First-time Fathers Research Articles

Longitudinal Changes in Lifestyle Behaviors and Cardiovascular Health During the Transition to Fatherhood: The Dad Bod Study Rationale and Design.

Despite the importance of the transition to fatherhood as a critical life stage among young adult men, much remains unknown about the factors predictive of ideal cardiovascular health (CVH) and how CVH is impacted as young men face new roles and responsibilities associated with fatherhood. To address this gap, the Dad Bod Study is a prospective, longitudinal and observational study designed to examine how fatherhood affects young men's CVH. A total of 125, first-time prospective fathers (men, 19-39 years) will be enrolled and followed over 1.5 years. Metrics of the American Heart Association's "Life's Essential 8" as well as demographic, social, and psychosocial factors will be collected at four time points ((baseline (during the pregnant partner's 2nd trimester) 1-month postpartum, 6-months postpartum, and 1-year postpartum). The primary aims are to measure predictors of CVH among first-time fathers and describe longitudinal changes in CVH. A secondary aim is to identify best practices for recruitment, retention, and remote data collection in this population. The Dad Bod Study offers a novel examination of CVH among first-time fathers, exploring how new paternal roles and responsibilities impact cardiovascular health. Findings may provide key insights into critical CVH behaviors and risk factors to monitor, preserve, and improve as young men transition to fatherhood.

The First-Time Fathers’ Experiences in Early Fatherhood: A Descriptive Qualitative Study

The First-Time Fathers’ Experiences in Early Fatherhood: A Descriptive Qualitative Study

Longitudinal trajectories and associated risk factors of paternal mental illness in the nine years surrounding the transition to fatherhood

BackgroundThe arrival of one's first child is a known risk factor for mental illness, yet investigations on fathers' mental health are limited. We conducted a longitudinal investigation on paternal depression and anxiety in the nine years surrounding the transition to fatherhood. MethodsUsing a national cohort of French men (CONSTANCES, n = 6299), we investigated the prevalence and associated risk factors of mental illness amongst first-time fathers. Responses to the Center for Epidemiological Studies Depression (CES-D) and 12-item General Health Questionnaire (GHQ-12) scales were used to identify clinically significant symptom scores. Self-declared mental illness was also reported by participants. Group-based modelling was used to identify latent trajectory groups for both measures. ResultsLevels of self-declared anxiety (averaging 4.9 % pre-fatherhood, 7.8 % post) exceeded that of depression (1.9 % pre- fatherhood, 3.3 % post) or other disorders. However, rates of clinically significant symptom scores (17–27 %) were consistently higher. Participants' mental health appeared to worsen from two-years prior to their child's arrival and improve from two-years after. We identified three trajectory groups for fathers' self-declared mental illness: Low stable (90.3 %); Low risk with high temporary increase (5.6 %); and Consistent high risk (4.1 %). Risk factors associated with worsening mental health trajectories were unemployment, not living with one's partner, having had adverse childhood experiences and foregoing healthcare due to financial reasons. LimitationsAll measures of mental illness relied on participant self-reports and are thus subject to bias. ConclusionsThis study reveals an important period of heightened psychological vulnerability amongst first-time fathers, emphasising the need for increased and better adapted paternal mental health screening.

Effects of a Baby Carrier Intervention on Fathers’ Sensitivity, Involvement, and Hormonal Levels: Follow-Up of a Randomized Controlled Study

SYNOPSIS Objective. Fathers are of great importance for healthy child development. This randomized controlled study investigated the longer-term effects of an intervention using a soft baby carrier on fathers’ observed sensitive caregiving, involvement, and oxytocin and cortisol levels. Design. First-time fathers were randomly assigned to use a baby carrier (n = 41) or baby seat (n = 39) and were asked to use the carrier or seat for at least 6 h per week for 3 weeks. Pretest (M child age = 2.67 months), posttest (M child age = 3.99 months), and follow-up (M child age = 8.25 months) father data were collected. Results. No intervention effects of baby carrier use on fathers’ sensitivity, involvement, and oxytocin or cortisol levels at follow-up emerged. Unexpectedly, fathers in the baby seat condition reported an increase in the amount of time spent with the infant. Fathers’ sensitivity and oxytocin levels decreased over time, while cortisol levels increased over time, irrespective of condition. Conclusions. This study showed less optimal hormonal levels in fathers over time, suggesting that support during the first months of fatherhood is needed. Furthermore, use of a baby seat may have contributed to fathers enjoying their time with their infant and consequently their involvement in child caregiving.

