Twin–Twin Transfusion Syndrome and Maternal Symptomatology—An Exploratory Analysis of Patient Experiences When Reporting Complaints

Objective: The aim of this study was to assess patient experiences when reporting symptoms of twin–twin transfusion syndrome (TTTS) to their health-care providers. Methodology: The study utilized an online, retrospective survey of women, over the age of 18, who were living in the United States at th...

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Main Authors: Lauren Nicholas PhD, Rebecca Fischbein PhD, Lynn Falletta PhD, Kristin Baughman PhD
Format: Article
Language:English
Published: SAGE Publishing 2018-06-01
Series:Journal of Patient Experience
Online Access:https://doi.org/10.1177/2374373517736760
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author Lauren Nicholas PhD
Rebecca Fischbein PhD
Lynn Falletta PhD
Kristin Baughman PhD
author_facet Lauren Nicholas PhD
Rebecca Fischbein PhD
Lynn Falletta PhD
Kristin Baughman PhD
author_sort Lauren Nicholas PhD
collection DOAJ
description Objective: The aim of this study was to assess patient experiences when reporting symptoms of twin–twin transfusion syndrome (TTTS) to their health-care providers. Methodology: The study utilized an online, retrospective survey of women, over the age of 18, who were living in the United States at the time of their pregnancy and had completed a TTTS pregnancy. Results: Three hundred sixty-seven cases were included for analysis. Nearly half of the respondents (45.2%) reported experiencing maternal symptoms prior to TTTS diagnosis. The average number of symptoms experienced was 2.85. The average gestational week of symptom onset was 18.2. A total of 76.2% of respondents experiencing symptoms shared these concerns with their health-care provider; however, slightly more than half (51.2%) believed that the provider dismissed their complaints. Conclusions: Results suggest a disconnect between patients’ reporting TTTS symptoms and health-care providers responding attentively, as perceived by the patient. It would be advantageous for health-care providers to inform women pregnant with a monochorionic–diamniotic pregnancy to immediately report the presence of any symptom described in the present research, which may be associated with any number of twin pregnancy–related complications.
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spelling doaj.art-3e1fe28934ab406d99e2b03166eef6a92022-12-22T00:03:53ZengSAGE PublishingJournal of Patient Experience2374-37432374-37352018-06-01510.1177/2374373517736760Twin–Twin Transfusion Syndrome and Maternal Symptomatology—An Exploratory Analysis of Patient Experiences When Reporting ComplaintsLauren Nicholas PhD0Rebecca Fischbein PhD1Lynn Falletta PhD2Kristin Baughman PhD3 Department of Liberal Arts, D’Youville College, Buffalo, NY, USA Department of Family and Community Medicine, Northeast Ohio Medical University, Rootstown, OH, USA College of Public Health, Kent State University, Kent, OH, USA Department of Family and Community Medicine, Northeast Ohio Medical University, Rootstown, OH, USAObjective: The aim of this study was to assess patient experiences when reporting symptoms of twin–twin transfusion syndrome (TTTS) to their health-care providers. Methodology: The study utilized an online, retrospective survey of women, over the age of 18, who were living in the United States at the time of their pregnancy and had completed a TTTS pregnancy. Results: Three hundred sixty-seven cases were included for analysis. Nearly half of the respondents (45.2%) reported experiencing maternal symptoms prior to TTTS diagnosis. The average number of symptoms experienced was 2.85. The average gestational week of symptom onset was 18.2. A total of 76.2% of respondents experiencing symptoms shared these concerns with their health-care provider; however, slightly more than half (51.2%) believed that the provider dismissed their complaints. Conclusions: Results suggest a disconnect between patients’ reporting TTTS symptoms and health-care providers responding attentively, as perceived by the patient. It would be advantageous for health-care providers to inform women pregnant with a monochorionic–diamniotic pregnancy to immediately report the presence of any symptom described in the present research, which may be associated with any number of twin pregnancy–related complications.https://doi.org/10.1177/2374373517736760
spellingShingle Lauren Nicholas PhD
Rebecca Fischbein PhD
Lynn Falletta PhD
Kristin Baughman PhD
Twin–Twin Transfusion Syndrome and Maternal Symptomatology—An Exploratory Analysis of Patient Experiences When Reporting Complaints
Journal of Patient Experience
title Twin–Twin Transfusion Syndrome and Maternal Symptomatology—An Exploratory Analysis of Patient Experiences When Reporting Complaints
title_full Twin–Twin Transfusion Syndrome and Maternal Symptomatology—An Exploratory Analysis of Patient Experiences When Reporting Complaints
title_fullStr Twin–Twin Transfusion Syndrome and Maternal Symptomatology—An Exploratory Analysis of Patient Experiences When Reporting Complaints
title_full_unstemmed Twin–Twin Transfusion Syndrome and Maternal Symptomatology—An Exploratory Analysis of Patient Experiences When Reporting Complaints
title_short Twin–Twin Transfusion Syndrome and Maternal Symptomatology—An Exploratory Analysis of Patient Experiences When Reporting Complaints
title_sort twin twin transfusion syndrome and maternal symptomatology an exploratory analysis of patient experiences when reporting complaints
url https://doi.org/10.1177/2374373517736760
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