Leonard Linda G, Denton Jane
University of British Columbia, School of Nursing, Multiple Births Support Program, Vancouver, Canada.
Early Hum Dev. 2006 Jun;82(6):371-8. doi: 10.1016/j.earlhumdev.2006.03.009. Epub 2006 May 3.
The experience of expecting and parenting multiples is decidedly different from that of a singleton pregnancy and parenthood. Multiple births are associated with substantial medical, health care, socio-emotional, developmental, educational and economic consequences for both families and society. This paper aims to advise health professionals on how best to help families prepare for and successfully respond to the demands of multiple pregnancy and the first 5 years of parenthood after the births of twins, triplets or more. Four inter-related principles of good practice are vital to the care of multiple birth families: the involvement of a range of disciplines, of the family and of the multiple birth community; the provision of specialised care; coordinated services; and the building of family competency including the capacity to make informed decisions. Preparation should include education on the special aspects of multiple pregnancy and parenting using multiples-focused resources, health promotion and risk modification strategies, infant care and feeding, child development and advice on securing help and support while ensuring family participation in all care decisions.
生育多胞胎的经历与单胎妊娠及为人父母的经历截然不同。多胞胎出生对家庭和社会都会带来重大的医疗、保健、社会情感、发育、教育和经济方面的影响。本文旨在为健康专业人士提供建议，告知他们如何最好地帮助家庭为多胎妊娠做好准备，并在双胞胎、三胞胎或更多胎儿出生后的头五年成功应对育儿需求。良好实践的四项相互关联的原则对于照顾多胞胎家庭至关重要：多学科、家庭及多胞胎群体的参与；提供专业护理；协调服务；以及培养家庭能力，包括做出明智决策的能力。准备工作应包括利用以多胞胎为重点的资源，对多胎妊娠和养育多胞胎的特殊方面进行教育，健康促进和风险调整策略，婴儿护理和喂养，儿童发育，以及在确保家庭参与所有护理决策的同时，提供关于获得帮助和支持的建议。
