Araştırma Makalesi
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The Effect of Father-Infant Bonding on Fathers’ Attitudes Toward Participating in Childbirth and Fear of Childbirth

Yıl 2026, Cilt: 33 Sayı: 1, 93 - 102, 21.03.2026
https://doi.org/10.17343/sdutfd.1830028
https://izlik.org/JA23XK36YG

Öz

Objective
This study aimed to examine the relationship between
father-infant bonding and expectant fathers’ attitudes
toward birth participation as well as their birth-related
fear levels.

Material and Method
This cross-sectional study was conducted between
November 2023 and July 2024 at the obstetrics
outpatient clinics, maternity ward, and delivery rooms
of Balıkesir University Health Practice and Research
Hospital. The sample consisted of 257 expectant
fathers who met the inclusion criteria. Data were
collected using the Sociodemographic Characteristics
Form, Paternal Antenatal Attachment Scale (PAAS),
Attitude Scale Towards Participation in Birth for
Father Candidates (ASPBFC), and Fathers’ Fear
of Childbirth Scale (FFCS). Descriptive statistics,
correlation analysis, univariate analyses, and linear
regression were performed for statistical evaluation.

Results
The mean scores of participants were 65.15 ± 6.70
for the PAAS, 60.03 ± 17.47 for the ASPBFC, and
59.85 ± 11.51 for the FFCS. Multiple linear regression
analyses identified several significant predictors of
ASPBFC and FFCS scores. Lower ASPBFC scores
were observed among unemployed participants,
those who did not feel ready for fatherhood, and
those who had not attended birth-related education,
while the spouse’s age was positively associated
with ASPBFC. Higher PAAS and FFCS scores were
associated with lower ASPBFC. For FFCS, higher
scores were found among participants with higher
income, those expecting a female fetus, and those
who had not attended birth-related education, and
FFCS increased with longer marriage duration. In
contrast, higher PAAS and ASPBFC scores were
associated with lower FFCS.

Conclusion
Expectant fathers in this study demonstrated low
attitudes toward birth participation, moderate fatherinfant
bonding, and high birth-related fear levels.
Father-infant bonding emerged as a significant
predictor for both ASPBFC and FFCS scores.

Etik Beyan

The study was conducted in accordance with the Declaration of Helsinki. Ethical approval was obtained from Balıkesir University Non-Interventional Research Ethics Committee (15.08.2023, 2023/78) and institutional permission from Balıkesir University Health Practice and Research Hospital (13.10.2023, E.305379). Written informed consent to participate and publish form was obtained from all participants included in the study.

Destekleyen Kurum

This research did not receive any specific grant from funding agencies in the public, commercial, or notforprofit sectors.

Proje Numarası

-

Teşekkür

We thank all the expectant fathers who voluntarily participated in this study.

