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The Role of Sibling Patterns in the Educational Attainment of Hungarian Twins. 兄弟姐妹模式在匈牙利双胞胎教育成就中的作用。
IF 1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2024-11-11 DOI: 10.1017/thg.2024.37
András Pári, Ágnes Engler

Studies concerning twins with a sociological focus are scarce in Hungary as well as international research, although the number of twin births has increased dramatically worldwide. The raising and education of twins are tasks demanding special attention from both the family and institutions. In our study we examine these aspects, looking back from adulthood, using the narrow scope of the available data from research based on the 'Hungarostudy 2021' database (N total: 7000; n twins: 106). Our results, corresponding to the hypotheses of educational sociology, demonstrate how the relationships between family size and school career and increasing number of siblings reduces the chances of high educational attainment. A regression analysis confirmed that both the number of siblings and a later position in the birth order reduces the chance of obtaining a higher education. For the second child in a family, the chance of earning a university degree is reduced to to 0.743. The role of a large family concerning higher education showed a stronger relationship in the case of twins compared to nontwins. For twins, the sibling pattern has a decisive effect in educational attainment. Twins themselves have a 1.449 times higher chance of obtaining a higher education compared to nontwins (p = 0.101), and fraternal twins have half (0.517) the chance of obtaining a higher education compared to identical twins; but both results are not significant (p = 0.156).

尽管全世界双胞胎的出生数量急剧增加,但匈牙利有关双胞胎的社会学研究和国际研究都很少。双胞胎的抚养和教育是需要家庭和机构特别关注的任务。在我们的研究中,我们利用基于 "Hungarostudy 2021 "数据库(总人数:7000;双胞胎人数:106)的研究数据,从成年期开始对这些方面进行了研究。我们的研究结果与教育社会学的假设相吻合,证明了家庭规模与求学生涯之间的关系,以及兄弟姐妹数量的增加会降低获得高学历的机会。回归分析证实,兄弟姐妹的数量和出生顺序中的较后位置都会降低获得高等教育的机会。对于家庭中的第二个孩子来说,获得大学学位的机会降低到 0.743。与非双胞胎相比,大家庭在高等教育方面的作用与双胞胎的关系更为密切。对于双胞胎来说,兄弟姐妹模式对其教育程度有着决定性的影响。与非双胞胎相比,双胞胎本身获得高等教育的几率要高出 1.449 倍(p = 0.101),而与同卵双胞胎相比,异卵双胞胎获得高等教育的几率要低一半(0.517);但这两个结果都不显著(p = 0.156)。
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引用次数: 0
Placental Vascular Anastamoses and Associated Pathologies in Dichorionic Twin Gestations. 二绒毛膜双胎妊娠的胎盘血管吻合及相关病理。
IF 1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2024-11-07 DOI: 10.1017/thg.2024.35
Eesha Dave, Mert Ozan Bahtiyar, William Campbell, Raffaella Morotti, Katherine Kohari

Placental vascular anastomoses are traditionally thought to exist exclusively in monochorionic pregnancies. However, they have been reported in dichorionic twin pregnancies as well. In turn, twin to twin transfusion syndrome (TTTS) and twin anemia polycythemia sequence (TAPS) have also been noted to impact some of these gestations. Through discussion of one such case at our institution along with a review of the available literature, we review the proposed pathophysiology of placental vascular anastamoses in dichorionic twin gestations, and aim to raise awareness of the possibility of associated pathologies in dichorionic gestations. This is an emerging area of literature that will require future study to guide prenatal surveillance and mitigate morbidity.

传统上认为胎盘血管吻合只存在于单绒毛膜妊娠中。然而,也有报道称二绒毛膜双胎妊娠也会出现胎盘血管吻合。反过来,双胎输血综合征(TTTS)和双胎贫血多血症序列(TAPS)也对这些妊娠产生了影响。通过对我院一例此类病例的讨论以及对现有文献的回顾,我们回顾了二绒毛膜双胎妊娠胎盘血管吻合的病理生理学,旨在提高人们对二绒毛膜双胎妊娠相关病理可能性的认识。这是一个新兴的文献领域,需要未来的研究来指导产前监测和降低发病率。
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引用次数: 0
Trends in Twin Births and Survival in Rural Spain: Evidence from 18th to 20th Century. 西班牙农村地区双胞胎出生和存活趋势:18 世纪至 20 世纪的证据。
IF 1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2024-11-07 DOI: 10.1017/thg.2024.40
Francisco J Marco-Gracia

