“…Multiple birth is associated with substantial medical, health care, socio-emotional, developmental, educational, and economic consequences for both families and society (Bryan, 2003(Bryan, , 2006Denton, 2005;Leonard & Denton, 2006;Ooki, 2009;Ooki & Hiko, 2012). The nurturing of multiples entails a higher burden physically, mentally, and economically than that of singletons.…”