Dyadic Prenatal Coparenting Interaction Behaviors Predicting Postpartum Depressive Symptoms during the Transition to Parenthood.

Postpartum depressive symptoms constitute a common yet serious complication of pregnancy and childbirth, but research on its association with coparenting is scarce. Furthermore, although coparenting dynamics start forming prior to the child's birth, no research has explored dyadic prenatal coparenting dynamics as a predictor of postpartum depressive symptoms. The current study assessed how dyadic prenatal coparenting behaviors predicted postpartum depressive symptoms in first-time parents. We conducted a dyadic mixed-method longitudinal study of 107 expectant couples with data collected prenatally, and at 3, 6, and 24 months post-birth. The results indicated that prenatal coparenting dyadic synchrony predicted low levels of depressive symptoms among first-time fathers 3 and 6 months after the birth, and a prenatal coparenting dynamic of dyadic negative escalation predicted high levels of depressive symptoms among first-time mothers at 3 and 24 months postpartum. The theoretical and practical implications are discussed.

Fatherhood and men’s working hours in a part-time economy

Abstract How do fathers adjust their working hours after the birth of their first child? Though the impact of childbirth on women’s employment is well-established, less is known about its effect on fathers. We investigate this question in the Netherlands (2006–2017), a country characterized by high prevalence of part-time work. We focus on two contexts that might shape the extent to which first-time fathers reduce their working hours after childbirth: the household and the organization. For this purpose, we use detailed longitudinal register data. The results reveal that men’s employment displays a high degree of stability around childbirth: even in the Dutch “part-time economy,” the vast majority of fathers remain full-time employed. We do find substantial heterogeneity in labor market responses after childbirth. Fathers earning relatively less than their partner pre-childbirth are more likely to scale down their working hours. The organizational gender composition is also associated with work hours reductions following childbirth. Although we find that fathers’ employment is contingent on both the household and organizational context, the substantial stability in men’s labor supply remains an obstacle to a more equal division of (un)paid labor.

A qualitative exploration of how extended paternity leave can promote fathers’ psychological wellbeing

The perinatal period is known to be a vulnerable time for parents’ mental health and wellbeing. Research about fathers’ health during this time is in its infancy and has focused predominantly on mental health problems. Much less is known about how fathers experience their own wellbeing or what can help their lives (and consequently the lives of their family) to go well during the significant event of having a baby. Early research suggests that allowing fathers to take a longer period of paternity leave could help to promote their wellbeing. The aim of this study was therefore to explore the experiences of some of the first fathers to take extended paternity leave following the UK’s introduction of its new Shared Parental Leave policy in 2015. Semi-structured interviews were conducted with sixteen fathers from around the UK who were employed in a variety of industries. The sample included both first-time fathers and those extending their family. Template Analysis was initially used to systematically analyse the data. The overarching conclusion was that the wellbeing of these fathers appeared to flourish during a major life event that has a known association with mental health problems for many fathers. To seek an explanation for this, the findings were interpreted using a novel approach based on the theoretical framework of Ryff’s (1989) six aspects of psychological wellbeing. A conceptual model is therefore proposed that suggests extended paternity leave can promote fathers’ psychological wellbeing by allowing them a rare and valuable opportunity for self-reflection, personal growth, development of parental mastery, and to support the wellbeing of their family. This qualitative exploration contributes a deep understanding of the nature of these fathers’ individual experiences of their own psychological wellbeing. The potential of extended paternity leave for promoting the wellbeing of fathers and their families during the critical postnatal period signals that there may be value in researching the relationship between paternal leave and wellbeing further.

Hybrid masculinity in early childcare: a qualitative study of a Ghanaian municipality

ABSTRACT Men’s identity and daily survival appear to be restricted and stereotyped in society. Men and boys are socialized to be excluded from breastfeeding, complementary feeding, child bathing, cleaning, care for umbilical, and sleeping arrangement childcare activities and identified as providers for the family in Ghana. This paper seeks to explore how hybrid masculinity is being created by first-time fathers in Oforikrom Municipality, Ghana. Using a case study design, thirty-five (35) first-time fathers participated in semi-structured interviews, and eight (8) first-time fathers drawn from the semi-structured interviews participated in the photovoice. The interviews were audio recorded, and manually analysed thematically. Photovoice data were obtained from participants and analysed through adapted ‘thematic-photovoice analyses. The study found that masculinity is being reconstructed among first-time fathers in Oforikrom Municipality, Ghana as a result of the blend in childcare activities like caring fathering role and traditional fathering role. Consequently, the study calls on Policymakers and Practitioners to recognize the hybrid masculinity in contemporary Ghana among first-time fathers and develop appropriate policies and programmes response.

