Cited by 27Grief, Bereavement, and Mental HealthMaternal and Perinatal Health InterventionsMaternal Mental Health During Pregnancy and Postpartum

It’s a lot of pain you’ve got to hide”: A qualitative study of the journey of fathers facing traumatic pregnancy and childbirth

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Kothari, A., Bruxner, G., Callaway, L., Dulhunty, J. M.·2022·BMC Pregnancy and Childbirth

Abstract

BACKGROUND: This study aims to explore the emotional and behavioural responses and coping strategies of fathers or expectant fathers who faced a significant traumatic event during a partner's pregnancy, labour, or the postpartum period. METHODS: This prospective qualitative study of 24 fathers was conducted at a public teaching hospital in Brisbane, Australia. 'Traumatic pregnancy' was defined as a pregnancy complicated by life-threatening or severe risk to the mother and the fetus, termination of pregnancy, intrauterine fetal death or stillbirth. Semi-structured interviews of participants were conducted 3-4 months after the traumatic event. An initial qualitative analysis with automatic coding was performed using Leximancer and later followed by a six-phase manual thematic analysis. RESULTS: A pregnancy-related traumatic event had significant mental and physical impacts on fathers. Participants' reactions and coping strategies were varied and influenced by their background history, pre-existing vulnerabilities, and the gap between expectation and reality. Most fathers described a fluctuating state between their needs 'not being met' and 'being met'. These needs were conceptualised using Maslow's hierarchy and Calman's gap theory to construct a composite thematic model to depict the universal requirements of men facing a traumatic pregnancy or childbirth. CONCLUSIONS: A greater understanding of the needs of men and gaps in their care is urgently needed. A targeted effort is required to make maternity services father-inclusive. This approach may assist in preventing long term consequences on fathers, partners, and their children.

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  • Previous research has indicated fathers are underrepresented in the stillbirth literature, but may have different perspectives on their experiences than their partners.

    “Previous research has indicated fathers are underrepresented in the stillbirth literature, but may have different perspectives on their experiences than their partners [e.g., (38, 39)].”

    From Parent hospital experiences following stillbirth (2026) · cites this paper as [38]

    The Introduction says most perinatal research concerns women and that first-hand accounts from fathers are limited. The Discussion (‘Communication with partners, family and future pregnancy’; page unavailable) reports incongruent grieving and differing needs between partners. These passages support the general point, but the paper does not specifically establish that fathers are underrepresented in the stillbirth literature. (LLM, conf=0.84)

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Research works printed but not linked: 1

  1. [44]Smith A Automatic extraction of semantic networks from text using Leximancer. Companion Volume of the Proceedings of HLT-NAACL 2003-Demonstrations 2003

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Authors
Kothari, A., Bruxner, G., Callaway, L., & Dulhunty, J. M.
Affiliations
  • The University of Queensland (AU)
  • Metro North Hospital and Health Service (AU)
Corresponding author
Kothari, A.
Venue
BMC Pregnancy and Childbirth
Published
2022-05-24
Volume
22
Issue
1
Pages
434-434
ISSN
1471-2393 (ISSN-L)
OpenAlex
W4282940654
Cited by
27
References
72
Citations by year
2026: 6 · 2025: 9 · 2024: 7 · 2023: 4 · 2022: 1
FWCI
4.80
Type
journal article
Language
en
Open access
Locations
  • BMC Pregnancy and Childbirth (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords
fathers, expectant fathers, birth trauma, postpartum period, coping strategies, emotional responses, stillbirth, intrauterine fetal death, abortion, Maslow's hierarchy of needs, paternal mental health
MeSH terms
Child, Fathers, Female, Humans, Male, Pain, Pregnancy, Prospective Studies, Qualitative Research, Parturition, Delivery, Obstetric

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