This study examines the changes over time of the twinning rate and infant and child mortality across 17 rural villages in the province of Zaragoza (Spain) over a span of 200 years. The aim is to understand how the twinning rate evolved in conjunction with the processes of economic and social modernization, as well as the demographic transition. During the period analyzed, the twinning rate increased by 10%, rising from 1.26 per 1000 births in the second half of the 18th century to 1.38 per 1000 births in the first half of the 20th century. This rate varied due to hereditary issues, biological factors such as the mother's age and parity, and socioeconomic features like family occupation and the mother's education level. In terms of child mortality, twins historically faced a significantly higher mortality rate. However, they benefited greatly from the mortality transition, at least in absolute numbers. While nearly 60% of twins did not survive beyond 5 years of age in earlier periods, the mortality rate for twins decreased to 40% by the first half of the 20th century. The excess mortality was particularly severe for girls, driven by a widespread preference for sons, which led to higher mortality rates for girls in the first 5 years of life, especially in the earliest months. These findings help us understand the improvements in uterine and childhood survival rates for contemporary twins, which can be attributed to the socioeconomic and medical advancements of the 20th century.

本研究探讨了萨拉戈萨省(西班牙)17 个农村地区 200 年间双胞胎率和婴幼儿死亡率的变化情况。目的是了解双胞胎率是如何随着经济和社会现代化进程以及人口结构转型而演变的。在分析期间,双胞胎率上升了 10%,从 18 世纪下半叶的每 1000 名新生儿中有 1.26 个双胞胎上升到 20 世纪上半叶的每 1000 名新生儿中有 1.38 个双胞胎。这一比率因遗传问题、母亲年龄和胎次等生理因素以及家庭职业和母亲教育水平等社会经济特征而有所不同。就儿童死亡率而言,双胞胎的死亡率在历史上要高得多。然而,至少在绝对数量上,他们从死亡率的转变中受益匪浅。在早期,近 60% 的双胞胎活不过 5 岁,而到 20 世纪上半叶,双胞胎的死亡率下降到 40%。由于普遍存在重男轻女的思想,导致女孩在出生后的头 5 年,尤其是最初几个月的死亡率较高,因此女孩的超额死亡率尤为严重。这些发现有助于我们理解当代双胞胎子宫和儿童存活率的提高,这可归因于 20 世纪的社会经济和医学进步。
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引用次数: 0
Common Genetic Influence on the Relationship Between Gaming Addiction and Attention Deficit Hyperactivity Disorder in Young Adults: A Twin Study. 青少年游戏成瘾与注意力缺陷多动障碍之间的共同遗传影响:一项双胞胎研究。
IF 1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2024-10-28 DOI: 10.1017/thg.2024.29
Seol-Ah Lee, Yoon-Mi Hur

Although the relationship between gaming addiction (GA) and attention deficit hyperactivity disorder (ADHD) is well established, the causal mechanism of this relationship remains ambiguous. We aimed to investigate whether common genetic and/or environmental factors explain the GA-ADHD relationship. We recruited 1413 South Korean adult twins (837 monozygotic [MZ], 326 same-sex dizygotic [DZ], and 250 opposite-sex DZ twins; mean age = 23.1 ± 2.8 years) who completed an online survey on GA and related traits. Correlational analysis and bivariate model-fitting analysis were conducted. Phenotypic correlation between GA and ADHD in the present sample was 0.55 (95% CI [0.51, 0.59]). Bivariate model-fitting analysis revealed that genetic variances were 69% (95% CI [64%, 73%]) and 68% (95% CI [63%, 72%]) for ADHD and GA respectively. The remaining variances (ADHD: 31%; GA: 32%) were associated with nonshared environmental variances, including measurement error. Genetic and nonshared environmental correlations between ADHD and GA were 0.68 (95% CI [0.62, 0.74]) and 0.22 (95% CI [0.13, 0.30]) respectively, which indicates that shared genes can explain 82% of the phenotypic correlation between ADHD and GA. Our study demonstrated that the ADHD-GA association was largely due to shared genetic vulnerability.

