Aguiar Carolina, Jennings Larissa
Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Room E5038, Baltimore, MD, 21205, USA,
Matern Child Health J. 2015 Sep;19(9):2012-9. doi: 10.1007/s10995-015-1713-2.
Encouraging male partners to accompany women to antenatal care (ANC) is an important first step in engaging men on maternal and newborn health. However, little is known regarding the impact of male partner antenatal accompaniment beyond HIV-related perinatal outcomes. A systematic review was conducted to synthesize the evidence on the influence of male accompaniment on non-HIV outcomes during pregnancy and into the postpartum period. Eligible studies were published in English from 2003 to 2013 and evaluated the effect of male antenatal accompaniment on perinatal health in a developing country. Four electronic databases and selected reference lists were searched. Out of 84 potential citations retrieved, seven publications were retained for the assessment of male antenatal accompaniment's influence using iterative thematic analysis. During pregnancy, male antenatal accompaniment positively impacted women's knowledge of danger signs, but did not affect birth preparedness, ANC utilization, or miscarriages. During labor and delivery, men's ANC presence was associated with increases in institutional delivery and skilled birth attendance, but with no effect for birth-related outcomes. During the early postnatal period, male antenatal accompaniment was associated with higher uptake of postnatal services, but with mixed effects on breastfeeding and newborn survival. Couples' increased communication on pregnancy care and men's subsequent motivation to ensure safe delivery may explain these observed benefits. Inadequate communication, late accompaniment, or partner type may explain the lack of influence on some outcomes. More efforts are needed to expand the implementation and evaluation of male involvement strategies to improve perinatal health.
鼓励男性伴侣陪伴女性进行产前检查是促使男性关注孕产妇和新生儿健康的重要第一步。然而，对于男性伴侣陪产除了对与艾滋病相关的围产期结局的影响之外，人们知之甚少。开展了一项系统综述，以综合有关男性陪产对孕期及产后非艾滋病相关结局影响的证据。纳入的研究为2003年至2013年以英文发表的，评估发展中国家男性陪产对围产期健康影响的研究。检索了四个电子数据库及选定的参考文献列表。在检索到的84篇潜在文献中，保留了七篇出版物，采用迭代主题分析法评估男性陪产的影响。孕期，男性陪产对女性识别危险信号的知识有积极影响，但对分娩准备、产前检查利用情况或流产没有影响。分娩时，男性陪产与机构分娩和熟练助产服务的增加有关，但对与分娩相关的结局没有影响。产后早期，男性陪产与产后服务利用率较高有关，但对母乳喂养和新生儿存活的影响不一。夫妻在孕期护理方面沟通的增加以及男性随后确保安全分娩的积极性可能解释了这些观察到的益处。沟通不足、陪产过晚或伴侣类型可能解释了对某些结局缺乏影响的原因。需要做出更多努力来扩大男性参与策略的实施和评估，以改善围产期健康。
