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Demir E, Öz S, Aral N, Gürsoy F. A Reliability Generalization Meta-Analysis of the Mother-To-Infant Bonding Scale. Psychol Rep 2024; 127:447-464. [PMID: 35815798 DOI: 10.1177/00332941221114413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The Mother-to-Infant Bonding Scale (MIBS) is among the most popular measurement tools to evaluate caregiver-infant attachment. We carried out a meta-analysis study to explore the generalizability of the reliability coefficients for the MIBS in different studies. The literature review yielded a total of 702 studies investigating caregiver-infant attachment. After removing duplicate studies, we also excluded compilations, meta-analyses, qualitative studies, those using different measurement tools, studies published in a language other than English, citations, and those whose full texts could not be accessed. Eventually, we considered a total of 26 studies with 33 Cronbach's alpha coefficients that satisfied the inclusion criteria. We normalized the alpha coefficients using Bonett's transformation, and the analyses were performed using a 95% confidence interval. The findings revealed a Cronbach's alpha (n = 33) coefficient of 0.73 (CI = 0.68-0.77); hence, the present reliability generalization study provides evidence that the reliability scores produced after measurements with the MIBS in previous studies are acceptable across samples. Overall, further studies may reliably utilize the MIBS to evaluate mother-infant attachment.
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Affiliation(s)
- Emin Demir
- Faculty of Health Sciences, Department of Child Development, Tarsus University, Tarsus, Turkey
| | - Sena Öz
- Faculty of Health Sciences, Department of Child Development, Ankara University, Ankara, Turkey
| | - Neriman Aral
- Faculty of Health Sciences, Department of Child Development, Ankara University, Ankara, Turkey
| | - Figen Gürsoy
- Faculty of Health Sciences, Department of Child Development, Ankara University, Ankara, Turkey
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Chanvrier H, Rattaz V, Offredi V, Dupuis M, Horsch A. Swiss cohort on Traumatic Childbirth and Health (SwiTCH): protocol for a prospective, population-based cohort study on parents' mental health from pregnancy to one year postpartum. BMJ Open 2024; 14:e080557. [PMID: 38296274 PMCID: PMC10828876 DOI: 10.1136/bmjopen-2023-080557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Accepted: 01/11/2024] [Indexed: 02/03/2024] Open
Abstract
INTRODUCTION Approximately 4%-5% of mothers develop childbirth-related post-traumatic stress disorder (CB-PTSD) and approximately 12.3% of mothers develop some CB-PTSD symptoms (CB-PTSS). To date, there is a dearth of studies on fathers and other coparents. Parental CB-PTSD and CB-PTSS may have a negative impact not only on the parents but also on the infant. Understanding risk and protective factors of CB-PTSD for both parents and its consequences on the family is key to detecting or anticipating it, to developing interventions aimed at reducing its detrimental effects and to supporting parents. METHODS AND ANALYSIS This study protocol describes an observational, population-based study, consisting of a longitudinal prospective cohort with online surveys at four time points. The population of interest consist of women, in the third trimester of pregnancy or at 6-12 weeks postpartum, and their partner/coparent, who will give birth or gave birth in the French-speaking part of Switzerland. The target sample size is 300-500 women and a proportional number of partners. The primary outcome of this study is the prevalence of CB-PTSD and CB-PTSS. The secondary outcomes focus on: (1) the impact of CB-PTSD and CB-PTSS on the marital and coparental relationships, the bonding with the infant, parental burnout and healthcare seeking behaviours, (2) the role of the childbirth experience in the development of CB-PTSD and CB-PTSS and (3) the social and economic determinants of CB-PTSD and CB-PTSS. ETHICS AND DISSEMINATION Ethical approval was granted by the human research ethics committee of the Canton de Vaud (study number 2022-00284). All study participants signed an informed consent form. Dissemination of results will occur via national and international conferences, in peer-reviewed journals, public conferences and social media. TRIAL REGISTRATION NUMBER NCT05865704.
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Affiliation(s)
- Hélène Chanvrier
- Institute of Higher Education and Research in Healthcare, University of Lausanne, Lausanne, Switzerland
| | - Valentine Rattaz
- Institute of Higher Education and Research in Healthcare, University of Lausanne, Lausanne, Switzerland
| | - Valentin Offredi
- Institute of Higher Education and Research in Healthcare, University of Lausanne, Lausanne, Switzerland
- University Department of Child and Adolescent Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Marc Dupuis
- Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland
| | - Antje Horsch
- Institute of Higher Education and Research in Healthcare, University of Lausanne, Lausanne, Switzerland
- Department of Woman Mother and Child, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
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Evans K, Pallotti P, Spiby H, Evans C, Eldridge J. Supporting birth companions for women in labor, the views and experiences of birth companions, women and midwives: A mixed methods systematic review. Birth 2023; 50:689-710. [PMID: 37593922 DOI: 10.1111/birt.12736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Revised: 01/20/2023] [Accepted: 06/01/2023] [Indexed: 08/19/2023]
Abstract
BACKGROUND Birth companions can have a positive effect on women's experiences in labor. However, companions can feel unprepared and need professional guidance to help them feel involved and provide effective support. METHODS A convergent segregated mixed-methods systematic review was conducted to explore women's, companions', and midwives' experiences of birth companion support and identify ways to improve the experience for women and companions. A thematic synthesis of qualitative data and a narrative summary of quantitative data were conducted followed by integration of the findings. RESULTS Companions who cope well in labor reported feeling involved, able to preserve women's internal focus and have a defined role, providing physical or emotional support. LBGTQ+ partners faced barriers to inclusion due to "forefronting" of their sexuality by staff and a lack of recognition in the language and processes used. The experience of birth companions can be enhanced by promoting their role as co-parent, guardian, and coach, provision of timely information and developing a trusting relationship with care providers. Only two papers reported midwives' views on birth companions in labor. CONCLUSIONS Women's and companions' satisfaction with birth is increased when companions can support the mother, feel supported themselves, and valued as a co-parent. The midwives' role in information provision and guidance can maximize birth companions' experience and ability to provide positive support. LBGTQ+ families need more support to feel included and recognized.