Kaynakça

  • 1. Cevik E, Yanikkerem E. İntrapartum dönemde kanıta dayalı uygulamalar doğrultusunda destekleyici hemşirelik bakımı. Güncel Hemşirelik Çalışmaları: Akademisyen Kitapevi; 2021. p. 189-99.
  • 2. Hildingsson I, Johansson M, Fenwick J, Haines H, Rubertsson C. Childbirth fear in expectant fathers: findings from a regional Swedish cohort study. Midwifery 2014;30(2):242-7 doi: 10.1016/j.midw.2013.01.001.
  • 3. Moran E, Bradshaw C, Tuohy T, Noonan M. The paternal experience of fear of childbirth: an integrative review. International journal of environmental research and public health 2021;18(3):1231. doi:10.3390/ijerph18031231
  • 4. Cagan ES, Saydam Karaca B, Ates Gulumser S, Genc Ekti R, Turfan Ceber E. Baba-bebek bağlanmasını etkileyen faktörlerin belirlenmesi. Gevher Nesibe Journal of Medical and Health Sciences 2021;6(14):1-7
  • 5. Kirac A, Altuntas D, Hancar D, Akman G. Baba bebek bağlanmasının desteklenmesinde hemşirenin rolü. Samsun Sağlık Bilimleri Dergisi 2021;6(1):33-40
  • 6. Nishimura E, Shoki R, Kato M, Yoneoka D, Okawa S, Tabuchi T, et al. Factors associated with father–infant bonding during the COVID-19 pandemic: an internet-based cross-sectional study in Japan. Scientific Reports 2023;13(1):13653
  • 7. Cicek Ozdemir S, Kan A. Baba adayları için doğuma katılmaya yönelik tutum ölçeği geliştirme: geçerlik ve güvenirlik çalışması. Journal of Nursology 2022;25(3):146-52 doi: 10.5152/JANHS.2022.936036.
  • 8. Harrison G, Fitzgerald K, O’Leary P, Kothari A, Callaway L. Promoting men-inclusive maternity services: exploring the expectations, experiences and needs of men as fathers. BMC Pregnancy and Childbirth 2024;24(1):477. doi: 10.1186/s12884-024-06644-3
  • 9. Uhawenimana TC, Gray NM, Whitford H, McFadden A. Development and early validation of questionnaires to assess system level factors affecting male partners’ attendance at childbirth in LMICs. BMC Pregnancy and Childbirth 2023;23(1):258. doi: 10.1186/s12884-023-05580-y
  • 10. Vischer LC, Heun X, Steetskamp J, Hasenburg A, Skala C. Birth experience from the perspective of the fathers. Archives of Gynecology and Obstetrics 2020;302(5):1297-303
  • 11. Cohen J. Statistical Power Analysis forthe Behavioral Sciences. Lawrence Erlbaum; 1998.
  • 12. Benli TE, Aksoy DY. Turkish validity and reliability study of Paternal Antenatal Attachment Scale. Perspectives in psychiatric care 2021;57(1):295-303. doi: 10.1111/ppc.12563
  • 13. Duman FN, Golbası Z. Baba adaylarının doğum korku düzeyi ve etkileyen faktörlerin belirlenmesi. Anatolian Journal of Health Research 2025;6(2):103-9. doi:10.61534/anatoljhr.1598033
  • 14. Condon JT. The assessment of antenatal emotional attachment: development of a questionnaire instrument. British journal of medical psychology 1993;66(2):167-83. doi: 10.1111/j.2044-8341.1993.tb01739.x
  • 15. Calpbinici P, Uzunkaya Oztoprak P, Terzioglu F, Ustun Y. The fathers’ fear of Childbirth Scale: a Turkish validity and reliability study. Journal of Reproductive and Infant Psychology 2024;42(3):424-38. doi:10.1080/02646838.2023.2225084
  • 16. Ghaffari SF, Sharif Nia H, Elyasi F, Shahhosseini Z, Mohammadpoorsaravimozafar Z. Design and psychometric evaluation of the fathers’ fear of childbirth scale: a mixed method study. BMC pregnancy and childbirth 2021;21(1):222. doi:10.1186/s12884-021-03696-7
  • 17. Karacam Z. Babaların doğum eylemine katılma konusundaki görüşleri ve gereksinimleri. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2020;7(3):360-6
  • 18. Uyanık A, Sadıc E, Kaplan N. Baba oluyorum: değişen rollerime uyum sağlıyorum. Balkan Sağlık Bilimleri Dergisi 2023;2(2):79-86
  • 19. Roberts J, Spiby H. The calm before the storm’: A qualitative study of fathers’ experiences of early labour. Women and Birth 2020;33(5):490-5. doi: 10.1016/j.wombi.2019.11.002
  • 20. Ghaffari SF, Elyasi F, Nikbakht R, Shahhosseini Z. A structural equation model analysis of the relationship between maternal fear of childbirth and expectant fathers’ fear of childbirth: The mediating role of fathers’ depression, anxiety, and stress. Brain and behavior 2022;12(12):e2802. doi: 10.1002/brb3.2802
  • 21. McNab E, Martin CJH, Norris G. Factors that influence father’s experiences of childbirth and their implications upon postnatal mental health: A narrative systematic review. Nurse Education in Practice 2022;65:103460. doi:10.1016/j.nepr.2022.103460
  • 22. Palioura Z, Sarantaki A, Antoniou E, Iliadou M, Dagla M, editors. Fathers’ educational needs assessment in relation to their participation in perinatal care: a systematic review. Healthcare 2023:11(2);200. doi: 10.3390/healthcare11020200
  • 23. Lagarto A, Duaso MJ. Fathers’ experiences of fetal attachment: A qualitative study. Infant Mental Health Journal 2022;43(2):328-39. doi:10.1002/imhj.21965
  • 24. Xue WL, He HG, Chua YJ, Wang W, Shorey S. Factors influencing first-time fathers' involvement in their wives' pregnancy and childbirth: A correlational study. Midwifery 2018;62:20-8. doi: 10.1016/j.midw.2018.03.002.
  • 25. Bergström M, Rudman A, Waldenström U, Kieler H. Fear of childbirth in expectant fathers, subsequent childbirth experience and impact of antenatal education: subanalysis of results from a randomized controlled trial. Acta obstetricia et gynecologica Scandinavica 2013;92(8):967-73. doi:10.1111/aogs.12147
  • 26. Sercekus P, Vardar O, Ozkan S. Fear of childbirth among pregnant women and their partners in Turkey. Sexual & Reproductive Healthcare 2020;24:100501.

