The Elizabeth Bryan Multiple Births Centre, Birmingham City University, Birmingham, UK.
Birmingham City University, Birmingham, UK.
Public Health Nurs. 2024 Jan-Feb;41(1):112-126. doi: 10.1111/phn.13259. Epub 2023 Nov 2.
Supporting families during the first 1001 days from conception to the age of two is vital for setting the emotional, cognitive, and physical building blocks for children's futures. Families with twins, triplets, or higher order multiples (multiple birth families) have unique challenges due to caring for more than one baby at the same time. Therefore, identifying the needs of multiple birth families is necessary to provide optimum support during the first 1001 critical days.
A rapid review was undertaken to synthesize knowledge of the needs of multiple birth families in the United Kingdom (UK) during the first 1001 critical days. Findings from five databases (MEDLINE, APA PsycArticles, APA PsycInfo, CINAHL, and Web of Science) for peer-reviewed studies and grey literature published between 2012 and 2022 were synthesized. Fifteen studies were reviewed using narrative synthesis.
Multiple birth families have unique and complex emotional and practical needs across the first 1001 critical days, and in particular, the first-year post birth, impacted further by complicated pregnancies and prematurity. Needs were identified within the four key themes: high risk pregnancy and birth; transformed reality of raising multiples; inadequate support; and positively affecting experiences. Health professional support was inconsistent and particularly lacking in intrapartum, postnatal, and community care including transition.
Multiple birth families' needs should be considered in the design and delivery of care within the first 1001 critical days, especially within the first year after birth. Multiples specific advice across the first 1001 critical days is needed and training for health professionals to adapt universal advice for this population is one way to achieve this. Further research is needed to ensure this advice is evidence based and effective.
从受孕到两岁的 1001 天内为家庭提供支持对于为孩子的未来奠定情感、认知和身体基础至关重要。由于同时要照顾多个婴儿，因此多胞胎（多胎家庭）家庭在照顾双胞胎、三胞胎或更高阶的多胞胎时会面临独特的挑战。因此，确定多胎家庭的需求对于在最初的 1001 个关键日提供最佳支持是必要的。
进行了快速审查，以综合了解英国（英国）多胎家庭在最初的 1001 个关键日期间的需求。对 2012 年至 2022 年期间发表的同行评议研究和灰色文献的五个数据库（MEDLINE、APA PsycArticles、APA PsycInfo、CINAHL 和 Web of Science）进行了综述。使用叙述性综合方法对 15 项研究进行了综述。
多胎家庭在最初的 1001 个关键日期间存在独特而复杂的情感和实际需求，尤其是在产后第一年，复杂的妊娠和早产进一步加剧了这些需求。在四个关键主题中确定了需求：高危妊娠和分娩；抚养多个孩子的现实转变；支持不足；以及积极的体验。卫生专业人员的支持不一致，尤其是在分娩、产后和社区护理中，包括过渡阶段，这种支持尤其缺乏。
应在最初的 1001 个关键日内的护理设计和提供中考虑多胎家庭的需求，特别是在产后第一年。需要在最初的 1001 个关键日期间提供针对多胎的具体建议，并培训卫生专业人员，以便为这一人群调整通用建议，这是实现这一目标的一种方式。需要进一步研究以确保该建议是基于证据且有效的。
