Fertility research and practice, 5(1), 1-7.
- Meissner, C., Schippert, C., & Von Versen-Höynck, F. (2016). Awareness, knowledge, and perceptions of infertility, fertility assessment, and assisted reproductive technologies in the era of oocyte freezing among female and male university students. Journal of Assisted Reproduction And Genetics, 33 (6): 719-729. DOI 10.1007/s10815-016-0717-1.
- Mesen, T.B., Mersereau, J.E., Kane, J.B., & Steiner, A.Z. (2015). Optimal timing for elective egg freezing. Fertility and Sterility, 103 (6):1551–1556. http://dx.doi.org/10.1016/j.fertnstert.2015.03.002.
- Mintziori, G., Veneti, S., Kolibianakis, E.M., Grimbizis, G.F., & Goulis, D.G. (2019). Egg freezing and late motherhood. Maturitas. 125:1-4. https://doi.org/10.1016/j.maturitas.2019.03.017.
- Stoop, D., Maes, E., Polyzos, N.P., Verheyen, G., Tournaye, H., & Nekkebroeck, J. (2015). Does oocyte banking for anticipated gamete exhaustion influence future relational and reproductive choices? A follow-up of bankers and non-bankers. Human Reproduction, 30 (2): 338-344. doi:10.1093/humrep/deu317.
- Tan, S.Q., Tan, A.W.K., Lau, M.S.K., Tan, H.H., & Nadarajah, S. (2014). Social oocyte freezing: a survey among Singaporean female medical students. Journal of Obstetrics and Gynaecology Research, 40 (5): 1345-1352. doi:10.1111/jog.12347.
- The American College of Obstetricians and Gynecologists Women’s Health Care Physicians (ACOG) (2014). “Oocyte Cryopreservation, Committee Opinion” Accessed from: https://www.acog.org/-/media/project/acog/acogorg/clinical/files/committee-opinion/articles/2014/01/oocyte-cryopreservation.pdf
- Tozzo, P., Fassina, A., Nespeca, P., Spigarolo, G., & Caenazzo, L. (2019). Understanding social oocyte freezing in Italy: a scoping survey on university female students’ awareness and attitudes. Life sciences, society and policy, 15(1), 1-14.
- Turkish Demography and Health Survey – TDHS (2018). Accessed from: http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/TNSA2018_ana_Rapor.pdf Retrieved: 29.01.2020
- Wennberg, A.L., Rodriguez‐Wallberg, K.A., Milsom, I., & Brännström, M. (2016). Attitudes towards new assisted reproductive technologies in Sweden: a survey in women 30–39 years of age. Acta Obstetricia et Gynecologica Scandinavica, 95 (1): 38-44. DOI: 10.1111/aogs.12781.
- Yu, L., Peterson, B., Inhorn, M.C., Boehm, J.K., & Patrizio, P. (2016). Knowledge, attitudes, and intentions toward fertility awareness and oocyte cryopreservation among obstetrics and gynecology resident physicians. Human Reproduction, 31 (2): 403-411. DOI:10.1093/humrep/dev308