Md Latar Ida Lilywaty, Razali Nuguelis
Department of Obstetrics & Gynaecology, Universiti Malaya, 59100 Kuala Lumpur, Malaysia.
Int J Reprod Med. 2014;2014:301452. doi: 10.1155/2014/301452. Epub 2014 Jul 22.
Objective. To study the predictors for desire for multiple pregnancies and the influence of providing information regarding the maternal and fetal complications associated with multiple pregnancies on their preference for multiple pregnancies. Methods. Couples attending an infertility clinic were offered to fill up a questionnaire separately. Following this, they were handed a pamphlet with information regarding the risks associated with multiple pregnancies. The patients will then be required to answer the question on the number of pregnancies desired again. Results. Two hundred fifty three out of 300 respondents completed the questionnaires adequately. A higher proportion of respondents, 60.3% of females and 57.9% of males, prefer singleton pregnancy. Patients who are younger than 35 years, with preexisting knowledge of risks associated with multiple pregnancies and previous treatment for infertility, have decreased desire for multiple pregnancies. However, for patients who are older than 35, with longer duration of infertility, and those patients who have preexisting knowledge of the increased risk, providing further information regarding the risks did not change their initial preferences. Conclusion. Providing and reinforcing knowledge on the risks to mother and fetus associated with multiple pregnancies did not decrease the preference for multiple pregnancies in patients.
目的。研究多胎妊娠意愿的预测因素，以及提供多胎妊娠相关母胎并发症信息对其多胎妊娠偏好的影响。方法。邀请前往不孕症诊所就诊的夫妇分别填写一份问卷。在此之后，发给他们一本关于多胎妊娠相关风险的宣传册。然后要求患者再次回答期望的妊娠次数问题。结果。300名受访者中有253人充分完成了问卷。较高比例的受访者，60.3%的女性和57.9%的男性，更喜欢单胎妊娠。年龄小于35岁、事先了解多胎妊娠相关风险且曾接受不孕症治疗的患者，多胎妊娠意愿降低。然而，对于年龄大于35岁、不孕时间较长且事先了解风险增加的患者，提供关于风险的进一步信息并未改变他们最初的偏好。结论。提供并强化关于多胎妊娠对母亲和胎儿风险的知识，并未降低患者对多胎妊娠的偏好。
