1 University of Alberta, Edmonton, Alberta, Canada.
2 Samson Cree Nation, Maskwacis, Alberta, Canada.
Qual Health Res. 2018 Dec;28(14):2208-2219. doi: 10.1177/1049732318794205. Epub 2018 Aug 30.
We sought to understand the needs of involved Nehiyaw (Cree) fathers who supported their partners during pregnancy. We used qualitative description and a community-based participatory research approach. We carried out in-depth semi-structured interviews with six Nehiyaw fathers. Four also participated in photovoice and follow-up interviews. All data were content analyzed qualitatively. Fathers felt they had to support their partners and overcome challenges resulting from intergenerational colonial impacts (residential schools particularly) by reclaiming their roles and acknowledging the pregnancy as a positive change. Providing support was possible through their own strong support system stemming from family, faith, culture, and a stable upbringing with positive male role models and intact Nehiyaw kinships. Perinatal programming did little to include fathers. Attempts to improve perinatal care and outcomes should allow more inclusion of and support for Indigenous fathers through genuinely incorporating into care traditional culture and Elders, families, flexibility, cultural understanding, and reconciliation.
我们试图了解支持伴侣怀孕的参与式 Nehiyaw(克里)父亲的需求。我们采用定性描述和基于社区的参与式研究方法。我们对六名 Nehiyaw 父亲进行了深入的半结构化访谈。其中四人还参加了摄影和后续访谈。所有数据均进行定性内容分析。父亲们感到他们必须支持他们的伴侣,并通过重新夺回自己的角色,承认怀孕是一种积极的变化,来克服代际殖民影响(尤其是寄宿学校)带来的挑战。通过来自家庭、信仰、文化的强大支持系统,以及正面的男性榜样和完整的克里亲属关系,为伴侣提供支持成为可能。围产期方案几乎没有包括父亲。改善围产期护理和结果的尝试应该通过真正将传统文化和长者、家庭、灵活性、文化理解和和解纳入护理中,为更多的土著父亲提供支持和包容性。