Effects of Father-Neonate Skin-to-Skin Contact on Attachment: A Randomized Controlled Trial

Er-Mei Chen, Meei-Ling Gau, Chieh-Yu Liu, Tzu-Ying Lee, Er-Mei Chen, Meei-Ling Gau, Chieh-Yu Liu, Tzu-Ying Lee

Abstract

This study examines how skin-to-skin contact between father and newborn affects the attachment relationship. A randomized controlled trial was conducted at a regional teaching hospital and a maternity clinic in northern Taiwan. The study recruited 83 first-time fathers aged 20 years or older. By block randomization, participants were allocated to an experimental (n = 41) or a control (n = 42) group. With the exception of skin-to-skin contact (SSC), participants from each group received the same standard care. Both groups also received an Early Childcare for Fathers nursing pamphlet. During the first three days postpartum, the intervention group members were provided a daily SSC intervention with their respective infants. Each intervention session lasted at least 15 minutes in length. The outcome measure was the Father-Child Attachment Scale (FCAS). After adjusting for demographic data, the changes to the mean FCAS were found to be significantly higher in the intervention group than in the control group. We recommend that nurses and midwives use instructional leaflets and demonstrations during postpartum hospitalization, encouraging new fathers to take an active role in caring for their newborn in order to enhance father-neonate interactions and establish parental confidence. This trial is registered with clinical trial registration number NCT02886767.

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1
CONSORT diagram. Passage of participants through each trial stage.
Figure 2
Figure 2
Changes in father-infant attachment scores at baseline and posttest.

