Kothari Alka, Khuu Alvin, Dulhunty Joel, Bruxner George, Ballard Emma, Callaway Leonie
Department of Obstetrics and Gynaecology, Redcliffe Hospital, Redcliffe, Queensland, Australia.
Faculty of Medicine, The University of Queensland, St Lucia, Queensland, Australia.
Aust N Z J Obstet Gynaecol. 2023 Oct;63(5):689-695. doi: 10.1111/ajo.13692. Epub 2023 May 5.
There is limited information about fathers' views, intentions and needs leading up to childbirth.
This study explores the factors influencing fathers' intention to attend the birth, and the needs and supports required leading up to childbirth.
Cross-sectional survey of 203 prospective fathers attending antenatal appointments at an outer metropolitan public teaching hospital in Brisbane, Australia.
A total of 201/203 (99.0%) participants intended to attend the birth. The reported reasons included: responsibility (99.5%), protectiveness (99.0%), love for their partner (99.0%), the right thing to do (98.0%), desire to see the birth (98.0%), the perception that partners should attend (97.4%), duty (96.4%) and partner preference (91.4%). Some felt pressured by their partner (12.8%), society (10.8%), cultural expectations (9.6%) and family (9.1%), and 10.6% perceived adverse consequences for not attending. Most participants (94.6%) felt well supported, experienced good communication (72.4%), had the opportunity to ask questions (69.8%) and received an explanation of events (66.3%). They were less often supported by antenatal visits (46.7%) and by a plan for future visits (32.2%). Ten per cent of all fathers and 13.8% of experienced fathers requested better mental health support, and 9.0% prefer better clinician communication.
Most fathers intend to attend childbirth for personal and moral reasons; however, a small proportion feel pressured. Most fathers feel well supported, although potential improvements include planning for future visits, provision of information, mental health support, clinician communication, increased involvement in their partner's care, the opportunity to ask questions and more frequent clinic visits.
关于分娩前父亲的观点、意图和需求的信息有限。
本研究探讨影响父亲陪产意愿的因素，以及分娩前所需的需求和支持。
对澳大利亚布里斯班一家大都市外公立教学医院参加产前检查的203名准父亲进行横断面调查。
共有201/203（99.0%）的参与者打算陪产。报告的原因包括：责任感（99.5%）、保护欲（99.0%）、对伴侣的爱（99.0%）、认为这是正确的事（98.0%）、渴望见证分娩过程（98.0%）、认为伴侣应该有人陪产（97.4%）、义务感（96.4%）和伴侣的偏好（91.4%）。一些人感到来自伴侣（12.8%）、社会（10.8%）、文化期望（9.6%）和家庭（9.1%）的压力，10.6%的人认为不陪产会有不良后果。大多数参与者（94.6%）感到得到了充分支持，沟通良好（72.4%），有机会提问（69.8%）并得到了事件解释（66.3%）。他们较少通过产前检查（46.7%）和未来就诊计划（32.2%）获得支持。所有父亲中有10%，有经验的父亲中有13.8%要求获得更好的心理健康支持，9.0%的人希望临床医生沟通更好。
大多数父亲出于个人和道德原因打算陪产；然而，一小部分人感到有压力。大多数父亲感到得到了充分支持，尽管潜在的改进包括未来就诊计划、信息提供、心理健康支持、临床医生沟通、更多参与伴侣护理、提问机会和更频繁的门诊就诊。
