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Information-sharing among couples considering multifetal pregnancy reduction.

David W Britt1, Mark I Evans

  • 1Fetal Medicine Foundation of America, New York, USA.

Fertility and Sterility
|January 16, 2007
PubMed
Summary

Couples considering multifetal pregnancy reduction can reduce social hostility by selectively sharing information about their decision. This strategy helps manage stressful relationships within their social networks.

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Area of Science:

  • Reproductive Medicine
  • Social Psychology
  • Genetics Counseling

Background:

  • Multifetal pregnancy reduction (MFPR) presents complex decisions for couples.
  • Managing social network reactions to MFPR can be challenging.
  • Information sharing strategies impact patient experiences.

Purpose of the Study:

  • To identify information-sharing strategies used by couples considering MFPR.
  • To assess the impact of these strategies on social hostility.
  • To inform patient support services in maternal-fetal management.

Main Methods:

  • Qualitative interviews with 50 women and partners considering MFPR.
  • Cross-sectional study design.
  • Analysis of information-sharing strategies and experienced hostility.

Main Results:

  • Four distinct information-sharing strategies were identified: open (extended network, both parents) and selective (qualified family/friends, defended relationship).
  • Selective sharing strategies were associated with significantly less personally directed hostility (OR, 3.88).

Conclusions:

  • Selective information sharing is a viable strategy for couples undergoing MFPR to mitigate social network stress.
  • Clinics should integrate discussions on selective sharing into patient support services.