Infertile Women’s Opinion Concerning Gestational Surrogacy: A Systematic Review and Meta-Analysis
Background: This systematic review and meta-analysis of the observational studies aimed at evaluating the infertile women’s attitude toward gestational surrogacy.
Methods: Published studies until Jan 2019 were searched using PubMed/MEDLINE, Scopus, EMBASE, Cochrane Library, ISI Web of Science, Proquest and Google scholar, MagIran, SID and IranMedex. Studies in English or Persian language surveyed attitudes toward surrogacy for infertile women published until Jan 2019. Animal studies and studies with poor methodological quality were excluded from the review.
Results: Six eligible studies including 1359 infertile women were identified. Of these, 559 and 742 women agreed and disagreed with surrogacy respectively. The overall event rate of positive attitude for surrogacy in infertile women was %39.7 (%95 CI=24.5 to 57.1, P=0.245).
Conclusion: The infertile women’s attitude toward surrogacy is not strongly positive. We believe, more studies should be conducted among different socioeconomic, religious and cultural groups.
2. Mascarenhas MN, Flaxman SR, Boerma T, et al(2012). National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Med, 9(12):e1001356.
3. Oladokun A, Oladokun R, Morhason-Bello I, et al (2009). O708 Attitude of infertile women to child adoption in Nigeria. Int J Gynecol Obstetr, 107:S296.
4. Steptoe PC, Edwards RG (1978). Birth after the reimplantation of a human embryo. Lancet, 312(8085):366.
5. Van den Akker OB (2007). Psychosocial aspects of surrogate motherhood. Hum Reprod Update, 13(1):53-62.
6. Poote A, van den Akker OB (2009). British women's attitudes to surrogacy. Hum Reprod, 24(1):139-45.
7. Ciccarelli JC, Beckman LJ (2005). Navigating rough waters: an overview of psychological aspects of surrogacy. J Soc Issues, 61(1):21-43.
8. Afshani SA, Abdoli AM, Hashempour M, et al (2016). The attitudes of infertile couples towards assisted reproductive techniques in Yazd, Iran: A cross sectional study in 2014. Int J Reprod Biomed (Yazd), 14(12):761-768.
9. Kazemi Fard Y, Jafarian J, Zahedi R, Mosali Nejad H (2013). Attitude of rural infertile women towards surrogacy in Jahrom town. IJOGI, 15(33):26-32.
10. Munn Z, Moola S, Lisy K, Riitano D, Tufanaru C (2015). Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data. Int J Evid Based Healthc, 13(3):147-53.
11. Higgins JP, Green S. Cochrane handbook for systematic reviews of interventions. John Wiley & Sons; 2011.
12. Baykal B, Korkmaz C, Ceyhan ST, et al (2008). Opinions of infertile Turkish women on gamete donation and gestational surrogacy. Fertil Steril, 89(4):817-22.
13. Saito Y, Matsuo H (2009). Survey of Japanese infertile couples' attitudes toward surrogacy. J Psychosom Obstet Gynaecol, 30(3):156-61.
14. Kian EM, Riazi H, Bashirian S (2014). Attitudes of Iranian infertile couples toward surrogacy. J Hum Reprod Sci, 7(1):47-51.
15. Ahmari Tehran H, Jafarbagloo E, Zia Sheikholeslami N, et al (2010). Surrogacy: infertile women's attitude. ijme, 4(1):62-70.
16. Kazemifard Y, Jafarian J, Zahedi R, Mosala Nezhad H (2015). Attitude of rural infertile women towards surrogacy in Jahrom town. The Iranian Journal of Obstetrics, Gynecology and Infertility, 15(33):26-32.
17. Dargahi G, Rahmani A, Sattarzadeh N, et al (2014). Attitudes toward Surrogacy amongst Iranian Fertile and Infertile Women. Global Adv Res J Microbiol, 3(1):005-11.
18. Isikoglu M, Senol Y, Berkkanoglu M, et al (2006). Public opinion regarding oocyte donation in Turkey: first data from a secular population among the Islamic world. Hum Reprod, 21(1):318-23.
19. Suzuki K, Hoshi K, Minai J, et al (2006). Analysis of national representative opinion surveys concerning gestational surrogacy in Japan. Eur J Obstet Gynecol Reprod Biol,126(1):39-47.
20. Cohen J, Jones H. Worldwide legislation. Textbook of assisted reproductive techniques, laboratory and clinical perspectives. London: Martin Dunitz. 2001:731-51.
21. Inhorn MC, Tremayne S. Islam and Assisted Reproductive Technologies. Berghahn Books; 2012.
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