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Original Research

Open Access

Fatherhood during COVID-19: fathers' perspectives on pregnancy and prenatal care

  • Natalie S. Poulos1,*,
  • Mike Henson García2,†
  • Lindsay Bouchacourt3,†
  • Michael Mackert3,†
  • Dorothy J. Mandell1,†

1Department of Community Health, The University of Texas at Tyler, Tyler, TX 75708, USA

2Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston – Dallas Regional Campus, School of Public Health, Dallas, TX 75390, USA

3Stan Richards School of Advertising & Public Relations, The University of Texas at Austin, Austin, TX 78712, USA

DOI: 10.31083/jomh.2021.119 Vol.18,Issue 2,February 2022 pp.1-11

Submitted: 14 July 2021 Accepted: 20 August 2021

Published: 28 February 2022

*Corresponding Author(s): Natalie S. Poulos E-mail:

† These authors contributed equally.


Background and objective: In early 2020, the novel COVID-19 virus arrived in the United States and resulted in broad, sweeping changes to safety procedures within healthcare settings, including prenatal care settings. While implemented to protect both providers and patients, this protocol limited fathers' ability to attend prenatal care appointments. At this time, limited research has been published on the effects of COVID-19 healthcare protocols on fathers' experiences and perceptions of prenatal care and parenting. This study aimed to understand how COVID-19 affected expectant fathers and fathers with newborns perceptions and experiences during pregnancy, prenatal care, and early parenting.

Materials and methods: Structured interviews were completed with fathers expecting a child and fathers with children born after March 2020. Interviews were completed by video conference and recorded. Audio from each interview was transcribed. Content and thematic analysis was performed.

Results: In total, 34 fathers were interviewed. Three broad themes were identified from the data including changing prenatal care policies that did not consider fathers, unique stressors associated with COVID-19, and isolation's negative impact on connecting to the pregnancy and support. Fathers reported limited engagement with the prenatal care system due to pandemic-related organizational and systematic changes in healthcare delivery. Results also suggest that fathers experienced elevated feelings of both stress and isolation from the pregnancy and prenatal care.

Conclusions: Ultimately, this study highlights the need for providers and organizations to develop strategies for transforming prenatal healthcare delivery into inclusive, family centered care during emergency situations, as well as use this opportunity to build family centered care into normal prenatal care operations.


Fatherhood; COVID-19; Pregnancy; Parenting; Qualitative research

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Natalie S. Poulos,Mike Henson García,Lindsay Bouchacourt,Michael Mackert,Dorothy J. Mandell. Fatherhood during COVID-19: fathers' perspectives on pregnancy and prenatal care. Journal of Men's Health. 2022. 18(2);1-11.


[1] Martin LT, McNamara MJ, Milot AS, Halle T, Hair EC. The effects of father involvement during pregnancy on receipt of prenatal care and maternal smoking. Maternal and Child Health Journal. 2007; 11: 595–602.

[2] Yargawa J, Leonardi-Bee J. Male involvement and maternal health out-comes: systematic review and meta-analysis. Journal of Epidemiology and Community Health. 2015; 69: 604–612.

[3] Walsh TB, Tolman RM, Davis RN, Palladino CL, Romero VC, Singh V. Moving Up the “Magic Moment”: Fathers’ Experience of Pre-natal Ultrasound. Fathering: A Journal of Theory, Research, and Practice about Men as Fathers. 2014; 12: 18–37.

[4] Lee SJ, Sanchez DT, Grogan-Kaylor A, Lee JY, Albuja A. Father Early Engagement Behaviors and Infant Low Birth Weight. Maternal and Child Health Journal. 2018; 22: 1407–1417.

[5] Lee JY, Knauer HA, Lee SJ, MacEachern MP, Garfield CF. Father-Inclusive Perinatal Parent Education Programs: a Systematic Review. Pediatrics. 2018; 142: e20180437.

[6] Lista G, Bresesti I. Fatherhood during the COVID-19 pandemic: an unexpected turnaround. Early Human Development. 2020; 144: 105048.

[7] Recto P, Lesser J. Young Hispanic fathers during COVID‐19: Balanc-ing parenthood, finding strength, and maintaining hope. Public Health Nursing. 2021; 38: 367–373.

[8] Vasilevski V, Sweet L, Bradfield Z, Wilson AN, Hauck Y, Kuliukas L, et al. Receiving maternity care during the COVID-19 pandemic: Experiences of women’s partners and support persons. Women and Birth. 2021. (in press)

[9] Lambregtse-van den Berg M, Quinlivan J. Understanding psycholog-ical wellbeing in pregnant women in and outside COVID-19 and the importance of including fathers. Journal of Psychosomatic Obstetrics & Gynecology. 2021; 42: 89–90.

[10] Ajzen I. The theory of planned behavior. Organizational Behavior and Human Decision Processes. 1991; 50: 179–211.

[11] Bylund CL, Peterson EB, Cameron KA. A practitioner’s guide to interpersonal communication theory: an overview and exploration of selected theories. Patient Education and Counseling. 2012; 87: 261–267.

[12] Rev. Convert Audio & Video to Text. 2021. Available at: (Accessed: 27 August 2021).

[13] NVIVO 12. QSR International. 2020. Available at: https: // (Accessed: 27 August 2021).

[14] Kim H, Sefcik JS, Bradway C. Characteristics of Qualitative Descriptive Studies: a Systematic Review. Research in Nursing & Health. 2017; 40: 23–42.

[15] Colorafi KJ, Evans B. Qualitative Descriptive Methods in Health Science Research. HERD. 2016; 9: 16–25.

[16] Hsieh H, Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005; 15: 1277–1288.

[17] Sandelowski M. Whatever happened to qualitative description?Research in Nursing & Health. 2000; 23: 334–340.

[18] Elo S, Kyngäs H. The qualitative content analysis process. Journal of Advanced Nursing. 2008; 62: 107–115.

[19] May C, Fletcher R. Preparing fathers for the transition to parenthood: recommendations for the content of antenatal education. Midwifery. 2013; 29: 474–478.

[20] Panter-Brick C, Burgess A, Eggerman M, McAllister F, Pruett K, Leckman JF. Practitioner review: Engaging fathers–recommendations for a game change in parenting interventions based on a systematic review of the global evidence. Journal of Child Psychology and Psychiatry, and Allied Disciplines. 2014; 55: 1187–1212.

[21] Baldwin S, Malone M, Sandall J, Bick D. Mental health and wellbeing during the transition to fatherhood: a systematic review of first time fathers’ experiences. JBI Database of Systematic Reviews and Implementation Reports. 2018; 16: 2118–2191.

[22] Paulson JF, Bazemore SD. Prenatal and Postpartum Depression in Fathers and its Association with Maternal Depression. Journal of the American Medical Association. 2010; 303: 1961–1969.

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