understanding families of twins and multiples— health and developmental perspectives a...
TRANSCRIPT
![Page 1: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/1.jpg)
Understanding Families of Twins and Multiples—Health and Developmental Perspectives
A “Product” but Really a “Process”
Dana M. Cox
University of Massachusetts Boston
IPMHPCP Fellow
![Page 2: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/2.jpg)
Special Project:
*Extensive review of literature and the internet *Developed a Resource Guide for early childhood
professionals *Hitting a few “Road Blocks” in my own journey *Developed my own Early Childhood Health and
Development Internet Sitehttp://childhealthanddevelopment.wordpress.com
*Project ready for what’s next…truly integrating the “lenses” of IPMH, illuminated by all of you!
![Page 3: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/3.jpg)
My Story
![Page 4: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/4.jpg)
![Page 5: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/5.jpg)
![Page 6: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/6.jpg)
![Page 7: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/7.jpg)
![Page 8: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/8.jpg)
Summarizing the vast amount of information, (primarily focused as “advice” for parents), statistics and research into a useful format for professionals
How to “hold” and integrate my own experience, and cultural values, while respecting and even “admiring” those of others.
Vision to create hope and a “village” for families in today’s world
Appreciate twins for what they are teaching us about the research and sciences that make up IPMH
Developing a Resource Guide
![Page 9: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/9.jpg)
Twins Types1-Identical -- monozygotic
(one zygote) -- twins form when a single fertilized egg splits into two genetically identical parts .
2 -Fraternal -- or dizygotic (two zygotes) -- twins develop when two separate eggs are fertilized and implant in the uterus .
3-Scientists have theorized a third, hybrid type called polar body twinning.
![Page 10: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/10.jpg)
MONOZYGOTIC TWINS
*Constant incidence of 1:250 births.
*Not affected by heredity.
*Not related to induction of ovulation.
*Constitutes 1/3 of twin70% are diamniotic
monochorionic.
*30% are diamniotic dichorionic.
*Always same sex
![Page 11: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/11.jpg)
MonocygoticDivisions
First 72 H two embryos, diamniotic, dichorionic and two placenta or single fused placenta.
4-8 days two embryos, diamniotic, monochorionic.
About 8 days after fertilization two embryos, monoamniotic and monochorionic.
Divisions clearage is incomplete and conjoined twins result.
![Page 12: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/12.jpg)
DIZYGOTIC TWINS
*Most common represents 2/3 of cases.
*Fertilization of more than one egg by more than one sperm.
*Non identical, may be of different sex.
*Two chorion and two amnion.
*Placenta may be separate or fused.
![Page 13: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/13.jpg)
Supertwins…
![Page 14: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/14.jpg)
*Cultural Aspects : -Good or evil
- -Individuation—Promoting individuality vs twin-ness/ Collective-ness
• *Parental Stress/ Mental Health Issues
*Twin Myths: misunderstandings about the nature of twinning
Key Twin Issues in Infant-Parent Mental Health
![Page 15: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/15.jpg)
In the Beginning—Pregnancy and Childbirth
*Signs of Twin Pregnancy
*Working Toward Healthy Pregnancies with Multiples
![Page 16: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/16.jpg)
High-risk Aspects of Multiple Birth
*Prematurity *Low Birth Weight
*Complications Specific to Identical Twinning
-Twin to Twin Transfusion Syndrome (TTTS)
-Selective Intrauterine Growth Restriction (SIUGR).
-Cord Entanglement-Conjoined twins
![Page 17: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/17.jpg)
Issues in Parenting Multiples in Infancy and Toddlerhood
*Fatigue and Lack of Sleep *Connecting/Bonding/Attachment
*Logistics of Care Giving and Feeding Routines
*Impact on the Family *Breastfeeding
*Parenting—Guidance, Limit-setting
![Page 18: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/18.jpg)
Multiples in Preschool and Beyond
*Supporting Social Emotional Development both as Individuals and Part of a Group of Multiples
*Twin Discrimination *Twin Relationships with Each
Other * Educational Needs
School Placement –Together or Apart
![Page 19: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/19.jpg)
Resources to Support Families with Multiples Books
Journals Internet Sites National Resources & Support
Groups Local Mother’s (Parent’s) of Twins
Clubs Research: Twins have contributed
much to psychological research.
![Page 20: Understanding Families of Twins and Multiples— Health and Developmental Perspectives A “Product” but Really a “Process” Dana M. Cox University of Massachusetts](https://reader036.vdocuments.us/reader036/viewer/2022062315/5697c0211a28abf838cd2b8f/html5/thumbnails/20.jpg)
Thank you !
Twins Talking