SMS4dads in NICU

Advice, tips & info for dads

Text messages that speak to dads with a baby or babies in NICU/SCN

SMS4dads NICU messages have been developed from information offered by dads and mums, in collaboration with Miracle Babies and Life’s Little Treasures Foundations. You can see more about how the message set was developed here

We asked dads and mums with lived experience of the NICU/SCN what would have helped them cope with the situation and what they wish they had known. The messages developed for dads with a baby in NICU are based on their advice.

The text messages speak to any dad with a baby or babies in NICU/SCN and can be received for up to 7 weeks.

Messages are sent daily and aim to help dads adjust to the NICU environment by giving useful information, valuable tips, and advice. SMS4dads sought feedback and input from professionals and parents with lived experience of the NICU to ensure that messages were interpreted as clear, helpful, and credible.

 

The NICU Messages - bonding
The NICU Messages - bonding
The NICU Messages - bonding

WHAT ARE THE MESSAGES ABOUT?

The content of the NICU messages revolve around the same three themes as messages in the general set from SMS4dads. Here are some examples:

The NICU Messages - bonding

Bonding

4DadNICU: The nurses can show you how to hold, change, bathe and feed me Dad.
Ask them for tips so we can hang out together


The NICU Messages - bonding

Partner Support

4DadNICU: Companionship is a key pillar of partner support. If you can't be there, you can always let her know that she is on your mind
The NICU Messages - bonding

Self-care

4DadNICU: Focusing on things you can control will help you cope with the NICU. Such as being physically active, eating well and looking for the positives.

NOTE  Some messages are written as if they are from the baby. This has worked well for many dads.

HOW DADS ENROL

Advice, tips & info for dads

SMS4dads is FREE and dads from anywhere in Australia can JOIN UP

Dads enrol via SMS4dads.com – the JOIN UP button is on the menu on each page.  When dads enrol they choose which message set is the most suitable for them at the time and they also enter their babies due and/or actual date of birth. SMS4dads also offers a message set for bereaved dads and for dads whose partner has mental distress.

Frequency of texts

NICU texts are sent to dads each day for up to 7 weeks. The first arrives on the Monday after they JOIN UP.

When the messages have finished, or if the baby leaves NICU, dads can switch to the general set of SMS4dads messages. General SMS4dads texts are sent 3 times a week. They include occasional surveys to check how dads are going (Mood-Checker Messages) and can be sent up until their baby turns one. 

Dads can reply to any message to let us know of any changes to their situation, to opt out, or to give feedback about that message.

 

NICU Message Feedback Tiles-4
The NICU Messages - bonding

NOTE

SMS4dads refers to dads as, he/him/his in current text message sets. This is a deliberate strategy to talk directly to fathers. It is known that fathers often think that information with less gendered language, such as parent, is not directed at them. We understand that families (and dads) come in all shapes, sizes, backgrounds, genders, and non-binary representations and that some family members may prefer different wording. SMS4dads does not require any gender-related disclosure, and we hope those who enrol find the information useful.

 

WHAT DADS SAY

Here’s what dads say they wish they had known while their baby was in the NICU

The NICU Messages - bonding

I wish I’d known more about what the process would be, what support would be needed and who to call for help

The NICU Messages - bonding

I didn’t know what progress indicators to look for. I also didn’t understand that little steps forward were actually a big deal

The NICU Messages - bonding

At times I felt helpless. I wish I’d known how to be more involved in my baby’s care

The NICU Messages - bonding

Tips on how to bond with our baby while she was in a unique situation would have been helpful

The NICU Messages - bonding

I wish I had known how to better support my wife

The NICU Messages - bonding

It would have been helpful to know about the survival stats and what the different terminology meant

FIND OUT ABOUT MORE

What do dads wish they had known when their baby was in the NICU?

WHAT WOULD HAVE HELPED

Here’s what dads say would have helped them feel more involved while their baby was in the NICU

The NICU Messages - bonding

Often the emotional support is tailored to the mother not the dad. Our baby went to 3 NICUs. They were all quite different at including dads

The NICU Messages - bonding

I was lucky at the hospital we were at. They included me in everything and let me be part of daily care, feeding, holds etc

The NICU Messages - bonding

I didn't know what supports were available to me outside of the staff at the hospital

The NICU Messages - bonding

What helped was being there as much as possible to help with doing cares every 3 hours and forming that bond early on

The NICU Messages - bonding

In terms of support, there wasn't much for dads at all. It makes you feel like you're not important or a second-class citizen almost

The NICU Messages - bonding

I was pretty central to the NICU situation. I was able to bath my daughter and bottle feed her and read to her – that helped me form a bond

HOW DADS COPE

What dads say helped them to cope with the situation

The NICU Messages - bonding

Clearer communication in what needs to happen before baby can leave the NICU (milestones, feeding etc)

The NICU Messages - bonding

We had a nurse who said pick one positive thing that happens in a day and focus on that

The NICU Messages - bonding

More time with the Social Worker and a support group for dads currently in the NICU

The NICU Messages - bonding

It would have helped to know that what I was feeling was very normal

The NICU Messages - bonding

I found it difficult to go home and leave my wife & baby in hospital. Someone telling me it’s OK to go home and rest actually meant a lot

The NICU Messages - bonding

Having access to a community of parents who had experienced a similar journey would have been helpful

FIND OUT ABOUT MORE

WHAT DADS (and mums) SAY…

Over 12,000 dads have enrolled in SMS4dads and received text messages and support in the lead up to the birth of their baby and throughout the first 12 months of parenthood.