尽管游戏成瘾(GA)与注意缺陷多动障碍(ADHD)之间的关系已经得到证实,但这种关系的因果机制仍然模糊不清。我们旨在研究共同的遗传和/或环境因素是否可以解释游戏成瘾与多动症之间的关系。我们招募了 1413 名韩国成年双胞胎(837 名单卵双生[MZ],326 名同性双卵双生[DZ],250 名异性双卵双生[DZ];平均年龄 = 23.1 ± 2.8 岁),他们完成了关于 GA 及其相关特征的在线调查。研究人员进行了相关分析和双变量模型拟合分析。本样本中 GA 与多动症之间的表型相关性为 0.55(95% CI [0.51,0.59])。双变量模型拟合分析显示,ADHD 和 GA 的遗传变异率分别为 69%(95% CI [64%,73%])和 68%(95% CI [63%,72%])。其余变异(ADHD:31%;GA:32%)与非共享环境变异有关,包括测量误差。ADHD和GA之间的遗传相关性和非共享环境相关性分别为0.68(95% CI [0.62,0.74])和0.22(95% CI [0.13,0.30]),这表明共享基因可以解释ADHD和GA之间82%的表型相关性。我们的研究表明,ADHD与GA之间的关联在很大程度上是由共有的遗传易感性造成的。
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引用次数: 0
Chorionicity and Psychomotor Development From Infancy to Childhood: The Japan Environment and Children's Study. 绒毛膜性与婴儿期至儿童期的心理运动发育:日本环境与儿童研究
IF 1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2024-10-28 DOI: 10.1017/thg.2024.39
Karri Silventoinen, Chika Honda, Rie Tomizawa, Norio Sakai, Satoyo Ikehara, Junji Miyazaki, Kanami Tanigawa, Takashi Kimura, Ryo Kawasaki, Hiroyasu Iso

Twins lag behind singletons in their early psychomotor development, but little is known about how chorionicity affects this difference. We compared early psychomotor development in singletons, monochorionic (MC) twins and dichorionic (DC) twins. Our longitudinal data from the Japan Environment and Children's Study (JECS; see Appendix) included 98,042 singletons, 577 MC twins and 1051 DC twins representing the general Japanese population. Chorionicity was evaluated by ultrasound images and complemented by postnatal pathological examinations. Five domains of psychomotor development were evaluated at 6 time points from 6 months to 3 years of age using the Ages and Stages Questionnaires (ASQ-3). The data were analyzed using linear regression models. Twins lagged behind singletons in all areas of psychomotor development during infancy. This gap decreased over time but was still noticeable at 3 years of age. More than half of this difference was attributed to twins having lower birth weight and being born earlier in gestation. MC twins showed slightly delayed development compared to DC twins, but this difference was minor compared to the overall gap between twins and singletons. Twins delay singletons in their early psychomotor development, and this delay is not specific to MC twinning.

双胞胎的早期精神运动发育落后于单胎,但人们对绒毛膜性如何影响这种差异知之甚少。我们比较了单胞胎、单绒毛膜双胎(MC)和双绒毛膜双胎(DC)的早期精神运动发育情况。我们从日本环境与儿童研究(Japan Environment and Children's Study,JECS;见附录)中获得的纵向数据包括 98,042 个单胎、577 个 MC 双胞胎和 1051 个 DC 双胞胎,这些数据代表了日本的总体人口。绒毛率通过超声波图像进行评估,并辅以产后病理检查。使用年龄与阶段问卷(ASQ-3)在 6 个月至 3 岁的 6 个时间点对五个精神运动发育领域进行了评估。数据采用线性回归模型进行分析。在婴儿期,双胞胎在心理运动发展的所有方面都落后于单胎。随着时间的推移,这种差距逐渐缩小,但在 3 岁时仍很明显。这一差距的一半以上归因于双胞胎出生体重较轻和出生时间较早。与单胞胎相比,双胞胎的发育略有延迟,但与双胞胎和单胞胎之间的总体差距相比,这种差异很小。双胞胎在早期精神运动发育方面比单胎落后,而这种落后并不是单胞双胎所特有的。
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引用次数: 0
Exploring the Link Between Parental Sociodemographic Characteristics and Multiple Births: Insights from National Birth Data in Japan, 1995-2020. 探索父母的社会人口特征与多胞胎之间的联系:1995-2020 年日本全国出生数据的启示》。
IF 1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2024-10-03 DOI: 10.1017/thg.2024.36
Tasuku Okui, Naoki Nakashima

