Eggermont Katrijn, Beeckman Dimitri, Van Hecke Ann, Delbaere Ilse, Verhaeghe Sofie
University Centre for Nursing and Midwifery, Ghent University, De Pintelaan 185, block 5K3, 9000 Ghent, Belgium.
Vives Kortrijk, Doorniksesteenweg 145, 8500 Kortrijk, Belgium.
Women Birth. 2017 Aug;30(4):e188-e197. doi: 10.1016/j.wombi.2016.12.001. Epub 2017 Jan 7.
Fathers play an important role in the childbearing process, but are sometimes sidelined by midwives. The objectives were: identify fathers' needs during the labor and childbirth process; determine if their needs were met by midwives; and identify variables influencing these needs. The questionnaire was designed based on a systematic literature search and validated by a multistage consensus method. Data were collected during a cross-sectional study in two maternity wards in Belgium, where a medical-led model is used. Fathers present during natural childbirth were recruited via consecutive sampling. Based on multivariate analyses, fathers with a higher education level and multiparous fathers needed less information about the process of birth compared to less educated fathers (p<0.05; OR=4.08; 95% CI=1.02-16.31) or first-time fathers (p<0.001; OR=0.04; 95% CI=0.01-0.18). For multiparous fathers, a tour of the delivery room was less important than for primiparous fathers (p=0.005; OR=0.14; 95% CI=0.03-0.54). Married fathers needed less information on how to support their partners physically (p<0.005; OR=0.18; 95% CI=0.06-0.59) and emotionally (p=0.01; OR=0.24; 95% CI=0.08-0.72) compared to cohabiting fathers. Information needs are more important to fathers compared to needs focusing on the birth experience or their involvement. Socio-demographic variables like educational level, parity, and marital status were associated with fathers' needs. Midwives need to be aware of fathers' needs during the birth process and to fulfill these needs appropriately.
父亲在分娩过程中扮演着重要角色，但有时会被助产士边缘化。研究目的如下：确定父亲在分娩过程中的需求；判断助产士是否满足了他们的需求；找出影响这些需求的变量。该问卷是基于系统的文献检索设计的，并通过多阶段共识方法进行了验证。数据收集于比利时两个产科病房的横断面研究，这两个病房采用的是医疗主导模式。通过连续抽样招募了自然分娩时在场的父亲。基于多变量分析，与受教育程度较低的父亲（p<0.05；OR=4.08；95% CI=1.02-16.31）或初为人父者（p<0.001；OR=0.04；95% CI=0.01-0.18）相比，受教育程度较高的父亲和经产妇对分娩过程的信息需求较少。对于经产妇来说，参观产房的重要性低于初产妇（p=0.005；OR=0.14；95% CI=0.03-0.54）。与同居父亲相比，已婚父亲在如何在身体上（p<0.005；OR=0.18；95% CI=0.06-0.59）和情感上（p=0.01；OR=0.24；95% CI=0.08-0.72）支持伴侣方面的信息需求较少。与关注分娩体验或自身参与度的需求相比，信息需求对父亲更为重要。教育水平、产次和婚姻状况等社会人口统计学变量与父亲的需求相关。助产士需要在分娩过程中意识到父亲的需求，并适当地满足这些需求。
