de Carvalho Maria Luiza Mello
Maternidade-Escola, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, 22240-001, Brasil.
Cad Saude Publica. 2003;19 Suppl 2:S389-98. doi: 10.1590/s0102-311x2003000800020. Epub 2004 Mar 8.
Participation by fathers in the process of childbirth, an aspect of the humanization of obstetric care, helps foster the fathers' involvement in raising their children. This participation provides psychosocial support for pregnant women during labor and delivery, sharing of the experience by the couple, and father-child bonding. The focus of this ethnographic research was the impact of this process on fathers participating in childbirth at a State hospital in Rio de Janeiro, with two stages: participant observation of labor and delivery and eleven interviews with fathers who had been present at delivery. Fathers' participation was influenced by: the motivation of mothers and fathers; social representations of delivery and fatherhood; and exclusion of fathers from reproductive health and pediatrics services. The father's participation was not valued by the attending staff as either a source of emotional support for the mother or as part of fatherhood. The following are necessary: inclusion of fathers in prenatal care, delivery, and pediatrics services; the training of staff to work with the families; social discussion of fatherhood and health services policies to ensure the presence of fathers during labor and childbirth.
父亲参与分娩过程，这是产科护理人性化的一个方面，有助于促进父亲参与子女抚养。这种参与在分娩过程中为孕妇提供心理社会支持，促进夫妻间经验分享以及建立父子关系。这项人种学研究的重点是该过程对在里约热内卢一家公立医院参与分娩的父亲的影响，分为两个阶段：对分娩过程进行参与观察，并对在分娩现场的父亲进行了11次访谈。父亲的参与受到以下因素影响：父母的动机；对分娩和父性的社会认知；以及父亲被排除在生殖健康和儿科服务之外。父亲的参与未被医护人员视为对母亲的情感支持来源或父性的一部分。以下措施是必要的：让父亲参与产前护理、分娩和儿科服务；培训工作人员与家庭合作；就父性和健康服务政策进行社会讨论，以确保父亲在分娩期间在场。
