Parents’ Needs When Experiencing the Transition to Twin Parenthood
Abstract
:1. Introduction
Research Question
2. Materials and Methods
2.1. Study Design and Procedure
2.2. Instrument
2.2.1. First Version of the Instrument
2.2.2. The Final Version of the Instrument
2.3. Data Analysis
3. Results
3.1. Characterization of the Sociodemographic Sample of Parents of Twins
3.2. Sociodemographic and Professional Characterization of the NURSES Sample
3.3. Nursing Care Characterization
3.4. Needs of the Couple during the Transition to Twin Parenthood and Specialized Support Network
3.4.1. During Pregnancy
3.4.2. Specialized Nursing Support Network
3.4.3. After the Birth of the Twins
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- D’Alton, M.; Breslin, N. Management of Multiple Gestations. Int. J. Gynecol. Obstet. 2020, 150, 3–9. [Google Scholar] [CrossRef] [PubMed]
- Meleis, A. Transitions Theory Middle-Range and Situation-Specific Theories in Nursing Research and Practice; Springer Publishing: New York, NY, USA, 2010. [Google Scholar]
- Riva Crugnola, C.; Ierardi, E.; Prino, L.E.; Brustia, P.; Cena, L.; Rollè, L. Early Styles of Interaction in Mother-Twin Infant Dyads and Maternal Mental Health. Arch. Womens Ment. Health 2020, 23, 665–671. [Google Scholar] [CrossRef] [PubMed]
- Heinonen, K. Understanding the Lives of Multiple-Birth Families: Listening to the Voices of Parents and Professionals. Nurs. Palliat. Care 2017, 2, 1–11. [Google Scholar] [CrossRef]
- Turville, N.; Alamad, L.; Denton, J.; Cook, R.; Harvey, M. Supporting Multiple Birth Families: Perceptions and Experiences of Health Visitors. Public. Health Nurs. 2022, 39, 229–237. [Google Scholar] [CrossRef] [PubMed]
- Lund, P.Z. Bringing Multiples Home. Newborn Infant Nurs. Rev. 2011, 11, 198–202. [Google Scholar] [CrossRef]
- Nurse, S.; Kenner, C. Multiples in the Newborn Intensive Care Unit: Parents’ and Nurses’ Perspectives. Newborn Infant Nurs. Rev. 2011, 11, 175–179. [Google Scholar] [CrossRef]
- Clinger, T.S.; McGrath, J.M. When Only One Goes Home: Support for Parents of Multiples in the Neonatal Intensive Care Unit. Newborn Infant Nurs. Rev. 2011, 11, 172–174. [Google Scholar] [CrossRef]
- Andrade, L.; Martins, M.M.; Angelo, M.; Martinho, J. Families with Twins—A Systematic Review. Texto Contexto Enferm. 2014, 23, 758–766. [Google Scholar] [CrossRef]
- Tendais, I.; Figueiredo, B.; Canário, C.; Kenny, D.A. Couples’ Psychological Adjustment to Twin Parenthood: Mode of Conception (Spontaneous versus Assisted Reproduction) and Gender Differences. Prim. Health Care Res. Dev. 2019, 20, e56. [Google Scholar] [CrossRef]
- Wenze, S.J.; Battle, C.L.; Tezanos, K.M. Raising Multiples: Mental Health of Mothers and Fathers in Early Parenthood. Arch. Womens Ment. Health 2015, 18, 163–176. [Google Scholar] [CrossRef]
- Heinonen, K.; Haggman-Laitila, A.; Moilanen, I.; Pietila, A.-M. The Lifeworld of Multiple-Birth Families. Int. J. Caring Sci. 2016, 9, 754–769. [Google Scholar]
