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The loss experienced by parents following the perinatal death of a twin is often underestimated by other people and the particular problems are rarely appreciated. A Bereavement Clinic for multiple birth families provides the opportunity to discuss concerns such as incomplete information, lack of a memorial, anger, the fantasy twin, the response to the surviving child and zygosity determination. An informal lunch allows families to meet and share their experiences with other bereaved families.


Bryan, E.M. (1986) The death of a newborn twin: how can support for parents be improved? Acta Geneticae Medicae Gemellologiae (Rome). 5, 115-118.

Lewis E. & Bryan, E.M. (1988). Management of perinatal loss of a twin. British Medical Journal 297, 1321-1323.

Elizabeth Bryan, M.D. FRCP, DCH

Elizabeth Bryan is a consultant pediatrician and the Medical Director of the Multiple Births Foundation. She was a cofounder of the Twins and Multiple Births Association and established the first Twins Clinics in the U.K. She has written two books The Nature and Nurture of Twins (Bailliere Tindall 1983) and Twins in the Family (Constable 1984). She may be reached at the Multiple Births Foundation, Queen Charlotte's and Chelsea Hospital, Goldhawk Road, London W6 OX G, England.

JOURNAL OF PRENATAL AND PERINATAL PSYCHOLOGY AND HEALTH publishes research and clinical articles from the cutting edge of the science of prenatal and perinatal psychology and health. The journal, published quarterly since 1986, is dedicated to the in-depth exploration human reproduction and pregnancy and the mental and emotional development of the unborn and newborn child.

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