Fear of childbirth and its relationship with anxiety and depression among Iranian fathers: a descriptive study

Abstract

ABSTRACT Introduction In addition to mothers, fathers may find the perinatal period difficult and complicated and experience a wide variety of emotions, such as fear, anxiety and depression. These emotional changes can adversely affect a father’s relationships with his infant and wife. This descriptive study aims to investigate the fear of childbirth in fathers during pregnancy and explore its relationship with anxiety and depression. Methods A total of 302 husbands of pregnant women participated in this descriptive study through the cluster random sampling method. The data collection tools were the sociodemographic and obstetric characteristics questionnaire, Paternal Fear of Childbirth Scale, Spielberger’s State-Trait Anxiety Inventory and Edinburgh Postnatal Depression Scale. Results The mean (±SD) of paternal fear of childbirth score was 48.39 (±14.10) within the possible 17–85 range. According to Pearson correlation test results, fear of childbirth had significant direct correlations with depression (P < 0.001; r = 0.47), state anxiety (P < 0.001; r = 0.60) and trait anxiety (P < 0.001; r = 0.51). The adjusted general linear model results indicated that an increase in fear of childbirth score significantly increased depression (β = 0.18; 95% CI: 0.13 to 0.22; P < 0.001), state anxiety (β = 0.45; 95% CI: 0.38 to 0.53; P < 0.001) and trait anxiety (β = 0.35; 95% CI: 0.27 to 0.42; P < 0.001) scores obtained from participants. Conclusion It is recommended to develop comprehensive programmes to screen fathers for fear of childbirth and any other psychological problems, such as depression and anxiety, to implement appropriate preventive and therapeutic interventions.