Development and application of a couple-centered antenatal education program in Korea

Koh, Minseon; Kim, Jisoon; Yoo, Hyeji; Kim, Sun A.; Ahn, Sukhee

doi:10.4069/kjwhn.2021.06.20

Cited by 8 publications

(8 citation statements)

References 42 publications

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“…The reasons for excluding seven studies from the review were as follows: three studies had provided the same prenatal education to the intervention and the control groups [ 51 , 52 , 58 ], one study was designed as a single-group study before and after the intervention [ 54 ], one paper’s full text was out of our reach [ 53 ], two paper had used interventions different from those intended in the present study [ 55 , 56 ], and one paper was in the Indonesian language [ 57 ] (Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

The effect of prenatal education on fear of childbirth, pain intensity during labour and childbirth experience: a scoping review using systematic approach and meta-analysis

Alizadeh-Dibazari

Abdolalipour

Mirghafourvand

2023

BMC Pregnancy Childbirth

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Background Antenatal education provides parents with strategies for pregnancy, childbirth, and parenthood. There is not enough evidence of the positive effect of prenatal education on childbirth and maternal outcomes. The present scoping review using a systematic approach, evaluates the effectiveness of prenatal education on fear of childbirth, pain intensity during labour, childbirth experience, and postpartum psychological health. Methods We used Google Scholar and systematically reviewed databases such as PubMed, Web of Science, Cochrane, Scopus, and SID (Scientific Information Database). Randomized controlled and quasi-experimental trials examining the effect of structured antenatal education and routine prenatal care compared to routine prenatal care were reviewed. The participants included pregnant women preferring a normal vaginal delivery and had no history of maternal or foetal problems. The outcomes considered in this study included fear of childbirth, pain intensity during labour, childbirth experience (as primary outcomes) and postpartum psychological health (as secondary outcomes). The grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to evaluate the quality of evidence. Results Overall, 3242 studies were examined, of which 18 were qualified for the final analysis. The meta-analysis showed that providing prenatal education and routine care compared to only routine care may decrease the fear of childbirth, postpartum depression, and pain intensity during labour. However, we found no study examining the outcome of the childbirth experience. In addition, the inconsistency of included studies prevented conducting a meta-analysis on the rest of the outcomes. Conclusions Our investigations showed that there are very few or no studies on the effect of prenatal education on outcomes such as childbirth experience, postpartum anxiety, and maternal attachment, and the existing studies on the effect of prenatal education on outcomes such as the fear of childbirth, postpartum depression, and pain intensity during labour lack sufficient quality to make definitive conclusions. Therefore, high-quality, randomized trials with a more extensive sample size are suggested to provide clear reports to make definitive decisions. Prospero ID CRD42022376895.

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Section: Resultsmentioning

confidence: 99%

The effect of prenatal education on fear of childbirth, pain intensity during labour and childbirth experience: a scoping review using systematic approach and meta-analysis

Alizadeh-Dibazari

Abdolalipour

Mirghafourvand

2023

BMC Pregnancy Childbirth

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“…Therefore, it is necessary to inform women about effective coping strategies for stress during pregnancy. A previous study reported that depression was decreased among pregnant women by providing prenatal education intervention about physical and psychological adaptation, delivery preparation, infant care, and spousal relationships [31], which suggests directions for interventions for perinatal women and their families. Nurses can evaluate the factors associated with prenatal depression before and after pregnant women's prenatal health checks and satisfy women's and family members' psychosocial needs through education and counseling.…”

Section: Discussionmentioning

confidence: 97%

Factors influencing prenatal and postpartum depression in Korea: a prospective cohort study

Yoo

Ahn

Park

et al. 2021

Korean J Women Health Nurs

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Purpose: This study explored the prevalence of prenatal and postpartum depression and its influencing factors from 20 weeks of pregnancy to 12 weeks postpartum. Methods: Using a prospective cohort study design, data on women’s depression and its influencing factors were collected at 20, 28, and 36 weeks of pregnancy and at 2, 6, and 12 weeks postpartum. The subjects were 219 prenatal pregnant women and 181 spouses during pregnancy and 183 postpartum mothers and 130 spouses after childbirth. Depressive symptoms were assessed by the Edinburgh Postnatal Depression Scale and influencing factors were measured by the Postpartum Depression Predictors Inventory-Revised, parity, and spousal depression. Results: The prevalence of maternal depression was 10.5% to 21.5% before birth, and it was 22.4% to 32.8% postpartum. The prevalence slightly decreased during the prenatal period but peaked at 2 weeks postpartum. Antenatal depression was influenced by low socioeconomic status, lower self-esteem, having experienced prenatal depression, having experienced prenatal anxiety, a previous history of depression, lower social support, lower marital satisfaction, and higher life stress. The factors influencing postpartum depression were lower self-esteem, having experienced prenatal depression, having experienced prenatal anxiety, lower social support, lower marital satisfaction, and higher life stress, as well as infant temperament and maternal blues. Parity and spousal depression had no impacts. Conclusion: The prevalence and influencing factors of maternal depression changed over time. Nurses need to screen women accordingly during the perinatal period and should provide education or counseling to prevent depression and promote adjustment to parenthood.

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“…The content on couple-relationship adaptation included emotional intimacy, support, respect, empathy, gratitude, and emotional exchange between couples from pregnancy to the postpartum period. [ 24 ] Common aspects of training in their study and ours were performing attachment behaviors as well as support and empathy during pregnancy.…”

Section: Discussionmentioning

confidence: 98%

Effect of couples 'online training on maternal-fetal attachment in pregnant women

Borghei¹,

Abasi²,

Goli³

et al. 2023

Journal of Education and Health Promotion

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BACKGROUND: Due to the importance of maternal fetal attachment (MFA) in women mental health improvement and considering the fathers’ role in MFA promoting, this study conducted to investigate the effect of couple education on maternal fetal attachment. MATERIALS AND METHOD: This randomized controlled trial was conducted on 100 pregnant women and their husbands referred to six health centers in Sari from May to June 2021. The sampling method was stratified random sampling. Data collection tools included demographic information form and the Cranley MFA Scale with 24 questions. The intervention group took part in four session's weekly training about spouse support, attachment behaviors, and gender preference of parents, while the control group received only the routine antenatal care. Both groups completed Cranley's questionnaire before and 4 weeks after the intervention. Data were analyzed using Chi-square test, Fisher's exact test, paired and independent t-test by SPSS 21. RESULTS: MFA mean scores, pre-training and post-training in intervention group were 3.27 (0.54) and 3.75 (0.42), respectively; in the control group, were, 3.24 (0.49) and 3.21 (0.48). There was a significant difference between the two groups’ MFA mean scores after intervention ( P < 0.001). CONCLUSION: The findings of this study revealed that couple training regarding spouse support, attachment behaviors, and gender preference during pregnancy can promotes MFA even online training.

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Development and application of a couple-centered antenatal education program in Korea

Cited by 8 publications

References 42 publications

The effect of prenatal education on fear of childbirth, pain intensity during labour and childbirth experience: a scoping review using systematic approach and meta-analysis

The effect of prenatal education on fear of childbirth, pain intensity during labour and childbirth experience: a scoping review using systematic approach and meta-analysis

Factors influencing prenatal and postpartum depression in Korea: a prospective cohort study

Effect of couples 'online training on maternal-fetal attachment in pregnant women

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