Objective: To assess whether receiving information about twin pregnancy in the form of oral presentation given by a physician could affect the acceptance of single embryo transfer (SET) by couples undergoing IVF. Study design: Prospective interventional study. Setting: University hospital IVF unit. Patients: One hundred and forty patients (70 couples) undergoing IVF. Interventions: A questionnaire to measure patients’ emotions about twin pregnancy was administered to IVF patients just before and immediately after attending a slide presentation in which the risks of twin pregnancy were explained. Patients scored (1 to 6) ten adjectives linked either to positive or negative emotions; scores before and after presentation were compared. The patients’ preference between double embryo transfer (DET) and SET was also registered before and after the presentation. Results: The presentation about twin pregnancy caused a significant (p < 0.001) shift of the score distribution toward lower values for positive adjectives referred to twin pregnancy and higher values for negative adjectives. Information impacted similarly on women and men. Despite the relevant change in the emotional attitude, after presentation, 45.7% of women and 48.6% of men were still favorable to DET, whereas 24.3% of women and 37.1% of men preferred SET. Conclusions: Oral information on the risks of twin pregnancy can affect the emotional attitude of patients toward twin pregnancy, but the wish of getting pregnant after fresh embryo transfer overcomes all rational consideration, and the majority of patients still prefer DET.

Is guided, targeted information about the risks of twin pregnancy able to increase the acceptance of single embryo transfer among IVF couples? A prospective study

Scarafia C.;Razzano A.;Canosa S.;Carosso A. R.;Benedetto C.;Revelli A.
2020

Abstract

Objective: To assess whether receiving information about twin pregnancy in the form of oral presentation given by a physician could affect the acceptance of single embryo transfer (SET) by couples undergoing IVF. Study design: Prospective interventional study. Setting: University hospital IVF unit. Patients: One hundred and forty patients (70 couples) undergoing IVF. Interventions: A questionnaire to measure patients’ emotions about twin pregnancy was administered to IVF patients just before and immediately after attending a slide presentation in which the risks of twin pregnancy were explained. Patients scored (1 to 6) ten adjectives linked either to positive or negative emotions; scores before and after presentation were compared. The patients’ preference between double embryo transfer (DET) and SET was also registered before and after the presentation. Results: The presentation about twin pregnancy caused a significant (p < 0.001) shift of the score distribution toward lower values for positive adjectives referred to twin pregnancy and higher values for negative adjectives. Information impacted similarly on women and men. Despite the relevant change in the emotional attitude, after presentation, 45.7% of women and 48.6% of men were still favorable to DET, whereas 24.3% of women and 37.1% of men preferred SET. Conclusions: Oral information on the risks of twin pregnancy can affect the emotional attitude of patients toward twin pregnancy, but the wish of getting pregnant after fresh embryo transfer overcomes all rational consideration, and the majority of patients still prefer DET.
37
7
1669
1674
Double embryo transfer; In vitro fertilization; Single embryo transfer; Twin pregnancy; Adult; Emotions; Female; Fertilization in Vitro; Health Knowledge, Attitudes, Practice; Humans; Italy; Male; Patient Acceptance of Health Care; Pregnancy; Prenatal Education; Prospective Studies; Risk Factors; Single Embryo Transfer; Surveys and Questionnaires; Pregnancy, Twin
Masciovecchio M.; Scarafia C.; Razzano A.; Canosa S.; Gennarelli G.; Carosso A.R.; Benedetto C.; Revelli A.
File in questo prodotto:
File Dimensione Formato  
Masciovecchio2020_Article_IsGuidedTargetedInformationAbo.pdf

Accesso riservato

Tipo di file: PDF EDITORIALE
Dimensione 236.58 kB
Formato Adobe PDF
236.58 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2318/1793869
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 1
  • ???jsp.display-item.citation.isi??? 2
social impact