The Effect of Father-Infant Bonding on Fathers’ Attitudes Toward Participating in Childbirth and Fear of Childbirth

Yıl 2026, Cilt: 33 Sayı: 1, 93 - 102, 21.03.2026
https://doi.org/10.17343/sdutfd.1830028
https://izlik.org/JA23XK36YG

Öz

Objective
This study aimed to examine the relationship between
father-infant bonding and expectant fathers’ attitudes
toward birth participation as well as their birth-related
fear levels.

Material and Method
This cross-sectional study was conducted between
November 2023 and July 2024 at the obstetrics
outpatient clinics, maternity ward, and delivery rooms
of Balıkesir University Health Practice and Research
Hospital. The sample consisted of 257 expectant
fathers who met the inclusion criteria. Data were
collected using the Sociodemographic Characteristics
Form, Paternal Antenatal Attachment Scale (PAAS),
Attitude Scale Towards Participation in Birth for
Father Candidates (ASPBFC), and Fathers’ Fear
of Childbirth Scale (FFCS). Descriptive statistics,
correlation analysis, univariate analyses, and linear
regression were performed for statistical evaluation.

Results
The mean scores of participants were 65.15 ± 6.70
for the PAAS, 60.03 ± 17.47 for the ASPBFC, and
59.85 ± 11.51 for the FFCS. Multiple linear regression
analyses identified several significant predictors of
ASPBFC and FFCS scores. Lower ASPBFC scores
were observed among unemployed participants,
those who did not feel ready for fatherhood, and
those who had not attended birth-related education,
while the spouse’s age was positively associated
with ASPBFC. Higher PAAS and FFCS scores were
associated with lower ASPBFC. For FFCS, higher
scores were found among participants with higher
income, those expecting a female fetus, and those
who had not attended birth-related education, and
FFCS increased with longer marriage duration. In
contrast, higher PAAS and ASPBFC scores were
associated with lower FFCS.

Conclusion
Expectant fathers in this study demonstrated low
attitudes toward birth participation, moderate fatherinfant
bonding, and high birth-related fear levels.
Father-infant bonding emerged as a significant
predictor for both ASPBFC and FFCS scores.

Etik Beyan

The study was conducted in accordance with the Declaration of Helsinki. Ethical approval was obtained from Balıkesir University Non-Interventional Research Ethics Committee (15.08.2023, 2023/78) and institutional permission from Balıkesir University Health Practice and Research Hospital (13.10.2023, E.305379). Written informed consent to participate and publish form was obtained from all participants included in the study.

