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Objective: To determine if increased psychosocial risks are associated with ea ch increase in birth multiplicity (i.e., singleton, twin, triplet) resulting fro m assisted reproduction. Design: Stratified random sample (n = 249). Setting: An academic teaching hospital and private practice infertility center. Patient(s): Mothers raising 1-to 4-year-old children (n = 128 singletons, n = 111 twins, and n = 10 triplets) conceived through assisted reproduction. Intervention(s): Self-administered, mailed survey. Main Outcome Measure(s): Scales measuring mat erial needs, quality of life, social stigma, depression, stress, and marital sat isfaction. Result(s): Using multivariate logistic regression models, for each ad ditional multiple birth child, the odds of having difficulty meeting basic mater ial needs more than tripled and the odds of lower quality of life and increased social stigma more than doubled. Each increase in multiplicity was also associat ed with increased risks of maternal depression. Conclusion(s): To increase patie nts’informed decision-making, assisted reproduction providers might consider i ncorporating a discussion of these risks with all patients before they begin fer tility treatment, and holding the discussion again if the treatment results in a multiple gestation. These data may also help providers to identify appropriate counseling, depression screening, and supports for patients with multiple births .
Objective: To determine if increased psychosocial risks are associated with ea ch increase in birth multiplicity (ie, singleton, twin, triplet) resulting cold assisted reproduction. Design: Stratified random sample (n = 249). Intervention (s): Self-private practice infertility center. Patient (s): Mothers raising 1-to 4-year-old children (n = 128 singletons, n = 111 twins, and n = 10 triplets) Main Outcome Measure (s): Scales measuring mat erial needs, quality of life, social stigma, depression, stress, and marital sat isfaction. Result (s): Using multivariate logistic regression models, for each ad ditional multiple birth child, the odds of having difficulty meeting basic mater ial needs more than tripled and the odds of lower quality of life and increased social stigma more than doubled. Each increase in multiplicity was also associat ed with increased risks of maternal dep ression. Conclusion (s): To increase patie nts’informed decision-making, assisted reproduction providers might consider i ncorporating a discussion of these risks with all patients before they begin fer tility treatment, and holding the discussion again if the treatment results in a These data may also help providers to identify appropriate counseling, depression screening, and supports for patients with multiple births.