Title |
Identifying families’ shared disease experiences through a qualitative analysis of online twin-to-twin transfusion syndrome stories
|
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Published in |
BMC Pregnancy and Childbirth, July 2016
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DOI | 10.1186/s12884-016-0952-6 |
Pubmed ID | |
Authors |
Rebecca Fischbein, James Meeker, Julia R. Saling, Michelle Chyatte, Lauren Nicholas |
Abstract |
Twin-to-twin transfusion syndrome (TTTS) affects 10-20 % of monochorionic diamniotic (MCDA) births and accounts for 50 % of fetal loss in MCDA pregnancies. This exploratory qualitative study identified shared experiences, including potential emotional and psychosocial impacts, of this serious disease. Forty-five publicly accessible, online stories posted by families who experienced TTTS were analyzed using grounded theory. Shared TTTS experiences included a common trajectory: early pregnancy experiences, diagnostic experiences, making decisions, interventions and variable outcomes. Families vacillated between emotional highs such as joy, excitement and relief, and lows including depression, anxiety, anger and grief. TTTS disease experience can be considered an "emotional roller coaster" exacerbated by TTTS's unpredictable and quickly changing nature with the potential for emotional and psychosocial effects. Increased TTTS awareness and research about its corresponding impacts can ensure appropriate patient and family support at all phases of the TTTS experience. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | 29% |
Ireland | 1 | 14% |
Unknown | 4 | 57% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 43% |
Scientists | 3 | 43% |
Practitioners (doctors, other healthcare professionals) | 1 | 14% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 74 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 11 | 15% |
Student > Master | 11 | 15% |
Student > Bachelor | 9 | 12% |
Researcher | 6 | 8% |
Student > Postgraduate | 4 | 5% |
Other | 11 | 15% |
Unknown | 22 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 20 | 27% |
Medicine and Dentistry | 16 | 22% |
Nursing and Health Professions | 12 | 16% |
Biochemistry, Genetics and Molecular Biology | 1 | 1% |
Agricultural and Biological Sciences | 1 | 1% |
Other | 3 | 4% |
Unknown | 21 | 28% |