First-time Parents Research Articles

Bedtime Routines Intervention for Children (BRIC) project: results from a non-randomised feasibility, proof-of concept study

BackgroundBedtime routines are highly recurrent family activities with implications for children’s wellbeing, development and health.AimsThe objective of this study is to co-develop and test in a feasibility, proof-of-concept study a bedtime routines intervention using text messages aimed at first-time parents with young children.MethodsFifty first-time parents with children aged 1–3 years were recruited for this study. Parents received a text message-based intervention for 7-consecutive nights which provided support and information on achieving optimal bedtime routines. Parents completed pre- and post-intervention questionnaires focusing on children’s sleep, bedtime routines and parental mood disturbance. Feedback was provided at the end of the study.ResultsRecruitment target and high retention with 98%, or 49 out of 50 participants completing the study were achieved. Pre- and post-intervention, there were improvements in total children’s sleep with children sleeping longer and having less disrupted sleep overall (MD = − 7.77 (SD = 17.91), t(48) = − 3.03, p = .004, CI (− 12.91, − 2.63) and in overall quality of bedtime routines (MD = − 5.00, SD = 7.01, t(48) = − 4.98, p < .001, CI (− 7.01, − 2.98). Parental mood disturbance decreased pre- to post-intervention (MD = 5.87, SD = 15.43, t(48) = 2.66), p = .010, CI (1.44, 10.30). Parents provided positive feedback about the intervention and valued the support that was provided to them.ConclusionsBedtime routines were successfully altered with short-term benefits for children’s sleep and parental mood. Future research will need to utilize a more robust, longitudinal approach for a definite exploration of sustained changes in bedtime routines and their long-term implications for children and parents.

In her shoes: Partner reflective functioning promotes family-level resilience to maternal depression.

Parental depression has significant implications for family functioning, yet much of the literature does not consider family-level dynamics in investigating individual, parenting and child outcomes. In the current study we apply a new index of couple-level support, partner reflective functioning (RF), or the romantic partner's ability to consider how the partner's mental states can guide behavior, to study familial resiliency in the face of prenatal parental depression among first-time parents. We investigate how partner RF buffers the association between prenatal parental depression and outcomes of postnatal parental depression, parenting style, and child effortful control. Maternal and paternal depression were measured in 91 primiparous couples during the sixth month of pregnancy and parental depression, partner RF, parental RF at 6 months postnatally. Outcomes of parental depression, permissive parenting, and children's effortful control were assessed 24 months postnatally. Results indicate that average and high levels of paternal partner (not parental) RF attenuate risk for maternal postnatal depression, maternal permissive parenting, and deficits in child effortful control. Implications are discussed from a family systems approach.

Interprofessional Teamwork to Promote Health: First-Time Parents' Experiences of a Combined Home Visit by Midwife and Child Health Care Nurse.

BackgroundTo achieve the requisites for a child's healthy development and to reduce health inequalities, it is important to promote health initiatives at an early stage in a child's life and to include the parents. Home visits by healthcare professionals have been found to have positive health effects for both the baby and the parents. From an extended home visit programme in Sweden, our aim was to illuminate first-time parents' experience of a home visit conducted by a midwife and a child health care nurse 1–2 weeks postnatal.MethodsData was collected by interviews (n = 13) with first-time parents. The transcribed texts were analyzed using inductive content analysis.ResultsThe participants' experiences could be understood from the two themes, A trust in the professionals and Feeling safe as a new parent. The participants experienced that the midwives and the child health care nurses complemented each other and appreciated to get knowledge and information from both professions. In their own home, they felt secured and relaxed, and the professionals could help them provide a safe home environment for the child.ConclusionBy meeting both professionals at the same time and in their own home, the participants experienced that the needs of the baby and their needs and concerns as new parents were included and supported.

The ABC of reproductive intentions: a mixed-methods study exploring the spectrum of attitudes towards family building.