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Affiliation(s)
- Kerry Evans
- Division of Midwifery, School of Health Sciences, University of Nottingham, Nottingham, UK
| | - Phoebe Pallotti
- Division of Midwifery, School of Health Sciences, University of Nottingham, Nottingham, UK
| | - Helen Spiby
- Division of Midwifery, School of Health Sciences, University of Nottingham, Nottingham, UK
| | - Catrin Evans
- School of Health Sciences, Queens Medical Centre, University of Nottingham, Nottingham, UK
| | - Jeanette Eldridge
- School of Health Sciences, Queens Medical Centre, University of Nottingham, Nottingham, UK
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Seefeld L, von Soest T, Dikmen-Yildiz P, Garthus-Niegel S. Dyadic analyses on the prospective association between birth experience and parent-child-bonding: The role of postpartum depression, anxiety, and childbirth-related posttraumatic stress disorder. J Anxiety Disord 2023; 98:102748. [PMID: 37517159 DOI: 10.1016/j.janxdis.2023.102748] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 07/10/2023] [Accepted: 07/20/2023] [Indexed: 08/01/2023]
Abstract
OBJECTIVE Negative birth experiences are associated with postpartum mental health difficulties in parents. However, research considering the long-term impact of a negative birth experience on parent-child-bonding and the interdependence between parents is rare. This study aimed to investigate actor as well as partner effects for the association between parents' birth experience and parent-child-bonding and whether this association is mediated by postpartum psychiatric symptoms. METHOD A community sample of couples (N = 743) completed questionnaires during pregnancy, 2, and 14 months after birth. RESULTS Applying Actor-Partner Interdependence Mediation Models, structural equation modeling showed that parents' own negative birth experience predicted a poorer bond to their child 14 months postpartum. Compared to mothers, this association was twice as strong for partners and was mediated by symptoms of postpartum depression (mothers and partners), anxiety (partners), and childbirth-related posttraumatic stress disorder (mothers). Negative birth experiences of one parent were not related to the other parent's bonding with the child. CONCLUSION Results underline the importance of parents' positive birth experience for their postpartum mental health and secure bond to their child. The other parent's birth experience or postpartum mental health does not seem to affect one's own bond to the child in the long term.
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Affiliation(s)
- Lara Seefeld
- Department of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine TU Dresden, Dresden, Germany; Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine TU Dresden, Dresden, Germany.
| | - Tilmann von Soest
- PROMENTA Research Center, Department of Psychology, University of Oslo, Norway
| | | | - Susan Garthus-Niegel
- Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine TU Dresden, Dresden, Germany; Institute for Systems Medicine (ISM) and Faculty of Human Medicine, MSH Medical School Hamburg, Hamburg, Germany; Department of Childhood and Families, Norwegian Institute of Public Health, Oslo, Norway
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Döblin S, Seefeld L, Weise V, Kopp M, Knappe S, Asselmann E, Martini J, Garthus-Niegel S. The impact of mode of delivery on parent-infant-bonding and the mediating role of birth experience: a comparison of mothers and fathers within the longitudinal cohort study DREAM. BMC Pregnancy Childbirth 2023; 23:285. [PMID: 37098555 PMCID: PMC10127505 DOI: 10.1186/s12884-023-05611-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2022] [Accepted: 04/14/2023] [Indexed: 04/27/2023] Open
Abstract
BACKGROUND The association between mode of delivery (MOD) and parent-infant-bonding has only been studied in mothers and findings have been inconclusive. The aim of this study was to prospectively investigate how MOD relates to postpartum parent-infant-bonding in both mothers and fathers and whether these associations are mediated by birth experience. METHODS This study is part of the prospective cohort study "Dresden Study on Parenting, Work, and Mental Health" (DREAM). Our sample comprised N = 1,780 participants who completed quantitative questionnaires during pregnancy as well as 8 weeks and 14 months postpartum. MOD was dummy coded, contrasting spontaneous vaginal delivery against vaginal delivery induced by drugs, operative vaginal delivery, planned, and unplanned cesarean section. Parent-infant bonding and birth experience were assessed using validated scales. A moderated mediation analysis based on ordinary least square (OLS) regression and bootstrapped estimates was conducted, considering relevant confounding variables. RESULTS Compared to spontaneous vaginal delivery, all categories of MOD predicted more negative birth experiences in both parents. A more positive birth experience predicted stronger parent-infant-bonding at 8 weeks, but not at 14 months postpartum. Mothers who delivered via cesarean section (planned or unplanned) reported stronger parent-infant-bonding at 8 weeks and 14 months postpartum. In fathers, only unplanned cesarean section was associated with stronger parent-infant-bonding at 8 weeks postpartum. At 8 weeks postpartum, birth experience mediated the association between a vaginal delivery induced by drugs and a planned cesarean section and mother-infant-bonding and between a vaginal delivery induced by drugs, an operative vaginal delivery, and planned cesarean section and father-infant-bonding. At 14 months postpartum, birth experience mediated the association between a vaginal delivery induced by drugs, operative vaginal delivery, and planned cesarean section and parent-infant-bonding in both parents. CONCLUSIONS The results emphasize the importance of the birth experience for parent-infant-bonding in both mothers and fathers. Further research should address the mechanisms by which parents with an unplanned cesarean section establish stronger parent-infant-bonding compared to parents whose baby was delivered via spontaneous vaginal delivery, despite their overall more negative birth experiences.