References

    1. Young R. The importance of bonding. The International Journal of Childbirth Education. 2013;28:11–16.
    1. Hsieh H. W. To Find a New Balance during the Transition to Parenthood: The Lived Experience of the New Parents. Chiayi County, Taiwan: The National Chiayi University Institute of Family Education; 2001.
    1. Pai Y. C. Research in Fatherhood Cognition and Practical Experience of Fathers in Dual-Career Family. Kaohsiung, Taiwan: National Kaohsiung Normal University Graduate Institute of Gender Education; 2004.
    1. Smith L., Kroeger M. Impact of Birthing Practices on Breastfeeding. Sudbury, Mass, USA: Jones and Barlett Publishers; 2010.
    1. Van Zanten H. A., Havenaar A. J., Stigt H. J. H., Ligthart P. A. H., Walther F. J. The kangaroo method is safe for premature infants under 30 weeks of gestation during ventilatory support. Journal of Neonatal Nursing. 2007;13(5):186–190. doi: 10.1016/j.jnn.2007.07.002.
    1. Hall D., Kirsten G. Kangaroo mother care—a review. Transfusion Medicine. 2008;18(2):77–82. doi: 10.1111/j.1365-3148.2007.00812.x.
    1. Head L. M. The effect of kangaroo care on neurodevelopmental outcomes in preterm infants. Journal of Perinatal and Neonatal Nursing. 2014;28(4):290–299. doi: 10.1097/JPN.0000000000000062.
    1. Wang Y.-H., Kuo H.-H. The nursing experience in helping an unmarried adolescence girl to care for her premature infant. Journal of Nursing. 2006;53(5):76–83.
    1. Anderzén-Carlsson A., Lamy Z. C., Tingvall M., Eriksson M. Parental experiences of providing skin-to-skin care to their newborn infant—Part 2: a qualitative meta-synthesis. International Journal of Qualitative Studies on Health and Well-being. 2014;9 doi: 10.3402/qhw.v9.24907.24907
    1. Helth T. D., Jarden M. Fathers' experiences with the skin-to-skin method in NICU: competent parenthood and redefined gender roles. Journal of Neonatal Nursing. 2013;19(3):114–121. doi: 10.1016/j.jnn.2012.06.001.
    1. Fegran L., Helseth S., Fagermoen M. S. A comparison of mothers' and fathers' experiences of the attachment process in a neonatal intensive care unit. Journal of Clinical Nursing. 2008;17(6):810–816. doi: 10.1111/j.1365-2702.2007.02125.x.
    1. Herbert M. Parenting across the lifespan. In: Hoghughi M., Long N., editors. Handbook of Parenting: Theory and Research for Practice. London, UK: Sage; 2004. pp. 1–18.
    1. Bronte-Tinkew J., Ryan S., Carrano J., Moore K. A. Resident fathers' pregnancy intentions, prenatal behaviors, and links to involvement with infants. Journal of Marriage and Family. 2007;69(4):977–990. doi: 10.1111/j.1741-3737.2007.00425.x.
    1. Mau W. Y., Huang N. Y. The first-time father's paternal experience during the child's first year of life-case studies for six fathers with college education. Ren Lei Fa Zhan Yu Jie Ting Xue Bao. 2010;12:31–53.
    1. Zhang X. Bidirectional longitudinal relations between father-child relationships and Chinese children's social competence during early childhood. Early Childhood Research Quarterly. 2013;28(1):83–93. doi: 10.1016/j.ecresq.2012.06.005.
    1. Lee C. S., Chen W. L., Chiang L. C. Promotion of the parent-child relationship based on attachment theory and dilemma in practice. Yuan-Yuan Nursing. 2008;2:31–36.
    1. Dodd V. L. Implications of kangaroo care for growth and development in preterm infants. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2005;34(2):218–232. doi: 10.1177/0884217505274698.
    1. Erlandsson K., Dsilna A., Fagerberg I., Christensson K. Skin-to-skin care with the father after cesarean birth and its effect on newborn crying and prefeeding behavior. Birth. 2007;34(2):105–114. doi: 10.1111/j.1523-536X.2007.00162.x.
    1. Wang X., Wang Y., Zanzhou S., Wang J., Wang J. A population-based survey of women's traditional postpartum behaviours in Northern China. Midwifery. 2008;24(2):238–245. doi: 10.1016/j.midw.2006.12.010.
    1. Chiou S.-T., Chen L.-C., Yeh H., Wu S.-R., Chien L.-Y. Early skin-to-skin contact, rooming-in, and breastfeeding: a comparison of the 2004 and 2011 national surveys in Taiwan. Birth. 2014;41(1):33–38. doi: 10.1111/birt.12090.
    1. Faul F., Erdfelder E., Lang A.-G., Buchner A. G∗Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2):175–191. doi: 10.3758/bf03193146.
    1. Feldman R., Weller A., Sirota L., Eidelman A. I. Testing a family intervention hypothesis: the contribution of mother-infant skin-to-skin contact (kangaroo care) to family interaction, proximity, and touch. Journal of Family Psychology. 2003;17(1):94–107. doi: 10.1037//0893-3200.17.1.94.
    1. Kuller J. M. Update on newborn bathing. Newborn & Infant Nursing Reviews. 2014;14(4):166–170. doi: 10.1053/j.nainr.2014.10.006.
    1. Bowie B. H., Hall R. B., Faulkner J., Anderson B. Single-room infant care: future trends in special care nursery planning and design. Neonatal Network. 2003;22(4):27–34.
    1. Velandia M., Matthisen A.-S., Uvnäs-Moberg K., Nissen E. Onset of vocal interaction between parents and newborns in skin-to-skin contact immediately after elective cesarean section. Birth. 2010;37(3):192–201. doi: 10.1111/j.1523-536X.2010.00406.x.
    1. Yang S. C. A Correlational Study of Father's Attitudes Regarding Breastfeeding, Father-Infant Attachment and Marital Adjustment During Postnatal Period. Kaohsiung, Taiwan: Kaohsiung Medical University Institute of Nursing; 1999.
    1. Li Z. H., Yin X. Y., Cai T. S., Su L. Y. Role of father-child attachment in effects of father involvement on children's prosocial behavior. Chinese Journal of Clinical Psychology. 2012;5:705–707.
    1. Saghaei M. Random allocation software for parallel group randomized trials. BMC Medical Research Methodology. 2004;4, article 26 doi: 10.1186/1471-2288-4-26.
    1. Kuan C. Y. A Study on the Paternal Involvement and Father-Child Attachment in the Neo-Immigrant and Taiwanese Child-Rearing Families. Taipei, Taiwan: National Taiwan University Institute of Nursing; 2012.
    1. Tarabulsy G. M., Tessier R., Gagnon J., Piché C. Attachment classification and infant responsiveness during interactions. Infant Behavior and Development. 1996;19(1):131–143.
    1. Goulet C., Bell L., Tribble D. S.-C., Paul D., Lang A. A concept analysis of parent-infant attachment. Journal of Advanced Nursing. 1998;28(5):1071–1081. doi: 10.1046/j.1365-2648.1998.00815.x.
    1. Feldman R. Mother-infant skin-to-skin contact (Kangaroo Care): theoretical, clinical, and empirical aspects. Infants and Young Children. 2004;17(2):145–161. doi: 10.1097/00001163-200404000-00006.
    1. Uvnäs-Moberg K. Neuroendocrinology of the mother-child interaction. Trends in Endocrinology and Metabolism. 1996;7(4):126–131. doi: 10.1016/1043-2760(96)00036-7.
    1. Henderson L., McMillan B., Green J. M., Renfrew M. J. Men and infant feeding: perceptions of embarrassment, sexuality, and social conduct in white low-income british men. Birth. 2011;38(1):61–70. doi: 10.1111/j.1523-536x.2010.00442.x.
    1. Gerhart S. Why Love Matters: How Affection Shapes a Baby's Brain. London, UK: Routledge; 2004.
    1. Cong X., Ludington-Hoe S. M., Hussain N., et al. Parental oxytocin responses during skin-to-skin contact in pre-term infants. Early Human Development. 2015;91(7):401–406. doi: 10.1016/j.earlhumdev.2015.04.012.
    1. Uvnäs-Moberg K. Oxytocin may mediate the benefits of positive social interaction and emotions. Psychoneuroendocrinology. 1998;23(8):819–835. doi: 10.1016/S0306-4530(98)00056-0.
    1. Ludington-Hoe S. M., Thompson C., Swinth J., Hadeed A. J., Anderson G. C. Kangaroo care: research results, and practice implications and guidelines. Neonatal Network. 1994;13(1):19–27.
    1. Christensson K. Fathers can effectively achieve heat conservation in healthy newborn infants. Acta Paediatrica. 1996;85(11):1354–1360. doi: 10.1111/j.1651-2227.1996.tb13925.x.

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