Master of Science / School of Family Studies and Human Services / Melinda S. Markham / Childbirth has an effect on an individual and family. In Western culture, the presence of fathers is expected at labor and birth. The role fathers play during pregnancy, labor and birth, and postpartum is ambiguous. Paternal and infant attachment are developed during this transition to parenthood. There are many choices and unexpected outcomes but through childbirth education, individuals and families can be empowered to have a satisfying experience, ultimately setting the family up for success. Military individuals and families have unique and often challenging obstacles when it comes to participation in childbirth. Utilizing education developed to address concerns military individuals and families might face can lead to an empowering and satisfying experience, and help family bonds during a deployment. A module was created to bridge the gap in childbirth education, specifically for military families facing deployment. The module was developed to supplement existing childbirth education curriculum and is divided into three subsections: pregnancy, labor and birth, and postpartum.

The purpose of this study was to explore the use of video-mediated communication (VMC) to support couples separated during classic Satogaeri Bunben. Satogaeri Bunben refers to the Japanese tradition when a pregnant woman leaves her own home to return to her parents' home during the prenatal period, while her husband often stays behind in the couple's house. When a couple geographically live apart during Satogaeri Bunben, it may decrease father-infant attachment and the negatively impact the marital relationship. VMC was selected as the supportive intervention for couples choosing Satogaeri Bunben in this study because: 1) it provides additional visual cues, which are particularly important because Japanese communication is highly contextual and often more nonverbal than verbal, 2) the addition of visual cues allow husbands the opportunity to see their infant, because they cannot talk, and 3) Japan has one of the best broadband systems worldwide. The specific aims were to explore VMC during Satogaeri Bunben in relation to father-infant attachment and the marital relationship and to describe VMC experiences of Japanese couples separated during Satogaeri Bunben. A comparative case study design with a mixed methods approach to data collection and analysis was used. The specific mixed methods approach used was a [QUAL + quan] triangulation-convergence model. For the qualitative data, the primary source of data was the Participant Diary. The primary sources of quantitative data included three instruments: 1) Taiji Kanjyo Hyotei Syakudo (TKHS), 2) Intimate Bond Measure (IBM), and 3) Primary Communication Inventory (PCI). The PCI was translated into Japanese for this study using a committee approach. Four couples were participated in this study. Data collection for each couple took approximately two to three month to complete. Qualitative data analysis divided the couples in two groups: 1) the engaged group, who were very attentive each other's feelings and 2) the detached group, who were inattentive. The PCI scores further supported the existence of two groups. However, the TKHS and IBM scores were mixed. The limitations included a small sample size and lack of variability in sample characteristics, and short time frame. This study was also the first time to use a newly translated PCI in Japanese. This study successfully explored the use of VMC to support couples choosing Satogaeri Bunben focusing on decreasing the impact of the separation of the couple and later the separation of the husband from his new infant. The qualitative and quantitative findings provided a first glimpse into four couples' feelings and VMC experiences during Satogaeri Bunben, especially in relation to father-infant attachment and the marital relationship. The use of VMC provided ongoing virtual, rather than physical co-presence, which may help couple's communication and relationship during their separation, as they transitioned to parenthood.