Perspectives of health care professionals on artificial insemination of donor semen: appraising their knowledge and perceptions: a single institution study in Nigeria

Authors

  • Olajide O. Abiola Urology unit, Department of surgery, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria
  • Akinlabi E. Ajao Paediatric surgery unit, Department of surgery, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria
  • Olumuyiwa A. Ogunlaja Department of Obstetrics and Gynaecology, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria
  • Sunday O. Adeoye Department of Family Medicine, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria
  • Ayodeji A. Ojo Urology unit, Department of surgery, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20193504

Keywords:

Artificial insemination of donor semen, Knowledge, Nigeria, Perception, Semen donation

Abstract

Background: Artificial inseminations of donor semen (AID) involve use of heterologous donated semen for conception in infertile couple when indicated or in a single woman desirous of pregnancy. Its practice often requires regulation to address possible ethical and legal issues which may arise. In formulating acceptable guidelines/policies, the perspectives of health professionals and the participants should be considered. Therefore, we sought to explore the knowledge and perception of semen donation for artificial insemination among health professionals.

Methods: A cross sectional study conducted on consenting health workers in a single health institution using a structured questionnaire to assess their knowledge and perception on artificial insemination of donor semen (AID). Descriptive and analytical statistics were applied to the data collected with a statistically significant value of <0.05.

Results: One hundred and twenty-one health professionals completed the questionnaires. The mean age of the respondents was 27.58±5.5years. Sixty of the respondents were males while 61 were females. Eighty-four of the respondents (69.4%) demonstrated good knowledge of AID while 37 (30.6%) had poor knowledge. Cadre of health professionals and marital status influenced the knowledge of respondents. Perceptions on AID varied among the respondents mostly influenced by psycho-social factors and possible legal disputes on third party reproductive process. None of the male respondents has ever donated semen and willingness to donate semen was low; with anonymity preferred by the willing donors.

Conclusions: Substantial knowledge gap of AIDS existed among health professionals which were influenced by cadre and marital status. Psycho-social factors and possible legal disputes influenced their perceptions of AID.

References

Oguntoyinbo AE, Amole AOD, Komolafe OF. Sonographic assessment of fallopian tube patency in the investigation of female infertility in Ilorin, Nigeria. Afr J Reprod Health. 2001;5:100-5.

Panti AA, Sununu YT. The profile of infertility in a teaching Hospital in North West Nigeria. Sahel Med J. 2014;17(1):7-11.

Inhorn MC. Global infertility and the globalization of new reproductive technologies: illustrations from Egypt. Soc Sci Med. 2003;56(9):1837-51.

Ikechebelu JI, Adinma JIB, Orie EF, Ikegwuonu SO. High prevalence of male infertility in southeastern Nigeria. J Obstet Gynaecol. 2003;23(6):657-9.

Owolabi AT, Fasubaa OB, Ogunniyi SO. Semen quality of male partners of infertile couples in Ile-Ife, Nigeria. Niger J Clin Pract. 2013;16(1):37-40.

Male factor infertility: Management approach. BMJ Best practices. Available at: http://bestpractice.bmj.com/best-practice/monograph /497/treatment/step-by-step.html. Accessed on April 6th, 2019.

Practice committees of the American Society for Reproductive medicine and the Society for Assisted Reproductive Technology. Recommendations for gamete and embryo donation: a committee opinion. Fertil Steril. 2013;9(1):47-62.e1.

Botchan A, Hauser R, Gamzu R, Yogev L, Paz G, Yavetz H. Results of 6139 artificial insemination cycles with donor spermatozoa. Hum Reprod. 2001;16(11):2298-304.

Strickler RC, Keller DW, Warren JC. Artificial insemination with fresh donor semen. N Engl J Med. 1975;293(17):848-53.

Ugwu EO, Odoh GU, Obi SN, Ezugwu FO. Acceptability of artificial donor insemination among infertile couples in Enugu, southeastern Nigeria. Int J Womens Health. 2014;6:201-5.

Gong D, Liu YL, Zheng Z, Tian YF, Li Z. An overview on ethical issues about sperm donation. Asian J Androl. 2009;11(6):645-52.

Ping P, Zhu WB, Zhang XZ. Sperm donation and its application in China: a 7-year multicenter retrospective study. Asian J Androl. 2011;13(4):644-8.

Golombok S, Scott R, Appleby JB. Regulating Reproductive Donation. UK: Cambridge University Press; 2016.

Welcome to the HFEA, Human Fertilisation and Embryology Authority. Available at: https://www.hfea.gov.uk/. Accessed on April 13th, 2019.

Cutilli CC. Seeking health information: what sources do your patients use? Orthop Nurs. 2010;29(3):214-9.

Hesse BW, Nelson DE, Kreps GL. Trust and sources of health information: the impact of the Internet and its implications for health care providers: findings from the first Health Information National Trends Survey. Arch Intern Med. 2005;165(22):2618-24.

Medicine EC of the AS for R. Interests, obligations, and rights in gamete donation: a committee opinion. Fertil Steril. 2014;102(3):675-81.

Hummel WP, Talbert LM. Current management of a donor insemination program. Fertil Steril. 1989;51(6):919-30.

Report on the regulation of reproductive cell donation in the European Union. 2006. Available at: https://ec.europa.eu/health/ph_threats/human_substance/documents/tissues_frep_en.pdf. Accessed April 8th, 2019.

O’Reilly D, Bowen JM, Perampaladas K, Qureshi R, Xie F, Hughes E. Feasibility of an altruistic sperm donation program in Canada: results from a population-based model. Reprod Health. 2017;14(1):8.

Frith L, Blyth E, Farrand A. UK gamete donors’ reflections on the removal of anonymity: implications for recruitment. Hum Reprod. 2007;22(6):1675-80.

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Published

2019-07-26

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Original Research Articles