Radboud University Medical Center, Post Office Box 9101, 6500 HB Nijmegen, The Netherlands; University Utrecht, Post Office Box 80125 3508 TC Utrecht, The Netherlands.
Radboud University Medical Center, Post Office Box 9101, 6500 HB Nijmegen, The Netherlands.
Midwifery. 2021 Mar;94:102921. doi: 10.1016/j.midw.2020.102921. Epub 2021 Jan 2.
Fathers have been increasingly involved in childbirth since 1990. Attendance at childbirth is considered to benefit fathers' health as well as that of their partner and children. However, childbirth is a life event that parents may experience differently. First-time fathers' experiences have been barely studied and may differ from those of fathers who have already had a child. In order to adapt support and care during childbirth to the needs of first-time fathers, a deeper insight must be gained into their experiences and needs during childbirth.
A systematic review of qualitative studies was conducted using PubMed, Embase and CINAHL as well as the snowball method. Quality appraisal was performed and evaluated using the Critical Appraisal Skills Programme. A thematic best evidence synthesis was performed.
Of 821 articles, eight qualitative studies and the qualitative data of one mixed methods study were included. amongst other feelings, fathers experience a lack of knowledge and a need to be better prepared. First-time fathers want to be more involved and need guidance, information and honest answers to help them fulfil a supportive role. Fathers disregard their own needs to focus on the needs of the mother. Meeting the baby for the first time changes the focus from the mother to the child, and fathers need time and privacy for this special moment.
To adapt support and care during childbirth to the needs of first-time fathers, professionals must be aware of their needs. Professionals must realise the significant influence of their professional behaviour on first-time fathers' experiences. Care for first-time fathers should be formalised. Follow-up research must be conducted on integrating the preparation of first-time fathers into prenatal care. Education and training of professionals must be improved.
自 1990 年以来，父亲越来越多地参与分娩。人们认为，父亲的陪产有助于其自身及其伴侣和孩子的健康。然而，分娩是父母可能有不同体验的生活事件。初为人父的经历几乎没有被研究过，他们的经历可能与已经有孩子的父亲不同。为了使分娩期间的支持和护理适应初为人父的需求，必须更深入地了解他们在分娩期间的体验和需求。
使用 PubMed、Embase 和 CINAHL 以及滚雪球法对定性研究进行了系统综述。使用批判性评估技能计划进行了质量评估和评价。进行了主题最佳证据综合。
在 821 篇文章中，纳入了 8 项定性研究和 1 项混合方法研究的定性数据。除其他感受外，父亲还感到缺乏知识，需要更好的准备。初为人父者希望更多地参与进来，并需要指导、信息和诚实的答案，以帮助他们发挥支持作用。父亲会忽视自己的需求，以满足母亲的需求。第一次见到孩子会使父亲的关注点从母亲转移到孩子身上，父亲需要时间和隐私来享受这个特殊的时刻。
为了使分娩期间的支持和护理适应初为人父的需求，专业人员必须了解他们的需求。专业人员必须认识到他们的专业行为对初为人父者体验的重大影响。应正式照顾初为人父者。必须对将初为人父者的准备工作纳入产前护理进行后续研究。必须改进专业人员的教育和培训。
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