Decision-Making Process of Taiwanese Women with Multifetal Pregnancies Who Receive Fetal Reduction
Date Issued
2015
Date
2015
Author(s)
Yu, Ching-Ju
Abstract
Multifetal pregnancy reduction (MFPR) is a procedure used to reduce the number of fetuses in a multiple pregnancy. When a pregnancy involves three or more fetuses (high-order pregnancy), the risks of miscarriage, stillbirth, and lifelong disability increase with each additional fetus. A result that the multiple gestation will cause the medical risk of fetus(es) and mother, fetal reductions are recommended. This research aimed to discover the relationship between decision-making process of MFPR and degree of depression in pregnancy. 112 subjects were recruited using structured questionnaires from an obstetric clinic in Taipei. The structured questionnaire includes the demographic background, Pregnancy experience, Reduction of Decision-making Scale, and Edinburgh Perinatal Depression Scale (EPDS). Statistical Analysis includes the t-test, one-way ANOVA test, and Pearson correlation. The results suggested Decision-making Factor Scale of MFPR was not statistically significant in demographic background and pregnancy experience. However, it was significantly different (p< .05) in the subject whether raising children as body burden, wellness of fetus, household and social issues, collecting fetal reduction information, and how to enhance self-mental strength. The EPDS showed abortion experiences and occupations types statistically significant different (p< .05). The EPDS score of women with previous abortion were higher than no abortion, and unemployment were also higher than career women. Using the EPDS cutoff score of 14 and above as a score indicative of depression, 26% of subjects were classified as depressed with fetal reduction. The research results provide evidence information that influence decision-making factor of MFPR and the depression of pregnancy, and facilitate the development of appropriate health care.
Subjects
multifetal pregnancies
fetal reduction
decision-making
depression
Type
thesis
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