Psychosocial risks associated with multiple births resulting from assisted reproduction

Ellison, Marcia A.; Hotamisligil, Selen; Lee, Hang; Rich‐Edwards, Janet W.; Pang, Samuel C.; Hall, Janet E.

doi:10.1016/j.fertnstert.2004.11.053

Cited by 73 publications

(88 citation statements)

References 44 publications

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“…33 Decreases in marital satisfaction, although without statistical significance, was consistent with increases in the number of children per conception. 27 No differences were reported with respect to sexual interest; 28 however, in mothers of multiples, sexual activity was less frequent. 28,30 With respect to parental subsystems, mothers of twins had the perception that their children had more difficult tempers, 33 which increased maternal emotional vulnerabilty.…”

Section: Discussionmentioning

confidence: 91%

“…28 The quality of life of women decreased with the birth of multiple children. 27 The impact of the birth of twins on the marital subsystem was initially like an implosion, with varied repercussions in marital life. However, this impact varied considerably with renegotiation of roles and reorganization of work.…”

Section: Discussionmentioning

confidence: 99%

“…23,26,37,[40][41] They also covered marital adaptation, 29,32-33 parental adjustment 25,32 and behavior 25 and development of children, 28,30 seeking to identify the determining factors of this process 23,[27][28][29][30][33][34][37][38]40 and using twinning parenthood as a reference.…”

Section: Social Supportmentioning

confidence: 99%

“…From the comparative analyses used in some of the research, we considered the difference between groups, taking into account: different types of conception, [25][26]32,[36][37] number of births per pregnancy [26][27][28][30][31][32][33][35][36]38,41 and gestation period. 29,38 …”

Section: Social Supportmentioning

confidence: 99%

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Families with twins - a systematic review

Andrade

Martins

Ângelo

et al. 2014

Texto contexto - enferm.

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ABSTRACT:Parenthood is among the developmental transitions that set major challenges for contemporary families. When there is a twin pregnancy, those challenges increase. Our aims in this study are understanding the parental experience in families with twins and identifying the factors which condition parental experience in such families. It is a literature review focusing on studies published between 2000 and 2012 based on reference data. The articles were analyzed considering the aims, participants, phases of data collection, tools used; and results achieved regarding the dimensions involved in parenting experiences faced by parents of twins. In the 19 studies identified, maternity was the main focus of research. Women with twin children showed lower scores on well-being, higher stress risks, exhaustion and depression. The experience of these families was different, more demanding and complex than singletons' parents. Understanding of this matter becomes crucial to contributing to better health for families. LA FAMILIA EN LA PERSPECTIVA GEMELAR -UNA REVISIÓN SISTEMÁTICA RESUMEN: La paternidad es una de las transiciones del desarrollo que plantea más desafíos a la familia contemporánea. En un embarazo gemelar estos retos son engrandecidos. Los objetivos del estudio fueron conocer la experiencia de la paternidad en familias con gemelos y analizar los factores que influyen en sus experiencias de paternidad. Para este propósito se analizaron artículos publicados entre 2000-2012 en bases de datos referencia. Los artículos fueron analizados teniendo en cuenta: objetivos, participantes, tiempo de recolección de datos, instrumentos utilizados y los resultados, atendiendo las variables que integran la experiencia de paternidad gemelar. En los 19 estudios identificados, la maternidad era el foco central de investigación. Las mujeres con gemelos han tenido resultados más bajos de bienestar, aumentando el riesgo de estrés, agotamiento y depresión. La experiencia de las familias fue diferente, más exigente y compleja que para otros padres. Comprender el tema es fundamental para maximizar la salud de la familia. DESCRIPTORS:

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Social Supportmentioning

confidence: 99%

Section: Social Supportmentioning

confidence: 99%

See 2 more Smart Citations

Families with twins - a systematic review

Andrade

Martins

Ângelo

et al. 2014

Texto contexto - enferm.

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“…Although there is some debate about whether an IVF twin infant is at greater risk than a naturally conceived twin when factors such as zygosity and mother's age and parity are controlled for, [4,8] there is clearly a greater risk to their mother's health than to mothers' of singleton infants, [9] and some evidence of a greater risk compared to mothers of naturally conceived twins [10]. There is also clear evidence of the increased risk of a multiple birth to parental emotional and financial well-being [11][12][13].…”

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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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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Children in Diverse Families

Ganong

Coleman

Russell

2015

Handbook of Child Psychology and Developmental Science

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Children in diverse families often have divergent life courses from children reared in other family forms. Diverse families, unlike first‐marriage nuclear families, often are not formed by marriage, and when they are, the marriage may not be the first for at least one of the adults. Children in diverse families may be genetically related to only one parent or to neither parent. Diverse families may include more than two adults who serve in parental roles, or only one adult, not always a genetic parent, may be rearing children. Legal connections between parents and children, like genetic bonds, vary widely in diverse families. In this chapter we examine several types of diverse families as environmental contexts within which children develop: Families headed by unmarried and cohabiting parents, children who have had a parent die or whose parents have divorced, stepfamilies, families headed by gay and lesbian individuals, grandfamilies (grandparents raising grandchildren), and parents who utilized assisted reproductive technologies (ART). These categories are not homogeneous, so when feasible, we examine the state of the scholarship within subcategories of these larger family types.

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Psychosocial risks associated with multiple births resulting from assisted reproduction

Cited by 73 publications

References 44 publications

Families with twins - a systematic review

Families with twins - a systematic review

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

Children in Diverse Families

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