Effects of a Paternal Participation Program during Cesarean Section on Paternal Infant Attachment

Choi, Mi Ran; Kim, Hyun Kyoung

doi:2013.19.2.75

Korean J Women Health Nurs > Volume 19(2); 2013 > Article

Original Article

Korean Journal of Women Health Nursing 2013;19(2):75-87.
DOI: https://doi.org/10.4069/kjwhn.2013.19.2.75 Published online June 21, 2013.

Effects of a Paternal Participation Program during Cesarean Section on Paternal Infant Attachment

Mi Ran Choi, Hyun Kyoung Kim

¹Ambulatory Nursing Team, Seo Nam Hospital, Seoul, Korea.
²Department of Nursing, Doowon Technical University College, Anseong, Korea. leomommy@hanmail.net

Abstract

PURPOSE
In this study effects of a paternal participation program during cesarean section on paternal infant attachment were investigate. The experimental treatment was an integrative nursing intervention to promote father to infant attachment.
METHODS
Study design was a non-equivalent control group posttest design. The program consisted of emotional support to spouse and father towards infant attachment immediately following cesarean birth. Participants were 66 men, partners of women with normal full term pregnancy having a cesarean section with spinal or epidural anesthesia, (experimental group, 34; control group, 32). The experiment was carried out from August 1 to October 30, 2010. Control group data were obtained from May 1 to June 30, 2012. Posttest was performed 72 hours after cesarean birth. A self-report questionnaire including a paternal attachment instrument was used. Data were analyzed using t-test, propensity score matching, and analysis of covariance with the SPSS/WIN 18.0 program.
RESULTS
Total score for paternal infant attachment in the experimental group was significantly higher than the control group (p<.001). After matching, significant differences were found between the two groups through all subcategories. Adjusted mean score for paternal infant attachment verified experimental effects.
CONCLUSION
Results indicate that this paternal participation program during cesarean section is effective in improving paternal infant attachment.

Key Words: Attachment; Cesarean section