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Leithner K, Stammler-Safar M, Springer S, et al. Three or less? Decision making for or against selective reduction and psychological outcome in forty women with a triplet pregnancy. J Psychosom Obstet Gynaecol. 2020;42(4):286-292doi: 10.1080/0167482X.2020.1750005.
Leithner, K., Stammler-Safar, M., Springer, S., Kirchheiner, K., & Hilger, E. (2021). Three or less? Decision making for or against selective reduction and psychological outcome in forty women with a triplet pregnancy. Journal of psychosomatic obstetrics and gynaecology, 42(4), 286-292. https://doi.org/10.1080/0167482X.2020.1750005
Leithner, Katharina, et al. "Three or less? Decision making for or against selective reduction and psychological outcome in forty women with a triplet pregnancy." Journal of psychosomatic obstetrics and gynaecology vol. 42,4 (2021): 286-292. doi: https://doi.org/10.1080/0167482X.2020.1750005
Leithner K, Stammler-Safar M, Springer S, Kirchheiner K, Hilger E. Three or less? Decision making for or against selective reduction and psychological outcome in forty women with a triplet pregnancy. J Psychosom Obstet Gynaecol. 2021 Dec;42(4):286-292. doi: 10.1080/0167482X.2020.1750005. Epub 2020 Apr 21. PMID: 32312137.
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J Psychosom Obstet Gynaecol. 2021 Dec;42(4):286-292. doi: 10.1080/0167482X.2020.1750005. Epub 2020 Apr 21.

Three or less? Decision making for or against selective reduction and psychological outcome in forty women with a triplet pregnancy.

Journal of psychosomatic obstetrics and gynaecology

Katharina Leithner, Maria Stammler-Safar, Stephanie Springer, Kathrin Kirchheiner, Eva Hilger

Affiliations

  1. Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria.
  2. Division of Obstetrics and Feto-Maternal Medicine, Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria.
  3. Department of Radiotherapy, Medical University of Vienna, Vienna, Austria.
  4. Department of Neurology, Medical University of Vienna, Vienna, Austria.

PMID: 32312137 DOI: 10.1080/0167482X.2020.1750005

Abstract

OBJECTIVES: The aim of the study was to investigate decision making for or against multifetal pregnancy reduction (MFPR) and psychological outcome in women with a triplet pregnancy.

METHODS: We investigated medical and sociodemographic variables and characteristics of the decision process for or against MFPR in forty women with triplet pregnancies who had either undergone MFPR (MFPR-group:

RESULTS: Women of the MFPR-group had a higher gestational age at delivery (

CONCLUSIONS: MFPR, though associated with emotional distress related to the procedure, results in a satisfactory psychological outcome in the majority of women. The decision for or against MFPR may be related to sociodemographic (such as educational) variables, which further supports the concept of framing in medical decision making. Having triplets most probably is associated with multiple (e.g. social or economic) consequences that may remain poorly investigated.

Keywords: Multifetal pregnancy reduction; decision-making; framing; psychological follow-up; triplets

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