Father involvement in childbirth

Abstract

Introduction: Recent initiatives have promoted the participation of fathers in the early care of their children. 

Objective: To assess the results of a program to encourage parental involvement in childbirth. Parents of healthy term newborns were randomly allocated to participate either in the birth experience or control. 

Patients and Methods: The protocol included: to dry the skin, umbilical cord cutting off, weight, height, and finally give him/her to the mother for the skin-to-skin contact. Heart rate (HR), respiratory (RR) and temperature were evaluated one hour later. In the first outpatient clinic assessment, mothers completed a questionnaire. 127 fathers participated either in the birth experience or control. 

Results: 62 followed the protocol and 65 the control. Both newborn groups were comparable. Also were fathers in age, education and rurality; mothers in primiparity. Significant differences: night care (37/62, 10/65 59.6% vs 15.4%, p < 0.01); post prandial assistance (50/62, 14/65 80.6% vs 21.5%, p < 0.01); participation in bathing (38/62, 61.3% vs 15/65, 23.1%, p < 0.01); newborn visit upon arrival at home (46/62, 74.2% vs 22/65, 33.8%, p < 0.01); helping in crying episodes (42/62, 67.7% vs 17/65, 26.1%, p < 0.01). There was stability in HR, RR and temperature one hour postpartum. Only one case of complication among parents (fainting). 

Conclusions: There were more cases of early care behaviors among participating fathers at birth, even belonging to a discouraging socio cultural environment.