The Effect of Kangaroo Care on Paternal Attachment: A Randomized Controlled Study
Fatma Yildirim1, Nuriye Büyükkayaci Duman, Ebru Şahin
1Department of Obstetrics and Gynecology Nursing, Faculty of Health Sciences, Hitit University, Çorum, Turkey (Drs Yildirim and Duman); Department of Obstetrics and Gynecology Nursing, Faculty of Health Sciences, Ordu University, Ordu, Turkey (Dr Şahin); and Yüksek I˙htisas University, Faculty of Health Sciences, Obstetrics and Gynecology Department, Ankara, Turkey (Dr Vural).
Kangaroo care (KC) significantly enhances paternal attachment, boosting fathers' patience, pleasure, and pride in interacting with their infants. This skin-to-skin contact method is recommended for improving father-infant bonding.
Area of Science:
- Neonatal care and developmental psychology.
- Paternal-infant bonding and attachment.
- Evidence-based parenting interventions.
Background:
- Father-infant skin-to-skin contact is crucial for early interaction.
- Limited research exists on the impact of kangaroo care (KC) on paternal attachment.
- Understanding paternal roles in infant development is essential.
Purpose of the Study:
- To evaluate the effect of kangaroo care (KC) on paternal attachment.
- To provide empirical evidence for KC as a tool to strengthen father-infant bonds.
Main Methods:
- Randomized controlled trial involving 90 fathers of healthy newborns.
- Intervention group received KC; control group did not.
- Father-Infant Attachment Scale (FIAS) administered at 3 months; statistical analyses included T test, Mann-Whitney U, and Kruskal-Wallis tests.
Main Results:
- Fathers in the KC group showed significantly higher overall FIAS scores (80.57 ± 13.70) compared to the control group (56.76 ± 13.23).
- KC intervention led to higher scores in subdimensions: patience and tolerance (13.70 ± 1.18 vs. 11.57 ± 2.30), pleasure in interaction (29.50 ± 2.86 vs. 17.13 ± 5.93), and love and pride (37.37 ± 2.85 vs. 28.06 ± 5.82).
- All differences between groups were statistically significant (P < .05).
Conclusions:
- Kangaroo care (KC) is an effective intervention for increasing paternal attachment.
- Healthcare providers should educate fathers on KC during discharge to promote father-infant bonding.
- Further research with larger, diverse samples is needed to explore factors influencing paternal attachment and refine evidence-based practices.
Related Concept Videos
Parental Care
Attachment
Theory of Romantic Attachment in Adulthood


