Difficulties of Families With Multiples Recognized by Regional Parenting Support Hubs: A National Public Health Service Study in Japan

In comparison to a singleton birth, pregnancy, delivery, and child rearing in families with multiples is more complicated and is associated with more difficulties. This study sheds light on how parenting support hubs all over Japan recognize the difficulties of families with multiples, and how they support them. A questionnaire was distributed to regional parenting support hubs in Japan. The questionnaire coverage included rural to urban areas in all parts of Japan. The questionnaire was presented and answered using Google Forms, a website, a fax, or an e-mail attachment ( n = 522). A factor analysis and t -tests were used to analyze the data. Regional parenting support hubs recognized that families with multiples have more difficulties and needs that require support than those with singletons, during both pregnancy and child rearing. However, they did not recognize any marked economic difficulties, which has been demonstrated to be an issue that affects families with multiples. Most regional parenting support hubs did not provide helpful support regarding speaking to parents of multiples, holding social events, or cooperating with other support groups, or rearing support hubs. When the helpful support measures that are recognized by parenting support hubs during the pregnancy/delivery period and the child-rearing period for families with multiple children are in comparison, such parenting support hubs recognized that families with multiples require more support during the pregnancy/delivery period. Parenting support hubs required information on the difficulties in supporting families with multiples and also required guidance on how such support should be provided. Parenting support hubs that cooperated with other hubs gave more support than those that did not. To link the recognition of the difficulties and needs of families with multiples to concrete measures, sufficient information on what is needed and how to support families with multiples should be provided. When presenting information on child rearing support for families with multiples, the importance of support during the child-rearing period should receive more attention. We found that cooperation is an important factor for enhancing parenting support.