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Affiliation(s)
- Svenja Döblin
- Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany
| | - Lara Seefeld
- Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany
- Department of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine TU Dresden, Dresden, Germany
| | - Victoria Weise
- Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany
| | - Marie Kopp
- Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany
| | - Susanne Knappe
- Evangelische Hochschule Dresden (Ehs), University of Applied Sciences for Social Work, Education and Nursing, Dresden, Germany
| | - Eva Asselmann
- Faculty of Health, HMU Health and Medical University, Potsdam, Germany
| | - Julia Martini
- Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany
- Department of Psychiatry & Psychotherapy, Faculty of Medicine, Carl Gustav Carus University Hospital, Technische Universität Dresden, Dresden, Germany
| | - Susan Garthus-Niegel
- Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany.
- Institute for Systems Medicine (ISM), Faculty of Medicine, Medical School Hamburg, Hamburg, Germany.
- Department of Childhood and Families, Norwegian Institute of Public Health, Oslo, Norway.
- Institute and Outpatient Clinics of Occupational and Social Medicine, Faculty of Medicine of the Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Germany.
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Gomes ML, Nicida LRDA, de Oliveira DCC, Rodrigues A, Torres JA, Coutinho ADTD, Cravo BDSSDS, Dantas JG, Oliveira TB, Brandão P, Domingues RMSM. Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research. Reprod Health 2023; 20:14. [PMID: 36635687 PMCID: PMC9835209 DOI: 10.1186/s12978-022-01540-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/25/2022] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND The Adequate Childbirth Project (PPA) is a quality improvement project that aims to enhance normal delivery and reduce cesarean sections with no clinical indication in the Brazilian supplementary health care system. This study aims to analyze the care model of the first postpartum hour in hospitals that participated in the PPA. METHODS Qualitative analysis based on the narrative of 102 women attended at two hospitals participating in the evaluative "Healthy Birth" research that analyzed the degree of implementation and the effects of the PPA. We assessed three practices within the first hour after delivery: skin-to-skin contact, breastfeeding and appropriate clamping of the umbilical cord. Data was collected through semi-structured interviews by telephone and submitted to thematic content analysis. RESULTS The categories that emerged from the analysis of the results were "Dimension of time and care expressed in the lived experience" and "Interferences in care in the first hour of life". In the first category, women reported that in the first hour after delivery the newborn was placed on the mother's chest, but the length of time of the newborn's stay in skin-to-skin contact was less than one hour. This experience, even in a shorter period of time, was said to be positive by the women interviewed. Two barriers were observed: interruption of skin-to-skin contact for neonatal care and the transfer to the recovery room, both separating baby from mother without observing the duration of the "golden hour". It was identified that a process of improvement of the quality of care for childbirth is underway, with a gradual incorporation of recommended practices for care in newborn's first hour of life. CONCLUSIONS Women reported access to the three care practices at two hospitals participating in the PPA quality improvement project. All practices were valued by women as a positive experience and should be promoted. Information during antenatal care to increase women´s autonomy, review of hospital practices to reduce barriers, and support from health care providers during the first hour after birth are needed to improve the implementation of these practices and access to their health benefits.