Destekleyen Kurum

This research did not receive any specific grant from funding agencies in the public, commercial, or notforprofit sectors.

Proje Numarası

-

Teşekkür

We thank all the expectant fathers who voluntarily participated in this study.

Kaynakça

  • 1. Cevik E, Yanikkerem E. İntrapartum dönemde kanıta dayalı uygulamalar doğrultusunda destekleyici hemşirelik bakımı. Güncel Hemşirelik Çalışmaları: Akademisyen Kitapevi; 2021. p. 189-99.
  • 2. Hildingsson I, Johansson M, Fenwick J, Haines H, Rubertsson C. Childbirth fear in expectant fathers: findings from a regional Swedish cohort study. Midwifery 2014;30(2):242-7 doi: 10.1016/j.midw.2013.01.001.
  • 3. Moran E, Bradshaw C, Tuohy T, Noonan M. The paternal experience of fear of childbirth: an integrative review. International journal of environmental research and public health 2021;18(3):1231. doi:10.3390/ijerph18031231
  • 4. Cagan ES, Saydam Karaca B, Ates Gulumser S, Genc Ekti R, Turfan Ceber E. Baba-bebek bağlanmasını etkileyen faktörlerin belirlenmesi. Gevher Nesibe Journal of Medical and Health Sciences 2021;6(14):1-7
  • 5. Kirac A, Altuntas D, Hancar D, Akman G. Baba bebek bağlanmasının desteklenmesinde hemşirenin rolü. Samsun Sağlık Bilimleri Dergisi 2021;6(1):33-40
  • 6. Nishimura E, Shoki R, Kato M, Yoneoka D, Okawa S, Tabuchi T, et al. Factors associated with father–infant bonding during the COVID-19 pandemic: an internet-based cross-sectional study in Japan. Scientific Reports 2023;13(1):13653
  • 7. Cicek Ozdemir S, Kan A. Baba adayları için doğuma katılmaya yönelik tutum ölçeği geliştirme: geçerlik ve güvenirlik çalışması. Journal of Nursology 2022;25(3):146-52 doi: 10.5152/JANHS.2022.936036.
  • 8. Harrison G, Fitzgerald K, O’Leary P, Kothari A, Callaway L. Promoting men-inclusive maternity services: exploring the expectations, experiences and needs of men as fathers. BMC Pregnancy and Childbirth 2024;24(1):477. doi: 10.1186/s12884-024-06644-3
  • 9. Uhawenimana TC, Gray NM, Whitford H, McFadden A. Development and early validation of questionnaires to assess system level factors affecting male partners’ attendance at childbirth in LMICs. BMC Pregnancy and Childbirth 2023;23(1):258. doi: 10.1186/s12884-023-05580-y
  • 10. Vischer LC, Heun X, Steetskamp J, Hasenburg A, Skala C. Birth experience from the perspective of the fathers. Archives of Gynecology and Obstetrics 2020;302(5):1297-303
  • 11. Cohen J. Statistical Power Analysis forthe Behavioral Sciences. Lawrence Erlbaum; 1998.
  • 12. Benli TE, Aksoy DY. Turkish validity and reliability study of Paternal Antenatal Attachment Scale. Perspectives in psychiatric care 2021;57(1):295-303. doi: 10.1111/ppc.12563
  • 13. Duman FN, Golbası Z. Baba adaylarının doğum korku düzeyi ve etkileyen faktörlerin belirlenmesi. Anatolian Journal of Health Research 2025;6(2):103-9. doi:10.61534/anatoljhr.1598033
  • 14. Condon JT. The assessment of antenatal emotional attachment: development of a questionnaire instrument. British journal of medical psychology 1993;66(2):167-83. doi: 10.1111/j.2044-8341.1993.tb01739.x
  • 15. Calpbinici P, Uzunkaya Oztoprak P, Terzioglu F, Ustun Y. The fathers’ fear of Childbirth Scale: a Turkish validity and reliability study. Journal of Reproductive and Infant Psychology 2024;42(3):424-38. doi:10.1080/02646838.2023.2225084
