School of Psychology, The University of Adelaide, Adelaide, South Australia, 5005, Australia.
School of Social and Policy Studies, Flinders University, GPO Box 2100, Adelaide, South Australia, 5001, Australia.
BMC Pregnancy Childbirth. 2017 Nov 15;17(1):380. doi: 10.1186/s12884-017-1560-9.
Research indicates that men's psychological and physical health outcomes after pregnancy loss differ from those of women. Our goal was to identify all literature with a focus on men's experiences of pregnancy loss in order to outline current evidence concerning men's wellbeing.
A systematic review of literature on men and pregnancy loss was undertaken following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), Joanna Briggs Institute (JBI) and Social Care Institute for Excellence (SCIE) guidelines. Literature was sourced from PsycINFO, PubMed, Scopus, CINAHL, and Google Scholar. Inclusion criteria were 1) studies that focused on pregnancy loss (including miscarriage, stillbirth, and ectopic pregnancy, 2) that men's voices were specifically represented, and 3) that studies were of primary data.
A final sample of 29 articles was identified, of which 16 were quantitative, 10 qualitative, and 3 mixed methods. Quantitative and mixed methods studies indicated that while men tended to have less intense and less enduring levels of negative psychological outcomes than women, they are more likely to engage in compensatory behaviours, such as increased alcohol consumption. Qualitative studies indicated that men often feel that their role is primarily as a 'supporter' to their female partner, and that this precludes recognition of their own loss. These studies also reported that men may feel overlooked and marginalised in comparison to their female partners, whose pain is typically more visible.
Further research is needed on men's experiences of pregnancy loss, focusing on cultural differences. The experience of gay and/or transgender men who face pregnancy loss is overlooked in the literature to date.
研究表明，男性在经历妊娠丢失后的心理和身体健康结果与女性不同。我们的目标是确定所有关注男性妊娠丢失经历的文献，以概述当前关于男性健康状况的证据。
按照系统评价、荟萃分析的首选报告项目（PRISMA）、循证卫生保健合作组织（JBI）和社会关怀卓越研究所（SCIE）指南，对男性与妊娠丢失相关的文献进行了系统回顾。文献来源包括 PsycINFO、PubMed、Scopus、CINAHL 和 Google Scholar。纳入标准为：1）研究重点为妊娠丢失（包括流产、死产和异位妊娠）；2）男性的声音得到了明确的体现；3）研究为原始数据。
最终确定了 29 篇文章作为样本，其中 16 篇为定量研究，10 篇为定性研究，3 篇为混合方法研究。定量和混合方法研究表明，尽管男性的负面心理结果通常不如女性强烈和持久，但他们更有可能采取补偿行为，如增加饮酒。定性研究表明，男性通常认为自己的角色主要是女性伴侣的“支持者”，这使得他们无法认识到自己的损失。这些研究还报告说，与女性伴侣相比，男性可能感到被忽视和边缘化，而女性伴侣的痛苦往往更为明显。
需要进一步研究男性在妊娠丢失方面的经历，重点关注文化差异。迄今为止，文献中忽视了同性恋和/或跨性别男性在面临妊娠丢失时的经历。
