Ovodoação: a questão do sigilo
Palabras clave:
Comunicação sigilosa, Família, Ovodoação, Psicologia, Reprodução assistidaResumen
O objetivo deste estudo foi identificar a intenção de revelar ou não para o filho, familiares e amigos a ovodoação e os motivos subjacentes. Participaram do estudo dez casais receptores de oócitos do Programa de Ovodoação da Universidade Federal de São Paulo. Foram realizadas entrevistas individuais, e os dados foram analisados segundo o método qualitativo. A maioria dos participantes relatou que não havia contado sobre a ovodoação para outras pessoas, assim como não tinha a intenção de contar para o filho. Foram alegados diversos motivos, acompanhados de temores relacionados às possíveis reações das crianças. O sigilo sobre a doação de gametas é uma questão complexa, que não deve ser respondida com regras simples e gerais, devendo-se considerar as especificidades de cada família e o contexto em que vivem.
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Conselho Federal de Medicina. (2010). Resolução CFM nº 1.957, 2010. Normas éticas para a utilização das técnicas de reprodução assistida. Recuperado em novembro 3, 2010, disponível em <http://www.portalmedico.org.br/resolucoes/CFM/2010/1957_2010.htm>.
Daniels, K. R., & Thorn, P. (2001). Sharing information with donor insemination offspring. Human Reproduction,16 (9),1792-1796.
Ethics Committee of the American Society for Reproductive Medicine. (2004). Informing offspring of their conception by gamete donation. Fertility and Sterility, 81 (3),527-531.
Golombok, S., Cook, R., Bish, A., & Murray, C. (1995). Families created by the new reproductive technologies: quality of parenting and social and emotional development of the children. Child Development, 66 (2), 285-298.
Golombok, S., & Murray, C. (1999) Social versus biological parenting: family functioning and the socioemotional development of children conceived by egg or sperm donation. Journal of Child Psychology and Psychiatry, 40 (4), 519-527.
Golombok, S., Brewaeys, A., Giavazzi, M. T., Guerra, D., MacCallum, F., & Rust, J. (2002). The European study of assisted reproduction families: the transition to adolescence. Human Reproduction,17 (3), 830-840.
Golombok, S., Jadva, V., Lycett, E., Murray, C., & MacCallum, F. (2005). Families created by gamete donation: follow-up at age 2. Human Reproduction, 20 (1), 286-293.
Golombok, S., Murray, C., Jadva, V., Lycett, E. L., MacCallum, F., & Rust, J. (2006). Non-genetic and non-gestacional parenthood: consequences for parent-child relationships and the psychological well-being of mothers, fathers and children at age 3. Human Reproduction, 21 (7), 1918-1924
Greenfeld, D. A., & Klock, S. C. (2004). Disclosure decisions among known and anonymous oocyte donation recipients. Fertility and Sterility, 81 (6),1565-1571.
Greenfeld, D. A. (2008). The impact of disclosure on donor gamete participants: donors, intended parents and offspring. Current Opinion in Obstetrics and Gynecology, 20 (3), 265-268.
Hartman, A. (1993). Segredos na adoção. In E. Imber-Black (Col.), Os segredos na família e na terapia familiar (pp.15-39). Porto Alegre: Artes Médicas.
Hershberger, P. E. (2007). Pregnant, donor oocyte recipiente women describe their lived experience of establishing the “family lexicon”. Journal of Obstetric Gynecologic & Neonatal Nursing, 36 (2),161-167.
Imber-Black, E. (1994). Segredos na família e na terapia familiar: uma visão geral. In E. Imber-Black (Colabs.), Os segredos na família e na terapia familiar (pp.15-39). Porto Alegre: Artes Médicas.
Leeb-Lundberg, S., Kjellberg, S., & Sydsjö, G. (2006). Helping parents to tell their children about the use of donor insemination (DI) and determining their opinions about open-identity sperm donors. Acta Obstetricia et Gynecologica Scandinavica, 85 (1),78-81.
Levinzon, G. K. (2004). Adoção (Coleção Clínica Psicanalítica). São Paulo: Casa do Psicólogo. Mac Dougall, K., Becker, G., Scheib, J. E., & Nachtigall, R. D. (2007). Strategies for disclosure: how parents approach telling their children that they were conceived with donor gametes. Fertility and Sterility, 87 (3), 524-533.
Minayo, M. C. S. (2007). O desafio do conhecimento: pesquisa qualitativa em saúde (10ª ed.). São Paulo: Hucitec.
Murray, C., MacCallum, F., & Golombok, S. (2006). Egg donation parents and their children: follow-up at age 12 years. Fertility and Sterility, 85 (3), 610-618
Nachtigall, R. D., Tschann, J. M., Quiroga, S. S., Pitcher, L., & Becker, G. (1997). Stigma, disclosure, and Family functioning among parents of children conceived through donor insemination. Fertility and Sterility, 68 (1), 83-89.
Papp, P. (1994). O caruncho no broto: segredos entre pais e filhos. In E. Imber-Black (Colabs.), Os segredos na família e na terapia familiar (pp.76-93). Porto Alegre: Artes Médicas.
Rowland, R. (1985). The social and psychological consequences of secrecy in artificial insemination by donor (AID) programs. Social Science and Medicine, 21 (4), 391-396.
Rumball, A., & Adair, V. (1999). Telling the story: parents’ scripts for donor offspring. Human Reproduction,14 (5), 1392-1399.
Sants, H. J. (1964). Genealogical bewilderment in children with substitute parents. British Journal of Medical Psychology, 37 (2),133-141.
Shehab, D., Duff, J., Pasch, L. A., Mac Dougall, K., Scheib, J. E., & Nachtigall, R. D. (2008). How parents whose children have been conceived with donor gametes make their disclosure decision: contexts, influences, and couple dynamics. Fertility and Sterility, 89 (1),179-187.
Shenfield, F., & Steele, S.J. (1997). What are the effects of anonymity and secrecy on the welfare of the child in gamete donation? Human Reproduction,12 (2), 392-395.
Söderström-Antilla, V., Sajaniemi, N., Tiitinen, A., & Hovatta, O. (1998). Health and development of children born after oocyte donation compared with that of those bornafter in-vitro fertilization, and parents’ attitudesregarding secrecy. Human Reproduction,13 (7), 2009-2015.
Söderström-Antilla, V. (2001). Pregnancy and child outcome after oocyte donation. Human Reproduction Update, 7 (1), 28-32.
Triseliotis, J. (1973). In search of origins: the experiences of adopted people. London: Routledge & Kegan Paul.
Turner, A. J., & Coyle, A. (2000). What does it mean to be a donor offspring? The identity experiences of adults conceived by donor insemination and the implications for counselling and therapy. Human Reproduction,15 (9), 2041-2051.
van Berkell, D., Candido, A., & Pijffers, W. H. (2007). Becoming a mother by non-anonymous egg donation: secrecy and the relationship between egg recipient, egg donor andegg donation child. Journal of Psychosomatic Obstetrics and Gynaecology, 28 (2), 97-104.
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Derechos de autor 2023 Helena Maria Loureiro MONTAGNINI, Fani MALERBI, Agnaldo Pereira CEDENHO
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.