Adaptation and Maladaptation in the Multiple Birth Family

2005 ◽  
pp. 875-885
Keyword(s):  
Multiple Birth ◽  
Birth Family

What Information Should the Multiple Birth Family Receive Before, During and After the Birth?

1990 ◽  
Vol 39 (2) ◽  
pp. 259-269 ◽  
Author(s):  
D.A. Hay ◽  
C. Gleeson ◽  
C. Davies ◽  
B. Lorden ◽  
D. Mitchell ◽  
...  
Keyword(s):  
Multiple Pregnancy ◽  
Multiple Birth ◽  
Service Access ◽  
Vitro Fertilization ◽  
Fertility Drugs ◽  
Conflicting Demands ◽  
Pregnancy And Delivery ◽  
Major Review ◽  
Birth Family

AbstractAdvances in the management of the multiple pregnancy and delivery must be accompanied by corresponding improvements in service access outside key centres and especially in the information families receive about what may happen during or after the pregnancy. A major review of birthing services in Victoria has focussed attention on four areas where the quality of information is often inadequate. 1) Prepregnancy and the standard of counselling about the incidence of multiples as a result of fertility drugs and in vitro fertilization procedures and about problems which may accompany a multiple birth. 2) Antenatal: At what stage of the pregnancy should parents be told of the multiple pregnancy and how should monitoring of the mother and procedures such as bedrest take into account what are often conflicting demands within the family? 3) Perinatal: Families are frequently illprepared for a cesarean delivery and for the procedures for premature multiples. The problem is often compounded by separation of the mother from one or both twins. While bereavement services are improving, much still needs to be learned about handling congenital abnormalities in one or more multiples. 4) Postnatal: Irrespective of the level of prenatal advice, families greatly underestimate the workload with multiples. The resulting stress contributes to the incidence of postnatal depression, child abuse and divorce now being reported from multiple birth families. Some suggestions are made from social psychology and genetic counselling about how families can best handle risk information to achieve the goal of neither under- nor overestimating the risks at these different stages of the multiple pregnancy.

“Twins in School” — An Australia-wide Program

1990 ◽  
Vol 39 (2) ◽  
pp. 231-244 ◽  
Author(s):  
C. Gleeson ◽  
D.A. Hay ◽  
C.J. Johnston ◽  
T.M. Theobald
Keyword(s):  
Data Base ◽  
Large Scale ◽  
Learning Experience ◽  
Local Level ◽  
School Personnel ◽  
Nationwide Survey ◽  
Individual Development ◽  
Multiple Birth ◽  
State Education ◽  
Birth Family

AbstractThe multiple birth family is more likely to have a dispute with the education system than with any other service. So many potential areas of conflict exist over the abilities and behaviour of multiples and over such issues as separation or keeping back one twin. One reason for disputes is the lack of good data to adequately reflect the different perspectives of parents and teachers and the differing needs of families: the same solution does not apply to all. To provide the first large-scale data base and building upon an initial survey of 85% of all primary school teachers in South Australia, the LaTrobe Twin Study and AMBA worked with Education Departments to set-up in each state Education Research Teams (ERTs) of parents of multiples who were also teachers. The ERTs were crucial in three phases. 1) Developing and circulating questionnaires and publicising the nationwide survey. 784 families and 1264 teachers of their children completed these questionnaires, many reporting that simply having to address the issues raised in the questionnaire was a valuable learning experience. 2) Exploring the data base. Issues arising included the very different bases on which parents and teachers judged separation desirable, with teachers emphasising the unsubstantiated claim that separation is essential to individual development. Separation became more common over the first three years of schooling but 20-25% of twins separated one year were back together the next. 3) Running regional meetings of parents, teachers and administrators to discuss the results and to pool experiences and plan policies at the local level. A need clearly exists to improve the level of consultation between families and school personnel and to ensure the widespread availability of information which identifies key issues in making decisions for that multiple birth family.

scholarly journals Having a Co-Twin With Attention-Deficit Hyperactivity Disorder

2006 ◽  
Vol 9 (1) ◽  
pp. 148-154 ◽  
Author(s):  
Megan R. McDougall ◽  
David A. Hay ◽  
Kellie S. Bennett
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Attention Deficit ◽  
Separation Anxiety ◽  
Multiple Birth ◽  
Hyperactivity Disorder ◽  
Psychosocial Consequences ◽  
Report Data ◽  
Using Data ◽  
Birth Family ◽  
Relationship Of

AbstractAttention-deficit hyperactivity disorder (ADHD) is a common childhood disorder which occurs more often in twins than singletons. This article focuses on the psychosocial consequences of having a co-twin with ADHD. Specifically, the level of anxiety (generalized and separation) in non-ADHD children who have a co-twin with ADHD is examined using data from the Australian Twin ADHD Project (ATAP). Parental report data on 501 dizygotic (DZ) twin pairs aged 6 to 15 and their siblings were used to examine (i) anxiety symptoms in twin pairs discordant for ADHD, (ii) how the effects of an ADHD twin on their co-twin and siblings are related to the type of ADHD, and (iii) whether the effects are greater for the nonaffected twin than nontwin siblings. Results show that anxiety was high in co-twins of children with the combined subtype of ADHD, with increased symptoms of both generalized and separation anxiety. Inattentive ADHD had smaller effects, which were confined to generalized anxiety and were specific to the co-twin rather than other siblings. These results have clinical implications in managing the entire multiple birth family where one twin has ADHD, and also has implications for genetic analysis in modeling the relationship of ADHD to internalizing disorders.

