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Phcred presentation

  1. 1. How do men in Australia feel after labour and birth?<br />Pam Harnden<br />Honorary Research Fellow<br />Melbourne University<br />
  2. 2. Background<br />
  3. 3. Continuous SupportCochrane [1]<br /><ul><li>Likely to have shorter labour
  4. 4. More likely to have spontaneous vaginal birth
  5. 5. Less likely to have analgesia
  6. 6. Less dissatisfied with birth</li></ul>Subgroup Analysis<br /><ul><li>Greater benefit when continuous support NOT provided by hospital staff
  7. 7. When it begins in early labour
  8. 8. In settings where epidural is not readily available</li></li></ul><li>Labour begins<br />In the home<br />Encouraged to stay in home environment as long as possible<br />
  9. 9. Which means men are:<br />
  10. 10. Apgar Score for dads<br />
  11. 11. Interpret the score [2]<br />Score of 7 to 9<br />Score of 4 to 6<br />Score of 10<br />Score of 1 to 3<br />Will talk favorably about you at parties donate money to charity in your name<br />Still thinks your okay but will complain you didn’t get the water jug<br />Needs tactile stimulation and facial O2<br />DICEY! Resus with IV coca cola, valium & smelling salts<br />
  12. 12. Are men unsure of their role?<br />Once they are in an alien environment<br />“You need to give men tasks to complete and to keep them busy”- Male Midwife Manager<br />
  13. 13. Evidence of roles [3]<br />2. 2.<br />3. <br />
  14. 14. Fathers Hinder [4]<br />Difficult to accept their partners are in pain<br />
  15. 15. Increase Domestic Violence [5]<br />Increase in stress<br />Changing social status<br />
  16. 16. Feelings of neglect [6]<br />Focus of professionals on partner’s labour and birth<br />Changing identity<br />Changing relationship<br />Future role as father<br />
  17. 17. Post Traumatic Stress [7]<br />No PTSD<br />But less permitted to acknowledge personal distress<br />Adjustment & anxiety rather than trauma<br />
  18. 18. Men suffer postnatal depression<br />UK survey in 2006 found that most of the men suffering ‘postnatal depression’ had found witnessing the birth ‘off putting’<br />Rates of postnatal depression in men<br /><ul><li>4% nationwide
  19. 19. 10% Londoners</li></li></ul><li>Masculinization of childbirth [8]<br />Interrupts the production of oxytocin and inhibits labour<br />Men increase stress hormone in women leading to fetal distress and increase in interventions during labour <br />Increase caesarean section rate<br />
  20. 20. Benefits<br />STRONGER BOND [9] <br />
  21. 21. GREATER SENSE OF<br /> BELONGING [10]<br />
  22. 22. Enhances relationship<br /> between the<br />Parents [11]<br />
  23. 23. Offer emotional &<br />Psychological support<br />To women<br />during labour & birth [12]<br />
  24. 24. Improved outcomes<br />3rd world countries<br />Key in improving maternal<br />Mortality & morbidity<br />
  25. 25. Recently, research has been focusing on the effect of men in the labour room on the mother and the progress of labour. There have been no studies in the last 10 years in Australia which have explored men experiences of labour and birth and if they suffer any negative emotional effects.<br />
  26. 26. Aim<br />This study aims to investigate the experiences of men who labour and birth in Australia along with their partners experiences of men as their support person.<br />Ethics will be applied for through Melbourne University<br />
  27. 27. Objectives<br />To investigate:<br />if they want to be in the labour room<br />if they are emotionally harmed<br />if they felt useful<br />if men in Australia have differing roles<br />how the women feel about them being present<br />The womens perceptions of their partners role during labour and birth<br />
  28. 28. Methodology <br />Retrospective mixed method questionnaire study created online for participants to fill in.<br />Separate questionnaires will be created for men and women to complete. <br />Participants will be invited to rate their feelings on a likert scale in response to a series of statements<br />Also open ended questions for them to respond to<br />
  29. 29. Recruitment<br />Snowballing effect through social media<br />Posters in the local community<br />
  30. 30. Analysis<br /> Quantitative Data will be analyzed using the SPSS (Statistical package for Social Science)<br />
  31. 31. References<br />HodnettED, Gates S, Hofmeyr GJ, Sakala C. Continuous support for women during childbirth (Review). The Cochrane database of Systematic Reviews. 2009(3).<br />Bennett HJ. Apgar scores for dads. BMJ. 1998 Dec 19-26;317(7174):1712.<br />Chapman L. Searching: expectant fathers' experiences during labor and birth. J Perinat Neonatal Nurs. 1991 Mar;4(4):21-9.<br /> Liukkonen, A. and Vehvilainen-Julkunen, K. (1997) Fathers’ Childbirth Experience and Nursing Interventions. Hoitotiede, 9, 118􏰀126.<br />Dudley, M., Roy, K., Kelk, N., & Bernard, D. (2001). Psychological correlates of depression in fathers and mothers in the first postnatal year. Journal of Reproductive and Infant Psychology, 19(3), 187–202.<br />Feldman, S.S., & Nash, S.C. (1984). The transition from expectancy to parenthood: Impact of the firstborn child on men and women. Sex Roles, 11(1/2), 61–78.<br />Bradley R, Slade P, Leviston A. Low rates of PTSD in men attending childbirth: a preliminary study. Br J Clin Psychol. 2008 Sep;47(Pt 3):295-302.<br /> <br /> <br />