الفهرس 
Introduction and Aim of the workOnly 14 pages are availabe for public view
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Abstract
Multiple births are much more common today than they were in the past. There are more multiple births today because more women are receiving infertility treatment, which carries a risk of multiple pregnancy. Although major medical advances have improved the outcomes of multiple births, multiple births still are associated with significant medical risks and complications for the mother and children. (ASRM,2012). Twinning is known to be a risk factor for language delay , behavioral and learning problems (Rutter et al., 2003).
The aim of this study was to establish base line data about the size and distribution of communicative disorders among twins children in order to put a plan of prevention, early detection, proper assessment and intervention of these problems if possible. .
One hundred and eighty of children were included in this study. One hundred and twenty (60 pairs ) of them were twins(66 males and 54 females) and 60 of the children were singletons (33 males and 27 females). The children in the two groups were matched in their age, sex their ages were ranged from one to seven years and 5 months. The duration of this work was 30 months.
The children of this study were subjected to the protocol of assessment which applied in The Phoniatrics Unit of El Minia University Hospital:
Elementary diagnostic procedures: (patient’s interview, patient examination).
Clinical diagnostic aids: (Evaluation of the various aptitudes by formal testing, psychiatric evaluation, audiological examination and language evaluation by using the Arabic Language test).
Additional instrumental measures:
The results obtained from this study showed that:
• There was a highly significant difference between the two groups as regard prenatal history, birth weight , mode of delivery and admission in NICU.
• There was a statistically significant difference between the two groups as regard
• There was non significant difference between the two groups as regard history of cyanosis.
• There was a statistically significant difference between the two groups as history of jaundice , neonatal mortality, gestational age and early childhood illness.