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Live nondirected uterus donors: Psychological characteristics and motivation for donation
Authors:A. M. Warren  G. Testa  T. Anthony  G. J. McKenna  G. B. Klintmalm  K. Wallis  E. C. Koon  R. T. Gunby Jr.  L. Johannesson
Affiliation:1. Division of Trauma, Acute Care and Critical Care Surgery, Baylor University Medical Center, Dallas, TX, USA;2. Annette C. and Harold C. Simmons Transplant Institute, Baylor University Medical Center, Dallas, TX, USA;3. Gynecologic Oncology/Obstetrics and Gynecology, Baylor University Medical Center, Dallas, TX, USA;4. Obstetrics and Gynecology, Baylor University Medical Center, Dallas, TX, USA
Abstract:Emerging research suggests that uterus transplantation is a viable option for women without a uterus who want to become pregnant and carry a child to term. Currently, no knowledge exists regarding nondirected uterus donors. This study (NCT 02656550) explored the baseline psychological characteristics of nondirected uterus donors at a single study site. Of the 62 potential donors who underwent initial screening, 6 nondirected donors were chosen and participated in uterus donation. Participants received a comprehensive evaluation, which included clinical history and psychological assessments. The mean age of the donors was 42 years; most (83%) were white/not Hispanic, and all had a college degree. Current depression was reported by 2 participants, past depression was reported in 2 participants, and past anxiety was reported in 3 participants. Based on several different psychological measures, donors had a higher general well‐being than the normative sample, and none of the participants' scores indicated psychological distress. All 6 women indicated that giving another woman an opportunity to carry her own child was a motivation for pursuing uterus donation. Further research on potential psychological motives and gains for the donor as well as long‐term effects on donors is crucial for ethical practice.
Keywords:clinical research/practice  clinical trial  donors and donation: donor evaluation  donors and donation: living  vascularized composite and reconstructive transplantation
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