In-vitro Fertilization, Gamete Donation and Surrogacy: Perceptions of Women Attending an Infertility Clinic in Ibadan, Nigeria

Folasade A. Bello, Opeyemi R. Akinajo, Oladapo Olayemi

Abstract

Infertility affects 20% of couples in Nigeria. Assisted reproductive techniques (ART) offered in Nigeria include in-vitro fertilization (IVF), gamete donation and surrogacy. This cross-sectional questionnaire study aimed at assessing the acceptability of ART to women seeking infertility treatment at the University College Hospital, Ibadan, Nigeria. Of the 307 respondents, 58.3% were aware of IVF and 59.3% would accept it as treatment; 35.2% would accept donor eggs and 24.7% would accept donor sperms—a smaller proportion anticipated acceptability by their husbands. Thirty five percent were aware of surrogacy, 37.8% would accept it as treatment; most preferring a stranger as a surrogate. Most felt surrogates should not be paid. Acceptance of ART was associated with older age, longer duration of infertility, previous failed treatment and women without other children. As chances of successful pregnancy are improved in younger individuals, counselling towards overcome barriers to accepting gamete donation and surrogacy should be instituted early. Afr J Reprod Health 2014; 18[2]: 127-133).

 

Keywords: infertility, IVF, gamete donation, surrogacy, Nigeria

 

Résumé

L'infertilité touche 20% des couples au Nigeria. Les techniques de la reproduction assistée (TRA) disponibles au Nigeria comprennent la fécondation in-vitro (FIV), le don de gamètes et la maternité de substitution. Cette étude fondée sur le questionnaire transversale vise à évaluer l'acceptabilité de la TRA pour les femmes qui recherchent un traitement de l'infertilité au Centre Hospitalier Universitaire d’Ibadan au Nigeria. Parmi les 307 interviewées, 58,3 % étaient au courant de la FIV et 59,3 % l’accepteraient comme traitement; 35,2 % accepteraient un don d'ovules et  24,7 % accepteraient des spermatozoïdes - une proportion plus faible ont prévu l’acceptabilité par leurs maris. Trente-cinq pour cent étaient au courant de la maternité de substitution, 37,8 % des acheteurs l’accepteraient comme traitement ; la plupart préféraient un étranger comme un substitut. La plupart ont pense qu’il ne faut pas payer les substituts.   L’acceptation de la TRA a été associée avec l'âge,  à  l'infertilité de plus longue durée, au traitement précédent échoué et à des femmes sans autres enfants. Comme les chances de réussite d'une grossesse sont améliorées chez les sujets jeunes, il faut tot mettre en place des conseils qui permettront de surmonter  les obstacles à l’acceptation du don de gamètes et la maternité de substitution. Afr J Reprod Health 2014; 18[2]: 127-133).

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References

Mascarenhas MN, Flaxman SR, Boerma T, Vanderpoel S, Stevens GA. National, Regional, and Global Trends in Infertility Prevalence since 1990: A Systematic

Analysis of 277 Health Surveys. PLoS Med 2012; 9(12): e1001356. doi:10.1371/journal.pmed.1001356

Snow RC, Okonofua FE, Kane T, Farley TM, Pinol A. Prevalence and Determinants of Infertility in Ile-Ife,

Nigeria. Contracept Fertil Sex 1995; 23 Special No. 1 (Suppl 9): S54.

Royal College of Obstetricians and Gynaecologists. RCOG Statement on later maternal age. Available at http://www.rcog.org.uk/what-we-do/campaigningand-opinions/statement/rcog-statement-later-maternalage. 15 June 2009. Accessed 23 May 2013.

Committee on Ethics. ACOG committee opinion number 397: surrogate motherhood. Obstet Gynecol 2008; 111(2 Pt 1): 465-70.

Milliez J. FIGO Committee for the Ethical Aspects of Human Reproduction and Women's Health. Surrogacy: FIGO Committee Report. Int J Gynaecol Obstet 2008; 102(3): 312-3.

