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Midwifery. 2021 Nov 16;105:103199. doi: 10.1016/j.midw.2021.103199. Epub 2021 Nov 16.

Family life starts at home: Fathers' experiences of a newly implemented Swedish home-based postnatal care model - an interview study.

Midwifery

Margareta Johansson, Petra Östlund, Cecilia Holmqvist, Michael B Wells

Affiliations

  1. Department of Women's and Children's Health, Uppsala University, Akademiska Sjukhuset, Uppsala SE-751 85, Sweden. Electronic address: [email protected].
  2. Post Graduate Diploma in Specialist Nursing - Emergency Care, Department of Obstetrics and Gynaecology, Degree of Master of Science in Nursing & RM, Akademiska sjukhuset, Uppsala SE-751 85, Sweden. Electronic address: [email protected].
  3. Cecilia Holmqvist RN RM, Akademiska sjukhuset, BB 95E, Uppsala SE- 751 85, Sweden. Electronic address: [email protected].
  4. Department of Women's and Children's Health, Karolinska Institutet, Stockholm SE-171 77, Sweden. Electronic address: [email protected].

PMID: 34856438 DOI: 10.1016/j.midw.2021.103199

Abstract

OBJECTIVE: To explore and describe fathers' experiences of a newly implemented Swedish home-based postnatal care model.

DESIGN: A descriptive cross-sectional qualitative study was conducted as a part of a larger study.

SETTING: Families who qualified to be discharged early were offered to participate in a postnatal home-based model of midwifery care by a hospital in Stockholm, Sweden.

PARTICIPANTS AND MEASUREMENTS: In total, 16 fathers participated in a semi-structured telephone interview, averaging 43 min. Data were analyzed using systematic text condensation.

FINDINGS: Three major themes emerged: To decide on home- or hospital-based postnatal care - a matter of safety, To be offered professional midwifery postnatal support at home, and To be at home helped fathers to navigate parenthood. Fathers appreciated the home-based postnatal care and felt safe because of the received professional support from midwives.

KEY CONCLUSIONS: Home-based postnatal care was valued by fathers whose partner had a non-complicated vaginal birth because they felt safe in their home environment and supported by midwives. The home environment aided fathers in supporting their partners and developing a father-infant bond.

IMPLICATIONS FOR PRACTICE: Home-based postnatal care was valued by fathers and should be considered an option for new families. To offer home-based postnatal care may result in less overcrowded postnatal wards. Midwives need to enable fathers' participation and support their parental role regardless of where the care takes place.

Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Keywords: Childbirth; Experiences; Fathers; Home-based care; Midwives; Postnatal care

Conflict of interest statement

Declaration of Competing Interest Non conflict of interest to report.

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