{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T23:58:35Z","timestamp":1781135915046,"version":"3.54.1"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The emotional bond between parents and their fetus is critical for parenting\n                        during pregnancy and after birth. Parental knowledge and experiences can\n                        influence this bond. Online breastfeeding education may provide\n                        informational and psychological support that could contribute to parental\n                        bonding.<\/jats:p>\n                  <jats:p>To evaluate the effect of online breastfeeding education for primiparous\n                        women and their partners on prenatal maternal bonding and paternal antenatal\n                        bonding.<\/jats:p>\n                  <jats:p>This randomized controlled study was conducted online via Google Meet between\n                        January 1 and April 1, 2025. The sample included 101 primiparous pregnant\n                        women (experimental: 52; control: 49) and their partners. Participants were\n                        recruited using snowball sampling and completed the Personal Information\n                        Form, Prenatal Attachment Scale, and Paternal Antenatal Attachment Scale\n                        before and after the intervention.<\/jats:p>\n                  <jats:p>Post-intervention, prenatal attachment scores were higher in the experimental\n                        group than the control group (p&lt;0.05), but within-group pre\u2013post changes\n                        were not significant. Differences were observed in curiosity, excitement,\n                        and hope subdimensions (p&lt;0.05). Fathers showed slight increases in\n                        antenatal attachment scores, with no significant changes within or between\n                        groups (p&gt;0.05).<\/jats:p>\n                  <jats:p>Online breastfeeding education did not significantly improve prenatal\n                        attachment within the intervention group or paternal antenatal bonding.\n                        Post-test maternal attachment was higher in the experimental group, but the\n                        overall effect on parent-fetus bonding was limited. Targeted, theory-based\n                        educational interventions are needed to strengthen prenatal bonding,\n                        especially for fathers. Future studies with larger samples and longer\n                        follow-up are recommended to evaluate sustained effects.<\/jats:p>","DOI":"10.1055\/a-2792-3398","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:46:18Z","timestamp":1770684378000},"page":"237-250","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of Breastfeed\u0131ng Education Provided to Primiparous Parents\n                    on Prenatal and Paternal Bonding: A Randomized Controlled Trial"],"prefix":"10.1055","volume":"230","clinical-trial-number":[{"clinical-trial-number":"nct07154459","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5484-2233","authenticated-orcid":false,"given":"Gizem","family":"\u00c7\u0131tak","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Faculty of Health Sciences,\n                    Tokat Gaziosmanpasa University, Tokat, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1171-111X","authenticated-orcid":false,"given":"Nazile","family":"Alkan","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Istanbul Basaksehir Cam and Sakura City\n                    Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,2,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1111\/jmwh.12139","article-title":"Do\u011fum sonras\u0131 d\u00f6nemde kad\u0131nlar\u0131n ihtiya\u00e7lar\u0131n\u0131 anlamak ve kar\u015f\u0131lamak: Perinatal\n                    Anne Sa\u011fl\u0131\u011f\u0131 Geli\u015ftirme Modeli","volume":"58","author":"J O Fahey","year":"2013","journal-title":"J Ebelik Kad\u0131n Sa\u011fl\u0131\u011f\u0131"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"61","DOI":"10.48071\/sbuhemsirelik.896841","article-title":"Determination of fathers\u2019 paternal adaptation levels and associated factors","volume":"3","author":"G K\u00fc\u011fc\u00fcmen","year":"2021","journal-title":"SB\u00dc J Nurs"},{"key":"ref3","first-page":"1","article-title":"Anxiety and prenatal attachment in primiparous pregnant women: Effects of the\n                    COVID-19 pandemic","volume":"9","author":"\u00dc Alka\u00e7","year":"2023","journal-title":"J Womens Health Nurs"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"482","DOI":"10.1016\/j.wombi.2016.04.005.","article-title":"Prenatal attachment and its association with foetal movement during pregnancy \u2013\n                    A population based survey","volume":"29","author":"M C Malm","year":"2016","journal-title":"Women Birth"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"102592","DOI":"10.1016\/j.midw.2019.102592","article-title":"The association between breastfeeding and attachment: A systematic review","volume":"81","author":"K Linde","year":"2020","journal-title":"Midwifery"},{"key":"ref6","first-page":"780","article-title":"Fathers\u2019 education in breastfeeding support: A systematic review of randomized\n                    controlled trials","volume":"6","author":"G H Boyraz","year":"2023","journal-title":"Ordu Univ J Nurs Stud"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"185","DOI":"10.53424\/balikesirsbd.105905190","article-title":"The impact of breastfeeding education for fathers on their knowledge levels,\n                    mothers\u2019 breastfeeding self-efficacy, and breastfeeding attitudes","volume":"12","author":"E \u00d6zkan","year":"2023","journal-title":"Bal\u0131kesir Univ J Health Sci"},{"key":"ref8","first-page":"63","article-title":"The effect of natural and synthetic oxytocin on postpartum breastfeeding success\n                    and bonding","volume":"9","author":"N \u00d6z\u00e7alkap","year":"2024","journal-title":"Samsun J Health Sci"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1111\/phn.12712","article-title":"The effect of delivering nursing care via web-based programs on maternal\n                    self-efficacy and infant health","volume":"37","author":"C Sar\u0131","year":"2021","journal-title":"Public Health Nurs"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"175","DOI":"10.3758\/BF03193146","article-title":"G*Power 3: A flexible statistical power analysis program for the social,\n                    behavioral, and biomedical sciences","volume":"39","author":"F Faul","year":"2007","journal-title":"Behav Res Methods"},{"key":"ref11","volume-title":"Essentials of Nursing Research: Appraising Evidence For Nursing Practice. 