Adverse Pregnancy Outcomes and Subsequent First-Time Use of Psychiatric Treatment Among Fathers in Denmark.

Becoming a first-time parent is a major life-changing event and can be challenging regardless of the pregnancy outcome. However, little is known how different adverse pregnancy outcomes affect the father's risk of psychiatric treatment post partum. To examine the associations of adverse pregnancy outcomes with first-time psychiatric treatment in first-time fathers. This nationwide cohort study covered January 1, 2008, to December 31, 2017, with a 1-year follow-up completed December 31, 2018. Data were gathered from Danish, nationwide registers. Participants included first-time fathers with no history of psychiatric treatment. Data were analyzed from August 1, 2022, to February 20, 2024. Adverse pregnancy outcomes including induced abortion, spontaneous abortion, stillbirth, small for gestational age (SGA) and not preterm, preterm with or without SGA, minor congenital malformation, major congenital malformation, and congenital malformation combined with SGA or preterm compared with a full-term healthy offspring. Prescription of psychotropic drugs, nonpharmacological psychiatric treatment, or having a psychiatric hospital contact up to 1 year after the end of the pregnancy. Of the 192 455 fathers included (median age, 30.0 [IQR, 27.0-34.0] years), 31.1% experienced an adverse pregnancy outcome. Most of the fathers in the study had a vocational educational level (37.1%). Fathers experiencing a stillbirth had a significantly increased risk of initiating nonpharmacological psychiatric treatment (adjusted hazard ratio [AHR], 23.10 [95% CI, 18.30-29.20]) and treatment with hypnotics (AHR, 9.08 [95% CI, 5.52-14.90]). Moreover, fathers experiencing an early induced abortion (≤12 wk) had an increased risk of initiating treatment with hypnotics (AHR, 1.74 [95% CI, 1.33-2.29]) and anxiolytics (AHR, 1.79 [95% CI, 1.18-2.73]). Additionally, late induced abortion (>12 wk) (AHR, 4.46 [95% CI, 3.13-6.38]) and major congenital malformation (AHR, 1.36 [95% CI, 1.05-1.74]) were associated with increased risk of nonpharmacological treatment. In contrast, fathers having an offspring being born preterm, SGA, or with a minor congenital malformation did not have a significantly increased risk of any of the outcomes. The findings of this Danish cohort study suggest that first-time fathers who experience stillbirths or induced abortions or having an offspring with major congenital malformation had an increased risk of initiating pharmacological or nonpharmacological psychiatric treatment. These findings further suggest a need for increased awareness around the psychological state of fathers following the experience of adverse pregnancy outcomes.

Becoming a first-time father during the COVID-19 pandemic in France.

The role of fathers in Western societies has undergone significant change over time. However, their psychopathology remains largely misunderstood and difficult to identify. This study aims to explore the lived experiences of first-time fathers during the COVID-19 pandemic. Twenty-seven first-time French fathers were recruited for the study, which involved a narrative interview, the Rorschach projective test, the Edinburgh Postnatal Depression Scale (EPDS), and a semi-structured interview. Narrative interviews revealed several challenges faced by these fathers, including the pressure of paternal responsibility, the need to be actively involved in the prenatal activities and caregiving (haptonomy, skin-to-skin contact), and concerns about the future of their couple and family as a triad. The Rorschach tests showed numerous perinatal responses and difficulties in identifying phallic representations among the fathers. Additionally, the EPDS scores indicated that 15% of fathers showed signs of depression, while 52% exhibited signs of anxiety. This study also examines the impact of the COVID-19 pandemic and its associated health context on creating the initial triad. Lastly, the case of one father is presented to illustrate the need for diagnostic tools to address the psychopathology of fathers, as narrative or semi-structured interviews have often fallen short of addressing this issue.