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Affiliation(s)
- Maysa Luduvice Gomes
- Anna Nery School of Nursing, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ Brazil
- Faculty of Nursing, Rio de Janeiro State University (UERJ), Rio de Janeiro, RJ Brazil
| | - Lucia Regina de Azevedo Nicida
- Collective Health from National Institute of Women, Children and Adolescents Health Fernandes Figueira (IFF), Oswaldo Cruz Foundation (Fiocruz), Rua Fabio Luz, 275. Bl. 5, Aptº 707, Rio de Janeiro, RJ 20725-232 Brazil
| | | | - Andreza Rodrigues
- Anna Nery School of Nursing, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ Brazil
- Collective Health from National Institute of Women, Children and Adolescents Health Fernandes Figueira (IFF), Oswaldo Cruz Foundation (Fiocruz), Rio de Janeiro, Brazil
| | | | | | | | - Juliana Guimarães Dantas
- Anna Nery School of Nursing, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ Brazil
| | - Thays Basílio Oliveira
- Anna Nery School of Nursing, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ Brazil
| | - Patrick Brandão
- Anna Nery School of Nursing, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ Brazil
| | - Rosa Maria Soares Madeira Domingues
- Laboratory of Clinical Research in STD/AIDS, Evandro Chagas National Institute of Infectology, Oswaldo Cruz Foundation (Fiocruz), Rio de Janeiro, RJ Brazil
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Suzuki D, Ohashi Y, Shinohara E, Usui Y, Yamada F, Yamaji N, Sasayama K, Suzuki H, Nieva RF, da Silva Lopes K, Miyazawa J, Hase M, Kabashima M, Ota E. The Current Concept of Paternal Bonding: A Systematic Scoping Review. Healthcare (Basel) 2022; 10:2265. [PMID: 36421589 PMCID: PMC9690989 DOI: 10.3390/healthcare10112265] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 11/04/2022] [Accepted: 11/08/2022] [Indexed: 07/30/2023] Open
Abstract
Bonding is crucial to perinatal mental health. Despite an extensive body of literature on maternal bonding, few studies have focused on paternal bonding. This scoping review aimed to clarify the current state of the concept of paternal-infant/fetus bonding. The eligibility criteria were drawn from the population concept and context elements to answer the following questions: "what is paternal bonding?" and "what are the constructs of the concept of paternal bonding?" The review comprised 39 studies. Paternal bonding was associated with both positive and negative paternal behavior and thought and may be determined based on fathers' beliefs and rearing history. Most studies showed that father-child interaction is one of the factors promoting paternal bonding. However, fathers generally felt more distant from their babies post-delivery than mothers. Only a few studies originally defined paternal bonding; most relied on the definitions of maternal bonding. We found different descriptions lacking consensus. Few studies examined the differences between paternal and maternal bonding. No consensus exists on the concept, constructs, and assessment of paternal bonding. The causal relationship between paternal bonding and other variables is unexplored. Future studies should explore fathers' perspectives and experiences, focusing on the unknown aspects of paternal bonding identified in this review.
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Affiliation(s)
- Daichi Suzuki
- Department of Nursing, Faculty of Health and Medical Sciences, Kanagawa Institute of Technology, Atsugi 243-0292, Japan
| | - Yukiko Ohashi
- Department of Nursing, Faculty of Nursing, Josai International University, Togane 283-8555, Japan
- Kitamura Institute of Mental Health Tokyo, Shibuya-ku, Tokyo 151-0063, Japan
- Research Institute of Imperial Gift Foundation Boshi-Aiiku-Kai, Minato-ku, Tokyo 106-8580, Japan
| | - Eriko Shinohara
- Department of Nursing, School of Medicine, Yokohama City University, Yokohama 236-0004, Japan
| | - Yuriko Usui
- Department of Midwifery and Women’s Health, Division of Health Sciences & Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo 113-0033, Japan
| | - Fukiko Yamada
- Department of Midwifery, St. Luke’s International University, Chuo-ku, Tokyo 104-0044, Japan
| | - Noyuri Yamaji
- Global Health Nursing, Graduate School of Nursing Science, St. Luke’s International University, Chuo-ku, Tokyo 104-0044, Japan
| | - Kiriko Sasayama
- Department of Nursing, Global Health Nursing, International University of Health and Welfare, Narita 286-8686, Japan
| | - Hitomi Suzuki
- Global Health Nursing, Graduate School of Nursing Science, St. Luke’s International University, Chuo-ku, Tokyo 104-0044, Japan
| | - Romulo Fernandez Nieva
- Gender Studies and Criminology Programme, School of Sociology, University of Otago, P.O. Box 56, Dunedin 9054, New Zealand
| | - Katharina da Silva Lopes
- Graduate School of Public Health, St. Luke’s International University, Chuo-ku, Tokyo 104-0045, Japan
| | - Junko Miyazawa
- Department of Nursing, Faculty of Nursing, Josai International University, Togane 283-8555, Japan
| | - Michiko Hase
- Pediatric Nursing, Department of Nursing, Faculty of Nursing, Musashino University, Koto-ku, Tokyo 135-8181, Japan
| | - Minoru Kabashima
- Department of Nursing, Faculty of Nursing, Josai International University, Togane 283-8555, Japan
| | - Erika Ota
- Global Health Nursing, Graduate School of Nursing Science, St. Luke’s International University, Chuo-ku, Tokyo 104-0044, Japan
- Tokyo Foundation for Policy Research, Minato-ku, Tokyo 106-6234, Japan
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Nasreen HE, Pasi HB, Aris MAM, Rahman JA, Rus RM, Edhborg M. Impact of parental perinatal depressive and anxiety symptoms trajectories on early parent-infant impaired bonding: a cohort study in east and west coasts of Malaysia. Arch Womens Ment Health 2022; 25:377-387. [PMID: 34313824 DOI: 10.1007/s00737-021-01165-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Accepted: 07/18/2021] [Indexed: 10/20/2022]
Abstract
The association between maternal depressive and anxiety symptoms and impaired bonding with infants were widely studied, but not in fathers and none in Malaysia. We investigated the impact of different trajectories of perinatal depressive and anxiety symptoms on parent-infant impaired bonding during 2-3 months postpartum in both mothers and fathers in two areas of Malaysia. This study originated from a psychiatric morbidity cohort study carried out in health clinics in east and west Malaysia. Edinburgh Postnatal Depression Scale and anxiety subscale of Depression, Anxiety, and Stress Scale at late pregnancy and 2-3 months postpartum and Postpartum Bonding Questionnaire were completed by 566 mothers and 457 fathers. About 11.7% mothers and 16.1% fathers reported depressive symptoms during pregnancy, 6.5% mothers and 10.5% fathers during 2-3 months postpartum, and 3-4% mothers and fathers both depressive and anxiety symptoms 2-3 months postpartum. The mean impaired bonding score was highest in mothers and fathers who had both depressive and anxiety symptoms 2-3 months postpartum. Impaired bonding is associated with higher EPDS and DASS (anxiety subscale) scores 2-3 months postpartum in both parents. Physical partner violence and deteriorated marital relationship were associated with increased risk of impaired bonding in mothers. The association between depressive, anxiety, and comorbidity of depressive and anxiety symptoms in both mothers and fathers and parent-infant impaired bonding during 2-3 months postpartum urges for screening and treatment of depressive and anxiety symptoms in both parents during early parenthood.