9th\n                    ed","author":"D F Polit","year":"2017"},{"key":"ref12","first-page":"137","article-title":"The impact of fear of childbirth on prenatal attachment and identification of\n                    influencing factors","volume":"7","author":"A G\u00fcrol","year":"2020","journal-title":"Arch Health Sci Res"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"104","DOI":"10.5336\/healthsci.2021.82961","article-title":"The effect of pre-pregnancy body mass index on prenatal attachment and anxiety\n                    levels: A descriptive and correlational study","volume":"7","author":"M Aral\u0131","year":"2022","journal-title":"Turk Clin J Health Sci"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"670","DOI":"10.21763\/tjfmpc.1097177","article-title":"\u00dc\u00e7\u00fcnc\u00fc Trimesterdeki Y\u00fcksek Riskli Gebelerde Evlilik Uyumu ve Prenatal Ba\u011flanma\n                    Aras\u0131ndaki \u0130li\u015fkinin Belirlenmesi","volume":"16","author":"H Ataman","year":"2022","journal-title":"Turk J Fam Med Prim Care"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"24","DOI":"10.5505\/kjms.2020.35002","article-title":"Prenatal attachment levels and influencing factors among pregnant women living\n                    in \u0130stanbul and Kars","volume":"10","author":"\u00d6 Karabulutlu","year":"2020","journal-title":"Kafkas J Med Sci"},{"key":"ref16","first-page":"132","article-title":"Evaluation of factors affecting prenatal attachment in primiparous and\n                    multiparous women","volume":"6","author":"D Potur","year":"2020","journal-title":"J Acad Res Nurs"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"482","DOI":"10.1016\/j.wombi.2016.04.005","article-title":"Prenatal attachment and its association with fetal movement during pregnancy: A\n                    population-based survey","volume":"29","author":"M C Malm","year":"2016","journal-title":"Women 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Sch"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"e70002","DOI":"10.1111\/jjns.70002","article-title":"\u201cLet my father listen to my heart sounds too\": Attachment in fathers who\n                    perform Leopold maneuvers and listen to fetal heart sounds, and its relation to\n                    maternal attachment and partner relationships","volume":"22","author":"E Karata\u015f Okyay","year":"2025","journal-title":"Jpn J Nurs Sci"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1186\/s12884-024-06469-0","article-title":"The effect of prenatal imaging on prenatal attachment in uncomplicated\n                    pregnancies: A mixed methods analysis","volume":"24","author":"E Skelton","year":"2024","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"482","DOI":"10.1007\/s10597-017-0103-1","article-title":"The effect of lifestyle-based education on fathers\u2019 anxiety and depression\n   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effect of self-evaluation of fetal movement and position tracking on\n                    prenatal attachment and distress","volume":"42","author":"A Badem","year":"2022","journal-title":"J Reprod Infant Psychol"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"85","DOI":"10.16948\/zktipb.321210","article-title":"The effect of birth preparation education on prenatal attachment and\n                    depression","volume":"49","author":"Y Aydin Kartal","year":"2018","journal-title":"Zeynep Kamil Medical Bulletin"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1016\/j.jad.2025.02.030","article-title":"The effects of the Mindfulness-Based Childbirth and Parenting Program (MBCP) on\n                    prenatal attachment, depression, stress, and anxiety in pregnant women: A\n                    randomized controlled trial","volume":"376","author":"E F\u0131nd\u0131k","year":"2025","journal-title":"J Affect Disord"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1080\/03630242.2024.2440453","article-title":"Effects of Turkish fathers\u2019 gender role attitudes, marital adjustment, and\n                    maternal attachment on prenatal paternal attachment during the third\n                    trimester","volume":"65","author":"C Ercevik","year":"2024","journal-title":"Women Health"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"681","DOI":"10.1080\/02646838.2024.2324042","article-title":"The effect of fathers\u2019 participation in birth on paternal attachment and\n                    perceptions of parental role: A randomized controlled trial","volume":"43","author":"B Uncu","year":"2024","journal-title":"J Reprod Infant Psychol"}],"container-title":["Zeitschrift f\u00fcr Geburtshilfe und Neonatologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2792-3398.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T23:29:09Z","timestamp":1781134149000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2792-3398"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,9]]},"references-count":33,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2026,6,5]]},"published-print":{"date-parts":[[2026,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2792-3398","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0948-2393","1439-1651"],"issn-type":[{"value":"0948-2393","type":"print"},{"value":"1439-1651","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,9]]}}}