Understanding about free consent in assisted reproduction techniques

Abstract

The use of in vitro fertilization (IVF) increased by about 5-10 % per year in the last decade. IVF creates a conflict between beneficence (successful treatment and pregnancy) and non-malfeasance (avoid multiple pregnancies and maternal and fetal complications). The aim of the study was to evaluate the Free and Informed Consent Form (ICF) used for performing IVF and its comprehension by the patient, including the possibility of discarding embryos. Semi-structured interviews were conducted with 95 women who would then undergo IVF, after signing the Informed Consent Form of the institution and of the study. About 85 % know the maternal and fetal risks of multiple gestation, and 47.9 % were aware of new CFM Resolution that allows discarding embryos. It was verified that the information provision regarding IVF is not accurate. The term does not cover all necessary aspects and seems to replace an adequate debate with health professionals.