A Birth Education Program for Expectant Fathers in Taiwan: Effects on Their Anxiety

Li, Hsin-Tzu; Lin, Kuan‐Chia; Chang, Shu‐Chen; Kao, Chien-Huei; Liu, Chieh‐Yu; Kuo, Su-Chen

doi:10.1111/j.1523-536x.2009.00356.x

Cited by 48 publications

(55 citation statements)

References 38 publications

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“…Moreover, a lower percentage of fathers prepared for labor experience negative emotions, such as anxiety, irritation and fear, which is another benefit resulting from ante-natal education. The results of Li HT et al confirm this hypothesis [9].…”

Section: Discussionsupporting

confidence: 82%

“…The author's own studies are consistent with those reported by other authors and confirm that fathers actively participate in childbirth and women have specific preferences concerning this issue [9,11,[17][18][19]. Paternal activity in individual stages of labor mostly involves emotional support for the woman in labor, but also performing nursing activities and instrumental monitoring.…”

Section: Discussionsupporting

confidence: 80%

“…In a series of classes on psychoprophylaxis, erroneous convictions about childbirth are eliminated and the profound role of the child's father is underlined. The participation of the father during childbirth is a continuation of obstetric psychoprophylaxis [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Paternal engagement during childbirth depending on the manner of their preparation

et al. 2016

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Objectives: The analysis of the forms of paternal activity depending on the manner of their preparation, including stages of labor. Material and methods:A prospective survey-based study involved 250 fathers who participated in their child's birth. The fathers included in the study were present during all stages of family-assisted natural labor. The study was conducted one day after childbirth with the use of a survey prepared by the authors. Statistical calculations were conducted using the Statistica PL software. The frequency of individual qualitative features (non-measurable) was assessed by means of a non-parametric χ² (chi-squared) test. The statistical significance level was p < 0.05. Results:A half of the fathers included in the study (52.4%) participated in childbirth with no prior preparation. The dominant form of preparation involved self-education from books, magazines and the Internet (24%). 23.6% of fathers participated in ante-natal classes. The study demonstrated that fathers prepared for childbirth in ante-natal classes more often engaged in the supportive role, provided nursing care and carried out instrumental monitoring during each stage of childbirth. Conclusions:The fathers prepared for childbirth in ante-natal classes more often engage in the supportive role, provide nursing care and carry out instrumental control during each stage of childbirth. Ante-natal classes should be promoted as an optimal form of preparation for active participation in childbirth. Moreover, other forms of paternal ante-natal education as well as continued education in a delivery room should be developed.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 80%

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Paternal engagement during childbirth depending on the manner of their preparation

et al. 2016

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“…Stress management, lifestyle changes and the recognition of increased relationship strain are not mandatory within the antenatal program and can be completely omitted [63]. Corroborating the experience of the men in our study, a systematic review of antenatal education found that men valued access to experienced fathers and the opportunity to discuss their own concerns and learn strategies for coping with anxiety [64] The importance of information to reduce confusion and giving fathers an opportunity to explore their new roles has been identified in several studies [65,66]. …”

Section: Discussionmentioning

confidence: 79%

Can father inclusive practice reduce paternal postnatal anxiety? A repeated measures cohort study using the hospital anxiety and depression scale

Tohotoa

Maycock

Hauck

et al. 2012

BMC Pregnancy Childbirth

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BackgroundPerinatal research on anxiety and depression has primarily focused on mothers. We have limited knowledge of fathers’ anxiety during the perinatal period yet there is evidence that the parenting capacity of a person can be compromised by anxiety and depression. The purpose of this paper is to identify the impact of a father inclusive intervention on perinatal anxiety and depression. The prime focus of the intervention was to provide education and support to fathers of breastfeeding partners with the aim of increasing both initiation and duration of breastfeeding.MethodsA repeated measures cohort study was conducted during a RCT that was implemented across eight public maternity hospitals in Perth, Western Australia between May 2008 and June 2009. A baseline questionnaire which included the Hospital Anxiety and Depression Scale (HADS) was administered to all participants on the first night of their hospital based antenatal education program and was repeated at six weeks postnatal. SPSS version 17 was used for reporting descriptive results.ResultsThe mean anxiety levels at baseline for the fathers in the intervention group (n=289) and control group (n=244) were 4.58 and 4.22 respectively. At 6 weeks postnatal (only matched pairs), intervention and control group were 3.93 and 3.79. More intervention group fathers self-rated less anxiety compared to the fathers in the control group from baseline to post test (p=0.048). Depression scores for intervention fathers at baseline (mean =1.09) and at six weeks (mean=1.09) were very similar to fathers in the control group at baseline (mean=1.11) and at six weeks (mean =1.07) with no significant changes.ConclusionsBoth intervention and control group fathers experienced some anxiety prior to the birth of their baby, but this was rapidly reduced at six weeks. Paternal anxiety is common to new fathers and providing them with information and strategies for problem-solving can increase their knowledge and potentially lower the risk of postnatal anxiety.Trial registration(Australian New Zealand Clinical Trials Registry ACTRN12609000667213)

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“…The amendment of education level, the reference of delivery information and delivery expectations, along with attendance in the classes, and delivery--based education can significantly decrease the level of anxiety in fathers after birth. According to this study, the clinical implementation of prenatal educational courses based on the self--efficacy theory is an effective strategy to reduce anxiety among fathers [28]. According to the investigations, fathers often feel worried in terms of the infant's health, such as the risk of having children with disabilities, but they often feel anxiety in terms of their supportive role regarding their pregnant wives [29][30][31].…”

Section: Resultsmentioning

confidence: 98%

A study of the efficacy of fathers’ attachment training on paternal-fetal attachment and parental anxiety

Setodeh¹,

Pourahmad²,

Akbarzadeh³

2017

fmpcr

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Background. Attachment behaviors play an important role in accepting the identity of the fathers, the pleasant outcome of pregnancy and the child's growth and development in the future. Objectives. This study aimed to investigate the effect of father's attachment training (awaiting a child) on paternal-fetal attachment and parental anxiety. Material and methods. This clinical trial was conducted on 150 spouses of eligible pregnant women. In the intervention group, four 90-minute training sessions were designed on maternal-fetal attachment, while the control group received routine prenatal care. The questionnaire of paternal-fetal attachment was completed both before and after intervention in both cases and control groups. Data analysis was done in SPSS software using a paired t-test and independent t-test (the significant level was 0.05). Results. The mean score of attachment was reported as 56.61 ± 6.05 and 64.53 ± 6.94 both before and after intervention, respectively. according to the paired t-test, there was a significant difference in the attachment score after intervention (p < 0.001). According to the independent t-test applied a month after intervention, the comparison of fathers' anxiety scores before and after intervention showed a significant difference between the control and intervention groups (p < 0.001). Conclusions. Training fathers about attachment skills leads to increased paternal-fetal attachment and a lower anxiety score. Therefore, it seems necessary to include education of fathers in prenatal care.

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A Birth Education Program for Expectant Fathers in Taiwan: Effects on Their Anxiety

Abstract: The study findings justify the clinical implementation of a birth education program based on the self-efficacy theory as an effective means of reducing anxiety among expectant fathers.

Cited by 48 publications

References 38 publications

Paternal engagement during childbirth depending on the manner of their preparation

Paternal engagement during childbirth depending on the manner of their preparation

Can father inclusive practice reduce paternal postnatal anxiety? A repeated measures cohort study using the hospital anxiety and depression scale

A study of the efficacy of fathers’ attachment training on paternal-fetal attachment and parental anxiety

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