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

Midwifery. 2022 Feb:105:103199. doi: 10.1016/j.midw.2021.103199. Epub 2021 Nov 16.

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.

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

MeSH terms

  • Cross-Sectional Studies
  • Fathers*
  • Female
  • Home Environment
  • Humans
  • Male
  • Postnatal Care*
  • Pregnancy
  • Qualitative Research
  • Sweden