Today, Michael Barrette is a laid-back, seasoned father, but
this wasn't always the case. Before his son Brendan was born in August 1999,
Barrette reluctantly "enlisted" in Boot Camp for New Dads to learn the
ropes.
A program that brings expectant fathers together with recent
dads and their newborns to learn from one another, Boot Camp for New Dads is
now in more than 120 communities in 36 states. Graduates -- the
"veteran" dads -- range in age from 16 to 60. Recruits, or
"rookies," come from all income brackets and all ethnic backgrounds.
Some are unemployed and others are corporate attorneys.
"I didn't think I would learn much because I thought I was
well-prepared for fatherhood," Barrette recalls. Because he was 9 when his
younger brother was born, Barrette had some experience changing diapers, but a
man's role in the family has changed dramatically in the more than 25 years
since then. Back then, fathers didn't even witness birth because they weren't
allowed in the birth room -- whereas today they are considered equal partners
in the process, and are increasingly expected to behave as such.
"When I found myself in a room full of guys talking about
what I was feeling, it was a profound experience," says Barrette, a
musician whose group included a physicist, a couple of police officers, and a
truck driver.
"It was a diverse group of guys all expressing the same
fears and hopes," he says. "Everyone is concerned about creating a bond
with their child."
Facing the Fear Factor
In a three-hour session, Barrette -- along with other rookie
dads, veteran dads, and a coach -- discussed the potential pitfalls of
fatherhood, such as the strain a new baby can put on a marriage and the baby
blues their partner might suffer following delivery. They also learned some
important "how-tos" -- such as how to swaddle, diaper, feed, and even
hold a baby. Depending on the locale, Boot Camp typically consists of one or
two initial sessions and ongoing support through monthly group meetings of new
fathers.
"It's reassuring to hold and comfort a baby," says
Barrette. "The fear factor melts away when you get the baby in your
arms."
The idea for Boot Camp was sired about 12 years ago, when
founder Greg Bishop, father of four and sibling to 12, noticed that most men
just didn't seem to enjoy their babies.
"Virtually every man out there wants to do the job, but
it's tough transition from 'guy' to 'father' and there are very few sources of
information," says Bishop, a Boot Camp coach at the Irvine Medical Center
in Irvine, Calif.
But that's changing. Boot Camp for New Dads has received a
grant to work with PROJECT JUMPSTART to join with healthcare providers and
community organizations to develop ways to reach, orient, and equip men to meet
the challenges of fatherhood.
For example, in some hospitals, nurses are taking new dads to
the nursery and walking them through the process of changing diapers and
bathing the new infant , while the moms recuperate from delivery.
"If a lot of obstetric nurses did that across the country,
men would be much more comfortable with newborns," Bishop says.
What to Expect When You Are Expecting
With its own type of basic training, Boot Camp for New Dads
helps expectant fathers get ready for dadhood.
"Classes are a combination of rookies and veterans, with
the veterans doing most of the talking," Bishop says. "The real experts
on new fathers are the new fathers, and having them relay their
experience works best.
"Moms usually sign the dads up, and they come before the
baby is born -- usually in the last trimester -- then they come back with baby
at two months as veterans," he adds.
That's the path Barrette followed.
"It was cool to revisit everything after having had the
child and to be able to share and discuss what a couple experiences postpartum
and how the nature of the relationship changes after the baby is born,"
Barrette tells WebMD.
"The biggest issue is that relationships take a big hit
when that baby comes along," Bishop says.
In fact, 20% of marriages decline seriously when the baby is
born, he says; 30% decline somewhat, 30% stay the same, and 20% improve.
"Mom and dad are a team who take care of the baby, and it's
tough when that relationship is in trouble," he says.
Five years ago, Chuck Ault, the coordinator of fatherhood
programs at Exempla Saint Joseph Hospital in Denver and a national Boot Camp
trainer, replicated Boot Camp in Denver.
"If a guy can go in much more confident in his ability to
care for the baby, he jumps in from the beginning and establishes positive
patterns and bonds with the baby," Ault says.
