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Supertwins Statistics

Post-Partum Depression Survey

Statistics from March 2003

Primary researcher: Laurie LaMonde, Ph.D. Clinical Psychologist VA

Additional researchers: Maureen A. Doolan Boyle, MOST Executive Director; Kelly Ross, MD, MOST Medical Director; Elizabeth Pector, MD, FAAFP, MOST Advisory Board; Lauretta Shokler, MOST Technology Director

The MOST Post-Partum Depression (PPD) survey was conducted from January through March of 2003 in coordination with the National Organization of Mothers of Twins Clubs, Inc. (NOMOTC). 

The survey gathered data pertaining to socio-demographic status, medical, gynecologic, and obstetric history, pregnancy, perinatal and neonatal events were collected as well as symptom-specific data pertaining to PPD. Specifically, the survey included questions on 22 different symptoms of PPD, previous experiences with depression, and treatment received.

The MOST survey recieved 587 participants and NOMOTC 758 participants. Unless otherwise noted, the data below is from the MOST survey.

Number of Children

% of survey responses

10 children

0.17%

9 children

0.00%

8 children

0.17%

7 children

1.36%

6 children

3.92%

5 children

10.39%

4 children

32.54%

3 children

49.23%

less than 3 children

2.21%

 

Age ranges

% of survey responses

18-24

1.19%

25-30

13.63%

31-35

33.56%

36-40

33.73%

41-45

14.48%

46-50

2.21%

Over 50

1.02%

Not answered

0.17%

 

Employment Status during first year after birth

% of survey responses

Other

2.56%

Outside the home full time

11.93%

Outside the home part time

10.22%

Stay at home parent

69.34%

Unemployed looking for work

0.68%

Work from home full time

1.53%

Work from home part time

3.24%

Not answered

0.34%

 

 

Overall 29% of respondents indicated being depressed for more than 2 weeks following the birth of their higher-order multiples

Respondents who underwent fertility treatments experienced an average of 10.9 PPD symptoms.

Respondents who did no undergo fertility treatments experienced an average of 6.47 PPD symptoms.

*       88% of respondents took fertility medications.
*       65% of respondents indicated her multiples were her first born children.
*       85% of respondents' multiples remained in the hospital after the mother's discharge.

Type of multiples

Average PPD symptoms indicated

Experienced feelings of guilt

Twins

3.8

15.4%

Triplets 

7.3

33.7%

Quadruplets

7.5

32.7%

Quintuplets or more

8.5

54.5%

 

 Mother's employment status

Percent who felt isolated

Full-time outside the home

23%

Full-time inside the home

27%

Part-time outside the home

38%

Stay at home parent

40%

Part-time inside the home

51%

Other (like students)

60%

Unemployed actively seeking work

100%


Percentage of respondents indicating ongoing financial difficulties since the birth of their multiples:

* 25% of families with twins
* 33% of families with triplets
* 45% of families with quadruplets or more

Percentage of respondents indicating financial difficulties prior to their multiple birth pregnancy:

* 10% of families with twins
* 7% of families with triplets
* 6% of families with quadruplets or more

Multiples type

% who felt isolated

Twins

11.11%

Triplets

39.45%

Quadruplets

32.20%

Quintuplets

77.78%

59% of both NOMOTC and MOST respondents felt isolated but found support from another mom of multiples helpful.


The PPD survey also revealed that multiple birth mothers do not seek treatment for PPD even when they experience a significant number of symptoms.

49% of respondents didn’t report depression but reported 5 or more symptoms of post-partum depression.

31.5% of respondents didn’t report depression but reported 7 or more symptoms of post-partum depression.


Out of the 8.8% who marked yes to either thoughts of hurting themselves or others, thoughts of death, or thoughts of suicide, nearly half (48 %) never sought professional help or treatment.

