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The Great Book of Twins and
Multiples
Contents
Acknowledgements
Foreword
Introduction
1. The phenomenon of the multiple
pregnancy
- Pregnancy of twins
- Identical or fraternal, how can you
tell?
- Pregnancy of triplets
- Pregnancy of quadruplets
- Pregnancy of 5 or 6
- Influence
of genetics
2. The multiple pregnancy
- A unique experience
- Dealing with the news
- Is it a special pregnancy?
- Pregnancy of twins
- Pregnancy of triplets
- Medical check-ups
- Putting on weight
- Antenatal classes
- Prenatal-tests
- The ultrasound
- Amniocentesis
and Chorionic Villus Sampling
3. Fertility treatment
- Stimulating ovulation
- Artificial insemination
- Is it possible to avoid a multiple
pregnancy?
- Multi-foetal Pregnancy Reduction
- How
do you take a decision?
4. The first trimester of the
multiple pregnancy
- Nausea
- Fatigue
- Growth of the uterus
- Blood loss
- Breast pain
- The need to urinate
- Dizziness and fatigue
- Constipation
- The importance of good nutrition
- Maternity
clothes
5. The second trimester of
the multiple pregnancy
- Anaemia
- Backache
- Groin ligament pain
- Blood loss
- High blood pressure
- Pre-eclampsia and the HELPP-syndrome
- Oedema (fluid retention).
- Proteins in the urine
- Carpal Tunnel Syndrome (CTS)
- Gastric acidity
- Stretch marks
- Twin-to-Twin Transfusion Syndrome
- Treatments for Twin-to-Twin Transfusion
Syndrome
- Symptoms
of Twin-to-Twin Transfusion Syndrome
6. The third trimester of the
multiple pregnancy
- Resting
- Haemorrhoids
- Varicose veins
- Insomnia
- Shortness of breath
- Tachycardia
- Leg cramps
- Itching
- Contractions
- Symptoms of contractions
- Can I still travel by plane?
- Sexual
intercourse during the pregnancy
7. What is the pregnancy like
for the father?
- Prenatal contact with the babies
- Changes
in the partner
8. Prenatal bonding
- The
babies’ movements
- Hormonal influences between the sexes
in the womb
- Prenatal
contact between the babies
9. Birth of twins
- Where should the birth take place?
- The babies’ position
- Special situations
- Symptoms that announce the delivery
- Admission to hospital
- Stages of labour
- Dilatation of the cervix
- Transitional labour
- Expulsion
- Birth and delivery of the placenta (s)
- Caesarean delivery
- A planned Caesarean delivery
- An unexpected Caesarean delivery
- Recovery after a Caesarean delivery
- Advice
for protection of the belly
10. Giving birth to triplets
- The biological origin of the babies
- The foetal position of the babies in
the uterus
- The experience for the mother
- Who is who?
- Post-partum
for a mother of triplets
11. Premature births
- Can premature birth be avoided?
- Symptoms of possible premature birth
- The hospital
- The incubator and its function
- Together in the incubator
- Physical needs of a premature baby
- Warmth
- Oxygen
- Nutrition
- When can the babies leave the hospital?
- The relationship with the babies
- The parents’ emotions
- And then they arrive home
- How does a premature baby develop?
- Stimulation
of a premature baby
12. Nutrition
- Breastfeeding
- Advantages and disadvantages
- A personal choice
- Stimulating breast-feeding
- Do they get enough nutrition?
- Night feeding
- Positions for simultaneous nursing
- Breastfeeding triplets
- Uses of a breast pump
- The importance of good nutrition
- Problems with breastfeeding
- Not enough milk
- Pain in the breasts
- Inflammation of the breasts
- Allergy to milk
- Breastfeeding after a Caesarean
delivery
- Breastfeeding quadruplets
- Weaning
- Bottle feeding
- Feeding
schedule
13. At home with the babies
- Advice on how to reduce stress
- Building a relationship with each baby
- Help at home and lack of privacy
- Postnatal
depression
14. 0 – 6 months
- Sleeping
- Should they sleep together or apart?
