Tuesday 29 October 2019

Dads and labour




Preparing Dad for the labour ward
When I trained to become a midwife in the mid-’70s, dads-to-be walked up and down in the corridors or smoked in the waiting room while everything happened behind closed doors in the delivery room. Once mom had recovered and was spruced up and the baby had been bathed and swaddled into a bassinette in the nursery, Dad was given a peek at his offspring through a big glass nursery window and then allowed to give his wife a bunch of flowers. It was all very formal.

Luckily this had all changed by the time I had my first baby, and because I knew what to expect, I could talk my man through what was going to happen next. A few years later when I started giving pre-natal classes, I realised that it was just as important to prepare men for the labour room as it is to prepare women.

I can’t claim to be the instigator of educating couples. This had all started in the early 1940s when Dr Grantly Dick-Read published his book “Childbirth without fear” stressing that childbirth is natural and that pain is minimised when fear is taken away. This research was followed by the French obstetrician, Dr Ferdinand Lamaze and American obstetrician, Dr Robert Bradley. Only then, with much negotiating and the support of midwives and parents, maternity units opened their doors to men who now play ‘doula’ during the first stage, help his woman to focus during the birth and share the joy in the first ‘magic hour’ together. Some private midwife-run facilities go so far as to provide a double-bed for couples in their own private suite where they do everything for themselves with midwives on standby should they need help.

The move towards women choosing to start a family when she is older, escalating fertility treatments plus doctor’s fear of litigation when there are (even minor) complications has meant more c-sections (especially private health care). This also means that women (and their doctors) don’t feel the need for physical preparation before the birth – just as long as she knows how to cope with major abdominal surgery after the birth.

Where does this leave Dad? To be honest – pregnancy, babies and birth belong in the women’s department. Men learn to cope with pregnancy-related outbursts and emotional melt-downs, but when it’s ‘crunch time’ ie time to go to the hospital, reality hits them between the eyes like a punch ball. They’re not quite sure where to look or what to say or do. While some feel like obscure spectator’s, others jabber on with the nervous conversation or get in the way with cameras and video equipment. A few simply pass out. But they all feel drained and exhausted afterwards, wondering what just happened, how their lives have changed and what they can do to cope.

Top tips for dads:
  • Join in with prenatal classes where there is an opening for dads
  • Go with your partner to the doctor/midwife as often as you can – or at least for the first visit, the first scan, the hospital ‘tour’ and her last few appointments when she really needs your support, and you have the opportunity to ask questions
  • Read that parenting and baby magazines she conveniently leaves lying around
  • Work on baby’s room together and talk about how you are feeling
  • Talk to seasoned dads – and learn from their mistakes.

Like the picture? I found it on “100 powerful photos of dads in the delivery room to celebrate Father’s Day”. Open the website for more.