 

Feedback from dads has been enormously positive, with 92% saying SMS4dads has helped them in their role as a dad, and over 80% saying it helped their relationship with their partner.

The NICU Messages - bonding


It really helped in building that initial relationship with our baby

The NICU Messages - bonding

Messages were reassuring, they made me more confident

The NICU Messages - bonding

Words can’t describe how useful this has been to me

The NICU Messages - bonding

I didn't know where to get support, especially for dads. Thank you so much – it's been such an epic service

The NICU Messages - bonding

Having a baby was the hardest thing I’ve ever been through, but I always felt validated when I read your SMSs

The NICU Messages - bonding

It’s one of the best things I’ve ever accessed for any type of support

IN COLLABORATION

SMS4dads has worked in close collaboration with Miracle Babies & Life’s Little Treasures Foundation to develop support for dads in the NICU

The co-design of surveys to integrate message feedback was an integral part of the message development. This enabled feedback from both clinicians and parents with lived experience to have input and contribute to the messages.

Miracle Babies and Life’s Little Treasures help improve our understanding of dads’ experiences in the NICU.

Our teams have similar missions to support dads and their families, based on robust evidence and up to date information.

The NICU Messages - bonding
The NICU Messages - bonding
The NICU Messages - bonding

LIFE'S LITTLE TREASURES

Life’s Little Treasures Foundation supports families with babies in the NICU/SCN and recognises SMS4dads as an important tool to communicate important tips, information and mental health support to help dads through their parenting journey.

LIFE’S LITTLE TREASURES | Felicia Welstead, CEO

The NICU Messages - bonding

MIRACLE BABIES

Miracle Babies Foundation recognises the importance of SMS4dads in the way it speaks directly to fathers with babies in the NICU/SCN. Miracle Babies Foundation is keen to engage with dads and support their needs too.

MIRACLE BABIES FOUNDATION | Tina Parker, Nurture Program Officer

Richard’s research revealed possible long-term negative impacts on the children of dads with mental health issues. Fathers’ depressive symptoms in the first year after the birth predicted behaviour problems in their children years later.

“If dads’ mental health has such a dramatic impact then we need to be screening dads for depression, not just mums,” Richard explains.

In response to these limitations, Richard and his team have designed a smart-phone based program that allows mobile connection for new and expectant dads.

Participants receive texts containing information and links, and self-report their mood. If the mood tracker identifies dads as needing extra support, they will be offered a phone call from a counsellor trained in this area.

Following the success of the pilot of the SMS4dads program, Funding was received to enable a National roll-out.

“When dad’s miss antenatal classes or activities, they also miss out on contact and links to other people.  They may never get the chance to say to anyone, look I’m really stressed,” he points out.

“SMS4dads is a way of bringing dads into the health system and keeping them linked in with services and support,” explains Richard.

SMS4dads

Richard Fletcher

Associate Professor, PhD

Richard credits a varied career, a talented and innovative team, and much life experience for affording him the insight needed to address the challenges related to actively engaging dads.

After completing his masters in Medical Science, studying epidemiology, Richard earned his PhD focusing on fathers and attachment.

“Fathers are invisible in many places, and that is endemic. Not because people dislike fathers, but because the system is set up to be focused on mothers.”

Some services and organisations are aware of the need to engage dads, but have been unsuccessful in their attempts.

“When people are challenged about this, they generally want dads involved,” Richard affirms.

“Often, however, they just don’t know how to do it.”

Richard works with health professionals on issues related to fathers, and has delivered many antenatal programs for expectant dads.

He credits his own family with giving him an understanding of the role of fathers needed to make his work relevant.

“I have three daughters and two stepdaughters,”

“My kids would say they taught me just about everything I know and they’d be right. They’ve taught me a lot, and still do.”

Richard’s research revealed possible long-term negative impacts on the children of dads with mental health issues. Fathers’ depressive symptoms in the first year after the birth predicted behaviour problems in their children years later.

“If dads’ mental health has such a dramatic impact then we need to be screening dads for depression, not just mums,” Richard explains.

In response to these limitations, Richard and his team have designed a smart-phone based program that allows mobile connection for new and expectant dads.

Participants receive texts containing information and links, and self-report their mood. If the mood tracker identifies dads as needing extra support, they will be offered a phone call from a counsellor trained in this area.

Following the success of the pilot of the SMS4dads program, Funding was received to enable a National roll-out.

“When dad’s miss antenatal classes or activities, they also miss out on contact and links to other people.  They may never get the chance to say to anyone, look I’m really stressed,” he points out.

“SMS4dads is a way of bringing dads into the health system and keeping them linked in with services and support,” explains Richard.