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Keywords:

  • pregnancy reduction;
  • multifetal;
  • pregnancy;
  • multiple;
  • decision making;
  • triplets;
  • infertility;
  • ethics;
  • medical

Abstract

In this phenomenological study women's experiences regarding their decisions to undergo or forgo multifetal reduction of their higher-order multiple pregnancies were explored. Seven women who had conceived higher-order multiple pregnancies as the result of in vitro fertilization were interviewed. Four participants accepted reduction, whereas three participants declined. Three themes were discerned: (a) the presence of infertility as a barrier to contemplating hyperfertility; (b) multiple-birth pregnancy as yet another form of loss for infertile women; and (c) the lasting effects of having made the decision. © 2004 Wiley Periodicals, Inc. Res Nurs Health 27:75–86, 2004