This present study investigated the parental characteristics of multiple births using national birth data in Japan. This study included birth data from Vital Statistics: Occupational and Industrial Aspects every five fiscal years from 1995 to 2020. The multiple birth rates were defined as the number of live-birth deliveries with multiple fetuses (e.g., twins, triplets) per total live-birth deliveries. Parental ages, nationalities, occupations and household occupation (occupation of the top earner of the household) were considered as parental characteristics. The multiple birth rates were calculated based on parental characteristics for each year, and a log-binomial regression model was used to assess the association between parental characteristics and multiple births. The multiple birth rate for Japanese mothers consistently exceeded that for non-Japanese mothers over the years, and the rate increased progressively from manual workers to lower non-manual workers and then to upper non-manual workers for both maternal and paternal occupations. The regression results indicated that the risk ratio (RR) for multiple births among non-Japanese mothers was significantly lower than that among Japanese mothers. Moreover, concerning household occupation, the RRs of self-employed individuals, full-time employees at smaller companies, others, and the unemployed were significantly lower than those of full-time employees at larger companies. Furthermore, the RRs of lower non-manual and manual workers were significantly lower than those of upper non-manual workers in maternal and paternal occupations. The results suggested an association between multiple births and parental socioeconomic status in Japan.

本研究利用日本全国出生数据调查了多胞胎父母的特征。这项研究包括生命统计中的出生数据:从 1995 年到 2020 年,每五个财政年度都会发布一次《生命统计:职业和工业方面》中的出生数据。多胎率的定义是多胎(如双胞胎、三胞胎)活产数占总活产数的比例。父母的年龄、国籍、职业和家庭职业(家庭收入最高者的职业)被视为父母的特征。根据每年的父母特征计算多胎率,并使用对数二叉回归模型评估父母特征与多胎之间的关系。多年来,日本籍母亲的多胎率一直高于非日本籍母亲的多胎率,而且在母亲和父亲的职业中,多胎率从体力劳动者逐渐上升到低级非体力劳动者,然后再上升到高级非体力劳动者。回归结果显示,非日本籍母亲的多胎风险比(RR)明显低于日本籍母亲。此外,在家庭职业方面,自营职业者、小公司全职雇员、其他人和失业者的风险比明显低于大公司全职雇员。此外,在母亲和父亲的职业中,低等非体力劳动者和体力劳动者的 RRs 明显低于高等非体力劳动者。结果表明,在日本,多胞胎与父母的社会经济地位有关。
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引用次数: 0
Zygosity Effects on Human Voice: Fundamental Frequency Analysis of Brazilian Twins' Speech. 基因遗传对人类语音的影响:巴西双胞胎语音的基频分析
IF 1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2024-10-02 DOI: 10.1017/thg.2024.33
Lilian C Luchesi, Julio C Cavalcanti, Tania K Lucci, Vinicius F David, Emma Otta, Patricia F Monticelli

Voice production can be influenced by interindividual variations related to genetic, physiological, behavioral, and several environmental factors. Here we examined the effect of zygosity on speaking fundamental frequency (F0) statistical descriptors. Our aims were: (1) to determine whether the genetic similarity between monozygotic (MZ) and dizygotic (DZ) twins affects F0 characteristics, and (2) to quantify the contribution of genetic factors to these characteristics. The study involved 79 same-sex twin pairs of Brazilian Portuguese speakers, comprising 65 MZ and 14 DZ twins, aged 18 to 66 years (31.7 ± 11.6 years), with 21 male and 58 female pairs. Participants were recorded while uttering a greeting phrase and the Brazilian Portuguese version of the 'Happy Birthday to You' song. Speech segments were analyzed using Praat free software, and F0 measures were automatically extracted in both Hertz and semitone scales. Statistical descriptors, including centrality, dispersion, and extreme values of F0 were examined, and the ACE model (i.e., total genetic effects, A; shared environmental influences, C; and nonshared environmental influences, E) was employed to estimate the additive effect;ts of monozygosity. As anticipated, we observed a zygosity effect on several F0 parameters, with more similarity between MZ twins compared to DZ twins. We discuss the genetic influences on F0 parameters and the absence of a monozygosity effect in two of them. Additionally, we briefly address potential biases associated with the selected measurement scale for statistical modeling. Finally, we explore the influence of genetic factors on F0 patterns, as well as environmental, life history and linguistic factors, particularly concerning F0 variation in speech.