STUDY QUESTIONWhat are the intentions of men and women of reproductive age in the UK regarding reproduction and family building?SUMMARY ANSWERWe identified six main categories of people; Avoiders, Betweeners, Completers, Desirers, Expectants and Flexers, for whom reproduction education strategies should be tailored differently to suit intentions.WHAT IS KNOWN ALREADYSeveral studies have highlighted poor fertility awareness across men and women of reproductive age. As the average age of first-time parents continues to rise, there has been a concerted effort from educators, healthcare professionals, charities, reproductive health groups and government policymakers, to improve fertility awareness. In order to ensure that these messages are effective and to deploy the best strategies, it is important to understand people’s reproductive health needs. This study therefore aimed to explore different reproductive intentions to aid tailoring of information to help individuals and couples achieve their family building desires.STUDY DESIGN, SIZE, DURATIONWe conducted a mixed-method study via a UK-wide cross-sectional survey with 1082 participants and semi-structured interviews of 20 women and 15 men who agreed to follow-up interviews. Interviews lasted an hour on average. Ethics approval from UCL Research Ethics Committee.PARTICIPANTS/MATERIALS, SETTING, METHODSSurvey participants were recruited nationwide via online newspaper and social media adverts. Interviewees were purposely sampled to include men and women from the reproductive age range (18–45 years), varying ethnicity and education background. Survey data were analysed using the Minitab statistical software package. Interview data were transcribed and analysed using the framework method.MAIN RESULTS AND THE ROLE OF CHANCEFrom the survey and interviews, we identified six key categories of people, grouped alphabetically, in a user-friendly manner to highlight a spectrum of reproductive intentions: Avoiders describes respondents who have no children and do not want to have children in the future; Betweeners describes those who already have child(ren) and want more in the future but are not actively trying to conceive; Completers describes those who have child(ren) but do not want more; Desirers describes those who are actively trying to conceive or plan to have child(ren) in the future; Expectants describes those who were pregnant at the time of the study; and Flexers describes those who may or may not already have and are unsure but or open to having child(ren) in the future. Analysis of survey data identified the following proportions in our study: Avoiders, 4.7%; Betweeners, 11.3%; Completers, 13.6%; Desirers, 36.9%; Expectants, 4.1%; and Flexers 28.4% and 2.4% preferring not to answer. There was one ‘other’ group from qualitative analysis, who would like to have children in the future but were unsure whether they could or had changing views. We recommend classifying as ‘Desirers’ or ‘Flexers’ for the purposes of fertility education. A majority of the survey population were trying to get pregnant; were pregnant; or planning to have a child in the future—whether actively, passively or simply open to the idea, with interviews providing deep insights into their family building decision-making.LIMITATIONS, REASONS FOR CAUTIONDue to the online recruitment method, there may be a bias towards more educated respondents.WIDER IMPLICATIONS OF THE FINDINGSWe developed a user-friendly, alphabetical categorization of reproductive intentions, which may be used by individuals, healthcare professionals, educators, special interest groups, charities and policymakers to support and enable individuals and couples in making informed choices to achieve their desired intentions, if and when they choose to start a family.STUDY FUNDING/COMPETING INTEREST(S)There was no external funding for this study. The authors report no competing interests.TRIAL REGISTRATION NUMBERN/A.

Impact of expectation violation on relationship satisfaction across the transition to parenthood.

This study examined whether violations of partner expectations-and attributions and perceptions of these violations-are associated with relationship satisfaction across the transition to parenthood. First-time parents (N = 99) mixed-sex couples completed mail-in packets during pregnancy (Time 1; T1) and when their babies were 3-5 months old (Time 2; T2). Hypotheses were largely confirmed. Multilevel modeling results indicated a significant T1-to-T2 decrease in relationship satisfaction. Expectation violations significantly predicted change in satisfaction; undermet expectations are associated with decreased satisfaction. T2 perception of expectation confirmation predicted change in satisfaction at T2 and moderated the relationship between expectation violation and relationship satisfaction. Likewise, benign postnatal attributions were significantly associated with the change in satisfaction at T2 and moderated the relationship between expectation violation and relationship satisfaction. Clinical and research implications are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Promoting parenting in home visiting: A CACE analysis of Family Foundations.

This randomized trial tested the impact of an established prevention program for first-time parents, Family Foundations, adapted for low-income mothers and fathers as a series of sessions provided to couples in their homes. To assess program impact, we recruited and randomly assigned a sample of 150 low-income adult mother-father dyads (not necessarily still romantically involved, cohabiting, or married) during pregnancy or shortly after birth. The randomly assigned intervention families participated in Family Foundations Home Visiting (FFHV), consisting of 11 in-home sessions focusing on parental cooperation, collaboration, and conflict management to support children's development. Complier average causal effect (CACE) analysis was used to examine program impact on parental adjustment and parenting for families completing nine or more program sessions. Results indicated significant positive complier effects for mothers' and fathers' reports of depression, Posttraumatic Stress Disorder (PTSD) symptoms, coping with stress, and psychological aggression by fathers toward mothers at post-intervention, controlling for pre-intervention scores. Intervention parents also demonstrated higher levels of affection, engagement, and sensitivity with the infant based on observer coding of videotaped parent-child interactions. These findings indicate that the focus of Family Foundations on enhancing coparenting offers similar benefits for low-income parents and children who are compliers as has the group-format Family Foundations (FF) version in trials with universal samples of cohabiting or married parents. Results are discussed in terms of implications for home visiting, engaging fathers, and optimizing child outcomes. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Determinants of Changes in Women's and Men's Physical Activity and Sedentary Behavior across the Transition to Parenthood: A Focus Group Study.

