Carrying a Single Twin: Breaking the Silence to Reduce Stress
Publication Date:September 2010
The death of a twin in the womb is traumatic for the mother. Pre- and perinatal psychology emphasizes the importance of a calm and stress-free pregnancy for the mother, so that the child will not be badly affected. The loss of one or more fetuses from a twin or multiple conception is unavoidably stressful. However, with full knowledge of the implications of such a death on all the parties involved and the opportunity to mourn the death openly, the stress on the pregnant mother can be reduced. Ways to reduce the stress on the mother are described.
Basso, O., & Olsen, J. (2001) Sex ratio and twinning in women with hyperemesis or preeclampsia. Epidemiology, 12(6), 747-749.
Boklage, C.E., (1995). The frequency and survivability of natural twin conceptions. Chapter in Keith, L.G., Papiernik, E., Keith, D.M. & Luke, B. (eds) Multiple pregnancy: Epidemiology, gestation and perinatal outcome. New York: Parthenon.
Brock, M. J. (1990). Uncertainty, information needs, and coping effectiveness of renal families. Journal of American Nephrology Nurses Association, 27(3), 242-245.
Briscoe, L., & Street, C. (2003). "Vanished twin": An exploration of women's experiences, Birth, 30(1), 47-53.
Bryan, E. (2002). Loss in higher multiple pregnancy and multifetal pregnancy reduction. Twin Research, 5(3), 169-174.
Galloway, S., & Graydon, J. (1996). Uncertainty, symptom distress, and information needs after surgery for cancer of the colon. Cancer Nursing 19(2), 112-117.
Hayton A. (1998). Not out of mind. England: Arthur James (Wren Publications).
Hayton, A. (2008). A silent cry: Wombtwin survivors tell their stories. England: Wren Publications.
Lake, F. (1981). Clinical Theology Newsletter No.38, (Nottingham: Clinical Theology Association). Quoted in S. Maret, Frank Lake's Maternal-Fetal Distress Syndrome: - An Analysis. [http://primal-page.com/mf2-2.htm.] retrieved December 2010.
Landy, H.J., Weiner, S. Corson, S.L., Batzer, F.r. & Bolognese, R.J. (1986). The "Vanishing Twin": Ultrasonographic assessment of fetal disappearance in the first trimester. American Journal of Obstetrics and Gynecology, 155(1), 14-19.
Pinborg, A., Lidegaard, O., Freiesleben, N. L.C., & Anderson, A.N. (2005). Consequences of vanishing twins in IVF/ICSI pregnancies. Human Reproduction, 20(10), 2821-2829.
Swanson, P.B., Pearsall-Jones, J.G., & Hay, D.A. (2002). How mothers cope with the death of a twin or higher multiple. Twin Research, 5(3), 156-164.
Woo, H.H., Sin, S.Y., & Tang, L.C. (2000). Single foetal death in twin pregnancies: Review of the maternal and neonatal outcomes and management. Hong Kong Medical Journal, 6(3), 293-300.