13 ways to involve fathers in pediatric care

February 28, 2020

Although fathers are becoming more involved in the lives of their children and a more common sight in the pediatric office, they are infrequently the focus of care or discussions. Here are 13 ways to be more inclusive and improve paternal bonds.

Welcome fathers and express appreciation for attending a clinic visit; actively engage fathers beginning with a prenatal visit.

Introduce yourself to both parents during a clinical visit and politely explore the father’s relationship to the mother to assess type of relationship (married, living together, etc) and the personal beliefs of the father as to his role in caring for the child.

Recognize possible differences in parenting style between the mother and father and serve as mediator, without siding with either parent, to discuss these differences.

Emphasize to fathers that they are role models for their children and therefore encourage them to model positive behavior, such as using seat belts in cars and helmets with bikes, and limiting behavior such as alcohol, tobacco, and other substance use.

Screen fathers for perinatal depression.

Review vaccines for both parents to keep them up-to-date on vaccines, such as flu and pertussis.

Discuss family composition, cultural beliefs about fathering and the role of men in families, the division of childcare tasks within the family, and the physical health of each parent.

Encourage the early participation of fathers in the care of children, particularly alone time with children to build the father’s confidence and develop his own style of interaction. Talk to fathers about skills they may find lacking.

Inform and discuss with parents the normal responses that fathers will have in becoming a father, including elation, fatigue, and challenges including those to intimacy and the sexual relationship.

Educate fathers about how to support mothers who are breastfeeding.

Discuss how the parents are adapting to parenthood after each child; encourage them to continue to engage in activities without the children.

Identify current and necessary future public policies that support fathers’ involvement with

Ascertain when it might be important to include both parents when needing permission for performing a medical procedure on a child. Try to include fathers in written communications about the child, such as test results.