Background: Becoming a parent may cohere with drastic changes in physical activity (PA) and sedentary behavior (SB). A clear understanding of determinants of changes in PA and SB during pregnancy and postpartum is needed to facilitate the development of tailored family-based interventions. Methods: Thirteen focus group discussions targeting determinants of changes in PA and SB behavior were conducted, involving a total of 74 expecting and first-time parents. A semi-structured question guide was used to facilitate the discussions. Results: Four main levels of determinants were identified: the individual (including psychological, situational and biological determinants), interpersonal, environmental and policy level. Some determinants were mentioned to be a barrier (e.g., “barriers to self-care”) while others were a facilitator (e.g., “weight control”). Determinants were related to both PA and SB and applicable during pregnancy as well as postpartum (e.g., “self-regulation”), or only related to one behavior and/or one period (e.g., “feeding baby”). Some were described by both parents (e.g., “parenthood perceptions”), whereas others were mentioned by women (e.g., “PA knowledge”) or men (e.g., “time opportunities”) only. Conclusions: Focus should be given to interventions aimed at improving parents’ self-regulation skills and support on how to cope with interpersonal and situational constraints as well as parenthood perceptions.

A Longitudinal Investigation of Couples' Sexual Growth and Destiny Beliefs in the Transition to Parenthood.

Beliefs about sexuality tend to become more salient during sexual challenges and are associated with how individuals respond to these difficulties and, in turn, their sexual well-being. The transition to parenthood is marked by significant changes to couples' sexuality. As such, this period of vulnerability may be an important context in which these beliefs impact how couples manage sexual stressors and may have implications for their sexual well-being. In a longitudinal dyadic study, we examined whether couples' sexual growth beliefs (e.g., beliefs that sexual problems can be resolved through effort) and sexual destiny beliefs (e.g., beliefs that sexual problems reflect incompatibility with their partner) correspond with changes to various facets of couples' sexual well-being over time. First-time parent couples (N = 203) completed online surveys assessing these beliefs in pregnancy (32weeks) and measures of sexual well-being (satisfaction, desire, and distress) in pregnancy (20 and 32weeks) and across the postpartum period (3, 6, 9, 12months). Dyadic latent growth curve models showed that expectant mothers who reported stronger sexual destiny beliefs in pregnancy reported higher sexual distress and lower sexual satisfaction at 3months postpartum. When partners reported stronger sexual destiny beliefs in pregnancy, both they and new mothers reported greater sexual desire at 3months postpartum. Unexpectedly, partners' higher sexual growth beliefs in pregnancy predicted mothers' lower sexual desire at 3months postpartum. Sexual growth and destiny beliefs were not associated with change in couples' sexual well-being beyond 3months postpartum. Findings shed light on the potential benefits and costs of sexual growth and destiny beliefs for couples' sexual well-being early in the postpartum period, but not over time.

The unpredictable nature of labour and birth: A qualitative investigation regarding expectations of Italian parents to-be

Objectiveto explore first-time Italian parents’ expectations of labour and birth. Designqualitative Husserlian phenomenological approach, using face-to-face focus groups for parents during the late third trimester of pregnancy. Data analysis, using Colaizzi's phenomenological method, included the processes of reading and re-reading the text to extract relevant statements in order to identify themes and finally member checking was performed to validate participants’ expressions Settingconsultant-led maternity unit in Northern Italy, with approximately 2500 births per annum. Participantspurposive sample of eight first-time parents-to-be, with a straightforward singleton pregnancy, who participated in two focus groups during pregnancy, one for women and one for their partners, to explore their expectations of birth. Findingsuncertainties, doubts and fears were reported by all women. Although they expected to have a normal birth, they remained open-minded due to the awareness of the unpredictable nature of childbirth. One of the strongest emotions expressed by women was that of fear, especially of labour. They found different strategies to cope with those fears and to anticipate their potential disappointment and frustration regarding a childbirth experience that potentially could differ from their expectations. Women wanted their partner with them to share the birth experience and they valued their presence as essential. The midwife was expected to be a supportive guide. Fathers-to-be, although happy about the idea to be present at birth, were also concerned about their reaction to an unknown experience, about the woman's labour pain and were worried about not being helpful to her. Conclusions and implications for practiceto our knowledge this is the first such study to be conducted in Italy. In order to support families as a whole, the importance of the father in a supportive role and as an essential parent himself should be addressed, considering his wishes. Midwives should strive to provide family centre-care, to be supportive and sensitive. Antenatal education classes should be conducted with both parents in order to understand their expectations, give information about duration and stages of labour and birth, prepare for parenthood, addressing fears and enhancing a positive experience of birth.

