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Knowledge, attitude, intention, and religion aspect toward fertility preservation among obstetrics and gynecology residents in Indonesia: A cross-sectional study
Harzif, Achmad Kemal; Maidarti, Mila; Silvia, Melisa; Mariana, Ana; Mutia, Heidi Dewi & Wiweko, Budi
Abstract
Background: The lack of knowledge from healthcare providers regarding fertility
preservation will certainly affect the patient’s knowledge, attitude, behavior, and also
perspective. Obstetrics and Gynecology (OB/GYN) residents may most likely be the
first line professionals to integrate fertility preservation technologies into their practice
which plays an important task in giving an understanding of the relationship between
age and fertility for patients.
Objective: This study aims to assess OB/GYN resident knowledge and beliefs
regarding age-related fertility decline, intentions, and religion aspect toward fertility
preservation.
Materials and Methods: A cross-sectional study was conducted on 92 Indonesian
OB/GYN residents at the Cipto Mangunkusomo Hospital between November and
December 2017. Data were collected using a questionnaire which had four sections,
knowledge, attitude, intention, and religion aspect toward fertility preservation.
Results: The majority of participants believed that an OB/GYN should encourage
discussions about potential childbearing desires (96.74%) and age-related fertility
decline (94.57%) with patients, of which 79.34% believed that these discussions should
be part of a woman’s annual health examination. Cancer patients are likely to undergo
oocyte cryopreservation than people who choose career as priority. From the religion
aspect, fertility preservation options such as sperm, oocyte, embryo, and ovarian cortex
cryopreservation were accepted by most residents with varied religions, while oocyte
and sperm donor methods were unacceptable (48% and 57%, respectively) because
of the belief that oocyte/sperm should only be given to legitimate partners, but many
still do not know that oocyte and sperm donor were prohibited by all religions.
Conclusion: Age-related fertility decline and frozen egg storage should be discussed
during annual woman wellness examinations by OB/GYN specialists.
Keywords
Knowledge; Attitude; Intention; Fertility preservation.
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