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Affiliation(s)
- Hashima E Nasreen
- Department of Community Medicine, Faculty of Medicine, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, 25200, Kuantan, Pahang, Malaysia.
| | - Hafizah Binti Pasi
- Department of Community Medicine, Faculty of Medicine, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, 25200, Kuantan, Pahang, Malaysia
| | - Mohd Aznan Md Aris
- Department of Family Medicine, Faculty of Medicine, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, 25200, Kuantan, Pahang, Malaysia
| | - Jamalludin Ab Rahman
- Department of Community Medicine, Faculty of Medicine, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, 25200, Kuantan, Pahang, Malaysia
| | - Razman Mohd Rus
- Department of Community Medicine, Faculty of Medicine, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, 25200, Kuantan, Pahang, Malaysia
| | - Maigun Edhborg
- Department of Neurobiology, Care Sciences and Society, Karolinska Institute, 141 83 Huddinge, Stockholm, Sweden
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9
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Pinto TM, Nunes-Costa R, Figueiredo B. The Baby Care Scale: A Psychometric Study With Fathers During Pregnancy and the Postpartum Period. Front Psychol 2022; 12:751330. [PMID: 35111098 PMCID: PMC8801460 DOI: 10.3389/fpsyg.2021.751330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Accepted: 12/15/2021] [Indexed: 11/13/2022] Open
Abstract
The Baby Care Scale (BCS) was designed to assess the involvement of father in infant care during pregnancy and the postpartum period. This study aimed to examine the psychometric characteristics of the BCS – antenatal (BCS-AN) and BCS – postnatal (BCS-PN) versions. A sample of 100 primiparous fathers completed the BCS-AN and/or the BCS-PN and self-reported the measures of anxiety and depressive symptoms and of father–infant emotional involvement during pregnancy and the postpartum period, respectively. Good internal consistency was found for both the BCS-AN and the BCS-PN. A two-factor model was found for both versions of the instrument: (1) household tasks and (2) infant care tasks. The BCS-AN and BCS-PN subscales revealed good internal consistency. Higher scores on the BCS-AN predicted higher scores on the BCS-PN. Significant associations were found among the BCS (BCS-AN and BCS-PN), depressive and anxiety symptoms, and father–infant emotional involvement, revealing good criterion validity. This study suggested that both the BCS-AN and the BCS-PN are reliable multidimensional self-report measures that assess the involvement of father in infant care during pregnancy and the postpartum period.
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Wulveryck C. Bientraitance en période de crise sanitaire. SAGES-FEMMES 2022; 21. [PMCID: PMC9596175 DOI: 10.1016/j.sagf.2022.09.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
L’arrivée brutale de la pandémie de Covid-19 a ébranlé notre système de santé et menacé notre capacité à être bientraitants. La mise en place d’une relation de soins nécessite du temps et une recherche de sens. En périnatalité, la situation a exposé les familles à un stress provoqué par l’isolement, tant dans la relation de soins que vis-à-vis des proches. Ces répercussions ont fait l’objet d’études dont les résultats interrogent la responsabilité des professionnels de santé. Une réflexion globale et le développement d’un dialogue interorganisationnel semblent indispensables pour protéger les femmes enceintes et leurs nouveau-nés en temps de crise.
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Gün Kakaşçı Ç, Coşkuner Potur D, Karabulut Ö, Ertuğrul Abbasoğlu D, Demirci N, Doğan Merih Y. Does Antenatal Education Affect Level Of Empathy And Attachment Of Fathers? J Reprod Infant Psychol 2021; 40:366-383. [PMID: 34555950 DOI: 10.1080/02646838.2021.1979198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE The study aimed to determine the effects of antenatal education on the paternal bonding and empathic tendency levels of men who would become fathers for the first time. BACKGROUND There are a limited number of studies in the literature that have investigated the effects of antenatal education programmes on fathers. METHODS This prospective, controlled quasi-experimental study was conducted in a hospital in Istanbul. The men in the antenatal educational group (EG) and their wives participated in training in antenatal classes. The men in the control group (CG) came for routine prenatal follow-up examinations with their wives. The Empathic Tendency and Paternal Postnatal Attachment Scales were used to collect the data. RESULTS The Empathic Tendency Scale was applied before the education (1) - after the education (2) and at the 6th postpartum week (3), whilst the Paternal Postnatal Attachment Scale was used at the 6th postpartum month (4). EG had higher emphatic tendency levels in the 2nd and 3rd measurements and higher paternal bonding levels in the 4th measurement in comparison to CG (p < 0.05). CONCLUSION Antenatal education increased the emphatic tendency of the fathers and the effects of this education continued in the postpartum period and affected paternal bonding positively.
