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Karen Kirhofer Hansen, MD
Department of Pediatrics University of Utah Primary Children's Medical Center 100 N Medical Dr Salt Lake City, UT 84113

Arch Pediatr Adolesc Med. 1994;148(12):1345-1346.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

An increased incidence of child abuse and neglect has been documented surrounding twin births. Levy¹ wrote about an increased rate of infant mortality and failure to thrive in twins born into the modern Navajo culture. Robarge et al,² in a singleton-birth matched control study, showed an increased incidence of abuse in families after the birth of twins, both in siblings of the twins and in the twins. In a related study, Groothuis et al³ documented that twin births are associated with a high incidence of perinatal complications that also predispose to abuse. When regression analysis was used to control for perinatal complications, twin status itself was found to be a risk factor for subsequent abuse, presumably owing to the many family stresses imposed by twin births. Nelson and Martin⁴ found an increased incidence of abuse among twin pairs. Both twins of a pair were abused 60% . . . [Full Text PDF of this Article]

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