Department of Midwifery, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Geriatric Care Research Center, University of Medical Sciences, Rafsanjan, Iran.
Int J Community Based Nurs Midwifery. 2023 Jul;11(3):179-189. doi: 10.30476/IJCBNM.2023.97739.2204.
Husband involvement in prenatal care is a relatively new concept in Iran. This study aimed to determine the effects of husband involvement in prenatal care on couples' intimacy and postpartum blues in primiparous pregnant women.
This quasi-experimental study was performed on 72 primiparous pregnant women with a gestational age of 20-36 weeks in Rafsanjan in 2021 (January to September). After convenience sampling, the participants were assigned to control (N=36) and intervention groups (N=36). Participants in the intervention group were accompanied by their husbands and received routine prenatal care and virtual training. Participants in the control group received routine prenatal care without husband involvement. The Unidimensional Relationship Closeness Scale was completed before the intervention and two weeks after delivery, and the postpartum blues Stein questionnaire was completed one week after delivery. Data were analysed through SPSS V. 22 and using independent two-sample t-test, paired t-test, chi-square, Fisher's exact tests, and Pearson correlation coefficient with a significance level of P<0.05.
The results showed that 5 women (15.20%) in the intervention group and 26 (72.20%) in the control group suffered from postpartum blues after intervention (P<0.001). There was no statistically significant difference in the mean of couples' intimacy between the two groups after the intervention (P=0.08), but the mean score of change in the couples' intimacy was significantly different across the two groups (P=0.01).
Husband involvement in prenatal care seems to be able to reduce the incidence of postpartum blues but may possibly increase the couples' intimacy. Therefore, it can be suggested that midwives consider husband involvement in prenatal care.
在伊朗，丈夫参与产前保健是一个相对较新的概念。本研究旨在确定丈夫参与产前保健对初产妇夫妇亲密关系和产后忧郁的影响。
本准实验研究于 2021 年（1 月至 9 月）在拉夫桑詹对 72 名孕周 20-36 周的初产妇进行。采用便利抽样法，将参与者分为对照组（n=36）和干预组（n=36）。干预组的参与者由丈夫陪同，接受常规产前保健和虚拟培训。对照组的参与者接受常规产前保健，不涉及丈夫。在干预前和分娩后两周完成单维关系亲密量表，在分娩后一周完成产后忧郁 Stein 问卷。使用 SPSS V.22 对数据进行分析，采用独立样本 t 检验、配对 t 检验、卡方检验、Fisher 确切检验和 Pearson 相关系数，显著性水平 P<0.05。
结果显示，干预后，干预组有 5 名女性（15.20%）和对照组 26 名女性（72.20%）患有产后忧郁症（P<0.001）。干预后两组夫妇亲密关系的平均值无统计学差异（P=0.08），但两组夫妇亲密关系变化的平均值差异有统计学意义（P=0.01）。
丈夫参与产前保健似乎可以降低产后忧郁症的发病率，但可能会增加夫妇的亲密关系。因此，建议助产士考虑丈夫参与产前保健。
