Table 2 of Challenges Strategies of multiple-birth infants

1. Sterility and Infertility period

1. Informing young couples about pregnancy and the consequences of taking ovulation-stimulating drugs

2.Comprehensive awareness about the consequences of taking stimulant and multiparous drugs

3. Providing the couples with the opportunity to use appropriate methods for pregnancy

4. Psychosocial support of young couples for fear of childlessness

5. Informing the couples’ families and preventing infertility-related cultural labels

2. Transition from Intrauterine to NICU

1. Providing facilities for the presence of mother in the NICU from the time of admission

2. Preventing the separation of the mother from the infant

3. Empowering and training mothers and key family members in the hospital

4. Distributing care duties among the family members

5. Psychological and family support for the parents

3. Discharge Process

1. Preparing the parents, hospitals, and charities for the process

2.Teaching how to care for the babies at home during pregnancy and hospitalization

3. Preparing the parents for early discharge

4. distributing the duties between the parents and preparing the relatives for support

4. Physical-development status

1. The need for a regular plan for periodic care and examinations

2. The need to train and equip their home if necessary

3. Necessity of specialist examination and precise treatment of preterm infants by specialists

4. Mental support for the mother and family

5.Home care and home visit Challenges

1. Familiarizing the nurses about home visit and hospital care

2. Assign a nurse responsible for encouraging the mother to continue breastfeeding

3. Enabling and empowering the mothers and key family members to take care of babies

4. Distributing care duties among the family members

5. Psychological support for the mother and the family

6- Two fixed caregivers in two shifts to assist the mother

7. Promoting a home-based care culture in the society

6. Developing care plan

1. Completion of care plan by all members of the health team

2. The need to identify the needs of the multiple-birth infants

3. Providing a comprehensive care package for the multiple-birth infants

4. The need to form a comprehensive child care team

7.Socio-Economic Support

1. Supportive organizations to hire the jobless fathers

2. Support of family and friends

3. Supply of formula and supplements in the infancy period

4.Timely and appropriate support by the Welfare Organization and other organs

5. Spreading the culture of helping others

8.Coronavirus nightmare

1. Giving information about risk factors and signs

2. Emphasizing that parents stay home with their quintuplet or quadruplet

3.Teaching the parents about hand washing and wearing mask

4. Providing the families with some entertainments

5. Asking health ministry for infants at home vaccination.