"Unlike other programs, [Boot Camp] doesn't target fathers
in a specific situation," Ault says. "It's open to all fathers, and all
fathers can benefit from the workshop."
Here's how it works: Expectant fathers -- a.k.a "rookie
dads" -- get together with veteran dads about a month before the baby is
born. The veteran dads bring their 2- to 3-month-olds for a show-and-tell of
sorts, all facilitated by Ault.
"They all sit in a circle and find out what the rookie
dad's concerns are, then we hear initial advice from veteran dads," he
says. Some topics include "the gatekeeper phenomena," where the new mom
tends to overcare for the baby and unknowingly pushes the dad away.
"It's easy enough if you are not feeling confident to allow
that to happen, and that establishes a pattern, but at Boot Camp we help new
dads establish a different pattern from the beginning and share responsibility
for new baby," says Ault.
That new pattern begins with pregnancy, and is intended to take
the dads through labor and delivery and all the way through childhood.
"At the hospital, dads need to be aware of everything that
could be a distraction," Ault says. "For example, let's say the new mom
changes her mind about using drugs to cope with labor pain: The dad must
advocate for her with the staff."
And after the new parents get home, when everybody wants to
visit and "help"? "The dad should take charge of directing visitors
in terms of what is most helpful and what is not," he says.
After the initial circle chat, the class breaks into small
groups of one veteran and several rookies to learn how to change diapers, feed
a baby, and comb his or her hair, Ault says. "Often a pretty good
percentage of men in class will have never held a baby," he says.
Later, everyone gets back together to discuss such topics as
baby blues, breastfeeding support, basic safety such as baby-proofing the home,
and some instruction in shaken baby prevention.
Shaken baby syndrome is a severe form of head injury caused by
the rebound of the baby's brain in its skull when shaken. It is almost always
caused when an angry parent or caregiver shakes a baby to punish or quiet the
child. About 70% of time, that injury takes place at the hands of men, says
Ault.
We Want You
Just like the U.S. Army has recruiting outfits in all 50
states, Boot Camp for New Dads recruits everywhere expectant fathers hang out,
including hospitals, clinics, schools, churches, and military bases across the
U.S. The cost is nominal -- anything from free to $20, depending on the
specific program.
"We try to reach them as they become fathers," Ault
says. "We are connected with obstetrician practices and other classes the
hospital may offer for new parents -- including hospital tours."
That early contact is important, because if men's first
experience as a father is bad -- or completely missing -- they're more likely
to go AWOL from duty. It happens all the time: According to data gathered in
1998 by the National Fatherhood Initiative, 42% of American kids are growing up
without fathers in their homes, a statistic Bishop is bent on improving.
The Results?
"We have been pretty overwhelmed by the results that we
have seen. It has exceeded our expectations," Ault says.
Billy Kaplan, a Chicago therapist who coordinates Boot Camp for
New Dad's activities in Illinois, agrees.
"It's been astounding. I've seen dramatic changes,"
says Kaplan, also the head coach at St. Francis Hospital in Evanston.
"One guy came to the workshop, and at the beginning said he
was not going to have a relationship with the child's mother but he wanted to
be an involved dad. He came back a few months later with full custody and was
raising the child on his own," Kaplan says. "All graduates are saying
it makes a big difference in parenting and preparing them to be better fathers
and partners."
Kaplan has joined with a group called the Illinois Fatherhood
Initiative to spread the program to additional hospitals and to men at risk for
abandoning their babies, those who are poor, uneducated, and/or not married to
the mother.
Regardless of such status, he says, "Once they are in the
door, there is very little difference as far as discussion. No matter who you
are, a diaper is a diaper."
Kaplan also is busy revising the curriculum so it translates
well into several cultures, including Asian American, African American, and
Latino.
For instance, in the African-American community, the
grandmother is often a factor in the "the gatekeeper syndrome," he
says. The course will teach new dads how to deal with the grandmother and not
be shut out of infant care.
Boot Camp for New Dads sounds great to Yvonne Thornton, MD,
PhD, a senior perinatologist at St. Luke's Roosevelt Hospital Center in New
York City
"What a good, valuable, and much needed idea," she
says.