Multiple Births Are a Risk Factor for Postpartum Maternal Depressive Symptoms

Choi, Young-Soo; Bishai, David; Minkovitz, Cynthia S.

doi:10.1542/peds.2008-1619

Cited by 102 publications

(79 citation statements)

References 48 publications

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“…The objectives of the studies under analysis were to identify variables that influenced the quality of life of parents, 24 focusing in particular on mental health, 29,31,[35][36] psychosocial well-being 26,30 and parental stress. 23,26,37,[40][41] They also covered marital adaptation, 29,32-33 parental adjustment 25,32 and behavior 25 and development of children, 28,30 seeking to identify the determining factors of this process 23,[27][28][29][30][33][34][37][38]40 and using twinning parenthood as a reference.…”

Section: Social Supportmentioning

confidence: 99%

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Families with twins - a systematic review

Andrade

Martins

Ângelo

et al. 2014

Texto contexto - enferm.

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ABSTRACT:Parenthood is among the developmental transitions that set major challenges for contemporary families. When there is a twin pregnancy, those challenges increase. Our aims in this study are understanding the parental experience in families with twins and identifying the factors which condition parental experience in such families. It is a literature review focusing on studies published between 2000 and 2012 based on reference data. The articles were analyzed considering the aims, participants, phases of data collection, tools used; and results achieved regarding the dimensions involved in parenting experiences faced by parents of twins. In the 19 studies identified, maternity was the main focus of research. Women with twin children showed lower scores on well-being, higher stress risks, exhaustion and depression. The experience of these families was different, more demanding and complex than singletons' parents. Understanding of this matter becomes crucial to contributing to better health for families. LA FAMILIA EN LA PERSPECTIVA GEMELAR -UNA REVISIÓN SISTEMÁTICA RESUMEN: La paternidad es una de las transiciones del desarrollo que plantea más desafíos a la familia contemporánea. En un embarazo gemelar estos retos son engrandecidos. Los objetivos del estudio fueron conocer la experiencia de la paternidad en familias con gemelos y analizar los factores que influyen en sus experiencias de paternidad. Para este propósito se analizaron artículos publicados entre 2000-2012 en bases de datos referencia. Los artículos fueron analizados teniendo en cuenta: objetivos, participantes, tiempo de recolección de datos, instrumentos utilizados y los resultados, atendiendo las variables que integran la experiencia de paternidad gemelar. En los 19 estudios identificados, la maternidad era el foco central de investigación. Las mujeres con gemelos han tenido resultados más bajos de bienestar, aumentando el riesgo de estrés, agotamiento y depresión. La experiencia de las familias fue diferente, más exigente y compleja que para otros padres. Comprender el tema es fundamental para maximizar la salud de la familia. DESCRIPTORS:

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Section: Social Supportmentioning

confidence: 99%

“…From the comparative analyses used in some of the research, we considered the difference between groups, taking into account: different types of conception, [25][26]32,[36][37] number of births per pregnancy [26][27][28][30][31][32][33][35][36]38,41 and gestation period. 29,38 …”

Section: Social Supportmentioning

confidence: 99%

Families with twins - a systematic review

Andrade

Martins

Ângelo

et al. 2014

Texto contexto - enferm.

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“…In a controlled research in the US, between 2001 and 2002, the data of 7293 infants and 776 mothers of twins were analyzed and compared. Nine months after delivery, 43% of the mothers of twins had a greater chance of obtaining moderate or severe symptoms of depression than mothers of a single infant (Choi et al, 2009). Examining single deliveries, O'Hara et al (1990) found that the rate for depression periods accounted for 10%-20% in the first six months after delivery.…”

Section: Discussionmentioning

confidence: 99%

Postpartum Mental State of Mothers of Twins

Brantmüller

Gyuró

Galgán

et al. 2016

Practice and Theory in Systems of Education

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“…(5) The demands of the parent role is even greater with twin children, and in this sense, research indicates that mothers of twins report difficult experiences more frequently, and present higher levels of stress and symptoms of depression. (6)(7)(8) In families with twins, role renegotiation and work reorganization take on particular relevance for the couple, for taking care of two or more children of the same age and with the same needs becomes a taxing job that is almost impossible for one person to accomplish alone. The demands of twin children can bring multiple vulnerabilities and difficulties to the families, on the level of daily management, as well as increasing the family's financial needs and making it challenging to have a social life.…”

Section: Introductionmentioning

confidence: 99%

“…The demands of twin children can bring multiple vulnerabilities and difficulties to the families, on the level of daily management, as well as increasing the family's financial needs and making it challenging to have a social life. (8,9) When families are cared for within a reductionist view, centred on fragmentation of care, this leads to a lack of comprehensiveness which contributes to a more difficult parenting experience. It is important to care for these families within an efficient, comprehensive and longitudinal framework.…”

Section: Introductionmentioning

confidence: 99%

Identificação dos efeitos dos filhos nas relações familiares

et al. 2014

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Objective: To identify the effects that children have on family relationships and identify the ranking of concerns of parents with and without twin children. Methods: A cross-sectional study was developed with 265 parents with small children, of which 143 had twin children. The instruments used for data collection were: the Family Impact Questionnaire and the Parent Concerns Questionnaire. Results: The most important parenting concerns in both groups were: "Lack of sleep and tiredness"; "Financially providing for the family"; "Increased chores and housework"; "Individual stress about roles and responsibilities." The greatest impact felt by the family was in respect to finances and this value was significantly higher in families with twin children. Conclusion: Nursing professionals must care for the main difficulties perceived by parents by promoting strategies and fostering resource mobilization. ResumoObjetivo: Identificar os efeitos que os filhos têm nas relações familiares e identificar a priorização de preocupações dos pais com e sem filhos gêmeos. Métodos: Estudo transversal com 265 pais com filhos menores, dos quais 143 com filhos gêmeos. Os instrumentos de coleta de dados: escala de impacto familiar de um filho; lista de preocupações parentais. Resultados: As preocupações parentais priorizadas por ambos os grupos de participantes foram: "Falta de horas de sono e cansaço"; "Necessidades econômicas da família"; "Aumento das tarefas domésticas"; "Stresse individual com os papéis e com as responsabilidades". O impacto familiar dos filhos é maior na dimensão financeira, sendo que esse valor é significativamente maior nas famílias com gêmeos. Conclusão: Os profissionais de enfermagem devem atender as principais dificuldades percebidas pelos pais promovendo estratégias e favorecendo a mobilização dos seus recursos.

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Multiple Births Are a Risk Factor for Postpartum Maternal Depressive Symptoms

Abstract: Mothers of multiple births had 43% greater odds of having moderate/severe, 9-month postpartum, depressive symptoms, compared with mothers of singletons. Greater attention is needed in pediatric settings to address maternal depression in families with multiple births.

Cited by 102 publications

References 48 publications

Families with twins - a systematic review

Families with twins - a systematic review

Postpartum Mental State of Mothers of Twins

Identificação dos efeitos dos filhos nas relações familiares

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