Number of symptoms
% reporting
% of these who never sought professional help
5 or more
60%
23%
7 or more
51%
15%
8 or more
45%
57%
10 or more
36%
32%
12 or more
25%
39%
15 or more
15%
4%


Respondents reporting 5 or more symptoms by age group

 

NOMOTC

MOST

18-24

91%

100%

25-30

69%

54%

31-35

60%

61%

36-40

66%

65%

41-45

65%

51%

46-50

57%

46%

50+

54%

50%

 

Multiple Type

Had outside help

Help started

Percent

Help lasted

Percent

Twins

44.44%

First week home

100.00%

Less than 1 week

25.00%

   

First month home

0.00%

1-2 weeks

0.00%

   

First 6 months home

0.00%

3-4 weeks

50.00%

   

No Answer

0.00%

5-6 weeks

0.00%

       

7+ weeks

25.00%

       

No Answer

0.00%

Triplets

77.12%

First week home

77.49%

Less than 1 week

0.51%

   

First month home

18.67%

1-2 weeks

4.60%

   

First 6 months home

3.58%

3-4 weeks

7.16%

   

No Answer

0.26%

5-6 weeks

9.97%

       

7+ weeks

75.45%

       

No Answer

2.30%

Quadruplets

76.27%

First week home

73.33%

Less than 1 week

0.00%

   

First month home

20.00%

1-2 weeks

0.00%

   

First 6 months home

4.44%

3-4 weeks

4.44%

   

No Answer

0.00%

5-6 weeks

2.22%

       

7+ weeks

88.89%

       

No Answer

4.44%

Quintuplets

77.78%

First week home

57.14%

Less than 1 week

0.00%

   

First month home

28.57%

1-2 weeks

0.00%

   

First 6 months home

14.29%

3-4 weeks

0.00%

   

No Answer

0.00%

5-6 weeks

0.00%

       

7+ weeks

100.00%

       

No Answer

0.00%

 

PPD symptom data

 

MOST

NOMOTC

Symptom

% reporting

% reporting

Thoughts of death or suicide

6.47%

10.82%

Thoughts of hurting self/others

6.98%

12.01%

No feelings for babies

6.98%

6.33%

Frantic/scared/panicky

14.99%

12.40%

Chest pains/racing heart/numbness

17.04%

18.07%

Excessive crying

23.51%

28.50%

Worthlessness/self-blame

24.02%

27.31%

Weight loss/gain

27.09%

30.47%

Inability to cope

27.60%

31.93%

Slow body movement/thoughts

31.35%

34.04%

Feeling guilty

33.73%

38.79%

Feeling out of control

35.95%

39.71%

Lack of confidence

36.12%

43.80%

Sad, blue, down

39.18%

49.34%

Difficulty concentrating/deciding

40.20%

41.69%

Sleeplessness/excessive sleep

40.55%

50.26%

Irritability/agitation

50.26%

52.90%

Increased forgetfulness

52.30%

55.28%

Loss of interest in pleasurable activities

56.05%

60.03%

Feeling overwhelmed/worried

60.99%

72.03%

Decreased energy/fatigue

62.18%

62.40%

The percentage of physicians who referred expectant and new mothers of multiples to a support group were only 11.3% of respondents from NOMOTC's survey and 12.60% of MOST's survey.

The highest percentage of mothers affected by PPD were in the youngest age range

 

NOMOTC

MOST

18-24

75%

71%

25-30

48%

26%

31-35

34%

30%

36-40

44%

31%

41-45

33%

19%

46-50

23%

23%

Over 50

11%

33%

 

# of Symptoms Indicated

% of Respondents

0

10.90%

1

9.71%

2

6.64%

3

6.81%

4

5.96%

5

4.26%

6

5.45%

7

5.79%

8

4.60%

9

4.43%

10

5.11%

11

5.79%

12

3.07%

13

4.26%

14

2.73%

15

2.56%

16

4.09%

17

2.73%

18

1.70%

19

1.87%

20

0.34%

21

0.68%

22

0.51%

Average # of symptoms 7.32

 

Help us learn more about marriage and multiple births from

MOST's Divorce and the Multiple Birth Family survey.

 

Observations and Comments:

MOST believes providing mothers who may be at risk for PPD with a wealth of information and support services is essential. Our organization offers the following support and information resources:

MOST strongly feels new mothers of multiples need increased ancillary support and referral services at the pediatric and family health care provider level as they typically visit those doctors’ offices more frequently than their OB-GYNs during the first few years after birth.

If you are in need of help, visit the National Suicide Prevention Lifeline If you need immediate help, please dial 1-800-273-TALK (8255). You will be routed to the closest possible crisis center in your area. Para obtener asistencia en español durante las 24 horas, llame al 1-888-628-9454

 

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