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Psychological consequences of multiple births

机译：多胎的心理后果

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摘要

Since the mid 1970s, the number of multiple births has dramatically increased in our country and most European countries. This paper summarizes the psychological consequences of multiple births based on a review of the literature and on our clinical experience. During pregnancy mothers experience great physical problems linked with increased medical risks for themselves and for the children. These risks cause psychological difficulties: hospitalisation and separation from the family, fear of a premature delivery and anxiety for the children. After delivery the children are often hospitalized, which makes the attachment process difficult. The mortality of multiple children is high and mourning for one child creates particular problems for parents who simultaneously face grieving and attachment processes. After hospital discharge, the overload of work mothers experience leads to physical and nervous fatigue, which does not make easier individual relationship with the children. Mothers have a high level of psychological vulnerability and an increased risk of depression. The satisfactory development of each twin or triplet child requires individualized relationship with his/her mother and his/her father. That is how he/she will be able to build his/her identity and future autonomy. It is important to be aware of the problems experienced by the families and to improve the way material help and psychological support are provided to them.
机译：自1970年代中期以来，我国和大多数欧洲国家的多胎生育数量急剧增加。本文根据文献回顾和我们的临床经验总结了多胎的心理后果。在怀孕期间，母亲会遇到严重的身体问题，并给自己和孩子增加医疗风险。这些风险造成了心理上的困难：住院和与家人分离，担心过早分娩和对儿童的焦虑。分娩后，孩子经常住院，这使依恋过程变得困难。多个孩子的死亡率很高，一个孩子的哀悼给同时面临悲伤和依恋过程的父母带来了特殊的问题。出院后，母亲的工作负担过重，导致身体和神经疲劳，这并不能使与孩子的个人关系更容易。母亲的心理脆弱程度高，患抑郁症的风险增加。每个双胞胎或三胞胎孩子的令人满意的发育都需要与他/她的母亲和他/她的父亲的个性化关系。这样他/她将能够建立自己的身份和未来的自治权。重要的是要意识到家庭所遇到的问题，并改善向他们提供物质帮助和心理支持的方式。

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