The article resulting from the collaborative study I conducted in Brazil is now available online first. It is currently open access. It will be published in the Journal of Empirical Research on Human Research Ethics.
Postpartum Women’s Perspectives on the Donation of Placentas for Scientific Research in Campinas, Brazil
Little is known about public perspectives of scientific and therapeutic uses of placentas. Gaps in knowledge potentiate ethical and clinical problems regarding collection and applications. As such, this study sought to assess the perspectives of placenta donation of a sample of women. Postpartum women’s perspectives on placental donation were assessed at the State University of Campinas in the Centro de Atençäo Integral a Saúde da Mulher (CAISM) maternity hospital using a cross-sectional survey (n = 384) and semi-structured interviews (n = 12). Surveys were analyzed quantitatively and interviews were analyzed qualitatively using grounded coding; results were compared. The average age of respondents was 27. Fifty-six percent had more than one child, 45% were Caucasian, 38% were mixed-race, 74% identified with a Christian faith, 52% had high school education or higher, 13% regarded the placenta as spiritually important, 72% felt that knowing what happens to the placenta after birth was somewhat or very important, 78% supported the use of the placenta in research and medicine, 59% reported that consent to collect the placenta was very or somewhat important, 78% preferred their doctor to invite donation, and only 7% preferred the researcher to invite donation. Interviews suggested women appreciate being part of research and that receiving information about studies was important to them. Informed by these results, we argue that women support scientific and therapeutic uses of placentas, want to be included in decision making, and desire information about the placenta. Placentas should not be viewed as “throwaway” organs that are poised for collection without the involvement and permission of women. Women want to be meaningfully included in research processes.
Authors: Rebecca Scott Yoshizawa, Maria José Duarte Osis, Simony Lira Nascimento, Silvana Ferreira Bento, Ana Carolina Godoy, Suelene Coelho, and José Guilherme Cecatti
I would like to thank the anonymous reviews and editors of the journal for their incredibly thoughtful comments. Their contribution raised the quality of this article immensely.
I’m very excited about the contribution this research makes regarding public perspectives of the use of human placentas in scientific research and medicine. They survey instrument that was developed for this study can be deployed in other locations toward the development of locally-appropriate protocols and practices regarding human placental donation, collection, and research. Please contact me if you are interested in collaborating on a survey of another population!