title: [Comparison of child-rearing problems and necessary community welfare and health services between mothers with twins or triplets of mothers with singleton children].
abstract: OBJECTIVE
  The purpose of this survey was to study child-rearing problems and necessary community welfare and health services in the families with twins or triplets as compared with families with singleton children.
  
  
  METHODS
  The subjects were 205 mothers of twins or triplets aged less than 6 and 911 mothers of similarly aged singleton children.
  
  
  RESULTS
  1. Concerning maternal feeling when informed of a pregnancy, a significant difference was observed between the mothers with twins or triplets and the mothers with singleton children: 1.3% of the mothers with singleton children were not delighted when informed of a pregnancy, while the rate for mothers with twins or triplets was 12.4%. Mothers of twins or triplets showed significantly greater anxiety when informed of a pregnancy, and also after delivery, greater anxiety for child-rearing. 2. Mothers of twins or triplets were more likely to feel they could not get information regarding pregnancy and child-rearing. 3. There were higher rates of child-rearing problems with regard to economic burden, attending a hospital when a child become ill, shortage of hands for medical examinations or preventive injections, going out with children, shortage of cooperators for child-rearing, lack of time and difficulty for feeding methods for twins or triplets. 4. Community welfare and health services that mothers of twins or triplets wished for were an allowance for child-rearing in 77.0% of cases, helper or baby-sitter for medical examinations or preventive injections in 59.8%, and meeting for mothers of multiple children in 52.0%.
  
  
  CONCLUSIONS
  This study indicated a tendency for mothers of twins or triplets to show greater anxiety during pregnancy, greater anxiety for child-rearing after delivery, and harder to get information regarding pregnancy and child-rearing as compared with those having singleton children. Mothers of twins or triplets had more child-rearing problems with regard to shortage of cooperators, economic burden and feeding methods for plural infants.
authors.affiliation: Kyoto University.
authors.forename: Yoshie
authors.initials: Y
authors.lastname: Yokoyama
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Nakahara
authors.forename: Satomi
authors.initials: S
authors.lastname: Matsubara
authors.forename: Masako
authors.initials: M
authors.lastname: Sugimoto
authors.forename: Hatsumi
authors.initials: H
authors.lastname: Koyama
authors.forename: Retsuma
authors.initials: R
authors.lastname: Mitsutsuji
mesh_terms: D001007:Anxiety; D002648:Child; D002668:Child Rearing; D002675:Child, Preschool; D003153:Community Health Services; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007564:Japan; D009035:Mothers / Q000523:psychology*; D014310:Triplets; D014427:Twins