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Health SA Gesondheid (Online)

versão On-line ISSN 2071-9736
versão impressa ISSN 1025-9848

Health SA Gesondheid (Online) vol.17 no.1 Cape Town  2012




The expectations of fathers concerning care provided by midwives to the mothers during labour



Malmsey L.M. SenganeI; Anna G.W. NolteII

INursing Science Department, University of Limpopo (Medunsa Campus), South Africa
IIDepartment of Health Sciences, University of Johannesburg, South Africa





Midwives have been criticised for neglecting the expectations and needs of fathers. They either ignore the fathers or pressure them into becoming more involved than they would choose, if allowed to provide support to the mothers during labour. Whilst midwives are providing woman-centred care, it is important that they remember to involve the fathers in decision-making and to acknowledge their role, expectations and needs, because the birth of a child is one of the most important events in a person's lifetime. This study focused on fathers' expectations of the care provided to mothers by the midwives during labour. A qualitative, explorative, descriptive and contextual study design was utilised. In-depth qualitative interviews were conducted with fathers about the care provided to their partners or wives by midwives. Data were then analysed with an open descriptive method of coding that is appropriate for qualitative research. The results of the interviews were subsequently positioned within a holistic health-promotive nursing theory that encompassed body, mind and spirit. The results revealed that fathers saw the provision of comfort and support as the two main aspects for mothers in labour that they expected from midwives. The findings were that midwives should improve their communication skills with the mothers, as well as with the fathers if they are available. Fathers expected midwives to encourage them to accompany the mother during labour and to facilitate bonding between father, mother and baby. The results of this study should assist midwives to provide holistic quality care to mothers and fathers during labour.


Vroedvroue word daarvan beskuldig dat hulle nie voldoen aan die verwagtinge en behoeftes van die vaders nie. Vaders word, óf deur hulle geïgnoreer, óf druk word op hulle uitgeoefen om meer betrokke te raak as waarmee hulle gemaklik is, indien hulle wel toegelaat word om moeders te ondersteun tydens die kraamproses. Vroedvroue verskaf moeder-gesentreerde sorg, maar dit is nogtans belangrik dat hulle onthou om die vaders te betrek in die besluitneming en hulle rol, verwagtinge en behoeftes te erken omdat die geboorte van 'n kind een van die belangrikste gebeurtenisse in hulle lewens is. Die studie het gefokus op vaders se verwagtinge van die sorg wat verskaf word aan moeders tydens kraam. 'n Kwalitatiewe, eksploratiewe, beskrywende en kontekstuele navorsingsontwerp is gebruik. Data is ingesamel deur in-diepte onderhoude met vaders te voer oor die sorg wat aan hul vroue of metgeselle tydens die kraamproses verskaf word deur vroedvroue. Data is daarna geanaliseer deur 'n oop beskrywende metode te gebruik wat toepaslik is vir kwalitatiewe navorsing. Die resultate van die onderhoude is vervolgens geposisioneer binne 'n holistiese, gesondheids-bevorderende teorie wat verwys na liggaam, psige en gees. Die resultate toon dat gemak en ondersteuning die twee hoofkategorieë is wat verskaf moet word deur vroedvroue aan moeders tydens die kraamproses. Die ander kategorieë wat aangedui word in die resultate, is dat vroedvroue hulle onderlinge kommunikasievaardighede moet verbeter, asook hul kommunikasie met die moeders en vaders indien laasgenoemde beskikbaar is. Die vaders het van vroedvroue verwag om hulle aan te moedig om moeders by te staan tydens die kraamproses en om binding tussen vader, moeder en baba aan te moedig.



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Adams, E. & Bianchi, A., 2008, 'A practical guide to labour support', Journal of Obstetrics, Gynecologic and Neonatal Nursing 37(1), 106-115., PMid:15784503        [ Links ]

Allen, R., 2006, The Penguine Complete English dictionary, 5th edn., Penguin Books, London.         [ Links ]

Arnold, E. & Boggs, K.U., 2003, Interpersonal relationships: Professional communication skills for nurses, 4th edn., Saunders, St Louis.         [ Links ]

Bäckström, C. & Wahn, E.H., 2009, 'Support during labour: First-time fathers' descriptions of requested and received support during the birth of their child', Midwifery 27, 67-73. PMid:19783334        [ Links ]

Blackshaw, T., 2003, Fathers in childbirth in the social context of birth, C. Squire edn., Radcliffe Medical Books, Oxford.         [ Links ]

