Fathers' sense of security during the first postnatal week-A qualitative interview study in Sweden.

Division of Nursing, Department of Health Sciences, Lund University, PO Box 157, S-221 00 Lund, Sweden. Electronic address: .
Midwifery (Impact Factor: 1.12). 09/2011; 28(5):e697-704. DOI: 10.1016/j.midw.2011.08.010
Source: PubMed

ABSTRACT father's sense of security in the early postnatal period is important for the whole family. An instrument, which measures Parents' Postnatal Sense of Security (the PPSS instrument), is under development.
to explore and describe factors, which influence fathers' sense of security during the first postnatal week.
an explorative design with a qualitative approach was used. Thirteen fathers from three hospital uptake areas in Southern Sweden were interviewed using focus group discussions and individual interviews. Analysis was carried out using qualitative content analysis.
participation in the processes of pregnancy birth and early parenthood emerged as the main category for fathers' postnatal sense of security. The emergent categories were; 'willingness to participate and take responsibility', 'being given the opportunity to take responsibility', 'being assured about mother's and baby's well-being', 'having someone to turn to-knowing who to ask', 'being met as an individual' and 'being met by competent and supporting staff'.
new and specific items of importance when investigating fathers' sense of security during the early postnatal period have been pinpointed. Fathers' sense of early postnatal security may be enhanced by giving them a genuine opportunity to participate in the whole process and by giving them the opportunity to stay overnight at the hospital after the birth. Midwives and care organisations need to give clear information about where competent help and advice can be obtained at all hours. Midwives should strengthen the fathering role by acknowledging and listening to the father as an individual person.

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    ABSTRACT: Abstract Background: Approximately 10% - 15% of mothers and 10% of fathers suffer from depressive symptoms during pregnancy and the postpartum period. Both maternal and paternal postnatal depression impact adversely on the family and the child’s behavioural development. The Edinburgh Postnatal Depression Scale (EPDS) is a widely used instrument for the measurement of risk for postnatal depression and the State Trait Anxiety Inventory (STAI-state) instrument is well established as a measurement of present anxiety. The recently-developed Parent’s Postnatal Sense of Security (PPSS) instrument measures parents’ security in the early postnatal period. Aim: The aims of this paper were to determine the levels of correlation between scores on the PPSS, the EPDS and the STAIstate instruments and to test concurrent validity between the EPDS and STAI-state instruments. Methods: A questionnaire study which included socio-demographic questions, the EPDS, the STAI-state and the PPSS instruments was sent out to 160 mothers and 160 fathers. A total of 71% of the mothers and 63% of the fathers answered the questionnaires. Correlation tests (Spearman) were used to examine relationships between answers to the three questionnaires. Results: Significant correlations were shown between the PPSS, the EPDS and the STAI-state for both mothers and fathers. A significant correlation between the EPDS and the STAI-state instrument for both mothers and fathers indicated substantial concurrent validity. Conclusions and implications: A correlation between parents’ postnatal sense of security, risk for postnatal anxiety and depression were indicated in this study. The PPSS instrument may be used to give an early indication of those at risk for postnatal distress, anxiety and depressive illness. Keywords Anxiety; EPDS; PPSS; Postnatal depression; Preparation for parenthood; Sense of security; STAI-state
    J Womens Health, Issues Care. 01/2014; 3(3).
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    Journal of women's health, issues and care. 01/2014; 3(3).


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May 29, 2014