语音的产生会受到与遗传、生理、行为和一些环境因素有关的个体间差异的影响。在此,我们研究了基因遗传对说话基频(F0)统计描述指标的影响。我们的目的是(1) 确定单卵(MZ)双胞胎和双卵(DZ)双胞胎之间的遗传相似性是否会影响 F0 特征,以及 (2) 量化遗传因素对这些特征的贡献。这项研究涉及 79 对讲葡萄牙语的巴西同性双胞胎,包括 65 对 MZ 双胞胎和 14 对 DZ 双胞胎,年龄在 18 岁至 66 岁之间(31.7 ± 11.6 岁),其中男性 21 对,女性 58 对。参与者在说出问候短语和巴西葡萄牙语版 "祝你生日快乐 "歌曲时被录音。使用 Praat 免费软件对语音片段进行分析,并自动提取赫兹和半音阶的 F0 测量值。对包括 F0 的中心性、分散性和极值在内的统计描述符进行了检查,并采用 ACE 模型(即总遗传效应 A、共有环境影响 C 和非共有环境影响 E)来估计单基因遗传的加法效应。正如预期的那样,我们观察到了对几个 F0 参数的同卵效应,与 DZ 双胞胎相比,MZ 双胞胎之间的相似性更高。我们讨论了 F0 参数的遗传影响,以及其中两个参数没有单倍效应。此外,我们还简要讨论了与统计建模所选测量尺度相关的潜在偏差。最后,我们探讨了遗传因素对 F0 模式的影响,以及环境、生活史和语言因素,尤其是语音中的 F0 变异。
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引用次数: 0
Genetic Influence on Social Support: A Twin Study. 遗传对社会支持的影响:双胞胎研究
IF 1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2024-10-02 DOI: 10.1017/thg.2024.32
Bodine M A Gonggrijp, Steve G A van de Weijer, Jenny van Dongen, Catrien C J H Bijleveld, Dorret I Boomsma

Social support is often considered an environmental factor affecting health, especially in aging populations. However, its genetic underpinnings suggest a more complex origin. This study investigates the heritability of social support through applying a threshold model on data of a large adult sample of twins (N = 8019) from the Netherlands Twin Register, collected between 2009 and 2011. The study employed the Duke - UNC Functional Social Support Questionnaire to assess social support quality. Our analysis revealed genetic contributions to social support, with heritability estimated at 37%, without a contribution of shared environment and no differences between men and women in heritability. The study's results underscore the complexity of social support as a trait influenced by genetic and environmental factors, challenging the notion that it is solely an environmental construct.

社会支持通常被认为是影响健康的环境因素,尤其是在老龄人口中。然而,它的遗传基础表明其起源更为复杂。本研究通过对荷兰双胞胎登记处 2009 年至 2011 年间收集的大量成年双胞胎样本(N = 8019)数据应用阈值模型,研究了社会支持的遗传性。研究采用杜克大学-联合国大学功能性社会支持问卷来评估社会支持质量。我们的分析表明,社会支持的遗传贡献率估计为 37%,没有共同环境的贡献,男女之间的遗传率也没有差异。研究结果强调了社会支持作为一种受遗传和环境因素影响的特质的复杂性,对社会支持仅仅是一种环境结构的观点提出了质疑。
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引用次数: 0
Twin Data Support a Sensitive Period for Singing Ability. 双胞胎数据支持歌唱能力的敏感期
IF 1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2024-10-02 DOI: 10.1017/thg.2024.30
Daniel Yeom, Nick Haslam, Yi Ting Tan, Gary E McPherson, Sarah J Wilson

As with many other musical traits, the social environment is a key influence on the development of singing ability. While the familial singing environment is likely to be formative, its role relative to other environmental influences such as training is unclear. We used structural equation modeling to test relationships among demographic characteristics, familial environmental variables (early and current singing with family), vocal training, and singing ability in a large, previously documented sample of Australian twins (N = 1163). Notably, early singing with family, and to a lesser extent vocal training, predicted singing ability, whereas current singing with family did not. Early familial singing also mediated the relationship between sex and singing ability, with men who sang less with family during childhood showing poorer ability. Bivariate twin models between early familial singing and singing ability showed the phenotypic correlation was largely explained by shared environmental influences. This raises the possibility of a sensitive period for singing ability, with sociocultural expectations around singing potentially differentiating the developmental trajectories of this skill for men and women.

