Exploring gender differences among couples with unexplained recurrent pregnancy loss regarding preferences for supportive care

Abstract Background International guidelines recommend to offer supportive care during a next pregnancy to couples affected by recurrent pregnancy loss (RPL). In previous research, several options for supportive care have been identified and women’s preferences have been quantified. Although it is k...

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Autores principales:	N. A. du Fossé, E. E. L. O. Lashley, T. T. Treurniet, J. M. M. van Lith, S. le Cessie, H. Boosman, M. L. P. van der Hoorn
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Recurrent pregnancy loss Recurrent miscarriage Supportive care Male perspective Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/56259d225f894b0db210bffc33f81dde
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spelling	oai:doaj.org-article:56259d225f894b0db210bffc33f81dde2021-12-05T12:20:46ZExploring gender differences among couples with unexplained recurrent pregnancy loss regarding preferences for supportive care10.1186/s12884-021-04277-41471-2393https://doaj.org/article/56259d225f894b0db210bffc33f81dde2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12884-021-04277-4https://doaj.org/toc/1471-2393Abstract Background International guidelines recommend to offer supportive care during a next pregnancy to couples affected by recurrent pregnancy loss (RPL). In previous research, several options for supportive care have been identified and women’s preferences have been quantified. Although it is known that RPL impacts the mental health of both partners, male preferences for supportive care have hardly been explored. Methods A cross-sectional study was conducted in couples who visited a specialized RPL clinic in the Netherlands between November 2018 and December 2019. Both members of the couples received a questionnaire that quantified their preferences for supportive care in a next pregnancy and they were asked to complete this independently from each other. Preferences for each supportive care option were analysed on a group level (by gender) and on a couple level, by comparing preferences of both partners. Results Ninety-two questionnaires (completed by 46 couples) were analysed. The overall need for supportive care indicated on a scale from 1 to 10 was 6.8 for men and 7.9 for women (P = 0.002). Both genders preferred to regularly see the same doctor with knowledge of their obstetric history, to make a plan for the first trimester and to have frequent ultrasound examinations. A lower proportion of men preferred a doctor that shows understanding (80% of men vs. 100% of women, P = 0.004) and a doctor that informs on wellbeing (72% vs. 100%, P = ≤0.000). Fewer men preferred support from friends (48% vs. 74%, P = 0.017). Thirty-seven percent of men requested more involvement of the male partner at the outpatient clinic, compared to 70% of women (P = 0.007). In 28% of couples, partners had opposing preferences regarding peer support. Conclusions While both women and men affected by RPL are in need of supportive care, their preferences may differ. Current supportive care services may not entirely address the needs of men. Health care professionals should focus on both partners and development of novel supportive care programs with specific attention for men should be considered.N. A. du FosséE. E. L. O. LashleyT. T. TreurnietJ. M. M. van LithS. le CessieH. BoosmanM. L. P. van der HoornBMCarticleRecurrent pregnancy lossRecurrent miscarriageSupportive careMale perspectiveGynecology and obstetricsRG1-991ENBMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Recurrent pregnancy loss Recurrent miscarriage Supportive care Male perspective Gynecology and obstetrics RG1-991
spellingShingle	Recurrent pregnancy loss Recurrent miscarriage Supportive care Male perspective Gynecology and obstetrics RG1-991 N. A. du Fossé E. E. L. O. Lashley T. T. Treurniet J. M. M. van Lith S. le Cessie H. Boosman M. L. P. van der Hoorn Exploring gender differences among couples with unexplained recurrent pregnancy loss regarding preferences for supportive care
description	Abstract Background International guidelines recommend to offer supportive care during a next pregnancy to couples affected by recurrent pregnancy loss (RPL). In previous research, several options for supportive care have been identified and women’s preferences have been quantified. Although it is known that RPL impacts the mental health of both partners, male preferences for supportive care have hardly been explored. Methods A cross-sectional study was conducted in couples who visited a specialized RPL clinic in the Netherlands between November 2018 and December 2019. Both members of the couples received a questionnaire that quantified their preferences for supportive care in a next pregnancy and they were asked to complete this independently from each other. Preferences for each supportive care option were analysed on a group level (by gender) and on a couple level, by comparing preferences of both partners. Results Ninety-two questionnaires (completed by 46 couples) were analysed. The overall need for supportive care indicated on a scale from 1 to 10 was 6.8 for men and 7.9 for women (P = 0.002). Both genders preferred to regularly see the same doctor with knowledge of their obstetric history, to make a plan for the first trimester and to have frequent ultrasound examinations. A lower proportion of men preferred a doctor that shows understanding (80% of men vs. 100% of women, P = 0.004) and a doctor that informs on wellbeing (72% vs. 100%, P = ≤0.000). Fewer men preferred support from friends (48% vs. 74%, P = 0.017). Thirty-seven percent of men requested more involvement of the male partner at the outpatient clinic, compared to 70% of women (P = 0.007). In 28% of couples, partners had opposing preferences regarding peer support. Conclusions While both women and men affected by RPL are in need of supportive care, their preferences may differ. Current supportive care services may not entirely address the needs of men. Health care professionals should focus on both partners and development of novel supportive care programs with specific attention for men should be considered.
format	article
author	N. A. du Fossé E. E. L. O. Lashley T. T. Treurniet J. M. M. van Lith S. le Cessie H. Boosman M. L. P. van der Hoorn
author_facet	N. A. du Fossé E. E. L. O. Lashley T. T. Treurniet J. M. M. van Lith S. le Cessie H. Boosman M. L. P. van der Hoorn
author_sort	N. A. du Fossé
title	Exploring gender differences among couples with unexplained recurrent pregnancy loss regarding preferences for supportive care
title_short	Exploring gender differences among couples with unexplained recurrent pregnancy loss regarding preferences for supportive care
title_full	Exploring gender differences among couples with unexplained recurrent pregnancy loss regarding preferences for supportive care
title_fullStr	Exploring gender differences among couples with unexplained recurrent pregnancy loss regarding preferences for supportive care
title_full_unstemmed	Exploring gender differences among couples with unexplained recurrent pregnancy loss regarding preferences for supportive care
title_sort	exploring gender differences among couples with unexplained recurrent pregnancy loss regarding preferences for supportive care
publisher	BMC
publishDate	2021
url	https://doaj.org/article/56259d225f894b0db210bffc33f81dde
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Exploring gender differences among couples with unexplained recurrent pregnancy loss regarding preferences for supportive care

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