Twin birth: An additional risk factor for poorer quality maternal interactions with very preterm infants?

Beer, Charlotte; Israel, Christine; Johnson, Samantha; Marlow, Neil; Whitelaw, Andrew; Glazebrook, Cris

doi:10.1016/j.earlhumdev.2013.02.006

Cited by 22 publications

(17 citation statements)

References 28 publications

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“…Only preterm singletons were assessed, because the simultaneous presence of two professionals trained to observe interactions could not be ensured in all centres. Premature twins nevertheless appear to be at greater risk for poorer quality of maternal interactions [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

Mother-infant interaction assessment at discharge and at 6 months in a French cohort of infants born very preterm: The OLIMPE study

Cambonie¹,

Müller²,

Ehlinger³

et al. 2017

PLoS ONE

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ObjectivesThe principal aim was to investigate the feasibility of assessing mother-infant interactions at discharge and at 6 months infant corrected age in singletons born before 32 weeks of gestation. The secondary aims were to describe these interactions and their disorders, explore the association between maternal emotional state and the interactions, and assess the relationship between disordered interactions and infant social withdrawal behaviour.MethodsOLIMPE is an ancillary study of the population-based study EPIPAGE 2, which recruited preterm neonates in France in 2011. 163 dyads participated at discharge and 148 at 6 months. Interactions were observed with the Attachment During Stress (ADS) scale, which includes two behavioural subscales, for the mother (m-ADS) and her infant (i-ADS). Two professionals independently completed the ADS scales for one third of the observations. Maternal emotional state was assessed using self-administered questionnaires of depression, anxiety, and stress. Infant’s social withdrawal behaviour at 6 months was measured by the Alarm Distress Baby scale.ResultsAt discharge, 15.3% of the m-ADS scales and 43.3% of the i-ADS scales had at least one unobserved component. At 6 months, all items on both scales were noticeable in >90% of the dyads. Reliability, estimated by the kappa coefficient, ranged between 0.39 and 0.76 at discharge, and between 0.21 and 0.69 at 6 months. Disordered interactions were indicated on 48.6% of the m-ADS scales and 36.5% of the i-ADS scales at discharge. At 6 months, these rates were 32.6% and 26.0%. Disordered interactions at 6 months were associated with identified disorder at discharge. Insecure infant attachment was not influenced by maternal mental health but was strongly associated with infant social withdrawal behaviour.ConclusionsThe ADS scale can be used to screen for early interaction disorders after premature birth and may help to target dyads that would most benefit from early intervention.

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Section: Discussionmentioning

confidence: 99%

Mother-infant interaction assessment at discharge and at 6 months in a French cohort of infants born very preterm: The OLIMPE study

Cambonie¹,

Müller²,

Ehlinger³

et al. 2017

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Parenting twins has already been shown to be a more stressful experience than parenting a single baby, 34 with twins in particular having more medical complications. 35 Mothers of twins compared to singleton babies also have been shown to have fewer initiative and responsive behaviours 36 to their babies, which adversely effects cognitive development.…”

Section: Parent and Baby Factors Contributing To Stressmentioning

confidence: 98%

The assessment of parental stress and support in the neonatal intensive care unit using the Parent Stress Scale – Neonatal Intensive Care Unit

et al. 2015

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“…The prevalence of LLE was higher still for monozygotic (MZ) twins compared to dizygotic (DZ twins (46.5% vs. 31.0%) [ 5 ] and highly heritable, consistent with the UK Twins Early Development Study (TEDS) [ 6 ]. Postnatal environmental influences, in the form of poorer quality maternal interactions, have been positively associated with LLE in twins [ 7 – 9 ]. A recent study reported genotype-environment correlations between parental language input and twin language development [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Prenatal and perinatal risks for late language emergence in a population-level sample of twins at age 2

et al. 2018

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BackgroundLate Language Emergence (LLE) in the first two years of life is one of the most common parental concerns about child development and reasons for seeking advice from health professionals. LLE is much more prevalent in twins (38%) than singletons (20%). In studies of language development in twins without overt disability, adverse prenatal and perinatal environments have been reported to play a lesser role in the etiology of LLE than adverse postnatal environments. However, there is a lack of population-level evidence about prenatal and perinatal risk factors for LLE in twins. This study investigated the extent to which prenatal and perinatal risk factors were associated with LLE in a population-level sample of twins at age 2 without overt disability.MethodsThe sample comprised 473 twin pairs drawn from a population sample frame comprising statutory notifications of all births in Western Australia (WA), 2000–2003. Twin pairs in which either twin had a known developmental disorder or exposure to language(s) other than English were excluded. Of the 946 twins, 47.9% were male. There were 313 dizygotic and 160 monozygotic twin pairs. LLE was defined as a score at or below the gender-specific 10th percentile on the MacArthur Communicative Development Inventories: Words and Sentences (CDI-WS) (Words Produced). Bivariate and multivariable logistic regression was used to investigate risk factors associated with LLE.ResultsIn the multivariable model, risk factors for LLE in order of decreasing magnitude were: Gestational diabetes had an adjusted odds ratio (aOR) of 19.5 (95% confidence interval (CI) 1.2, 313.1); prolonged TSR (aOR: 13.6 [2.0, 91.1]); multiparity (aOR: 7.6 [1.6, 37.5]), monozygosity (aOR: 6.9 [1.7, 27.9]) and fetal growth restriction (aOR: 4.6 [1.7, 12.7]). Sociodemographic risk factors (e.g., low maternal education, socioeconomic area disadvantage) were not associated with increased odds of LLE.ConclusionsThe results suggest that adverse prenatal and perinatal environments are important in the etiology of LLE in twins at age 2. It is important that health professionals discuss twin pregnancy and birth risks for delayed speech and language milestones with parents and provide ongoing developmental monitoring for all twins, not just twins with overt disability.

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Twin birth: An additional risk factor for poorer quality maternal interactions with very preterm infants?

Cited by 22 publications

References 28 publications

Mother-infant interaction assessment at discharge and at 6 months in a French cohort of infants born very preterm: The OLIMPE study

Mother-infant interaction assessment at discharge and at 6 months in a French cohort of infants born very preterm: The OLIMPE study

The assessment of parental stress and support in the neonatal intensive care unit using the Parent Stress Scale – Neonatal Intensive Care Unit

Prenatal and perinatal risks for late language emergence in a population-level sample of twins at age 2

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