初めて父親になる男性が立ち会い出産後にBirth-Review for Coupleを受けることで得られる父親らしさへの効果—無作為化比較試験による検討

The Effect on Father Identity Obtained by Birth-Review for Couple in First Time Parents with Fathers who Attended Their Childbirth: A randomized controlled trial

要旨

　目的：初めて父親になる男性が，立ち会い出産後にBirth-Review for Coupleを受けることで得られる父 親らしさへの効果を明らかにすること．

　方法：立ち会い出産を希望する男性を対象に，無作為に介入群（22名）とコントロール群（23名）に割り付け，2群間比較を行った．介入群へは，出産後3日以内に夫婦一緒に出産の振り返りを行った．調査は，妊娠後期，出産後，産後1か月時に質問紙法を実施し，統計学的に分析した．

　結果：二元配置分散分析の結果，父親意識の高まり（F = 10.969, p < 0.001）と子どもの存在から沸き立つ思い（F = 5.848, p = 0.007）に有意差が認められた．またこれらは，出産後および産後1か月ともに介入前より有意に高かった（p < 0.01〜0.001）．

　結論：父親意識の高まりと子どもの存在から沸き立つ思いは，介入によって出産後に高くなることが明らかとなり，産後1か月まで維持されていることが示された．

　Purpose: To clarify the effects on father identity of Birth-Review for Couple in first time parents with fathers who attended their childbirth.

　Methods: We randomly assigned the intervention group (22 patients) and the control group (23 patients) from first-time fathers who were willing to attend their childbirth in order to compared the two groups. In the intervention group, a Birth-Review for Couple (a 30 to 60 minute Birth-Review within 3 days of childbirth) was provided to the couple. The survey was conducted at three points: in late pregnancy; after childbirth; and one month after childbirth. The results were then statistically analysed.

　Results: As a result of two-way analysis of variance, significant differences were found in subordinate concepts of fatherliness, heightened paternal awareness (F = 10.969, p < 0.001) and positive feelings triggered by the child (F = 5.848, p = 0.007). In particular, these subordinate concepts were significantly higher both immediately after and one month after the childbirth than before intervention at the end of pregnancy (p < 0.01~0.001).

　Conclusions: The Birth-Review for Couple was shown to increase “the upwelling consciousness of being a father” and “a rush of emotion coming from the existence of a child/children” after the childbirth, which continued to 1 month after childbirth.