  • 16. Ghaffari SF, Sharif Nia H, Elyasi F, Shahhosseini Z, Mohammadpoorsaravimozafar Z. Design and psychometric evaluation of the fathers’ fear of childbirth scale: a mixed method study. BMC pregnancy and childbirth 2021;21(1):222. doi:10.1186/s12884-021-03696-7
  • 17. Karacam Z. Babaların doğum eylemine katılma konusundaki görüşleri ve gereksinimleri. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2020;7(3):360-6
  • 18. Uyanık A, Sadıc E, Kaplan N. Baba oluyorum: değişen rollerime uyum sağlıyorum. Balkan Sağlık Bilimleri Dergisi 2023;2(2):79-86
  • 19. Roberts J, Spiby H. The calm before the storm’: A qualitative study of fathers’ experiences of early labour. Women and Birth 2020;33(5):490-5. doi: 10.1016/j.wombi.2019.11.002
  • 20. Ghaffari SF, Elyasi F, Nikbakht R, Shahhosseini Z. A structural equation model analysis of the relationship between maternal fear of childbirth and expectant fathers’ fear of childbirth: The mediating role of fathers’ depression, anxiety, and stress. Brain and behavior 2022;12(12):e2802. doi: 10.1002/brb3.2802
  • 21. McNab E, Martin CJH, Norris G. Factors that influence father’s experiences of childbirth and their implications upon postnatal mental health: A narrative systematic review. Nurse Education in Practice 2022;65:103460. doi:10.1016/j.nepr.2022.103460
  • 22. Palioura Z, Sarantaki A, Antoniou E, Iliadou M, Dagla M, editors. Fathers’ educational needs assessment in relation to their participation in perinatal care: a systematic review. Healthcare 2023:11(2);200. doi: 10.3390/healthcare11020200
  • 23. Lagarto A, Duaso MJ. Fathers’ experiences of fetal attachment: A qualitative study. Infant Mental Health Journal 2022;43(2):328-39. doi:10.1002/imhj.21965
  • 24. Xue WL, He HG, Chua YJ, Wang W, Shorey S. Factors influencing first-time fathers' involvement in their wives' pregnancy and childbirth: A correlational study. Midwifery 2018;62:20-8. doi: 10.1016/j.midw.2018.03.002.
  • 25. Bergström M, Rudman A, Waldenström U, Kieler H. Fear of childbirth in expectant fathers, subsequent childbirth experience and impact of antenatal education: subanalysis of results from a randomized controlled trial. Acta obstetricia et gynecologica Scandinavica 2013;92(8):967-73. doi:10.1111/aogs.12147
  • 26. Sercekus P, Vardar O, Ozkan S. Fear of childbirth among pregnant women and their partners in Turkey. Sexual & Reproductive Healthcare 2020;24:100501.
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Bebek ve Çocuk Sağlığı
Bölüm Araştırma Makalesi
Yazarlar

Esra Çevik 0000-0003-2798-9202

Serap Kaynak 0000-0001-9482-5254

Proje Numarası -
Gönderilme Tarihi 25 Kasım 2025
Kabul Tarihi 12 Mart 2026
Yayımlanma Tarihi 21 Mart 2026
DOI https://doi.org/10.17343/sdutfd.1830028
IZ https://izlik.org/JA23XK36YG
Yayımlandığı Sayı Yıl 2026 Cilt: 33 Sayı: 1

Kaynak Göster

Vancouver 1.Esra Çevik, Serap Kaynak. The Effect of Father-Infant Bonding on Fathers’ Attitudes Toward Participating in Childbirth and Fear of Childbirth. SDÜ Tıp Fak Derg. 01 Mart 2026;33(1):93-102. doi:10.17343/sdutfd.1830028

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