Paternal Role Adaptation in Premature Infants in NICU: A Descriptive Qualitative Study

Aims and objectives: This study aimed to explore the adaptation experiences of first-time fathers of preterm infants after experiencing the trauma of preterm birth. Background: Becoming a father is a significant life event that can bring about profound changes in a man's identity and lifestyle. However, there is currently a lack of research on the adaptation experiences of fathers of preterm infants.Design: A descriptive qualitative study was conducted. Methods: Thirteen fathers of preterm infants were recruited from June 2022 to April 2023 at Chongqing Children's Hospital in China. Participants were all first-time parents, and their infants had received treatment in neonatal intensive care units. Deep semi-structured interviews, guided by a questionnaire, were conducted to collect data. Inductive content analysis was used to analyze the data. Reporting followed COREQ guidelines. Results: The data analysis generated 28 themes, including 9 subordinate themes and 3 superordinate themes. The superordinate themes were "Role preparation", "Post-traumatic adjustment", and "Growth adaptation". Conclusion:Fathers of premature infants in the Neonatal Intensive Care Unit (NICU) face unique challenges during their child's hospitalization and in the initial three months following discharge. The father's ability to navigate these challenges and embrace the complex aspects of fatherhood signifies his adaptation to the role. Relevance to clinical practice: Healthcare providers should assess the role adaptability of fathers of preterm infants and provide timely and effective interventions to support parental emotional well-being and parenting behavior.

Cortical volume reductions in men transitioning to first-time fatherhood reflect both parenting engagement and mental health risk.

Perinatal reductions in gray matter volume have been observed in human mothers transitioning to parenthood, with preliminary evidence for similar changes in fathers. These reductions have been theorized to support adaptation to parenting, but greater investigation is needed. We scanned 38 first-time fathers during their partner's pregnancy and again after 6months postpartum, and collected self-report data prenatally and 3, 6, and 12months postpartum. Significant gray matter volume reductions were observed across the entire cortex but not the subcortex. Fathers who reported stronger prenatal bonding with the unborn infant, and planned to take more time off from work after birth, subsequently showed larger cortical volume decreases. Larger reductions in gray matter volume also emerged among fathers who reported stronger postpartum bonding with the infant, lower parenting stress, and more time spent with their infant. Larger volume reductions predicted more postpartum sleep problems and higher levels of postpartum depression, anxiety, and psychological distress, controlling for prenatal sleep and mental health. Volume reductions were smaller among fathers whose infants were older at the postpartum scan, indicating potential rebound. These results suggest that perinatal gray matter volume reductions might reflect not only greater parenting engagement but also increased mental health risk in new fathers.

Reproductive Ageing: Current insights and a potential role of NAD in the reproductive health of aging fathers and their children.

In light of the increasing age of first-time fathers, this article summarizes the current scientific knowledge base on reproductive aging in the male, including sperm quality and health impacts for the offspring. The emerging role of NAD decline in reproductive aging is highlighted. Over the past decades, the age of first-time fathers has been steadily increasing due to socio-economic pressures. While general mechanisms of aging are subject to intensive research, male reproductive aging has remained an understudied area, and the effects of increased age on the male reproductive system are still only poorly understood, despite new insights into the potential dire consequences of advanced paternal age for the health of their progeny. There is also growing evidence that reproductive aging is linked to overall health in men, but this review mainly focuses on pathophysiological consequences of old age in men, such as low sperm count and diminished sperm genetic integrity, with an emphasis on mechanisms underlying reproductive aging. The steady decline of NAD levels observed in aging men represents one of the emerging concepts in that regard. Because it offers some mechanistic rationale explaining the effects of old age on the male reproductive system, some of the NAD-dependent functions in male reproduction are briefly outlined in this review. The overview also provides many questions that remain open about the basic science of male reproductive aging.

