Introduction: Antenatal education (PNP) in France is a 7-session, one-hour education program delivered by midwives to all pregnant women who are volunteers. Spouses can participate, but in the majority of cases, the transmission of knowledge and skills is up to the mother. The existence of this “secondary” education has been demonstrated in the context of therapeutic patient education (TPE) under the name of “Halo effect”. We wished here to verify the existence of such an effect in the context of the PNP. Method: Pregnant women who participated in a PNP in 2021 and their spouses were given two separate questionnaires to be filled in during the maternity stay, following the birth of their child. The replies of mothers (m) and fathers (p) were compared. Results: 96 mothers (mean age: 31 years) and 93 fathers (mean age: 34 years) answered the questionnaires. 97% of mothers (m) declared having transmitted knowledge/skills to fathers (p), which 96% of them confirmed. For the fathers interviewed, this transmission allowed them to better understand obstetrical screening examinations (m = 78%; p = 80%), physical changes during pregnancy (m = 75%; p = 82%), the stress of becoming a parent (m = 74%; p = 81%), the choice of breastfeeding or bottle feeding (m = 78%; p = 85%) as well as changes in parental sleep with a newborn (m = 80%; p = 82%). This learning allowed fathers to provide significant help to the mother during delivery and birth (m = 83%; p = 93%), in the affective relationship with the baby (m = 86%; p = 89%) as well as in its daily management (m = 82%; p = 82%). Mothers and fathers expressed concordant opinions, with no statistically significant difference. Both wanted the father to participate in PNP, but only partially (m = 62%; p = 51%). Discussion and conclusion: Our study confirms that there is indeed a Halo effect. The mothers trained in the PNP in turn educated the father and earned for themselves useful help on a daily basis during the gestational period and, after, in the postpartum period. The Halo effect, which is characterized by a diffusion of knowledge and skills beyond the first beneficiaries of education, opens several research perspectives and must be taken into account in our reflection on the true purpose of health education programs.

Préparation à la naissance et à la parentalité : l’effet de Halo ou quand les femmes enceintes éduquées éduquent à leur tour leur conjoint.

Maria Grazia Albano;
2022-01-01

Abstract

Introduction: Antenatal education (PNP) in France is a 7-session, one-hour education program delivered by midwives to all pregnant women who are volunteers. Spouses can participate, but in the majority of cases, the transmission of knowledge and skills is up to the mother. The existence of this “secondary” education has been demonstrated in the context of therapeutic patient education (TPE) under the name of “Halo effect”. We wished here to verify the existence of such an effect in the context of the PNP. Method: Pregnant women who participated in a PNP in 2021 and their spouses were given two separate questionnaires to be filled in during the maternity stay, following the birth of their child. The replies of mothers (m) and fathers (p) were compared. Results: 96 mothers (mean age: 31 years) and 93 fathers (mean age: 34 years) answered the questionnaires. 97% of mothers (m) declared having transmitted knowledge/skills to fathers (p), which 96% of them confirmed. For the fathers interviewed, this transmission allowed them to better understand obstetrical screening examinations (m = 78%; p = 80%), physical changes during pregnancy (m = 75%; p = 82%), the stress of becoming a parent (m = 74%; p = 81%), the choice of breastfeeding or bottle feeding (m = 78%; p = 85%) as well as changes in parental sleep with a newborn (m = 80%; p = 82%). This learning allowed fathers to provide significant help to the mother during delivery and birth (m = 83%; p = 93%), in the affective relationship with the baby (m = 86%; p = 89%) as well as in its daily management (m = 82%; p = 82%). Mothers and fathers expressed concordant opinions, with no statistically significant difference. Both wanted the father to participate in PNP, but only partially (m = 62%; p = 51%). Discussion and conclusion: Our study confirms that there is indeed a Halo effect. The mothers trained in the PNP in turn educated the father and earned for themselves useful help on a daily basis during the gestational period and, after, in the postpartum period. The Halo effect, which is characterized by a diffusion of knowledge and skills beyond the first beneficiaries of education, opens several research perspectives and must be taken into account in our reflection on the true purpose of health education programs.
2022
Introduction : La préparation à la naissance et à la parentalité (PNP) est un programme de 7 séances d’une heure d’éducation réalisé par des sages-femmes à toutes les femmes enceintes qui le souhaitent. Les conjoints peuvent y participer, mais dans la majorité des cas, la transmission de connaissances et de compétences revient à la mère. L’existence de cette éducation « secondaire » a été démontrée dans le cadre de l’éducation thérapeutique (ETP) sous le nom d’« effet de Halo » Nous avons souhaité vérifier l’existence d’un tel effet dans le cadre de la PNP. Méthode : Des femmes enceintes ayant participé en 2021 à une PNP et leurs conjoints ont été soumis à deux questionnaires distincts à remplir durant le séjour à la maternité, suite à la naissance de leur enfant. Les réponses des mères (m) et des pères (p) ont été comparées. Résultats : 96 mères (âge moyen : 31 ans) et 93 pères (âge moyen : 34 ans) ont répondu aux questionnaires. 97 % des mères (m) déclarent avoir transmis des connaissances/compétences au pères (p), ce que confirment 96 % d’entre eux. Pour les pères interrogés, cette transmission leur a permis de mieux comprendre les examens de dépistage obstétricaux (m = 78 % ; p = 80 %), les modifications physiques au cours de la grossesse (m = 75 % ; p = 82 %), le stress à devenir parent (m = 74 % ; p = 81 %), le choix de l’allaitement ou du biberon (m = 78 % ; p = 85 %) ainsi que les changements du sommeil des parents avec un nouveau-né (m = 80 % ; p = 82 %). Cet apprentissage permet aux pères d’apporter une aide significative à la mère au moment de l’accouchement et de la naissance (m = 83 % ; p = 93 %), dans la relation affective avec le bébé (m = 86 % ; p = 89 %) ainsi que dans sa gestion quotidienne (m = 82 % ; p = 82 %). Mères et pères émettent des opinions concordantes, sans écart statistiquement significatif. Les deux souhaitent que le père participe à la PNP, mais en partie seulement (m = 62 % ; p = 51 %). Discussion et conclusion : Notre étude confirme qu’il existe bien un effet de Halo. Les mères formées à la PNP éduquent à leur tour le père et en retirent pour elles-mêmes une aide utile au quotidien durant la période gestationnelle puis au post-partum. L’effet de Halo, qui se caractérise par une diffusion de compétences au-delà des premiers bénéficiaires de l’éducation, ouvre plusieurs perspectives de recherche et doit être pris en compte dans notre réflexion sur la vraie portée des programmes éducatifs en santé.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11586/445340
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