Key message:A paradigm shift is required in MCH services, from a focus on women to a broader family perspective with the focus firmly on men friendly initiatives to promote healthier concepts of fatherhood within families.
Introduction"Unexpressed emotions will never die. They are buried alive and will come forth later in uglier ways."-Sigmund FreudThe mental health of men during their partner's pregnancy remains a neglected area of research and one that is not adequately addressed during the transition to prospective fatherhood in maternal child health care. The prenatal period for first time expectant fathers has been considered as a time of crisis brought about by emotional, psychological and social stress.1 This could be because men undergo psychological reorganization during this time and aiming to adhere to a father image based on close involvement with the family, child care-an image for which they never inherited a role model never.
1,2For many men prenatal period can be a time of heightened risk for mental health and emotional responses.3 During this period, men gradually realize the lifestyle changes they are facing and however, the fact that they cannot experience the physical aspect of pregnancy allows them to delay the identity transformation process. [1][2][3][4] The main difficulties they encounter during this time are linked to diminished independence. Moreover, they are forced by the events to learn a new approach to life, so as to deal with a new sense of feeling powerlessof not having control over the situation and to accept that they are entering a new phase of their lives. 1,3-5 The conflicting mental states produced by these components are frequently expressed through moodiness, irritability 3,4 anxiety frustration and a negative perception of self.
4,5The current fatherhood culture has begun redefining the father role once viewed exclusively in terms of breadwinner and disciplinarian, to one of fathers also being involved in the care of children of all ages. 3,5 The transition for the woman to motherhood is more clearly structured and sign posted than for man to fatherhood and support services are structured around the needs of woman rather those of man.3-5 Genesoni who investigated men's psychological transition to fatherhood from pregnancy of the partner suggest that men may feel they actually need help and support from their partner during pregnancy 1 to successfully negotiate the changes in their life style and relationship in the move towards fatherhood. Their friends, relatives and health professionals may unwittingly increase their sense of isolation, feelings of loss or helplessness when they focus on the mother.
AbstractContext: First time expectant fathers need mental health resources just as much as new expectant mothers as paternal prenatal mental health has an impact on maternal and child outcome.
Aim:To explore the prevalence of pregnancy blues among first time expectant fathers.
Settings and design:Purposive sampling was used to recruit first time expectant fathers during ...