Neural correlates of inhibitory control in the context of infant cry and paternal postpartum mental health

BackgroundInhibitory control, a form of self-regulation, may support sensitive parenting, but has been understudied in new fathers despite their pronounced risk for stress and mental health challenges. MethodsThis study probed the neural correlates of inhibitory control and its associations to first-time fathers' postpartum mental health, focusing on depressive symptoms, state anxiety, and perceived stress. Six months after their child’s birth, 38 fathers self-reported on their mood, anxiety, and stress, and performed a Go/No-Go fMRI task while listening to three sets of sounds (infant cry, pink noise, and silence). ResultsFathers’ behavioral inhibition accuracy was consistent across the sound conditions, but their patterns of neural activation varied. Compared to the pink noise condition, fathers showed heightened engagement in prefrontal regulatory regions when self-regulating during the infant cry and silent conditions. When examining correct trials only, results in visual motor area and primary somatosensory cortex emerged only for infant cry and not for pink noise and silence. Moreover, fathers reporting higher levels of postpartum depression, state anxiety, and perceived stress showed greater activation in prefrontal regions when inhibiting during infant cry or silence. ConclusionThis study is the first to underscore the complex interplay between the neural mechanisms related to inhibitory control and postpartum mental health and stress across varied auditory context, laying the groundwork for future research.

From Fathers to Fathers—Telephone-Based Peer Support: A Feasibility Study

Background: Men can struggle with adapting to their new roles as they transition into fatherhood. While social support has been shown to be effective at aiding this transition, little research has focused on the implementation of, and satisfaction with, telephone-based peer support for new fathers. Aims: This qualitative study aimed to investigate the implementation of, and satisfaction with, a telephone-based peer support program for new fathers. Methods: A qualitative study with 13 interviews of first-time fathers and peers was analysed using content analysis, in accordance with Elo and Kyngäs. Individual interviews were conducted using a semi-structured interview guide that lasted between 30–45 min. Results: Two themes emerged from the fathers’ interviews (n = 6): (1) conditions that affect the telephone support experience; and (2) the importance of support. The fathers appreciated the confirmation stories shared by their peers, as these stories served as valuable examples that they could adapt and incorporate into their own parenting approaches. Two themes emerged from the peer interviews (n = 7): (1) peers’ own role and experience; and (2) the Importance of listening to fathers. Peers felt appreciated and acted like role models for new fathers, helping them to adjust to parenting life. Study limitations: The results may not transfer to multi-time fathers. Conclusions: The findings of this study provide valuable insights into the potential benefits and challenges of implementing a telephone-based peer support program for first-time fathers, which could further inform similar interventions.

Enhancing Paternal Support: A Concept Analysis of Social Support for First-Time Fathers

Introduction. Social support, as a multidimensional concept, is studied across disciplines. However, examining the concept in relation to first-time fathers in the perinatal period remains an underexplored avenue. This analysis aims to clarify what social support for first-time fathers means through an operational definition that will assist healthcare providers in supporting fathers as valuable assets to the wellbeing of their partners and children. Design. Walker and Avant’s concept analysis approach is used to identify the attributes, antecedents, and consequences of social support for first-time fathers during the perinatal period. Data Source. A thorough title and abstract review led to the analysis of 41 articles from databases, including MEDLINE, CINAHL, PsycINFO, the Social Sciences Citation Index, and Embase databases from 1970 to 2022. Results. Social support for first-time fathers can be described as a relational strategy and supportive intervention from both informal and formal sources. This concept analysis broadens the meaning of social support by considering structural and functional attributes. It offers fresh insights into how support can be coordinated across microsystems and macrosystems to address the distinctive requirements of current-day fathers within the intricate family dynamics. Furthermore, gender, cultural, and generational differences affect the preferences and needs of fathers, as well as their ability to support their partners and infants. Fathers preferred emotional support from their partners and sought informational and appraisal support from healthcare professionals. In addition, supportive relationships are characterized by proximity, reciprocity, congruency, and continuity during the perinatal period. Conclusion. Conceptualizing social support encompasses both upstream and downstream approaches across structures and systems to support fathers. Support for first-time fathers includes developing father-specific approaches to perinatal nursing care and practice. Social support carries implications for fostering socially inclusive policies, interdisciplinary curriculum integration, advocacy, and research aimed at improving paternal mental health and perinatal wellbeing.

No evidence for relationship between paternal post-partum depressive symptoms and testosterone or cortisol in first-time fathers.