Bothamley, J., 1990, 'Are fathers getting a fair deal?', Nursing Times 86, 68-69.         [ Links ]

Burns, N. & Grove, S., 2007, The practice of nursing research, 3rd edn., Saunders, St Louis.         [ Links ]

Ceronio, C., 1992, Where pregnancy ended in The experience of parents where pregnancy ended in an unplanned Caesarean section, Unpublished Magister Curationis in Midwifery and Neonatal Nursing Degree Dissertation, Rand Afrikaans University (University of Johannesburg), Johannesburg.         [ Links ]

Chan, K.K.L. & Paterson-Brown, S., 2002, 'How do fathers feel after accompanying their partners in labour and delivery?', Journal of Obstetrics and Gynecology 22(1), 11-15.        [ Links ]

Chandler, S. & Field, P.A., 1997, 'Becoming a father: first time fathers' experience of labour and delivery', Journal of Nurse-Midwifery 42, 17-24.        [ Links ]

Christiaens, W. & Bracke, P. 2007, 'Assessment of social psychological determinants of satisfaction with childbirth in a cross-national perspective', BMC Pregnancy and Childbirth 7(26), 1-12.        [ Links ]

Creswell, J.W., 2003, Research design: Qualitative approaches, 2nd edn., Sage, Thousand Oaks, Calif.         [ Links ]

Creswell, J.W., 2009, Research design: Qualitative, quantitative, and mixed methods approaches, 3rd edn., Sage, Thousand Oaks, Calif.         [ Links ]

Dellmann, T., 2004, '"The best moment of my life" a literature review of fathers' experience of childbirth', Australian Midwifery Journal 17(3), 20-26.        [ Links ]

Department of Public Service and Administration, 1997, The White Paper On Transforming Public Service Delivery (Batho Pele White Paper), Republic of South Africa, Government Gazette, vol. 388, Pretoria.         [ Links ]

De Vos, A.S., Strydom, H., Fouché, C.B. & Delport, C.S.L., 2007, Research at grassroots for the social sciences and human services professions, 2nd edn., Van Schaik, Pretoria.         [ Links ]

Draper, J., 1997, 'Whose welfare in the labour room? A discussion of the increasing trend of fathers' birth attendance', Midwifery 13, 132-138.        [ Links ]

Draper, J., 2002, '"It's the first scientific evidence": Men's experience of pregnancy confirmation', Journal of Advanced Nursing 39, 563-570., PMid:12207754        [ Links ]

Draper, J., 2003, 'Men's passage to fatherhood; an analysis of the contemporary relevance of transition theory', Nursing Inquiry 10, 66-78., PMid:12622806        [ Links ]

Erlandsson, K. & Lindgren, H., 2009, 'From belonging to belonging through a blessed moment of love for a child: The birth of a child from the father's perspective', Journal of Medical Health 6(4), 338-344.         [ Links ]

Halldorsdottir, S. & Karlsdottir, S.I., 1996, 'Journeying through labour and delivery: Perceptions of women who have given birth', Midwifery 12, 48-61.        [ Links ]

Hildingsson, I., Cederlöf, L. & Widén, S., 2010, 'Fathers' birth experience in relation to midwifery care', Women and Birth 173, 1-8.         [ Links ]

Hill, A.D.W., 1961, 'Fathers at delivery', Letter in the British Medical Journal 1, 430., PMCid:1953295        [ Links ]

International Confederation of Midwives Council Meeting, 2005, Definition of the midwife, 19 July, Brisbane, Australia.         [ Links ]

Johnson, J. Y. & Boyd-Davis, E., 2003, Pillitteri's maternal and child health nursing: Care of the childbearing and childrearing family, 4th edn., Lippincott, Williams, & Wilkins, New York.         [ Links ]

Littleton, L.Y. & Engebretson J.C., 2005, Maternity Nursing, 7th edn., Churchill, Livingstone, Elsevier.         [ Links ]

Longworth, H.L. & Kingdon, C.K., 2011, 'Fathers in the birth room: What are they expecting and experiencing? A phenomenological study', Midwifery 27(5), 588-594.         [ Links ]

Lothian, J.A., 2008, 'Promoting, protecting, and supporting normal birth: A look at the evidence', Journal of Obstetrics, Gynecologic & Neonatal Nursing 37(1), 94-105., PMid:15784503        [ Links ]

Lowdermilk, D.L. & Perry, S.E., 2006, Maternity nursing, 8th edn., Churchill, Livingstone, Elsevier.         [ Links ]

