J Korean Clin Nurs Res.  2018 Apr;24(1):44-55. 10.22650/JKCNR.2018.24.1.44.

Experience of Decision Making about Selective Fetal Reduction among Women Who Conceived through Assisted Reproductive Techniques

• Jang H
• Chung C

• KMID: 2411300
• DOI: http://doi.org/10.22650/JKCNR.2018.24.1.44

Abstract

PURPOSE
This study aimed to explore and understand the experience of decision making among women undergoing or forgoing selective fetal reduction who have higher-order multiple pregnancies through assisted reproductive techniques.
METHODS
A qualitative study was conducted from August 1, to October 30, 2013. Eight participants were interviewed and the interviews were audio-recorded and transcribed verbatim. Six persons participated in in-depth interviews in person and two participated over the telephone. A thematic analysis was conducted.
RESULTS
Four themes were identified and carefully named: Confusion after higher-order multiple pregnancy; Obstacles to choice: Uncertain safety; Weighing between reality and ideality and; Influences of medical professionals.
CONCLUSION
The results demonstrated a wide range of factors considered by women when making decisions about selective fetal reduction, and mothers'feelings of conflict and distress in the decision-making process. The results suggest that it is important for nurses to provide emotional support and consolation, in addition to sufficient information. These findings will help nurses improve their counseling techniques by understanding the situation of infertile couples.

Keyword

Multifetal Pregnancy Reduction; Assisted Reproductive Techniques; Decision Making; Multiple Pregnancy; Qualitative Research

MeSH Terms

Counseling
Decision Making*
Family Characteristics
Female
Humans
Pregnancy
Pregnancy Reduction, Multifetal*
Pregnancy, Multiple
Qualitative Research
Reproductive Techniques, Assisted*
Telephone