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Attitudes of Patients with IVF/ICSI Toward Human Embryo In vitro Culture Beyond 14 Days

Overview
Journal Regen Ther
Date 2024 Sep 30
PMID 39345906
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Abstract

When the International Society for Stem Cell Research revised its 2021 guidelines, it reversed its ban on the culture of human embryos beyond 14 days. However, despite widespread recognition of the importance of public debate on embryo research, it remains unclear how patients who have undergone in vitro fertilization (IVF) and/or intracytoplasmic sperm injection (ICSI) perceive this change in the guidelines. Three focus group interviews were conducted with IVF/ICSI patients to understand their opinions on extending the in vitro culture of human embryos beyond 14 days. Thematic analysis revealed a primarily favorable attitude toward the extension of in vitro embryo culture, identifying six reasons for this positive perspective. However, two reasons for negative attitudes were identified, along with some concerns that need to be addressed. To facilitate an open discussion, the following suggestions were made to the government and scientific community. The government and scientific community should provide sufficient knowledge to IVF/ICSI patients about research before discussions. It's important to consider diverse views on embryo models, including distrust and resistance. Ensuring IVF/ICSI patients' psychological safety is essential. "Public conversations" with citizens, including IVF/ICSI patients, should be promoted, and their opinions should be considered as part of a broader public spectrum.

References
1.
Iltis A, Koster G, Reeves E, Matthews K . Ethical, legal, regulatory, and policy issues concerning embryoids: a systematic review of the literature. Stem Cell Res Ther. 2023; 14(1):209. PMC: 10441753. DOI: 10.1186/s13287-023-03448-8. View

2.
Nachtigall R, Becker G, Friese C, Butler A, MacDougall K . Parents' conceptualization of their frozen embryos complicates the disposition decision. Fertil Steril. 2005; 84(2):431-4. PMC: 2811165. DOI: 10.1016/j.fertnstert.2005.01.134. View

3.
Kato M, Sleeboom-Faulkner M . Meanings of the embryo in Japan: narratives of IVF experience and embryo ownership. Sociol Health Illn. 2011; 33(3):434-47. DOI: 10.1111/j.1467-9566.2010.01282.x. View

4.
de Lacey S . Death in the clinic: women's perceptions and experiences of discarding supernumerary IVF embryos. Sociol Health Illn. 2016; 39(3):397-411. DOI: 10.1111/1467-9566.12497. View

5.
Hyun I, Wilkerson A, Johnston J . Embryology policy: Revisit the 14-day rule. Nature. 2016; 533(7602):169-71. DOI: 10.1038/533169a. View