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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2017

Open Access 01-12-2017 | Research article

“Nothing’s actually happened to me.”: the experiences of fathers who found childbirth traumatic

Authors: Jody Etheridge, Pauline Slade

Published in: BMC Pregnancy and Childbirth | Issue 1/2017

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Abstract

Background

Given the limited research into men’s experiences of being present at childbirth this study explored the experiences of fathers who found childbirth traumatic. The aim of the research was to investigate how men coped with these experiences; the impact on their lives; and their views on what may have helped to reduce distress.

Methods

Participants were recruited via websites relating to birth trauma and parenthood. A consent and screening questionnaire was used to ensure that participants met the inclusion criteria of: being resident in the UK; being 16 years or older; having been present at the birth and answering yes to the question “At some point during the childbirth I experienced feelings of intense fear, helplessness or horror”. Semi-structured telephone interviews were completed with 11 fathers who reported finding childbirth traumatic. Participants also completed the Impact of Event Scale as a measure of trauma symptoms. Template Analysis was used to analyse the interview data.

Results

Childbirth was experienced as “a rollercoaster of emotion” because of the speed and unexpectedness of events. Men described fears of death, mirroring their partner’s distress; trying ‘to keep it together’ and helplessly watching a catastrophe unfold. Fathers felt themselves abandoned by staff with a lack of information. Men were subsequently distressed and preoccupied with the birth events but tended to feel that their responses were unjustified and tried to cope through avoidance. Men described the need for support but reluctance to receive it.

Conclusions

Fathers may experience extreme distress as a result of childbirth which is exacerbated by aspects of current maternity care. Maternity services need to be aware of the potential impacts of fathers’ attendance at childbirth and attend to fathers’, as well as mothers’, emotional responses.
Literature
1.
2.
3.
Parfitt YM, Ayers S. The effect of post-natal symptoms of post-traumatic stress and depression on the couple's relationship and parent-baby bond. J Reprod Infant Psychol. 2009;27:127–42.CrossRef
4.
5.
Alcorn KL, O'Donovan A, Patrick JC, Creedy D, Devilly GJ. A prospective longitudinal study of the prevalence of post-traumatic stress disorder resulting from childbirth events. Psychol Med. 2010;40:1849–59.CrossRefPubMed
6.
Ayers S, Joseph S, McKenzie-McHarg K, Slade P, Wijma K. Post-traumatic stress disorder following childbirth: current issues and recommendations for future research. J Psychosom Obstet Gynaecol. 2008;29:240–50. doi:10.​1080/​0167482080203463​1.CrossRefPubMed
7.
8.
Ayers S, Wright DB, Wells N. Brief report: symptoms of post-traumatic stress disorder in couples after birth: association with the couple’s relationship and parent-baby bond. J Reprod Infant Psychol. 2007;25:40–50.CrossRef
9.
Bradley R, Slade P, Leviston A. Low rates of PTSD in men attending childbirth: A preliminary study. Br J Clin Psychol. 2008;47:295–302.CrossRefPubMed
10.
11.
Garthus-Niegel S, Von Soest T, Vollrath ME, Eberhard-Gran M. The impact of subjective birth experiences on post-traumatic stress symptoms: A longitudinal study. Arch Women's Ment Health. 2013;16:1–10.CrossRef
12.
13.
Iles J, Slade P, Spiby H. Posttraumatic stress symptoms and postpartum depression in couples after childbirth: The role of partner support and attachment. J Anxiety Disord. 2011;25:520–30.CrossRefPubMed
14.
Kunjappy-Clifton A. And father came too… A study exploring the role of first time fathers during the birth process and to explore the meaning of the experience for these men: Part two. MIDIRS Midwifery Dig. 2008;18:57–66.
15.
Premberg A, Carlsson G, Hellstrom A, Berg M. First-time fathers' experiences of childbirth-A phenomenological study. Midwifery. 2011;27:848–53.CrossRefPubMed
16.
Nicholls K, Ayers S. Childbirth-related post-traumatic stress disorder in couples: a qualitative study. Br J Health Psychol. 2007;21:491–509.CrossRef
17.
White G. You cope by breaking down in private: fathers and PTSD following childbirth. Br J Midwifery. 2007;15:39–45.CrossRef
18.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: Author; 2000. text rev.
19.
Horowitz MJ, Wilner NN, Alvarez WW. Impact of events scale: A measure of subjective stress. Psychosom Med. 1979;41:209–18.CrossRefPubMed
20.
Sundin EC, Horowitz MJ. Impact of Event Scale: Psychometric properties. Br J Psychiatry. 2002;180:205–9.CrossRefPubMed
21.
King N. Using templates in the thematic analysis of texts. In: Cassell C, Symon G, editors. Essential guide to qualitative methods in organizational research. London: Sage; 2004. p. 256–70.CrossRef
22.
Brewin C. Systematic review of screening instruments for adults at risk of PTSD. J Trauma Stress. 2005;18:53–62.CrossRefPubMed
23.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: Author; 2013.CrossRef
24.
Lazarus R, Folkman S. Stress, appraisal and coping. New York: Springer; 1984.
25.
Lazarus RS. Patterns of adjustment. 3rd ed. Tokyo: McGraw-Hill Kogakusha Ltd; 1976.
26.
27.
Olde E, van der Hart O, Kleber RJ, van Son MM, Wijnen HA, Pop VM. Peritraumatic dissociation and emotions as predictors of PTSD symptoms following childbirth. J Trauma Dissociation. 2005;6:125–42. doi:10.​1300/​J229v06n03_​06.CrossRefPubMed
28.
Bäckström C, Hertfelt Wahn E. Support during labour: First-time fathers’ descriptions of requested and received support during the birth of their child. Midwifery. 2011;27:67–73.CrossRefPubMed
29.
Chandler S, Field PA. Becoming a father - first-time fathers' experience of labor and delivery. J Nurse Midwifery. 1997;42:17–24.CrossRefPubMed
30.
Longworth HL, Kingdon CK. Fathers in the birth room: What are they expecting and experiencing? A phenomenological study. Midwifery. 2011;27:588–94.PubMed
31.
Koppel GT, Kaiser D. Fathers at the end of their rope: A brief report on fathers abandoned in the perinatal situation. J Reprod Infant Psychol. 2001;19:249–51.CrossRef
32.
Pleck JH. The gender role strain paradigm: An update. In: Levant RF, Pollack WS, editors. A new psychology of men. New York: Basic Books; 1995. p. 11–32.
33.
34.
Ehlers A, Clark DM. A cognitive model of posttraumatic stress disorder. Behav Res Ther. 2000;38:319–45.CrossRefPubMed
35.
Aune I, Dahlbery U, Ingebrigtsen O. Parents’ experiences of midwifery students providing continuity of care. Midwifery. 2012;28:372–8.PubMed
36.
Dahlberg U, Aune I. The woman’s birth experience—the effect of interpersonal relationships and continuity of care. Midwifery. 2013;29:407–15.CrossRefPubMed
37.
Johansson M, Hildingsson I, Fenwick J. Fathers want to stay close to their partner and new baby in the early postnatal period: The importance of being able to room in after a surgical birth. Sex Reprod Healthc. 2013;4:35–6.CrossRefPubMed
38.
39.
Odent M. The masculinisation of the birth environment. J Prenat Perinat Psychol Health. 2009;23:185-91.
Metadata
Title
“Nothing’s actually happened to me.”: the experiences of fathers who found childbirth traumatic
Authors
Jody Etheridge
Pauline Slade
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2017
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-017-1259-y

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