Psychometric qualities of the HLS-EU-Q16 instrument for parental health literacy in Swedish multicultural settings

BackgroundHealth literacy (HL) is important for individuals in terms of knowledge and competence to make decisions about healthcare, health promotion and disease prevention. Migrants generally demonstrate lower HL levels compared to the majority populations. HL interventions among migrants are rarely studied. Thus, there is a need to find useful HL measurements for multicultural settings. The importance of understanding parents’ HL is related to their key role in providing and promoting the health of their children. This study aimed to add knowledge about the psychometric properties of the HLS-EU-Q16 instrument (Swedish version) among parents in Swedish multicultural settings.MethodsA cross sectional design was used. Totally 193 first-time parents (N = 193) were recruited through two child healthcare centres in Stockholm. Parents were interviewed when their infants were < 2 months old using structured questionnaires including HLS-EU-Q16. For psychometric evaluation of HLS-EU-Q16 instrument, exploratory factor analyses (EFA) were used to test internal consistency (N = 164). HL levels in sub-groups were explored with Kruskal-Wallis/Chi2 tests. Participants’ comments on HLS-EU-Q16 questionnaire were viewed to explore how the questions were perceived by the target population.ResultsOne factor solution of EFA explained 37.3% of the total variance in HLS-EU-Q16. Statistically significant differences in HL levels were found in relation to migration including language difficulties and level of education of the study population and access to support in line with previous research. Challenges related to understanding HLS-EU-Q16 questionnaire were found among participants with migrant background.ConclusionsThe Swedish version of HLS-EU-Q16 could be used together with other instruments for measuring overall HL in multicultural settings. HLS-EU-Q16 appears to discriminate between different levels of HL in relation to migrant background and shorter education and limited access to support. However, other measures of HL which should be adapted to use in multicultural settings, need to be explored in further studies of parental HL and its relationship to child health in multicultural settings.Trial registrationThe study was retrospectively registered (18 February 2020) in the ISRCTN registry (ISRCTN10336603).

Responsive feeding values and practices among families across the Canadian Maritime provinces.

Children benefit from responsive feeding practices where their internal signals of hunger and satiety are valued and met with prompt, emotionally supportive, and developmentally appropriate responses. Using an online survey, this study describes responsive feeding values and practices among parents of young children (0-5 years) (n = 1039) across 3 Canadian Maritime provinces. Independent-samples t-tests and 1-way ANOVA were performed to determine the differences in survey questions related to the responsive feeding practices and values. First-time parents and parents with younger children report implementing more consistently some of the challenging responsive feeding practices, such as avoiding pressuring their children to eat, compared with parents with multiple children and parents with children ages 3-5 years. Parents often have well-intended reasons to encourage their children to eat; however, these can coincide with non-responsive practices with food such as pressuring, rewarding, and restriction. These coercive practices may be ineffective and counterproductive as they reinforce reasons to eat unrelated to appetite and self-regulation. Preschool and early feeding interventions that support parents in understanding normal child development, including typical eating behaviours and self-regulation, could help to equip them for challenging feeding experiences and encourage long-term responsive feeding practices. Novelty: First-time parents and parents with younger children report more consistently avoiding pressuring their children to eat, compared with parents with multiple children and parents with children ages 3-5 years. Parents often have well-intended reasons to encourage their children to eat; however, these can coincide with non-responsive practices such as pressuring, rewarding, and restriction.