- The babies’ rhythm
- Sudden infant death syndrome (SIDS)
- Crying
- Who do you comfort first?
- Bronchiolitis or the VRS virus
- Taking the babies outside
- Economical aspects
- How do the parents experience this
period?
- The
mother’s recovery
15. 6 – 12 months
- Mealtimes
- Crawling and safety at home
- Speaking
- Girl-boy twins
- Visits to the a paediatrician
- Stranger anxiety
- Sleep
- How to tackle parents’ exhaustion?
- The twins’ relationship
- The
couple’s relationship
16. 1 – 2 years
- Motor skills development
- Development of speech
- Discovering the sense of "me"
- Learning to share
- Kissing and biting
- Tantrums
- Safety at home
- Starting to set the rules
- Toys: the same or different?
- The importance of routine
- Eating
- Illnesses
- A different treatment for each child
- The
grandparents
17. 2 – 4 years
- The "no" phase
- Motor skills development
- The identity of each child
- Empathy
- How do I teach them rules?
- Their relationship: Love and hate
- "This is mine!"
- The pacifier and other comforting
objects
- Kindergarten
- In the same class?
- Painful divorces
- The invisible friend
- Copying each other
- Jealousy
- Learning
to use the potty
- Discovering sexuality
- Sleeping problems
- Different sleeping patterns
- Dividing
attention
18. 4 – 6 years
- The special unique relationship between
twins
- The unique relationship between
triplets
- A block against the parents
- The twins’ relationship with their
siblings
- School
- Advice for twins in the same class
- Advice for twins in different classes
- Development of language
- Competition
- Aggression
- Hyperactivity
- Solutions for hyperactivity
- The difficult task of raising 2 or 3
children of the same age
- A relationship under stress
- Typical day to day problems of living with
twins
- Three children instead of two
- Lying to get attention
- Switching behaviour
- Snitching
- The influence of birth order
- Sharing a room
- Their birthday
- Their
contacts outside the family
19. 6 – 12 years
- School
- Shyness
- Competitiveness
- ‘You love him more than you love me!’
- Fighting
- How do triplets interact?
- Jokes and insults
- Nurture or nature?
- How to keep a good relationship with
each child
- Education to independence (of each
other)
- Other problems
- Their intellectual development
- Their physical development
- Their
hobbies
20. 12 – 18 years
- Physical changes
- Change in the relationship with their
parents
- The twins’ relationship with each other
- Day to day problems
- Who am I?
- Crushes and relationships
- Secondary school
- In the same class
- In different classes
- Different schools
- Exam
stress
21. 18 years and ……………….
- Finding your own way
- The couple effect
- Discovering your own identity
- Being apart for periods of time
- Choosing a profession
- Their relationships with the opposite
sex
- The adult twins’ relationship
- Positive and negative aspects of being
a unit
- Competitiveness
- Twins who do not get on well
- Are we identical or not?
- Changes in DNA
- Does telepathy exist?
- Unexplainable experiences
- Did we raise them well?
- Growing
old together
22. The place of twins in the
family
- The oldest sibling and the twins
- The arrival of the babies
- Advice to help the jealous sibling
- When jealousy comes later
- The
twins and a younger sibling
23. Daily schedules of
different families
- Schedule 1
- Schedule 2
- Schedule 3
- Schedule
4
24. Difficult situations
- One of a multiple is handicapped
- One parent families
- Talking
about a divorce with the twins
25. The death of a twin
- During pregnancy or around birth
- The influence of the death on the
surviving twin
- Death of a twin during childhood
- Death of a twin during puberty
- Death
of a twin during adulthood
26. Scientific studies about
twins
- Studies by Francis Galton
- Different surroundings, similar
characters
- The
research goes on
Glossary
Bibliography
Useful adresses
Alphabetical index
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