En Route to an “Instant Family”: Psychosocial Considerations

Baor, Liora; Blickstein, Isaac

doi:10.1016/j.ogc.2004.10.007

Cited by 18 publications

(20 citation statements)

References 34 publications

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“…The risk of stillbirth and neonatal death in twins is more than two and five times higher, respectively, than for singletons [10]. In triplets these unfortunate statistics are even higher.…”

Section: Psychological Effect and Assistancementioning

confidence: 92%

“…Maternal complications that are more frequently encountered in multiple pregnancies [10] Maternal complications for women carrying high order multiple gestations include increased incidence of preeclampsia, cesarean delivery, and postpartum hemorrhage, fatty liver and maternal death [13,10]. Higher rates of anemia, diabetes, premature rupture of membranes and other hypertensive disorders are also more commonly observed in multifetal gestations [2].…”

Section: Maternal Complicationsmentioning

confidence: 99%

“…A multiple pregnancy is usually more stressful both physically and emotionally as compared to a singleton pregnancy because of increased body discomfort, the need for frequent monitoring, more frequent obstetric interventions, and mainly due to the association with suboptimal or unfavorable neonatal outcome [10]. Patients who conceived after ART may associate preterm birth with guilt and stress and not infrequently blame themselves and feel responsible for the suboptimal outcome [10].…”

Section: Psychological Effect and Assistancementioning

confidence: 99%

“…Patients who conceived after ART may associate preterm birth with guilt and stress and not infrequently blame themselves and feel responsible for the suboptimal outcome [10].…”

Section: Psychological Effect and Assistancementioning

confidence: 99%

“…The increased incidence of multiples in the general population is generated by a 20% to 30% incidence of multiple births after ART [10].…”

Section: Introductionmentioning

confidence: 99%

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Triplet Gestation- Prevention, Risks, & Management Dilemmas

Blumenfeld¹,

Abdallah²,

Onit³

et al. 2008

TOADDJ

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Abstract:The increased popularity of assisted reproductive technology [ART] has been associated with a significant increase in the incidence of multiple pregnancies. Indeed, 43.5 % of triplet and higher order multiple births in the US were generated by ART, 38.5% were attributed to ovulation-inducing drugs without ART, and 18% occurred spontaneously. The escalating frequencies of multiple gestations, combined with the inevitable increased risks for adverse perinatal outcomes, have a significant influence on the overall measures of neonates' and infants' health and well being. In addition, multifetal pregnancies are associated with increased risks of maternal complications such as preeclampsia and other hypertensive disorders, cesarean delivery, postpartum hemorrhage, anemia, diabetes, premature rupture of membranes, placental abruption, fatty liver, and maternal death. Three maternal preconception characteristics are associated with improved outcome of triplets: multiparous, older, and tall women fare better than nulliparous, younger, and shorter controls, respectively. Whereas many obstetricians recommend on iatrogenic multifetal reduction, it may increase the risk of miscarriage, premature rupture of membranes and adverse psychological effects. In triplet gestation where the couple, is reluctant to undergo this procedure for moral or religious reasons, or due to the fear of losing the long awaited pregnancy, the recent information whereby taller patients are at a significantly lower risk of very premature delivery as compared to shorter patients, may be helpful.

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Section: Psychological Effect and Assistancementioning

confidence: 92%

Section: Maternal Complicationsmentioning

confidence: 99%

Section: Psychological Effect and Assistancementioning

confidence: 99%

“…Patients who conceived after ART may associate preterm birth with guilt and stress and not infrequently blame themselves and feel responsible for the suboptimal outcome [10].…”

Section: Psychological Effect and Assistancementioning

confidence: 99%

“…The increased incidence of multiples in the general population is generated by a 20% to 30% incidence of multiple births after ART [10].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Triplet Gestation- Prevention, Risks, & Management Dilemmas

Blumenfeld¹,

Abdallah²,

Onit³

et al. 2008

TOADDJ

View full text Add to dashboard Cite

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Triplet pregnancy: What do we tell the prospective parents

Mhatre

Craigo

2021

Prenatal Diagnosis

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Experience managing triplet pregnancies has increased over the past few decades as the incidence has changed related to assisted reproductive practices. Physicians caring for women carrying triplets cannot predict an individual outcome or pregnancy course but must educate patients about the challenges related to these high risk pregnancies. Obstetric providers can describe the wide range of risks associated with triplet gestations, and the general plan for management, but ultimately parents must make decisions with potentially lifelong consequences. Here, we present the diagnostic criteria, common complications, and management options for triplet pregnancies, to help obstetricians counsel patients on the medical and psychosocial consequences of triplet pregnancy, potential complications, and multifetal reduction.

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