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Peer-reviewedCC BY-NC-NDThe Medical journal of Australia

Co-Designed Best Practice Principles for the Care of Fathers and Non-Birthing Parents Exposed to Perinatal Trauma: A Participatory Action Research Study.

5 affiliations
  1. 1Faculty of Health, Medicine and Behavioural Sciences, University of Queensland, Brisbane, Queensland, Australia.
  2. 2Redcliffe Hospital, Redcliffe, Queensland, Australia.
  3. 3Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
  4. 4Metro North Hospital and Health Service, Brisbane, Queensland, Australia.
  5. 5School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Abstract

Objective

To co-design best practice principles (BPPs) for providing compassionate, holistic support to fathers and non-birthing parents exposed to perinatal trauma.Design

Participatory action research methodology to generate qualitative data.Setting, participants

Face-to-face workshops were conducted across the Greater Brisbane area and online workshops were held for national consultation from 23 April 2024 to 27 May 2025. Fathers and non-birthing parents with lived experience of perinatal trauma and a multidisciplinary team of health and community care professionals were included. Separate consumer (n = 11) and professional (n = 30) reference groups were established to authentically represent lived experience and professional perspectives on caring for birthing families. The co-designed BPPs were subsequently validated in National Workshops with consumers from diverse backgrounds (n = 74).Results

The co-design process generated 24 initial themes, which were iteratively consolidated by consensus into four BPPs: (1) compassionate and inclusive engagement; (2) policy and legislative reform; (3) education and learning opportunities; and (4) mental health screening and support for fathers and non-birthing parents. Accompanying practice and policy recommendations for each BPP were developed.Conclusions

Fathers, non-birthing parents and healthcare and community care professionals co-designed a suite of BPPs to address gaps in perinatal healthcare following exposure to pregnancy and birth trauma. Fathers and non-birthing parents expressed a strong need to be formally recognised as stakeholders and recipients of perinatal healthcare services. The BPPs offer a co-designed framework for broader systemic reform and an actionable roadmap for equitable, trauma-informed and culturally responsive care for all parents, emphasising the need for further translational research and the national integration of inclusive perinatal healthcare services.

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BibTeX
@article{kothari2026codesigned,
  title = {{Co-Designed Best Practice Principles for the Care of Fathers and Non-Birthing Parents Exposed to Perinatal Trauma: A Participatory Action Research Study.}},
  author = {Alka Kothari and Dale Trevor and Glen Quinn and Jane Geltch and Joel Dulhunty and Helen Skouteris and Leonie K Callaway},
  journal = {The Medical journal of Australia},
  year = {2026},
  month = oct,
  doi = {10.5694/mja2.70316},
  url = {https://europepmc.org/article/MED/42894362},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Co-Designed Best Practice Principles for the Care of Fathers and Non-Birthing Parents Exposed to Perinatal Trauma: A Participatory Action Research Study.
AU  - Alka Kothari
AU  - Dale Trevor
AU  - Glen Quinn
AU  - Jane Geltch
AU  - Joel Dulhunty
AU  - Helen Skouteris
AU  - Leonie K Callaway
PY  - 2026
DA  - 2026/10/01
JO  - The Medical journal of Australia
DO  - 10.5694/mja2.70316
UR  - https://europepmc.org/article/MED/42894362
AB  - Objective  To co-design best practice principles (BPPs) for providing compassionate, holistic support to fathers and non-birthing parents exposed to perinatal trauma.Design  Participatory action research methodology to generate qualitative data.Setting, participants  Face-to-face workshops were conducted across the Greater Brisbane area and online workshops were held for national consultation from 23 April 2024 to 27 May 2025. Fathers and non-birthing parents with lived experience of perinatal trauma and a multidisciplinary team of health and community care professionals were included. Separate consumer (n = 11) and professional (n = 30) reference groups were established to authentically represent lived experience and professional perspectives on caring for birthing families. The co-designed BPPs were subsequently validated in National Workshops with consumers from diverse backgrounds (n = 74).Results  The co-design process generated 24 initial themes, which were iteratively consolidated by consensus into four BPPs: (1) compassionate and inclusive engagement; (2) policy and legislative reform; (3) education and learning opportunities; and (4) mental health screening and support for fathers and non-birthing parents. Accompanying practice and policy recommendations for each BPP were developed.Conclusions  Fathers, non-birthing parents and healthcare and community care professionals co-designed a suite of BPPs to address gaps in perinatal healthcare following exposure to pregnancy and birth trauma. Fathers and non-birthing parents expressed a strong need to be formally recognised as stakeholders and recipients of perinatal healthcare services. The BPPs offer a co-designed framework for broader systemic reform and an actionable roadmap for equitable, trauma-informed and culturally responsive care for all parents, emphasising the need for further translational research and the national integration of inclusive perinatal healthcare services.
SN  - 0025-729X
SN  - 1326-5377
ER  -