Introduction and Objectives: It is assumed that paternal-fetal attachment behaviors affect the level of anxiety of the pregnant mother. Therefore, this study conducted to compare the effect of training face-to-face attachment behaviors and training package on the paternal-fetal attachment and anxiety of primipara mothers.Materials and Methods: This randomized controlled trial was conducted on 120 couples (primipara women and their husbands) who were in 18 to 32 weeks of pregnancy. The questionnaires used in this study were a questionnaire of Cranley's paternal-fetus attachment and Spielberger anxiety.Results: The results showed that in all three groups, the mean of attachment score after intervention was significantly higher than before intervention. Also, the mean of changes in face to face group increased more than the group of control and training package and was statistically significant (p <0.001).
Also, there was a significant difference in the mean score of anxiety of mothers after intervention. Mean scores showed that in the face-to-face group after intervention, the anxiety score was reduced 7.82, in the training package group, 4.02 units, while in the control group, anxiety score was increased 6.62 unites, and the Tukey test showed the difference significantly between the control group and the other two groups (p <0.001).Conclusion: Considering that training face-to-face attachment behaviors and training package was effective on the paternal-fetal attachment and the anxiety of primipara mothers, face-to-face training had a more effect on the paternal-fetal attachment and the anxiety of mothers. It can be concluded that training paternal-fetal attachment improves maternal mental health and reduces their anxiety.