Lundgren, I., 2005, 'Swedish women's experience of childbirth two years after birth', Midwifery Journal 21, 346-354., PMid:16024149        [ Links ]

Morison, S., Percival, P., Hauck, Y. & McMurray, A., 1999, 'Birthing at home: The resolution of expectations', Midwifery 15, 32-39.        [ Links ]

Nicholls, L. & Webb, C., 2006, 'What makes a good midwife?: An integrative review of methodologically diverse research', Journal of Advanced Nursing 56(4)., PMid:17042821        [ Links ]

Olin, R.M. & Faxelid, E., 2003, 'Parents' need to talk about their experiences of childbirth', Scandinavian Journal of Caring Sciences 17, 153-159., PMid:12753516        [ Links ]

Plantin, L., Olukoya, A.A. & Ny, P., 2011, 'Positive health outcomes of fathers' involvement in pregnancy and childbirth paternal support: a scope study literature review', Fathering 1(1), 1-27.         [ Links ]

Polit, D.F., & Beck, C.T., 2008, Essentials of research methods: Appraisal and utilization, 5th edn., Lippincott, William and Williams, New York.         [ Links ]

Premberg, A., Carlsson, G., Hellström, A. & Berg, M., 2010, 'First-time fathers' experiences of childbirth: A phenomenological study', Midwifery, 16 October, viewed 02 August 2011, from        [ Links ]

Premberg, A., & Lundgren, I., 2006, 'Fathers' experiences of childbirth education', Journal of Perinatal Education 15(2), 21-28., PMCid:1595296        [ Links ]

Reed, R., 1996, 'Birthing fathers', Mothering 78, 50-55.         [ Links ]

Romano, A.M. & Lothian, J.A., 2008, 'Promoting, protecting, and supporting normal birth: A look at the evidence', Journal of Obstetrics, Gynecologic & Neonatal Nursing 37(1), 94-105., PMid:15784503        [ Links ]

Rosen, P., 2004, 'Supporting women in labour: Analysis of different types of caregivers', Journal of Midwifery & Women's Health 49, 24-31.        [ Links ]

Sapountzi-Krepia, D., Lavdaniti, M., Dimitriadou, A., Psychogiou, M., Sgantzos, M., He, H. et al., 2010, 'Fathers' feelings and experiences related to their wife/partner's delivery in Northern Greece', The Open Nursing Journal 4, 48-54. PMid:21347210, PMCid:3043266        [ Links ]

Saptoka, S., Kobayashi, T. & Takase, M., 2011, 'Husbands' experiences of supporting their wives during childbirth in Nepal', British Journal of Midwifery 19(7), 426-432.         [ Links ]

Sengane, M.L.M., 2001, 'Guidelines for operationalising caring during labour', Unpublished Doctoral Curationis in Midwifery and Neonatal Nursing Degree Thesis, Rand Afrikaans University (University of Johannesburg), Johannesburg.         [ Links ]

Somers-Smith, M.J., 1999, 'A place for the partner? Expectations and experiences of support during childbirth', Midwifery 15, 108-110.         [ Links ]

Swiatkowska-Freund, M., Kawiak, D., & Preis, K., 2007, 'Advantages of fathers' assistance at the delivery', Ginekologia Polska 78(6), 476-478. PMid:17899705        [ Links ]

Terre Blanche, M.T. & Durrheim, K., 2004, Research in practice. Applied methods for the Social Sciences, University of Cape Town Press, Cape Town.         [ Links ]

University of Johannesburg (formerly RAU), Department of Nursing Science Paradigm, 2000, Theory for Health Promotion in Nursing, University of Johannesburg, Johannesburg.         [ Links ]

Vehviläinen-Julkunen, K. & Liukkonen, A., 1998, 'Fathers' experiences of childbirth', Midwifery 14, 10-17. PMid:9633372        [ Links ]

White, G., 2007, 'You cope by breaking down in private: Fathers and post traumatic stress disorder (PTSD) following childbirth', British Journal of Midwifery 15, 39-45.         [ Links ]

Yardley, K., 2009, 'The role of fathers during labour and birth', The Plymouth Student Journal of Health and Social Work 1, 30-40.         [ Links ]



Sengane Malmsey
Box 142
Medunsa, 0204
South Africa

Received: 11 Dec. 2009
Accepted: 01 Dec. 2011
Published: 06 Apr. 2012

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