Document Detail

Prenatal behavior of multiples: implications for families and nurses.
MedLine Citation:
PMID:  12033537     Owner:  NLM     Status:  MEDLINE    
Each twin and higher order multiple leads an extraordinary life before birth. The literature has revealed that the intrauterine environment differs for every multiple fetus and helps to shape the individuality of each multiple-birth child. From early in pregnancy, it appears that a multiple develops his or her own temperament and each set of multiples establishes an individualized pattern of tactile communication between or among themselves. The same behaviors, traits, and intermultiple interactions seen in pregnancy also have been observed in infancy and beyond. Intermultiple communication continues after birth, and preliminary evidence suggests that co-bedding assists the majority of newborns to make the transition from intrauterine to extrauterine life. The response of a multiple to the death of a co-multiple during pregnancy or after birth may be influenced by the relationship they shared in utero. Nurses and other health care providers have a role to play in informing multiple-birth parents about the latest knowledge, thereby assisting parents with the attachment process and specific parenting issues. In addition, nurses now have a solid foundation on which to create and implement care strategies that promote the healthy development of each multiple-birth infant and the intermultiple relationship.
Linda G Leonard
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  31     ISSN:  0884-2175     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2002 May-Jun
Date Detail:
Created Date:  2002-05-29     Completed Date:  2002-11-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  248-55     Citation Subset:  IM; N    
School of Nursing, University of British Columbia, Vancouver, Canada.
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MeSH Terms
Family Relations
Fetal Death*
Fetal Monitoring / methods
Infant, Newborn
Maternal-Fetal Relations*
Mother-Child Relations
Neonatal Nursing / standards*,  trends
Nurse's Role
Nurse-Patient Relations*
Pregnancy Outcome*
Pregnancy, Multiple / psychology*
Prenatal Care / methods*
Sensitivity and Specificity
Twins / psychology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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