Families with twins - a systematic review

Abstract

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:

Parentalidade De Pais De Recém-Nascidos Hospitalizados Por Sífilis Congênita À Luz Da Teoria Das Transições

“…It is also important to encourage the participation of the sibling (s) in the care of the hospitalized baby, by means of visits, in order to promote the family bond and a secure affective relationship. 9,15 The commitment and proactivity of the individual act as facilitators of the transition process. 10 In this sense, the nurse, when considering the particularities of each family, can empower the parents to act as the primary caregivers of their children.…”

“…They see the changes and demands that transitions bring to the daily lives of clients/users and their families, and prepare them for imminent transitions. 9 Thus, it is these professionals who can facilitate the process of learning new skills related to experiences, health and illness.…”

“…8 It is one of the most challenging developmental transitions in the contemporary family and can be experienced in different ways by women and men. 9 Therefore, it is of high importance to nursing care, given the need to provide knowledge and training to parents who experience the transition to parenthood in order to care for their children diagnosed with congenital syphilis.…”

“…10 At that critical moment, nursing interventions are needed for the promotion of family health. 9 During data collection, 8 publications which were published until November 20 th , 2017 were found in the computerized databases of the Virtual Health Library, based on the subject descriptors, selected from Boolean operators (OR/AND) "Congenital Syphilis AND Transitional Care OR Family Power OR Parent-Child Relationships OR Family Relationships OR Mother-Child Relationships OR Mother-Child Relationships OR Father-Child Relationshiís. Among these, 90% emphasized the clinical and epidemiological aspects of the disease, particularly in relation to strategies for the elimination of the vertical transmission of syphilis.…”

Efficacy of the Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline in Twin Families (VIPP-Twins): Study protocol for a randomized controlled trial

“…Parents with twins are an important target group for parenting interventions, because compared to parents of singletons they have additional parenting difficulties. Higher financial and medical stressors and greater parenting demands, such as dividing their attention between two same aged children, put parents of twins at increased risk for mental health problems (see [ 23 ] for a review). Furthermore, as the parent is the target of the intervention, we will be able to examine any differential intervention effect between siblings within the same family across pre- to posttest, dependent on genetic dissimilarity in particular of the dopamine-related genetic pathways or in temperamental reactivity.…”