- De Roose, M.; Beeckman, D.; Eggermont, K.; Vanhouche, E.; Van Hecke, A.; Verhaeghe, S. Level of Parenting Stress in Mothers of Singletons and Mothers of Twins until One Year Postpartum: A Cross-Sectional Study. Women Birth 2018, 31, e197–e203. [Google Scholar] [CrossRef] [PubMed]
- Wang, W.; Wen, L.; Zhang, Y.; Wang, L.; Wang, L.; Chen, Z.; Zhang, L.; Zhang, C.; Li, J.; Tong, C.; et al. Maternal Prenatal Stress and Its Effects on Primary Pregnancy Outcomes in Twin Pregnancies. J. Psychosom. Obstet. Gynecol. 2020, 41, 198–204. [Google Scholar] [CrossRef] [PubMed]
- Heinonen, K. Supporting Multiple Birth Families at Home. Int. J. Caring Sci. 2016, 9, 422–431. [Google Scholar]
- de Souza Cerqueira Caçapava, D.X.; De Medeiros, A.R.; Dos Santos, L.N.; da Cruz Vieira, M.S.; De Souza, N.C.R.; de Andrade Silvestre, M.; Mendonça, A.K.M.S. Complicações Materno-Fetais Em Gestações Gemelares: Uma Revisão Integrativa. Rev. Eletrônica Acervo Saúde 2021, 13, e6013. [Google Scholar] [CrossRef]
- Carrick-Sen, D.; Steen, N.; Robson, S. Twin Parenthood: The Midwife’s Role—A Randomised Controlled Trial. BJOG Int. J. Obstet. Gynaecol. 2014, 121, 1302–1310. [Google Scholar] [CrossRef] [PubMed]
- Wenze, S.J.; Miers, Q.A.; Battle, C.L. Postpartum Mental Health Care for Mothers of Multiples: A Qualitative Study of New Mothers’ Treatment Preferences. J. Psychiatr. Pract. 2020, 26, 201–214. [Google Scholar] [CrossRef] [PubMed]
- Aromataris, E.; Munn, Z. JBI Manual for Evidence Synthesis; JBI: Jackson, MS, USA, 2020; ISBN 9780648848806. [Google Scholar]
- Ortega-Bastidas, J. ¿Cómo Saturamos Los Datos? Una Propuesta Analítica “Desde” y “Para” La Investigación Cualitativa. Interciencia 2020, 45, 293–299. [Google Scholar]
- Rodríguez-Dorta, M.; Borges, A. Optimización y Eficiencia En El Análisis de Datos En Metodología Observacional/Optimization and Efficiency in the Data Analysis of Observational Methodology. REMA Rev. Electrónica Metodol. Apl. 2016, 21, 1–15. [Google Scholar] [CrossRef]
- Amezcua Martínez, M. El Trabajo de Campo Etnográfico En Salud. Una Aproximación a La Observación Participante. Index Enfermería 2000, 30, 30–35. [Google Scholar]
- Bardin, L. Análise de Conteúdo, 7th ed.; Ediçoes 70: Lisboa, Portugal, 1977. [Google Scholar]
- Heinonen, K. Listening to the Fathers of Twins—Being Sensitive to Fathers’ Needs in Maternity and Child Healthcare. Int. J. Environ. Res. Public Health 2022, 19, 10639. [Google Scholar] [CrossRef] [PubMed]
- Tabarsy, B.; Mirlashari, J.; Nikbakht Nasrabadi, A.; Joolaee, S.; Brown, H. The Bittersweet Experience of Parents Living with Premature Multi-Birth New-Borns. Early Child. Dev. Care 2022, 192, 724–737. [Google Scholar] [CrossRef]
- Chang, Y.-S.; Cheng, Y.-C.; Li, T.-C.; Huang, L.-C. Exploring Perceived Stress in Mothers with Singleton and Multiple Preterm Infants: A Cross-Sectional Study in Taiwan. Healthcare 2022, 10, 1593. [Google Scholar] [CrossRef] [PubMed]
- Ionio, C.; Mascheroni, E.; Landoni, M.; Gattis, M. Caring for Twins during Infancy: A Systematic Review of the Literature on Sleeping and Feeding Practices amongst Parents of Twins. J. Neonatal Nurs. 2022, 28, 305–311. [Google Scholar] [CrossRef]
