Effect of Education on the Awareness of Primigravida Couples toward Infant Care

Document Type: Original Article


1 MSc of Midwifery, North Khorasan University of Medical Sciences, Faculty of Nursing and Midwifery, Bojnurd, Iran

2 Evidence-Based Care Research Center, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

3 Student research committee, school of nursing and midwifery, Isfahan university of medical sciences, Isfahan, Iran


Background: Infancy is one of the most critical stages of life, which requires parents to have adequate knowledge in order to provide careful nursing, attention and care for newborns. Given the importance of infant health, it is essential to teach proper child care techniques and principles to primigravida parents. This study aimed to evaluate the effect of education on the awareness of primigravida couples toward infant care.
Methods: This clinical trial was conducted on 50 couples in the healthcare centers affiliated to Mashhad University of Medical Sciences, Mashhad, Iran. Study tools were researcher-made questionnaires, and data analysis was performed in SPSS version 16 using analysis of variance (ANOVA).
Results: In this study, poor awareness of infant care was observed in the couples before training, which improved to moderate awareness after the educational sessions. Moreover, mean score of parental awareness significantly increased in mothers (P=0.005) and fathers (P=0.05) after the training.
Conclusion: According to the results of this study, educational intervention could promote parental awareness in primigravida couples. Therefore, application of this method could help parents to provide nursing care for their newborns.


  1. Min S. The Effect of musical activities programs on parenting efficacy and resilience of mothers with preschool children. Indian J Sci Technol. 2015; 8(S7):650-6.
  2. 2.     del Carmen Huerta M, Adema W, Baxter J, Han WJ, Lausten M, Lee R, et al. Fathers' Leave, Fathers' Involvement and Child Development. OECD Soc. 2013; 11:1-67.
  3. Hockenberry MJ, Wilson D, Wong DL. Wong's essentials of pediatric nursing. 9th ed. New York: Elsevier Health Sciences; 2012.
  4. Lifer G. Textbook of maternal and child health. Trans: Shoghi M, Sanjari M. 1st ed. Tehran: Salemi Publication; 2008 (Persian).
  5. Bang KS. Preschooler’s temperament, behavior problems and mother’s childrearing burden. Korean Parent Child Health J. 2006; 9(1):55–61.
  6. Beger D, Cook CA. Postpartum teaching priorities: the viewpoints of nurses and mothers. J Obstet Gynecol Neonatal Nurs. 1998; 27(2):161-8.
  7. Fonseca LM, Scochi CG, Rocha SM, Leite AM. Educational guideline for the maternal orientation concerning the care with preterm infants. Rev Lat Am Enfermagen. 2004; 12(1):65-75.
  8. Solmeyer AR, Feinberg ME. Mother and father adjustment during early parenthood: the roles of infant temperament and coparenting relationship quality. Infant Behav Dev. 2011; 34(4):504-14.
  9. Gaunt R. The role of value priorities in paternal and maternal involvement in child care. J Marriage Fam. 2005; 67(3):643-55.
10. Zvara BJ, Schoppe‐Sullivan SJ, Dush CK. Fathers' involvement in child health care: associations with prenatal involvement, parents' beliefs, and maternal gatekeeping. Fam Relat. 2013; 62(4):649-61.

11. World Health Organization. Millennium development goals and sexual and reproductive health. Geneva: World Health Organization; 2009.

12. Ramezanzadeh F, Shariat M. Reproductive Health: textbook of public health. 3nd ed. Tehran: Arjmand; 2012. P. 1687 (Persian).

13. Gaertner BM, Spinrad TL, Eisenberg N, Greving KA. Parental childrearing attitudes as correlates of father involvement during infancy. J Marriage Fam. 2007; 69(4):962-76.

14. Redshaw M, Henderson J. Fathers’ engagement in pregnancy and childbirth: evidence from a national survey. BMC Pregnancy Childbirth. 2013; 13(1):70.

15. Allen SM, Daly KJ. The effects of father involvement: an updated research summary of the evidence. Guelph, Canada: Centre for Families, Work & Well Being, University of Guelph; 2007.

16. Sears W. Father’s role in Child rearing and care. Trans: Sharafi S. Tehran: Saberin; 2013. P. 16 (Persian).

17. Safavi MT. Principles of patient education. According to topic finale of Supreme Council for planning. 1st ed. Tehran: Salemi; 2005. P. 36.

18. Noghaby Asadi AA. Learning process and principles of patient education. 1st ed. Tehran, Iran: Boshra-Tohfeh Publications; 2004. P. 30 (Persian).

19. Doherty WJ, Erickson MF, LaRossa R. An intervention to increase father involvement and skills with infants during the transition to parenthood. J Fam Psychol. 2006; 20(3):438-47.

20. Panter-Brick C, Burgess A, Eggerman M, McAllister F, Pruett K, Leckman JF. Practitioner review: engaging fathers--recommendations for a game change in parenting interventions based on a systematic review of the global evidence. J Child Psychol Psychiatry. 2014; 55(11):1187-212.

21. Gholizade S, Neysari R, Mohadesi H. The assessment of mother knowledge of infant care in first days in private and educational hospitals. Nurs Midwifery J. 2011; 5(22):5-10 (Persian).

22. Mirgafoorvand M, Mohammadalizadeh SC. Infant care knowledge of primiparas urban mothers in hospitals of Tabriz. J Urmia Univ Med Sci. 2005; 11(4):234-42.

23. Barclay L, Lupton D. The experiences of new fatherhood: a socio-cultural analysis. J Adv Nurs. 1999; 29(4):1013-20.

24. Evans JM, Harrison M, Benzies K, Gierl M, Kimak C. Effects of parenting education on first-time fathers' skills in interactions with their infants. Fathering. 2007; 5(1):42-7.

25. Anderson AM. Factors influencing the father-infant relationship. J Fam Nurs. 1996; 2(3):306-24.

26. Kermani RM, Zoljalali SH, Azari A, Kouhpayezadeh J. The role of training workshops of newborn cares in promotion of mothers' knowledge. Iran J Pediatr. 2007; 17(1):41-6.

27. Jarosz K, Krawczyk A, Wielgoś M, Przyboś A, Oknińska A, Szymusik I, et al. Assessment of mother’s knowledge about breastfeeding. Ginekol Pol. 2004; 75(1):26-34.

28. Sword W, Watt S. Learning needs of postpartum women: dose socioeconomic status matter? Birth. 2005; 32(2):86-92.