Document Detail

Information-sharing among couples considering multifetal pregnancy reduction.
MedLine Citation:
PMID:  17222837     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the information-sharing strategies of couples considering fetal reduction, and the impact of these strategies on the chances of encountering hostility in their social networks.
DESIGN: Cross-sectional design of semistructured qualitative interviews, coded with respect to sharing strategies and level of personally directed hostility encountered.
SETTING: Multiple Pregnancy Management Program, Comprehensive Genetics, New York, New York.
PATIENT(S) AND INTERVENTION(S): Fifty women and their partners who were making a first visit to our maternal-fetal management facility, in order to consider the possibility of multifetal reduction as a pregnancy-management strategy.
MAIN OUTCOME MEASURE(S): Development of information-sharing strategies, and the chances of encountering personally directed hostility regarding multifetal reduction associated with more and less selective strategies.
RESULT(S): Four information-sharing strategies emerged from the analysis. Two of these strategies were relatively open (extended network, and both parents). Two other strategies were relatively selective (qualified family and friends, and defended relationship). The selective strategies were significantly less likely to encounter to encounter personally directed hostility (odds ratio, 3.88; 95% confidence intervals, 0.87-17.30).
CONCLUSION(S): Selective sharing of information for couples considering multifetal prgnancy reduction is a potentially useful strategy for moderating potentially stressful relationships in their social networks. Clinics should find a way of integrating the discussion of selective sharing into their clinic's cultural repertoire of patient-support services.
David W Britt; Mark I Evans
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Publication Detail:
Type:  Journal Article     Date:  2007-01-12
Journal Detail:
Title:  Fertility and sterility     Volume:  87     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-03-16     Completed Date:  2007-03-30     Revised Date:  2014-11-13    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  490-5     Citation Subset:  IM    
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MeSH Terms
Cross-Sectional Studies
Fertilization in Vitro
Interview, Psychological
Ovulation Induction
Pregnancy Reduction, Multifetal / psychology*
Social Support
Stress, Psychological / prevention & control

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