- Barrett, J.F.R.; Hannah, M.E.; Hutton, E.K.; Willan, A.R.; Allen, A.C.; Armson, B.A.; Gafni, A.; Joseph, K.S.; Mason, D.; Ohlsson, A.; et al. A Randomized Trial of Planned Cesarean or Vaginal Delivery for Twin Pregnancy. N. Engl. J. Med. 2013, 369, 1295–1305. [Google Scholar] [CrossRef]
- Lutz, K.F.; Burnson, C.; Hane, A.; Samuelson, A.; Maleck, S.; Poehlmann, J. Parenting Stress, Social Support, and Mother-Child Interactions in Families of Multiple and Singleton Preterm Toddlers. Fam. Relat. 2012, 61, 642–656. [Google Scholar] [CrossRef]
Academic background | Bachelor’s degree | 45.5% |
Master’s degrees | 34.5% | |
Doctorates | 1.8% | |
Marital Status | Married | 52.7% |
Common law marriage | 43.6% | |
Single | 3.6% | |
Cohabitation | Partner and children | 85.5% |
Extended family | 9.1% | |
Only with children | 3.6% | |
With parents/in-laws | 1.8% |
Surprise | 69.1% |
Insecurity | 61.8% |
Joy | 58.2% |
Fear | 54.5% |
Love | 40.0% |
Admiration | 34.5% |
Disgust | 10.9% |
Hope | 7.3% |
Confidence | 3.6% |
Sadness | 1.8% |
Other | 5.5% |
Difficulties Felt by Parents | Difficulties Detected by Nurses | |
---|---|---|
Physical discomfort | 58.2% | 53.3% |
Parental anxiety | 58.2% | 93.3% |
Fatigue | 50.9% | 66.7% |
Parental stress | 18.2% | 53.3% |
Experiencing ambivalent feelings during twin pregnancy | 14.5% | 40.0% |
Decrease in marital satisfaction | 12.7% | 13.3% |
Pre-existing health problems | 9.1% | -- |
Increased family conflict | 5.5% | 6.7% |
Decreased self-confidence | 1.8% | 26.7% |
Difficulties Felt by Parents | Difficulties Detected by Nurses | |
---|---|---|
Extreme fatigue/tiredness | 67.3% | 60.0% |
Parental anxiety | 32.7% | 93.3% |
Physical discomfort | 40.0% | 46.7% |
Parental stress | 30.9% | 53.3% |
Decreased self-confidence | 20.0% | 53.3% |
Increased family conflict | 14.5% | 6.7% |
Decreased marital satisfaction | 10.9% | 33.3% |
Difficulties in family management | 10.9% | 66.7% |
Financial difficulties | 10.9% | 40.0% |
Difficulty in bonding with twins | 5.5% | 26.7% |
Hospitalization in Neonatology | 38.2% | 66.7% |
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Freitas, M.J.; Maneta Travanca, I.S.; García-Fernández, R. Parents’ Needs When Experiencing the Transition to Twin Parenthood. Healthcare 2024, 12, 1173. https://doi.org/10.3390/healthcare12121173
Freitas MJ, Maneta Travanca IS, García-Fernández R. Parents’ Needs When Experiencing the Transition to Twin Parenthood. Healthcare. 2024; 12(12):1173. https://doi.org/10.3390/healthcare12121173
Chicago/Turabian StyleFreitas, Maria João, Isabel Sofia Maneta Travanca, and Rubén García-Fernández. 2024. "Parents’ Needs When Experiencing the Transition to Twin Parenthood" Healthcare 12, no. 12: 1173. https://doi.org/10.3390/healthcare12121173
APA StyleFreitas, M. J., Maneta Travanca, I. S., & García-Fernández, R. (2024). Parents’ Needs When Experiencing the Transition to Twin Parenthood. Healthcare, 12(12), 1173. https://doi.org/10.3390/healthcare12121173