Rowe Heather J, Holton Sara, Fisher Jane R W
School of Public Health and Preventive Medicine, Monash University, Clayton, Australia.
Aust J Prim Health. 2013;19(1):46-52. doi: 10.1071/PY11117.
Australian health policy emphasises prevention, early intervention and improved pathways to treatment for perinatal mental disorders. Primary care is vital to achieving these aims. The aim of this study was to understand the anticipated needs and preferred sources of mental health information and support of men and women expecting their first baby. Nulliparous English-speaking expectant parents attending childbirth education programs in public and private hospitals participated in single sex small group discussions in late pregnancy. Discussions were audio-recorded, transcribed and analysed thematically using the group as the unit of analysis. Eight groups (22 women; 16 men) encompassing diverse socioeconomic circumstances were conducted. Analyses showed idealised fantasies consistently tempered with realistic expectations about adjustment to life with a baby. However, there were diverse and gendered views about whether primary care providers should discuss mental health with parents of infants and willingness to complete written questionnaires or be referred for specialist mental health care. Men regard primary family care as mother not father inclusive. Expectant parents readily anticipate realistic postnatal adjustment and need for emotional support. Increased provision of services that meet men's needs and public understanding and acceptance of Australian integrated models of primary postnatal mental health care are needed.
澳大利亚的卫生政策强调围产期精神障碍的预防、早期干预以及改善治疗途径。初级保健对于实现这些目标至关重要。本研究的目的是了解首次怀孕的男性和女性对心理健康信息的预期需求以及他们偏好的信息来源和支持途径。在公立和私立医院参加分娩教育课程的未生育说英语的准父母在孕晚期参加了单性别小组讨论。讨论内容进行了录音、转录，并以小组为分析单位进行了主题分析。共开展了8个小组讨论（22名女性；16名男性），涵盖了不同的社会经济状况。分析表明，理想幻想始终与对适应有婴儿生活的现实期望相调和。然而，对于初级保健提供者是否应与婴儿父母讨论心理健康以及是否愿意填写书面问卷或被转介接受专业心理健康护理，存在不同的性别观点。男性将主要家庭护理视为包括母亲而非父亲在内的护理。准父母很容易预见到产后现实的适应情况以及对情感支持的需求。需要增加满足男性需求的服务，以及公众对澳大利亚产后初级心理健康综合护理模式的理解和接受。
