"Everything Came With a Price": Women's Decision-Making Regarding Multifetal Reduction

2.50
Hdl Handle:
http://hdl.handle.net/10755/150760
Type:
Presentation
Title:
"Everything Came With a Price": Women's Decision-Making Regarding Multifetal Reduction
Abstract:
"Everything Came With a Price": Women's Decision-Making Regarding Multifetal Reduction
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Collopy, Kate, PhD, RN, CCNS
P.I. Institution Name:University of New Hampshire
Title:Assistant Professor
Objective: To describe women’s experiences regarding their decisions to undergo or forgo multifetal reduction (MFR). Design: Phenomenological Sample: Eight women who had conceived higher-order multiple (HOM’s) pregnancies as a result of infertility treatments. Methods: Data was collected and analyzed using Van Manen’s approach (1990). Findings: Four themes emerged from the data: “You Feel Incomplete:” where the participants described a desperate desire to conceive; “They’re Little People:” the experience of seeing their fetuses on ultrasound; “My God, How Can I Do This?” making the MFPR decision; and “Everything Came With a Price:” the experience of living with the decision. The participants described an overwhelming desire to conceive. Generally, this led the participants to view conceiving multiples positively. When ultrasonographic examinations revealed the presence of (HOM’s) the participants were struck by the development of the fetuses. Whether they reduced or not, participants strongly believed that these were already their children. Regarding MFR, the participants rejected the idea immediately, became resigned to the necessity of the procedure, or struggled mightily with the issue. Those who reduced described feelings of deep sadness and isolation. Those who declined to reduce were pleased with their decisions, but were haunted by the knowledge of which of their children would have been lost. Conclusions: MFPR decisions were inextricably linked to infertility treatment decisions. There were enduring effects on the women, regardless of the choice that they made. There was a lasting concern over the cost that their children had to pay, or potentially could have paid, as a result of their pursuit of pregnancy. Implications: Women undergoing infertility treatment may have difficulty internalizing their risk of conceiving HOM’s, leading them to make treatment choices that place them at higher risk to conceive multiples. Delivering and rearing children following MFR is often a bittersweet experience for women.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.title"Everything Came With a Price": Women's Decision-Making Regarding Multifetal Reductionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150760-
dc.description.abstract<table><tr><td colspan="2" class="item-title">&quot;Everything Came With a Price&quot;: Women's Decision-Making Regarding Multifetal Reduction</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Collopy, Kate, PhD, RN, CCNS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of New Hampshire</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kate.collopy@unh.edu</td></tr><tr><td colspan="2" class="item-abstract">Objective: To describe women&rsquo;s experiences regarding their decisions to undergo or forgo multifetal reduction (MFR). Design: Phenomenological Sample: Eight women who had conceived higher-order multiple (HOM&rsquo;s) pregnancies as a result of infertility treatments. Methods: Data was collected and analyzed using Van Manen&rsquo;s approach (1990). Findings: Four themes emerged from the data: &ldquo;You Feel Incomplete:&rdquo; where the participants described a desperate desire to conceive; &ldquo;They&rsquo;re Little People:&rdquo; the experience of seeing their fetuses on ultrasound; &ldquo;My God, How Can I Do This?&rdquo; making the MFPR decision; and &ldquo;Everything Came With a Price:&rdquo; the experience of living with the decision. The participants described an overwhelming desire to conceive. Generally, this led the participants to view conceiving multiples positively. When ultrasonographic examinations revealed the presence of (HOM&rsquo;s) the participants were struck by the development of the fetuses. Whether they reduced or not, participants strongly believed that these were already their children. Regarding MFR, the participants rejected the idea immediately, became resigned to the necessity of the procedure, or struggled mightily with the issue. Those who reduced described feelings of deep sadness and isolation. Those who declined to reduce were pleased with their decisions, but were haunted by the knowledge of which of their children would have been lost. Conclusions: MFPR decisions were inextricably linked to infertility treatment decisions. There were enduring effects on the women, regardless of the choice that they made. There was a lasting concern over the cost that their children had to pay, or potentially could have paid, as a result of their pursuit of pregnancy. Implications: Women undergoing infertility treatment may have difficulty internalizing their risk of conceiving HOM&rsquo;s, leading them to make treatment choices that place them at higher risk to conceive multiples. Delivering and rearing children following MFR is often a bittersweet experience for women.</td></tr></table>en_GB
dc.date.available2011-10-26T10:42:07Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T10:42:07Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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