Supporting fathers so they can support mothers before, during and after birth

The attendance of dads at the birth of their child had increased dramatically from: 5% in 1950’s 97% in 2000’s

How prepared do they feel for this life changing event? What choices do dads really have? What are fathers’ experiences of birth?

“I couldn’t cope with seeing her in pain”. (father and paediatrician) “Every man should see a baby being born and every child should respect her mother for what she has done for her.” (father from Ghana) We look different on the outside but when it comes to having a baby we are all the same.

“The father is the most neglected member of the family” (Bennett 1998) “No one ever asked me how I was” (father after traumatic birth) “Oh dad, why don’t you go and make us a cup of tea?” (community midwife)

Not woman centred care, but family centred care.

Top tips on how to meet men’s needs Value their presence and involvement Men set their own agenda Men only discussion groups Confidentiality Establish relevance of activities Challenge beliefs Practical parenting stations Reunion- men tell the birth stories Postnatal class Passion for birth

Active birth class Unique opportunity to practice positions for labour in a delivery suite before birth. “To cope with pain I need to walk” (thoughtful father) Birmingham results: epidural rates decreased from 60% - 12% Alternative positions trebled Leeds results: still collecting data but Caesarean rate decreased from 22% - 16%

How much time do you give to fathers? How can you support fathers so: 1.They feel valued and respected 2.They can support mothers before, during and after birth?