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Affiliation(s)
- Çiğdem Gün Kakaşçı
- Department of Obstetrics and Gynecology Nursing, Division of Nursing, Mehmet Akif Ersoy University, Burdur, Turkey
| | - Dilek Coşkuner Potur
- Department of Obstetrics and Gynecology Nursing, Division of Nursing, Marmara University, İstanbul, Turkey
| | - Özlem Karabulut
- Zeynep Kamil Women and Child Disease Training and Research Hospital, Istanbul, Turkey
| | | | - Nurdan Demirci
- Department of Obstetrics and Gynecology Nursing, Division of Nursing, Marmara University, İstanbul, Turkey
| | - Yeliz Doğan Merih
- Department of Obstetrics Gynecology Nursing, University of Health Sciences, İstanbul, Turkey
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12
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Santé mentale périnatale en période de pandémie COVID-19 :protéger, dépister, accompagner. LA PRESSE MÉDICALE FORMATION 2021. [PMCID: PMC8223027 DOI: 10.1016/j.lpmfor.2021.06.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Bottemanne H, Vahdat B, Jouault C, Tibi R, Joly L. Becoming a Mother During COVID-19 Pandemic: How to Protect Maternal Mental Health Against Stress Factors. Front Psychiatry 2021; 12:764207. [PMID: 35368728 PMCID: PMC8964966 DOI: 10.3389/fpsyt.2021.764207] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Accepted: 12/30/2021] [Indexed: 01/15/2023] Open
Abstract
During the COVID-19 pandemic, there were an increasing prevalence of perinatal psychiatric symptoms, such as perinatal anxiety, depression, and post-traumatic stress disorders. This growth could be caused by a range of direct and indirect stress factors related to the virus and changes in health, social and economic organization. In this review, we explore the impact of COVID-19 pandemic on perinatal mental health, and propose a range of hypothesis about their etiological mechanisms. We suggest first that the fear of being infected or infected others (intrauterine transmission, passage of the virus from mother to baby during childbirth, infection through breast milk), and the uncertainty about the effect of the virus on the fetuses and infants may have played a key-role to weakening the mental health of mothers. We also highlight that public health policies such as lockdown, limiting prenatal visits, social distancing measures, and their many associated socio-economic consequences (unemployment, loss of income, and domestic violence) may have been an additional challenge for perinatal mental health. Ground on these hypotheses, we finally purpose some recommendations to protect perinatal mental health during a pandemic, including a range of specific support based on digital technologies (video consultations, phone applications) during pregnancy and the postpartum period.
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Affiliation(s)
- Hugo Bottemanne
- Department of Psychiatry, Sorbonne University, Pitié-Salpêtrière Hospital, DMU Neurosciences, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.,Paris Brain Institute - Institut du Cerveau (ICM), UMR 7225/UMRS 1127, Pitié-Salpêtrière Hospital, Sorbonne University/CNRS/INSERM, Paris, France.,Sorbonne University, Department of Philosophy, SND Research Unit, UMR 8011, Paris, France
| | - Brune Vahdat
- Department of Psychiatry, Sorbonne University, Pitié-Salpêtrière Hospital, DMU Neurosciences, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
| | - Cleo Jouault
- Department of Psychiatry, Sorbonne University, Pitié-Salpêtrière Hospital, DMU Neurosciences, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
| | - Ruben Tibi
- Department of Psychiatry, Sorbonne University, Pitié-Salpêtrière Hospital, DMU Neurosciences, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.,Perinatal Psychiatry Unit, Department of Psychiatry, Robert Ballanger Hospital, GHT Grand Paris Nord-Est, Paris, France
| | - Lucie Joly
- Department of Psychiatry, Sorbonne University, Pitié-Salpêtrière Hospital, DMU Neurosciences, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
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Longworth MK, Furber C, Kirk S. Fathers' roles matter too: An ethnographic study examining fathers' roles and the influences on their roles during labour and birth. Midwifery 2020; 92:102857. [PMID: 33186868 DOI: 10.1016/j.midw.2020.102857] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2019] [Revised: 09/27/2020] [Accepted: 10/07/2020] [Indexed: 10/23/2022]
Affiliation(s)
- Mary K Longworth
- The School of Health Sciences, Bangor University, Friddoedd Road, Bangor LL57 2EF, UK.
| | - Christine Furber
- The School of Nursing, Midwifery and Social Work, The University of Manchester, Jean McFarlane Building, University Place, Oxford Road, Manchester M13 9PL, UK.
| | - Susan Kirk
- The School of Nursing, Midwifery and Social Work, The University of Manchester, Jean McFarlane Building, University Place, Oxford Road, Manchester M13 9PL, UK.
