Low-cost self-paced interventions increase birth satisfaction in first time fathers
Anne M Howarth1, Nicola R Swain1
1Dunedin School of Medicine, Department of Psychological Medicine, Dunedin, New Zealand.
Summary
Simple interventions like skills training or birth stories significantly improved fathers' birth satisfaction. Preparation and managed expectations are key for new fathers' positive birth experiences.
Area of Science:
- Reproductive Health
- Psychology
- Sociology
Background:
- Paternal involvement in childbirth is increasingly recognized.
- Fathers' experiences and satisfaction during childbirth are under-researched.
- Understanding factors influencing paternal birth satisfaction is crucial for supportive care.
Purpose of the Study:
- To evaluate the effectiveness of two low-cost interventions (skills preparation and birth stories) for fathers.
- To determine if these interventions improve fathers' birth satisfaction.
- To identify factors associated with paternal birth satisfaction.
Main Methods:
- 174 men were randomized into skills, birth stories, or treatment as usual groups.
- 116 men completed post-birth questionnaires (67% retention).
- The Mackey Childbirth Satisfaction Rating Scale measured primary outcomes.
Main Results:
- Both skills and birth stories interventions led to significantly higher paternal birth satisfaction.
- Negative impacts on satisfaction included partner induction, C-section, and father's non-full-time employment.
- Positive impacts included partner epidural, family satisfaction, useful antenatal classes, and met birth expectations.
Conclusions:
- Enhancing fathers' understanding, role expectations, and preparation positively impacts birth satisfaction.
- Managing expectations around childbirth and self-perception is vital.
- Simple, low-cost interventions can effectively boost satisfaction for new fathers.
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