QUESTION: What do you advise families in terms of how to be broaching this with extended family members and grandparents and family friends and that type of thing?

DR. SZIGETHY: I'm a big believer in the "need to know" system, so really in evaluating for each person in any of those categories, what are the positives, or the pros, of telling them, what are the potential negatives or difficulties that could come up, as much as these can be anticipated. And then really deciding, "Would this serve as a support for the child, or would, depending on the individual, it really either get the other person so upset that they would actually be a hindrance to the child?"