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15
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Diamond RM, Brown KS, Miranda J. Impact of COVID-19 on the Perinatal Period Through a Biopsychosocial Systemic Framework. CONTEMPORARY FAMILY THERAPY 2020; 42:205-216. [PMID: 32836768 PMCID: PMC7371792 DOI: 10.1007/s10591-020-09544-8] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
The perinatal period involves major developmental transitions which can be conceptualized through a biopsychosocial (BPS; Engel in Science 196:129–136, 1977, 10.1126/science.847460, in The American Journal of Psychiatry 137:535–544, 1980, 10.1176/ajp.137.5.535), systemic (von Bertalanffy, General system theory: Foundations, development, applications, George Braziller, New York, 1968) framework. Thus, no one domain of health in the perinatal period can be understood without exploring how the other domains are both impacted by and impacting the others. As a result of COVID-19, popular media is paying special attention to the biomedical domain of women in the perinatal period as it relates to health outcomes and changes in perinatal healthcare policies; however, considerably less attention is being paid to the other BPS health domains and systemic impacts. This paper will outline U.S. changes in healthcare as a result of the COVID-19 pandemic for individuals, couples, and families within the perinatal period (i.e., family planning and conception, prenatal, labor and delivery, and postpartum) and explore the unique psychosocial, systemic impacts. Recommendations for care, including telehealth and virtual support options, and future directions for research will be provided.
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Affiliation(s)
- Rachel M Diamond
- Department of Couple & Family Therapy, Adler University, 17 N. Dearborn Street, Chicago, IL 60602 USA
| | - Kristina S Brown
- Department of Couple & Family Therapy, Adler University, 17 N. Dearborn Street, Chicago, IL 60602 USA
| | - Jennifer Miranda
- Department of Counseling & Integrated Programs, Adler University, Chicago, IL USA
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16
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Teaching Father-Infant Massage during Postpartum Hospitalization: A Randomized Crossover Trial. MCN Am J Matern Child Nurs 2020; 45:169-175. [PMID: 32039984 DOI: 10.1097/nmc.0000000000000613] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE The purpose of this study was to evaluate acceptability and impact of infant massage video instruction on fathers' behaviors in early postpartum. METHODS A randomized crossover design was used. Participants were fathers of healthy term infants born at a Magnet hospital in Southern California. Measures included a demographic survey, Father-to-Infant Bonding Scale, Father-Infant Observation Scale, and postdischarge phone interview. Study nurses observed father-infant interactions for 5 minutes. Fathers were randomized to one of two groups: fathers in group 1 saw the massage video before they were observed with their infants and fathers in group 2 saw the video after. Fathers completed the Bonding Scale at baseline in person and again within a week of discharge by phone. Statistics were descriptive and comparative. Responses to interview questions were categorized and described. RESULTS Ninety-eight fathers aged 18 to 44 years participated. Over half of fathers identified as Hispanic and the majority spoke English at home. Most fathers had positive responses to infants on individual Bonding Scale items. Fathers differed significantly in observed interactions with infants depending upon timing of massage instruction; fathers observed immediately after the video had more total interactions, specifically fingertip touching. Poststudy evaluations were predominantly positive. CLINICAL IMPLICATIONS We found a brief infant massage instruction offered by video was well accepted by fathers and increased observed father-infant interactions.
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Molina-Velásquez L, Belizán JM, Pérez-Villalobos C, Contreras-García Y. Fathers for the first time: Validation of a questionnaire to asses father experiences of first childbirth in Latin America. Midwifery 2018; 67:32-38. [PMID: 30223105 DOI: 10.1016/j.midw.2018.09.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2018] [Revised: 08/14/2018] [Accepted: 09/04/2018] [Indexed: 12/31/2022]
Abstract
The active incorporation of men in the process of childbirth is an increasingly common practice internationally. However, there are no validated instruments for Latin America. OBJECTIVE To validate an instrument to assess new fathers' experiences during childbirth in Latin America. DESIGN Prospective validation study. SETTING Talcahuano, Chile. POPULATION Fathers who participated in the birth of their first child (n = 220) between September 2015 to May 2016, in a public hospital in Chile. METHODS The Swedish questionnaire "First Time Fathers Questionnaire" was used. As a first step, the questionnaire was translated to Spanish, followed by expert judgment of such translation and validation. For content validity, a descriptive analysis of the expert judgment and combined Kappa evaluation was performed. Construct validity with Exploratory Factor Analysis was done. Reliability based on internal consistency, was tested using Cronbach's Alpha. Criteria validity was tested with Pearson correlation and Student t-test, and logistic regression. MAIN OUTCOME MEASURES Questionnaire in Spanish with adequate evidence of reliability and validity. RESULTS Two components were identified: "Support from the Health System" and "Father Worry", with 19 items and adequate internal reliability (0.84 and 0.79 respectively). There is a statistically significant inverse correlation between "Father Worry" and "Support from the Health System". There is a statistically significant association between "Father Worry" and the type of delivery, being higher in Caesarean sections. There is a statistically significant association between "Support of the Health System" and preparation for childbirth being higher in those who were prepared. CONCLUSIONS This study provides a validated instrument to assess the experience of fathers who participate in the birth of their first child in Latin America. IMPLICATIONS FOR PRACTICE The evaluation of the paternal experience during birth contributes to the knowledge of the male's emotional processes involved in this event. Midwifery is in a key position to promote a transcendent parental experience.
