UCSF

Background: Causes of preterm birth (PTB) in the United States are not only influenced by maternal factors such as diabetes, but also social factors including ethnicity and socioeconomic status. In California, 9.6% of all live births are preterm, with rates disproportionately affecting women of color. The impact of paternal factors on birth outcomes have been studied, but little is known about the experience of men of color (MOC) who are their partners.

Objectives: The objective was to explore the experiences of MOC who are partners to women at risk for PTB through the following questions: (1) What are the personal experiences of MOC during female partner’s pregnancy, birth, and the first few months after birth? (2) How do MOC perceive the impact of their social environment, and their own mental and physical health on their partner’s pregnancy, birth, and postpartum periods? (3) What do MOC perceive as barriers and facilitators to having a healthy pregnancy?

Design: This research thesis was of qualitative design using focus group methodology. This study was embedded within a parent study conducted by the California Preterm Birth Initiative exploring experiences of women of color at risk for PTB.

Results: The following four themes emerged from thematic analysis: (1) “Being the Rock”: Providing comfort and security; (2) “It’s a blessing all the way around”: Keeping faith during uncertainty; (3) “Tell me everything”: Unmet needs during pregnancy and delivery; (4) “Like a guinea pig”: Frustration with the healthcare system

Conclusions: This research revealed a new and shared narrative of MOC’s experience during pregnancy, birth, and postpartum periods. Healthcare providers have an essential role to acknowledge MOC’s experience of discrimination, mistrust, and to assess needs for support which can improve birth outcomes.