Subjective experiences of participating in the Supporting Transitions, Attachment and Relationships (STAR Mums) program, a psychological group intervention for high-risk pregnant women

The Supporting Transitions and Relationships (STAR Mums) program is a five-session psychoanalytic and attachment-based group intervention for first-time parents with risk factors in the transition to parenthood. The primary aim of this study was to explore the subjective experiences and acceptability of participating in the STAR Mums program both for first-time expectant mothers with risk factors and the facilitators delivering the program. Sixteen women across four groups completed the Baseline measures and commenced the group program, with 12 participants completing at least 3/5 sessions and the follow-up interviews. Participants’ and facilitators completed interviews over time to provide feedback regarding the program and to inform manual revisions and future directions. Participants and facilitators reported high acceptability with high levels of engagement and participation. The group helped them to feel less isolated and also provided a model for reflecting on the baby and the significant changes required to adapt to the parenthood role. Participants spoke about subjective reductions in their anxiety levels and finding the mindfulness exercises helpful in connecting with their babies and managing their anxieties in the longer-term once the group finished. Overall, the findings suggest the program appears acceptable and facilitates reflection for participants.

“Equally, but in our own way”: First-time parents’ prenatal expectations of coparenting

ABSTRACT This study examined the expectations of expectant first-time parents on coparenting in a Finnish two-parent family. Thirty expectant couples were individually interviewed (N = 60) during the third trimester of pregnancy. The semi-structured interviews focused on participants’ expectations and hopes on future coparenting. Thematic analysis revealed that the expectant first-time mothers and fathers saw coparenting as multidimensional. They talked about coparenting in terms of 1) division of labour issues, 2) management of family dynamics, 3) childrearing agreement, 4) coparental support, and 5) learning and developing. Thus, the expectant couples hoped for a coparenting relationship in which both parents become experts in parenting. Ideally, coparenting involves mutual respect, equality, flexibility, and consideration for the other parent. Coparenting was also seen as an opportunity to grow and learn together in the parenting and coparenting process, e.g. finding one’s own way both as a parent and as a couple and giving space to the other parent. While the expectant first-time parents expressed optimistic hopes and ideals about coparenting, they also raised concerns and challenges regarding interparental collaboration. The findings are discussed from the viewpoint of further elaborating and developing Feinberg’s (2003) model of the internal structure of coparenting.

Impact of COVID-19 public health restrictions on hospital admissions for young infants in Victoria, Australia.

Strict public health measures during the COVID-19 pandemic led to less support for infants and their parents. We aimed to characterise the frequency and nature of infant admissions to the Royal Children's Hospital (RCH), Melbourne in 2020, compared to the previous year. A retrospective review of medical records identified infants ≤3months admitted to the general medicine unit, RCH from March to September in 2019 and 2020. Diagnoses potentially related to the impact of public health measures and reduced family and community supports were identified and compared to all infant diagnoses across both years. Clinical characteristics and need for referral for additional supports or mental health services were also ascertained. There were fewer admissions for infants ≤3 months in 2020 (n= 411) compared to 2019 (n= 678), with a threefold increase in admissions with a primary or secondary diagnosis of feeding difficulties, growth disturbance, infant irritability or maternal mental health concerns (191/411; 46% vs. 97/678; 14%). There were more infants of first-time parents (112/191; 59% vs. 44/97; 45%) and a reduction in the number of admissions due to infection (145/411; 35%; vs. 467/678; 69%). During the COVID-19 pandemic, there was a threefold increase in admissions for infants ≤3months due to poor growth, feeding difficulties, irritability and maternal mental health concerns in 2020 compared to 2019. These findings may inform future pandemic planning and policy development to ensure maintenance of community supports such as maternal child health nurse (MCHN) service delivery for young infants.

Temporal dynamics of interpersonal trust during the transition to parenthood

Theories and laboratory research in social psychology associate parenthood with increased vigilance and distrust. Yet, longitudinal studies examining whether the transition to parenthood affects trust in real life are lacking. We examined the temporal dynamics of trust surrounding the transition to parenthood in a sample of adults followed for up to 12 years. We used discontinuous change models and propensity score matching to compare first-time parents with matched childless individuals. Parenthood predicted a gradual trust increase following childbirth. The effect of the transition was unidirectional: Baseline trust level did not predict the likelihood of parenthood in the follow-up years. These findings contribute to the literature on how major life events, such as the transition to parenthood, shape interpersonal trust.