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Affiliation(s)
| | - José M Belizán
- Researcher of the Institute for Clinical Effectiveness and Health Policy (IECS) Argentina, Department of Mother & Child Health Research, Argentina.
| | | | - Yolanda Contreras-García
- Departament Obstetrics and Puericulture, Medicine Faculty, Universidad de Concepción, Casilla 160-C, Chile.
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Scism AR, Cobb RL. Integrative Review of Factors and Interventions That Influence Early Father–Infant Bonding. J Obstet Gynecol Neonatal Nurs 2017; 46:163-170. [DOI: 10.1016/j.jogn.2016.09.004] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/01/2016] [Indexed: 11/29/2022] Open
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Molgora S, Fenaroli V, Malgaroli M, Saita E. Trajectories of Postpartum Depression in Italian First-Time Fathers. Am J Mens Health 2016; 11:880-887. [PMID: 27885145 PMCID: PMC5675320 DOI: 10.1177/1557988316677692] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Paternal postpartum depression (PPD) has received little attention compared with maternal prenatal and postpartum depression, despite research reporting that paternal PPD concerns a substantial number of fathers. History of depression and antenatal depression have been identified as important PPD’s risk factors, underlining the continuity of depressive symptoms during the transition to parenthood. However, only few studies have focused on the evolution of depressive symptoms with longitudinal research design. The present study aims at analyzing the longitudinal trajectories of depressive symptoms from the third trimester of pregnancy to 1 year after childbirth. One hundred and twenty-six first-time fathers completed the Edinburgh Postnatal Depression Scale at four time points (7-8 months of pregnancy, 40 days, 5-6 months, and 12 months after childbirth). Data were analyzed throughout latent growth mixture modeling. Latent growth mixture modeling analysis indicated a three-class model as the optimal solution. The three-class solution included a trajectory of low, stable depressive symptoms across the four time points (resilient, 52%); a trajectory of moderate, relatively stable depressive symptomatology (distress, 37%); and a trajectory of emergent clinical depression following a pattern of high depressive symptoms (emergent depression, 11%). This study allowed to identify different subpopulation within the sample, distinguishing among mental well-being, emotional distress, and high-risk conditions when—1 year after childbirth—fathers report the highest scores to the Edinburgh Postnatal Depression Scale. These results underline the importance to analyze fathers’ well-being over the time during the transition to fatherhood.
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20
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Simmonds C. Review of practice: Facilitating normality at caesarean section. J Perioper Pract 2016; 26:166-169. [PMID: 29328756 DOI: 10.1177/1750458916026007-802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2015] [Accepted: 01/18/2016] [Indexed: 06/07/2023]
Abstract
Expectant women often write detailed birth plans outlining their preferences for the birth of their baby. These plans are pushed aside when a caesarean is deemed necessary, being replaced with medical decisions in a clinical setting. In the busiest maternity unit in the South West, our team are trying to change this attitude, encompassing many of the key points of 'normal' birth choices that are important to mothers during caesarean section, without compromising clinical care.
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Coutinho EC, Antunes JGVC, Duarte JC, Parreira VC, Chaves CMB, Nelas PAB. Benefits for the Father from their Involvement in the Labour and Birth Sequence. ACTA ACUST UNITED AC 2016. [DOI: 10.1016/j.sbspro.2016.02.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Epifanio MS, Genna V, De Luca C, Roccella M, La Grutta S. Paternal and Maternal Transition to Parenthood: The Risk of Postpartum Depression and Parenting Stress. Pediatr Rep 2015; 7:5872. [PMID: 26266033 PMCID: PMC4508624 DOI: 10.4081/pr.2015.5872] [Citation(s) in RCA: 86] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2015] [Accepted: 05/25/2015] [Indexed: 11/23/2022] Open
Abstract
Transition to parenthood represents an important life event increasing vulnerability to psychological disorders. Postpartum depression and parenting distress are the most common psychological disturbances and a growing scientific evidence suggests that both mothers and fathers are involved in this developmental crisis. This paper aims to explore maternal and paternal experience of transition to parenthood in terms of parenting distress and risk of postpartum depression. Seventy-five couples of first-time parents were invited to compile the Edinburgh Postnatal Depression Scale and the Parenting Stress Index-Short Form in the first month of children life. Study sample reported very high levels of parenting distress and a risk of postpartum depression in 20.8% of mothers and 5.7% of fathers. No significant correlation between parenting distress and the risk of postpartum depression emerged, both in mothers than in fathers group while maternal distress levels are related to paternal one. The first month after partum represents a critical phase of parents life and it could be considered a developmental crisis characterized by anxiety, stress and mood alterations that could have important repercussions on the child psycho-physical development.
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Affiliation(s)
| | - Vitalba Genna
- Department of Psychological and Educational Sciences, University of Palermo , Italy
| | - Caterina De Luca
- Department of Psychological and Educational Sciences, University of Palermo , Italy
| | - Michele Roccella
- Department of Psychological and Educational Sciences, University of Palermo , Italy
| | - Sabina La Grutta
- Department of Psychological and Educational Sciences, University of Palermo , Italy
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