Happy father holds his laughing baby in his arms and touches his  forehead.

Scientific Article

Fathers-to-be at the Midwife Centre

Regina Zsivkovits


An interview with Regina Zsivkovits, Midwife & Managing Director of the HEBAMMENZENTRUM Midwife Centre in Vienna (AT) about her experience of working with fathers, conducted by Johanna Tiroch, Medical Science Liaison Manager at MAM Babyartikel GmbH.

Expert Interview

I am delighted to have the opportunity to interview you, Regina Zsivkovits, about your project for new fathers at the Vienna Midwife Centre (AT).

Regina: Thank you very much for giving me the chance to tell you about our project for new fathers.

What is the idea behind the project for fathers?

Regina: The main idea behind the Midwife Centre project for fathers is that it takes account of the different needs of men and women, who ultimately both want the same thing - to find joy as they go through the processes of pregnancy, birth and bringing up a child.

That sounds very exciting. What is the aim of your project for fathers?

Regina: Our project for fathers aims to prepare men for childbirth emotionally, which will support them to remain calm and composed when the seemingly impossible happens, and a healthy baby emerges from their partner's vagina. The project also highlights the importance of keeping fathers well-informed during the process. So, as midwives, we are here to support everyone present during the birth – something which has always been part of our work.

The Midwife Centre is deliberately addressing men more and more. Is that because you want to be supportive as the gender roles for men and women are changing?

Regina: Yes, you're right about that. Gender roles in society are constantly changing, which affects new fathers, too. They want to express their emotions, like the mother and show their caring side during such a moving life event.

 Do men's needs within the partnership change in some way with the birth of their own child?

Regina: Yes, the birth of a child brings out even more strongly their need to play an active role, to share responsibility for this new life, their child, and to support their partner.

What do you see as the role of you midwives in this? How does your project help fathers-to-be?

Regina: We make it our job to ensure that the men who take part in our project really understand how deeply they will be affected, as they never have been before. Not least, this emotional awareness will make it easier for them to understand their feelings for their child.

That sounds like a job that calls for a lot of empathy. Continuing to think about the emotional side, a birth is, quite apart from what’s happening physiologically, a highly emotional event for all concerned. Can you tell us what kind of emotions fathers usually experience?

Regina: Yes, it's very emotional and a great achievement for the woman. The emotions include being reduced to tears of wonder at their child, and sheer joy that they are alive. But, mixed in with the joyful emotions, there are also fears.

Why should there be any fears? And how do midwives address them?

Regina: The fears arise from being so affected by it all, and also from men's overwhelming feeling of helplessness and uncertainty about how to deal with their partner's pain and the powerful experience of the birth. If it were their own bodies, men would be able to do something about it.

Are you able to relieve these anxieties for parents in advance?

Regina: Yes, we try to explain it all and address their fears, because otherwise they remain there in the background, unspoken. That's one of the reasons for our project for fathers.

Yes, staying with the fathers, what motivates fathers to attend your talk on "Becoming a Father"?

Regina: There are many different reasons. Some fathers want to be well prepared for the birth and the changes in the woman, while others are encouraged to come by their partner. But in one respect they are almost all the same: at the start of the session they are very tense, but after a few minutes, during which the midwife giving the talk has to prove her technical expertise and demonstrate how calm she will remain, the atmosphere starts to ease.

 And what happens next?

Regina: The fathers-to-be listen willingly, because they often need support and are looking for it. Becoming a father affects every part of their being and helps them to grow as people. They also need to accept responsibility, not only during the birth but in day-to-day life with their newborn. Fathers want to take on this role and build a relationship with their child.

What are fathers particularly concerned about?

Regina: All kinds of things including:

  • Where will the child sleep?
  • How can I massage my partner?
  • Why are we going to all these classes?
  • Everything is focused on the birth – my partner is asking me to make sure that every aspect of the birth happens as we want it to (will I manage that?).
  • How long should we stay at home for?
  • She wants us to read all the books and plan everything, but that's just not possible.
  • Parental leave for fathers
  • How exactly to look after the woman who has just given birth.
  • Planning to receive visitors.
  • How can there be so many extra things to do on account of having a baby?

Those are very wide-ranging topics. Are there also subjects that they don't ask about but you midwives address anyway?

Regina: Yes, there are, mainly concerning sex during pregnancy and after the birth, because there's often uncertainty about that. Also about watching the birth, worries about seeing blood. And the question of whether they really want to be there. And then how can fathers best cope with the challenges of day-to-day life with a baby?

That all sounds great. Your project for fathers covers a wide range of topics that affect a couple's relationship during the pregnancy and birth, and the transition into their new roles as parents. Have you already seen the impact of your project?

Regina: It has all kinds of effects, especially on the relationship and their mutual understanding. Women often tell us that their partner is completely different after it.

What is the most important thing for you about the Midwife Centre’s project for fathers?

Regina: That the birth of a child becomes a joint concern, something that affects both the pregnant woman AND the father-to-be. Midwives' efforts to help mothers and children, and fathers and children, to come closer to one another are also a reflection of the changes that need to come about in society. We are always there to offer advice and support.

What else would you like to tell us in conclusion?

Regina: Here at the Midwife Centre, we strive for equality between men and women. We hope that our project for fathers makes a big contribution towards that.

Services for fathers at the Midwife Centre

  • Antenatal classes focusing on fathers
  • Monthly talks for fathers, since 2004
  • Workshop on the postpartum period
  • 2:1 – Fathers learn how to do a baby massage, while mothers attend a postnatal exercise class
  • Meet-ups for fathers and babies
  • One-to-one advice for fathers from a midwife
  • One-to-one advice for fathers from a fathers' counsellor


Regina Zsivkovits

Midwife

Regina Zsivkovits (58) is a midwife who has been helping new parents since 1987, becoming an independent midwife in 1989. She is fascinated by the body's ability to change and by the mental and emotional states that women pass through before, during and after giving birth. Her services include giving advice on the Mother-Child Health Passport scheme in Austria, supporting home births and providing follow-up care.

Contact:

Hebammenzentrum, 1170 Vienna

Useful books:

1 Berhard Gitschtaler, Papa werden! (Becoming a dad!)

2 Steinhardt, Datler, Gstach (Pub.), Die Bedeutung des Vaters in der frühen Kindheit (The role of the father in early childhood)

3 Egon Garstick, Junge Väter in seelischen Krisen (Young fathers in mental crises)

4 Information for parents no. 20, Väter (Fathers), Elwin Staude Verlag