Multiple birth family outcomes

2003 ◽  
Vol 80 ◽  
pp. 70
Author(s):  
Marcia A. Ellison ◽  
Selen Hotamisligil ◽  
Hang Lee ◽  
Janet W. Rich-Edwards ◽  
Samuel C. Pang ◽  
...  
Keyword(s):  
Multiple Birth ◽  
Family Outcomes ◽  
Birth Family

scholarly journals Management of Comprehensive Care of multiple-birth infants from fetal to infancy period: challenges, training, strategies

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tahereh Changiz ◽  
Mahboobeh Namnabati
Keyword(s):  
Care Management ◽  
Optimal Growth ◽  
Comprehensive Care ◽  
Multiple Births ◽  
Care Plan ◽  
Phone Call ◽  
Multiple Birth ◽  
Discharge Process ◽  
Health Providers ◽  
Challenges And Strategies

Abstract Background Prematurity escalates the crisis of the infants a susceptible group of the society. Multiple delivery further intensifies the susceptibility of both family and health system. A comprehensive care is, thus, necessary to ensure the optimal growth and development of such multiple-births. Accompanied by trainings, challenges, and strategies, the present study was conducted based on a two-year report of comprehensive care management experience on two sets of multiple infants. Methods A qualitative case study approach was used to survey these two sets of premature infants (quadruplet and quintuplet) and their families. The data were collected through medical files, interviews, questionnaire, field presence, phone call and WhatsApp application, and continued follow-ups. Content analysis was performed based on survey and interventions during a period of two years in Isfahan, Iran (2018–2020). Results Case presentation and comprehensive care management are the main areas resulted from this study. The results of the study were categorized in eight challenging areas (categories) and strategies including sterility and infertility period, transition from the intrauterine to neonatal intensive care unit (NICU), discharge process, physical and developmental status, home visit and home care, development of care plan, socio-economic support, and coronavirus nightmare. Conclusion Based on challenges and strategies during these two years, the situation of the multiple-birth infants and their families’ needs should be identified as the first prerequisites in an inter-professional approach and in collaboration with the health providers. Isfahan University of Medical Sciences, Welfare Organization, and the charities were the parties involved with this process in our study. It was also found that developing a separate specific package of comprehensive care management plan for multiple-births is a necessity.

scholarly journals The Emotional Nature of Birth Family Relationships for Care-experienced and Adopted Young People: A Longitudinal Perspective

2020 ◽  
pp. 0192513X2097843
Author(s):  
Montserrat Fargas-Malet ◽  
Dominic McSherry
Keyword(s):  
Young People ◽  
Family Relationships ◽  
Emotional Responses ◽  
Emotional Reactions ◽  
Dynamic Nature ◽  
Children And Young People ◽  
Adoption Research ◽  
Mixed Feelings ◽  
Birth Family ◽  
Theory Research

Research focused on relationships and contact with birth family for children and young people who were separated from them as infants has rarely acknowledged the emotional and dynamic nature of such interactions. Curiosity has been dominant in adoption research. However, in our longitudinal study of young people who entered care at a young age, a range of other feelings and combination of feelings emerged in the youths’ narratives, including contentment and mixed feelings such as anger, affection, loss, guilt, or worry. Type of placement, that is, whether the young people had been adopted, lived with kinship foster carers or non-relative foster parents, did not determine their emotional reactions to their birth family. The young people’s perspectives and emotions often changed over time. In this article, we describe the young people’s emotional responses to birth family, and highlight implications for theory, research, and practice.

scholarly journals Bivariate binary analysis on composite index of anthropometric failure of under-five children and household wealth-index

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Demeke Lakew Workie ◽  
Lijalem Melie Tesfaw
Keyword(s):  
Logistic Regression ◽  
Composite Index ◽  
Binary Logistic Regression ◽  
Wealth Index ◽  
Household Wealth ◽  
Education Level ◽  
Multiple Birth ◽  
Under Five ◽  
Under Five Children ◽  
Study Results

Abstract Background Malnutrition is the most common cause of mortality and morbidity of children in low and middle income countries including Ethiopia and household wealth index shares the highest contribution. Thus, in this study it is aimed to conduct bivariate binary logistic regression analysis by accounting the possible dependency of child composite index anthropometric failure and household wealth index. Methods In this study the data from Ethiopian Demographic and Health Survey (EDHS) 2016 involved 9411 under five children was considered. Child Composite Index Anthropometric Failure (CIAF) measures the aggregate child undernourished derived from the conventional anthropometric indices (stunting, underweight and wasting). The correlation between CIAF and wealth index was checked and significant correlation found. To address the dependency between the two outcome variables bivariate binary logistic regression was used to analyze the determinants of child CAIF and household wealth index jointly. Results Study results show that region, place of residence, religion, education level of women and husband/partner, sex of child, source of drinking water, household size and number of under five children in the household, mothers body mass index, multiple birth and anemia level of child had significant association with child CIAF. Female children were 0.82 times less likely to be CIAF compared to male and multiple birth children were more likely to be CIAF compared to single birth. Children from Oromia, Somalie, Gambela, SNNPR, Harari and Addis Ababa region were 0.6, 0.56, 0.67, 0.52, 0.6 and 0.44 times less likely to be CIAF compared to Tigray. A household from rural area were 15.49 times more likely poor compared to a household. The estimated odds of children whose mothers attended primary, and secondary and higher education was 0.82, and 0.52 times respectively the estimated odds of children from mothers who had never attended formal education. Conclusion The prevalence of children with composite index anthropometric failure was high and closely tied with the household wealth index. Among the determinants, region, religion, family education level, and anemia level of child were statistically significant determinants of both CIAF and household wealth index. Thus, the authors recommend to concerned bodies and policymakers work on household wealth index to reduce the prevalence of child composite anthropometric failure.

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