title: [The individualization of care practices for twins during the first year].
abstract: BACKGROUND
  Mothers of twins have some difficulties to individualize their child-raising activities during the first year. This study was aimed to determine factors influencing such activities.
  
  
  METHODS
  Thirty-seven pairs of twins born after 36 weeks of gestation and weighing more than 2,000 g were included in the study. Relationships between the parents and their children were studied from questionnaires concerning activities during the first trimester and the end of the first year of age. Each item concerning organization of meals and sleeping was graded 1 to 3 according to the degree of individualization of the care. Items concerning support of the mother by the father or other people were graded 1 to 3 according to the degree of this assistance. The physical and psychological status of the mother was also graded according to the presence or not of asthenia and/or depression. Home activities of the mother were also observed.
  
  
  RESULTS
  The state of the mother during the first few months had an impact on her mothering behavior: tired or depressed mothers tend to treat the twins collectively and simultaneously. No link was found between social, paternal or general familial support and the degree of individualization in the maternal behaviors.
  
  
  CONCLUSIONS
  Several factors can interfere with the psychological repercussions of a twin birth on the mother and subsequent psychoemotional development of children. Further studies are necessary to understand how each parent contributes to the organization of the family system.
authors.affiliation: CNRS-Inserm, Les Ulis, France.
authors.forename: M
authors.initials: M
authors.lastname: Robin
authors.forename: I
authors.initials: I
authors.lastname: Casati
mesh_terms: D005194:Family Practice / Q000706:statistics & numerical data*; D005219:Father-Child Relations; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009034:Mother-Child Relations; D014427:Twins
vernacular_title: L'individualisation des pratiques de soins chez les jumeaux au cours de la première année.