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Maltreatment in multiple-birth children.

Cathleen A Lang1, Matthew J Cox1, Glenn Flores2

  • 1Division of General Pediatrics, Department of Pediatrics, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9063, USA; Children's Medical Center Dallas, 1935 Medical District Dr., Dallas, TX 75235, USA.

Child Abuse & Neglect
|April 30, 2013
PubMed
Summary
This summary is machine-generated.

Multiple-birth children are at higher risk for physical abuse and neglect, often experiencing similar injuries. Evaluation of all multiples is crucial when one child shows signs of maltreatment.

Keywords:
CPSChild Protective ServicesChild abuseChild maltreatmentMultiple birthsMultiple gestationNeglectTwinning

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Area of Science:

  • Pediatrics
  • Child Abuse and Neglect
  • Public Health

Background:

  • The incidence of multiple births has risen significantly.
  • Child maltreatment in twins remains understudied despite increased injury risks.
  • Previous research noted increased injuries in multiple births but lacked focus on maltreatment specifics.

Purpose of the Study:

  • To investigate the characteristics of physical abuse and/or neglect in multiple-birth children.
  • To compare maltreatment patterns in multiple-birth vs. single-birth children.
  • To identify factors associated with maltreatment in multiple-gestation children.

Main Methods:

  • Retrospective chart review of multiple-gestation children experiencing maltreatment (2006-2009).
  • Data abstraction on child, injury, family, and perpetrator characteristics.
  • Comparison with single-birth maltreated children for injury types and demographics.

Main Results:

  • 19 multiple-birth sets with maltreatment were identified; 53% involved abuse in all siblings.
  • Multiple-birth children showed higher rates of abdominal trauma (13% vs. 1%) and fractures (83% vs. 39%).
  • Maltreated multiples were significantly younger (mean 12.8 months vs. 34.8 months) than singletons.

Conclusions:

  • Siblings of maltreated multiples frequently experience abuse, often with similar injury types.
  • Multiple-birth children face a higher risk of fractures and abdominal trauma at younger ages.
  • The findings support evaluating all children within a multiple set if one is maltreated.