Male life history strategies are regulated by the neuroendocrine system. Testosterone (T) and cortisol regulate male behaviors including parenting and facilitate managing tradeoffs at key transitions in development such as first-time fatherhood. Both hormones demonstrate marked fluctuations in the postnatal period, and this presents an opportunity to investigate the role of T and cortisol in postpartum depressive symptoms-comparably less studied in fathers than in mothers in the evolutionary literature. Prior work on depressive symptoms has yet to integrate insights from the "dual hormone hypothesis (DHH)" which has focused on how T and cortisol interact to jointly regulate traits associated with dominance and status-seeking (i.e., mating effort) but has yet to be included in models of parenting effort. In this research, we use secondary data to investigate the relationship between DHH and traits ostensibly opposed to status seeking (i.e., depressive symptoms). First-time fathers (n = 193) provided morning saliva samples 10 months following parturition and reported on the presence of depressive symptoms (BDI-II). Responses were decomposed into three factors: cognitive, affective, and somatic. Using hybrid latent variable structural equation modeling, we did not find evidence that T predicted variability in cognitive, affective, or somatic depressive symptom factors. We found a null effect for cortisol as well. Finally, we could not find evidence that the DHH variable (T × cortisol interaction) predicted any variability in cognitive, affective, or somatic depressive symptoms. While we did not find evidence to support our hypotheses using a secondary data set, this study contributes to research on the neuroendocrinology of depression in fathers. Discussion focuses on the limitations of sample demographics, timing of saliva and self-report collection, and the lack of extant theory specific to paternal postpartum depression.

Attitudes of First-Time Fathers in South India Toward Their Role in Their Wives’ Prenatal Period

ObjectiveTo assess the attitudes of first-time fathers toward their role during their wives’ prenatal period. DesignCross-sectional study. SettingTertiary care hospital in South India. ParticipantsFirst-time fathers accompanying their pregnant wives to an antenatal clinic. MethodsParticipants were surveyed to collect information on their attitudes toward their role during the prenatal period. The survey captured attitudes about fathers’ role in pregnancy care; role as financial provider; and need to provide physical, emotional, moral, and social support. ResultsTwo hundred fathers were included in the sample. Approximately 17.5% (n = 35) had a positive attitude toward their role in the prenatal period, whereas 40% (n = 80) had a negative attitude. Having a joint family (i.e., husband, wife, children, and husband’s parents) was found to be negatively associated with fathers’ attitudes toward their role during the prenatal period (p < .05). ConclusionThe findings revealed that the presence of a joint family structure was associated with a more negative attitude among fathers toward their role in their wives’ pregnancies. Antenatal care should include education programs aimed at enhancing husbands’ knowledge, awareness, and active participation during the prenatal period.

Topics searched by first-time Indonesian fathers during pregnancy journey: An exploratory study.

This study explores the topics searched by first-time Indonesian fathers during the pregnancy journey. Data were collected through semi-structured interviews with a representative sample of first-time expectant fathers in Indonesia. Thematic analysis was employed to identify common themes and patterns in fathers' search topics and reasons behind the searches. The results reveal that fathers predominantly focus on finding topics related to their partners' well-being with particular emphasis on health-related topics. Interestingly, the study highlights a lower engagement with topics related to cultural practices, traditions, and religion among first-time Indonesian fathers. Additionally, understanding the situation and finding the solutions to a problem is one of the main popular reasons for first-time fathers to seek a particular topic related to pregnancy. This study provides valuable insights into the topics searched and motivations of first-time Indonesian fathers during the pregnancy journey which have similarities and differences to fathers' practices in developed countries. The findings underscore the necessity for tailored intervention programs to promote paternal involvement during this transformative period which addresses the unique information needs of Indonesian fathers.

Becoming first time father of premature newborn during the first wave of the pandemic: a case study approach.

The aim of this paper is to delve into the emotional and psychological challenges that fathers face as they navigate the complexities of having a preterm infant in the NICU and in an unprecedented sanitary context. We used three data collection methods such as interviews (narrative and the Clinical Interview for Parents of High-risk Infants- CLIP) and the Edinburgh Postnatal Depression Scale (EPDS) to gain a comprehensive understanding of the cases. The following analysis explores two individuals' personal experiences of becoming a first-time father during the first wave of the COVID-19 pandemic through a close examination of two superordinate themes: "A series of separations through the experienced COVID- 19 restrictions" and "Moments of connection." The transition to fatherhood is essentially with a medicalized form of connection with their newborn and the perceived paternal identity. In terms of temporality, these fathers experienced a combination of concerns about their infants' long-term development and COVID-19 health concerns. Furthermore, they showed indications of phobic or hypochondriac tendencies using a psychoanalytic framework, along with an increased risk of postpartum depression.