与许多其他音乐特征一样,社会环境对歌唱能力的发展具有关键影响。虽然家庭歌唱环境很可能是形成性的,但它相对于其他环境影响因素(如训练)的作用还不清楚。我们使用结构方程模型,在一个大型的、先前有记录的澳大利亚双胞胎样本(样本数=1163)中,检验了人口统计学特征、家庭环境变量(早期和当前与家人一起唱歌)、声乐训练和歌唱能力之间的关系。值得注意的是,早期与家人一起唱歌,其次是声乐训练,可以预测歌唱能力,而目前与家人一起唱歌则不能。早期与家人一起唱歌还能调节性别与歌唱能力之间的关系,童年时期与家人一起唱歌较少的男性歌唱能力较差。早期家庭歌唱与歌唱能力之间的双变量双胞胎模型显示,表型相关性在很大程度上是由共同的环境影响所解释的。这就提出了歌唱能力敏感期的可能性,围绕歌唱的社会文化期望可能会区分男性和女性的这一技能的发展轨迹。
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引用次数: 0
Breastfeeding Practices in the Twin Town of India - A Cross-Sectional Study. 印度双城镇的母乳喂养实践--一项横断面研究。
IF 1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2024-10-02 DOI: 10.1017/thg.2024.31
Geeta Bhardwaj, Moonjelly V Smitha

The global rise in twinning rates poses health challenges due to increased risks for infants and mothers. Despite the benefits, breastfeeding rates among multiples are low, with exclusive breastfeeding (EBF) particularly scarce compared to singletons. Our study focuses on the mothers of twins in a unique population in Kodinhi village, Kerala, India, known for its high twinning rates, which aims to contribute to existing knowledge of breastfeeding practices and perspectives in a high twinning environment and offer valuable insights to promote optimal breastfeeding among mothers of twins. A retrospective cross-sectional survey was adopted. Seventy-five mothers with twins under 3 years of age from Kodinhi and neighboring areas were interviewed face to face using structured validated tools. Data collection focused on quantitative data supplemented by narrative descriptions. Most women delivered preterm (57.3%), operative delivery (58.7%), and had a late initiation of breastfeeding (32.9% within 24 hours). Colostrum feed was common (86.7%). The EBF rate was 4%, with 47.9% initiating nonexclusive breastfeeding before 3 months, and most of the twins (46.6%) were breastfed for 1-2 years. Fatigue (69.9%) and low milk supply (38.7%) were chief concerns. While 16.4% of mothers opted for a tandem breastfeeding technique, many preferred consecutive feeding as tandem was challenging. Mothers in Kodinhi demonstrated commendable efforts in breastfeeding twins; despite the low rate of EBF, breastfeeding extended to 1-2 years. Evidence-based interventions and personalized support, primarily focusing on maternal perspectives of milk insufficiency, fatigue and breastfeeding techniques, are crucial for sustaining optimal breastfeeding practices among mothers of twins.

由于婴儿和母亲面临的风险增加,全球双胞胎率的上升给健康带来了挑战。尽管多胞胎有很多好处,但母乳喂养率却很低,与单胎相比,纯母乳喂养(EBF)尤其缺乏。我们的研究侧重于印度喀拉拉邦 Kodinhi 村的双胞胎母亲,该村因双胞胎率高而闻名,我们的研究旨在为双胞胎母亲在双胞胎率高的环境中母乳喂养的实践和观点的现有知识做出贡献,并为促进双胞胎母亲的最佳母乳喂养提供有价值的见解。研究采用了回顾性横断面调查。使用结构化验证工具,对来自科迪尼和邻近地区的 75 名 3 岁以下双胞胎母亲进行了面对面访谈。数据收集以定量数据为主,辅以叙述性描述。大多数产妇都是早产(57.3%)、手术分娩(58.7%),而且开始母乳喂养的时间较晚(32.9%在 24 小时内)。初乳喂养很常见(86.7%)。母乳喂养率为 4%,其中 47.9% 在 3 个月前开始非纯母乳喂养,大多数双胞胎(46.6%)的母乳喂养时间为 1-2 年。疲劳(69.9%)和奶量不足(38.7%)是主要问题。虽然有 16.4% 的母亲选择了串联式母乳喂养技术,但由于串联式喂养具有挑战性,许多母亲更倾向于连续喂养。科迪尼的母亲们在双胞胎母乳喂养方面做出了值得称赞的努力;尽管母乳喂养率较低,但母乳喂养的时间却延长到了 1-2 年。以证据为基础的干预措施和个性化支持,主要侧重于母亲对奶水不足、疲劳和母乳喂养技巧的看法,对于双胞胎母亲保持最佳母乳喂养方法至关重要。
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引用次数: 0
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Twin Research and Human Genetics
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