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Psychological consequences of having triplets: a 4-year followup study

Triple Trouble
Title:
Psychological consequences of having triplets: a 4-year followup study
Author:M. Gael et al.
Address:Villejuif, France
Source:Fertility and Sterility 67: 1162 (June) 1997
Summary:In this prospective followup study, the mental health of 11 mothers of triplets and the quality of the relationship with their triplets was made in the home by a psychologist, using semistructured tape recorded interviews. All except one of these mothers had conceived after infertiltity treatment. The evaluation of the mothers emotional well being and level of depression was measured by the CES-D Scale (Center for Epidemiologic Studies- Depression Scale). The quality of the relationship with the triplets was based on the motherÕs opinion. Emotional distress and fatigue (stress related mainly) was reported by all of the motherÕs. A high score of depression and treatment with psychotropic drugs occurred in 4 of these motherÕs. Difficulties in the relationship seemed to be due to inabiltiy to cope with the aggressive behavior and conflict between the siblings. Difficulty in the relationships had not decreased over the last 2 years, since the time of the last evaluation. Four of the motherÕs expressed regrets about having triplets. The authors recommend that coupleÕs undergoing infertility treatment should receive adequate information about the long term psychological cost of triplet birth and that infertility treatments be adapted in order to decrease the risk of triplet pregnancy.
Comment:In one way, what else would be expected with three 4 year olds at home. On the other hand, a triplet pregnancy is a high risk pregnancy regardless of the other associated factors of bearing multiple offspring.

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Psychological cons triplets.html
Address:Villejuif, France
Source:Fertility and Sterility 67: 1162 (June) 1997
Summary:In