The Desire of Infertile Patients for Multiple Births

Ryan, Ginny L.; Zhang, Sunny H.; Dokras, Anuja; Syrop, Craig H.; Voorhis, Bradley J. Van

doi:10.1097/01.ogx.0000134301.18326.7d

Cited by 42 publications

(62 citation statements)

References 6 publications

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“…However, in accord with previous studies [29][30][31]38] parity and previous cycles of IVF were associated with a more favourable attitude towards twins. This may reflect the desire for an instant family.…”

Section: Discussionsupporting

confidence: 89%

“…Studies have found that a number of factors, including mother's age, parity, length of infertility and knowledge of the risks of a multiple birth, affect expressed attitudes towards a multiple birth [29][30][31]. Such findings have prompted researchers to try to influence attitudes towards multiple births and eSET using information and educational materials about the associated risks [21,32,33].…”

Section: Introductionmentioning

confidence: 99%

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Comparing patients’ and clinicians’ perceptions of elective single embryo transfer using the attitudes to a twin IVF pregnancy scale (ATIPS)

Rai

Betsworth

Beer

et al. 2010

J Assist Reprod Genet

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Background This study evaluated a questionnaire originally developed for use with health professionals to explore and compare patients' and clinicians' perceptions of elective single embryo transfer and twin births. Methods IVF clinicians and patients attending an independent Fertility clinic were surveyed using the Attitudes to a twin birth scale (ATIPS) comprising two subscales: attitudes to twins (A-Twin) and attitudes to elective single embryo transfer (A-SET). After refinement total sample scores showed both subscales were reliable with Cronbach's alpha >0.8 and item-total correlations >0.35. Results Questionnaires were completed by 100 female IVF patients and 17 IVF clinicians. A-Twin subscale scores indicated neither the IVF clinicians nor female IVF patients demonstrated very positive attitudes to a twin birth although the IVF female patients were more in favour (t=5.29, n=117, p=<0.001). Responses suggest both groups would benefit from increased information about the risks of a twin birth for the baby. First cycle IVF female patients were significantly more positive about eSET (z=3.94, n=100, p=<0.001). Clinicians perceive both their colleagues' and female patients' negativity towards eSET; suggesting a role for education. Conclusions This study found the ATIPS to be a reliable measure which could be useful in evaluating interventions to promote single embryo transfer.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Comparing patients’ and clinicians’ perceptions of elective single embryo transfer using the attitudes to a twin IVF pregnancy scale (ATIPS)

Rai

Betsworth

Beer

et al. 2010

J Assist Reprod Genet

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show abstract

“…This is explained by the fact that the clinic, as a routine, only transfered two embryos during the study period and we only included the parents that were first-time parents in this study. We have seen in different studies that between 20% and 40% of infertile couples desire a multiple birth (18)(19). According to the present findings this is not to be considered as a risk for the couples' relationships or their parenthood, at least not for couples that have a stable relationship from the beginning and became parents for the first time and have children that are healthy.…”

Section: Discussionmentioning

confidence: 87%

“…There are still many hazards with multiple births, and the health of the children might also have been crucial to our results. Other studies on multiple births have shown less favorable results and mostly a negative impact on the mother's well-being and health (16)(17)(18)(19)(20). A recent Danish study presents results concluding that physical health of IVF/ICSI twins is comparable to non-IVF/ICSI twins but poorer than IVF singletons (5) and (21).…”

Section: Discussionmentioning

confidence: 89%

Relationship and parenthood in IVF couples with twin and singleton pregnancies compared with spontaneous singleton primiparous couples—a prospective 5-year follow-up study

Sydsjö

Wadsby

Sydsjö

et al. 2008

Fertility and Sterility

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“…Research has shown that more than one in five infertile women desired multiples over a singleton pregnancy (Ryan et al, 2004), but few families fully understand the physical and social implications (Bryan, 2003;D'Alton, 2004;Elster et al, 2000).…”

Section: 75mentioning

confidence: 99%

Maternal Risk Factors for Potential Maltreatment Deaths Among Healthy Singleton and Twin Infants

Luke

Brown

2007

Twin Res Hum Genet

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Our aim was to evaluate the risk of death among healthy infants due to maltreatment, using national linked vital statistics data. The study population included all nonanomalous, full-term (≥ 37 weeks), non-low birthweight (> 2500 grams) infants born between 1995 and 2000 and their linked death certificates: 18,673,439 singleton pregnancies (36,864 deaths) and 77,800 twin pregnancies (356 pregnancies with a death). The underlying cause of death was characterized as due to maltreatment, sudden infant death syndrome (SIDS), and other causes, based on ICD-9 and ICD-10 codes, and modeled by maternal age using multinomial logistic regression; mothers aged 25 to 29 were the reference group. The highest risk for infant mortality was among the youngest mothers for maltreatment (AOR 2.45 and 1.95 for singleton mothers < 20 and aged 20 to 24, respectively; AOR 4.34 and 2.25 for twin mothers < 20 and aged 20 to 24, respectively). The risk of death overall and for each category was modeled by maternal age < 20, aged 20 to 24, and ≥ 25, with and without the father's age present on the birth certificate, with mothers ≥ 25 and father's age present as the reference group. All risks of death were significantly increased for mothers younger than age 25, with the highest risks among the youngest mothers and missing father's age. The pattern for twins was similar, with elevated risks among younger mothers with or without father's age present on the birth certificate. These results add to the body of knowledge regarding risk factors for infant mortality among healthy singletons and twins.

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The Desire of Infertile Patients for Multiple Births

Cited by 42 publications

References 6 publications

Comparing patients’ and clinicians’ perceptions of elective single embryo transfer using the attitudes to a twin IVF pregnancy scale (ATIPS)

Comparing patients’ and clinicians’ perceptions of elective single embryo transfer using the attitudes to a twin IVF pregnancy scale (ATIPS)

Relationship and parenthood in IVF couples with twin and singleton pregnancies compared with spontaneous singleton primiparous couples—a prospective 5-year follow-up study

Maternal Risk Factors for Potential Maltreatment Deaths Among Healthy Singleton and Twin Infants

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