Goldfarb JM, Austin C, Peskin B, Lisbona H, Desai N, Loret de Mola JR. Fifteen years experience with an invitro fertilization surrogate gestational pregnancy programme. Hum. Reprod. (2000) 15 (5): 1075-1078.

Parkinson J, Tran C, Tan T, Nelson J, Batzofin J, Serafini P. Perinatal outcome after in-vitro fertilizationsurrogacy. Hum. Reprod. (1999) 14 (3): 671-676.

Surrogacy Arrangements Act 1985. 1985 Chapter 49. Available at http://www.legislation.gov.uk/ukpga/ 1985/49. Accessed 30 May 2013.

Government of Canada. Assisted Human Reproduction Act, SC 2004, c.2. Assented to 29 March 2004. Available at http://laws-lois.justice.gc.ca/eng/acts/a13.4/FullText.html. Accessed 3 June 2013.

Council of Medical Research. National Guidelines for Accreditation, Supervision and Regulation of ART Clinics in India. 2005. Available at http://www. scribd.com/doc/28694677/Guidelines-for-ARTClinics-in-India. Accessed 10 June 2013.

Assisted Reproductive Technologies Review Committee: Science Council of Japan. Issues Related to the Assisted Reproductive Technologies centered on Surrogate Pregnancy—Toward a Social Consensus. April 8, 2008. Available at www.scj.go.jp/ja/info/ kohyo/pdf/kohyo-20-t56-1e.pdf. Accessed 10 June 2013.

Nakash A, Herdiman J. Surrogacy. J Obstet Gynaecol 2007; 27(3): 246-51.

Ajayi RA, Dibosa-Osadolor OJ. Stakeholders’ Views on Ethical Issues in the Practice of In-Vitro Fertilisation and Embryo Transfer in Nigeria. (Afr J Reprod Health 2011; 15[3]:73-80).

Akinrinola OA, Melie NA, Ajayi RA. Poor Acceptance Rate for Semen Donors to a Private Cryobank in

Nigeria. African Journal of Reproductive Health, Vol.

, No. 1, April, 2003 pp. 12-16

Cates W, Farley TM, Rowe PJ. Worldwide pattern of infertility: Is Africa different? Lancet 1985; 2(8455): 596-8.

Orhue A, Aziken M. Experience with a comprehensive university hospital based infertility programme in Nigeria. Int J Gynaecol Obstet 2008: 101(1): 11-15.

Murphy M, Jones D, Hallam Z, Martin R, Hakin R, van den Akker OBA. Infertility in focus: how far would you go? J Reprod Inf Psychol 2002; 20(3): 192. DOI 10.1080/026468302760270827.

Chliaoutakis J, Koukouli S, Papadakaki M. Using attitudinal indicators to explain the public’s intention to have recourse to gamete donation and surrogacy. Hum Reprod 2002; 17(11): 2995–3002.

Jegede As, Fayemiwo AS. Cultural and Ethical Challenges of Assisted Reproductive Technologies in the Management of Infertility among the Yoruba of Southwestern Nigeria. Afr J Reprod Health 2010; 14(2): 115-27.

Okwelogu IS, Azuike EC, Ikechebelu JI, Nnebue CKC. In-Vitro Fertilization Practice: Awareness and Perceptions among Women Attending Fertility Clinics in Okija, Anambra State, Nigeria. Afrimedic J 2012; 3(2): 5-10.

Oladokun A, Arulogun O, Oladokun R, Bello FA, Morhason-Bello IO, Bamgboye EA, Adewole IF, Ojengbede OA. Attitude of infertile women to child adoption in Nigeria. Niger J Physiol Sc 2010; 25(1): 47-9.

The World Bank. The World DataBank. World Developmental Indicators. Available at http:// databank.worldbank.org/data/views/variableselection/ selectvariables.aspx?source=world-developmentindicators#. Accessed 15 January 2014.

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