Validation of the City Infant Faces Database in Student and Parent Samples

The City Infant Faces Database (CIFD; Webb et al., 2018) is a database of 154 infant emotional expressions for use in experimental studies of infant facial communication, facial expression recognition, and parental sensitivity. The CIFD was validated only in a small sample from the general public and student midwives and nurses in the UK. This study, therefore, aimed to validate it in a larger sample of Croatian students and parents of 1-12 months old infants. Three-hundred and fifty students (Study 1), 422 mothers and 106 fathers (Study 2) were presented with images of Caucasian infant faces. The students rated images from the CIFD and Tromsø Infant Faces. They also completed questionnaires measuring empathy, alexithymia, and perceiving and expressing emotions. The parents rated the valence of facial expressions of images from the CIFD. The results were consistent with the initial validation in both the students and parents’ sample, except that agreement for negative images was lower for Croatian parents than in the UK study. Compared to the UK study, students rated images as more intense, clear, genuine, and reported stronger internal emotion. Furthermore, there was no difference in accuracy between mothers and fathers or between first-time parents and experienced parents. The CIFD is, therefore, a promising tool for research and should be further validated in other countries, focusing on its predictive validity.

The embodied experience of vulnerability of first-time parents: An existential-phenomenological study of the shared experiences between first-time parent couples.

The embodied experience of vulnerability of first-time parents: An existential-phenomenological study of the shared experiences between first-time parent couples.

Couples’ Communication Behaviour and the Gender Division of Family Work Across the Transition to Parenthood

This study investigates the conceptual argument that constructive and explicit couple communication may reduce gender inequalities in couples’ division of family work. We focus on the transition to parenthood which for most couples in Germany results in a shift towards a more traditional division of labour. Using 314 first-time parents from the German Family Panel, we apply growth curve models to assess whether partners’ prenatal characteristics explain the division of housework and childcare around the time of childbirth and in the following years. After controlling for gender ideologies and economic resources, male partners’ frequency of positive communication is associated with greater father involvement in housework and childcare from the start. However, neither men’s nor women’s communication behaviours dampen the shift towards a more traditional division of housework and childcare in the first years after childbirth. The frequency of negative communication does not correlate with the division of family work.

Parenthood in the shadow of COVID-19: The contribution of gender, personal resources and anxiety to first time parents' perceptions of the infant.

We sought to examine new parents' perceptions of their infant during the worldwide spread of COVID‐19, exploring the contribution of gender, personal resources (attachment orientation, presence of meaning in life and intolerance of uncertainty) and COVID‐19‐related anxieties. A convenience sample of 606 Israeli first‐time parents (137 fathers and 469 mothers), whose child was 3–12 months old, was recruited through social media during April 2020. Findings indicate that being a woman, younger age, lower education, better physical health, older infant's age, lower attachment anxiety, higher presence of meaning in life and greater COVID‐19‐related anxiety over the infant's health contributed significantly to a greater perception of infant's warmth; being a father, higher education and economic status, poorer physical health, higher attachment anxiety and intolerance of uncertainty and less presence of meaning in life contributed significantly to a greater perception of infant's invasiveness. Gender moderated the associations between the personal resources and infant's perception, and both the presence of meaning in life and intolerance of uncertainty mediated the associations between COVID‐19‐related anxieties and parent's perception of the infant. The findings reveal the crucial contribution of gender, and both risk and resilience factors, to the parent's perception of the infant in the shadow of COVID‐19.

Depression and stress in Korean parents: A cohort study

AimThis study identified the level of depression and stress in couples experiencing pregnancy and childbirth. BackgroundMarried couples who experience pregnancy and delivery, deal with psychological changes during the parenthood transition. If they do not adapt well, they experience negative emotions that negatively affect them and their child. Therefore, the incidence and changing patterns of depression among couples need to be explored. MethodsUsing a prospective cohort study design, the researchers collected the couples' depression and stress levels 6 times. This study included 219 prenatal pregnant women, 181 spouses during pregnancy in the prenatal period, 178 postpartum mothers, and 125 spouses after childbirth. The levels of depression and stress were investigated using the Edinburgh Postnatal Depression Scale and Perceived Stress Scale. ResultsThe incidence rate of prenatal depression was 10.5– 21.5% in pregnant women and 10.5–12.7% in their spouses. After childbirth, the incidence rate of depression was 21.3– 32.0% in postpartum women and 6.4–10.4% in their spouses. The levels of depression and stress varied from the prenatal to the postpartum period, showing different patterns between women and their spouses. Significantly, the emotional patterns in the couples were different as far as parity was concerned. ConclusionsThe levels of depression and stress in couples continuously changed during the prenatal and postpartum periods and the patterns differed as well. Even couples who experience a healthy pregnancy and childbirth experience negative emotional changes. Therefore, timely nursing management will alleviate stress and depression not first-time by first-time parents.