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低、中收入国家促进安全孕产中男性参与情况:范围综述

Male involvement in promotion of safe motherhood in low- and middle-income countries: A scoping review.

机构信息

Centre for Midwifery, Maternal & Perinatal Health, Faculty of Health and Social Sciences, Bournemouth University, 10 St Paul's Ln, Boscombe BH8 8AJ, United Kingdom; Department of Health Sciences and Special Education, Africa Renewal University, P.O Box 35138, Kampala, Uganda.

Centre for Midwifery, Maternal & Perinatal Health, Faculty of Health and Social Sciences, Bournemouth University, 10 St Paul's Ln, Boscombe BH8 8AJ, United Kingdom.

出版信息

Midwifery. 2021 Dec;103:103089. doi: 10.1016/j.midw.2021.103089. Epub 2021 Jul 14.

DOI:10.1016/j.midw.2021.103089
PMID:34293604
Abstract

BACKGROUND

Maternal health programmes that focus on the woman alone are limiting in LMICs as pregnant women often relate to maternity services through a complex social web that reflects power struggles within the kinship and the community.

METHODS

A scoping review was conducted to explore the rationale for male involvement in maternal health in LMICs. This review was guided by the question: What is the current state of knowledge regarding the inclusion of men in maternal health services in LMICs? The literature search was conducted using mySearch, Bournemouth University`s iteration of the EBSCO Discovery Service (EDS) tool. The review process used the Preferred Reporting Items for Systematic Reviews to select papers for inclusion.

FINDINGS

Thirty three studies met the inclusion criteria. Findings describe the rationale for involving men in maternity care, alongside the criticisms and challenges inherent in engaging with men in maternal health. Involving men in maternity services can improve health outcomes for women and infants. Health strategies aimed at educating men are relevant in equipping men with knowledge and skills that help men to be supportive of women`s wellbeing during pregnancy and childbirth.

CONCLUSION

Men can serve as advocates for women and reinforce their partners choices in accessing skilled care and infant feeding. Further research is required to examine the effect of male involvement on womens autonomy and to assess health education interventions aimed at mitigating harmful outcomes of involving men in maternity services.

摘要

背景

在中低收入国家,仅关注妇女的孕产妇健康方案具有局限性,因为孕妇往往通过一个复杂的社会网络与产妇服务机构联系在一起,这反映了亲属关系和社区内部的权力斗争。

方法

本研究进行了范围综述,以探讨在中低收入国家男性参与孕产妇健康的基本原理。本综述的问题是:关于在中低收入国家将男性纳入孕产妇保健服务的知识现状如何?文献检索使用了 mySearch,这是伯恩茅斯大学对 EBSCO 发现服务(EDS)工具的迭代。该综述过程使用了系统评价的首选报告项目来选择纳入的论文。

结果

符合纳入标准的有 33 项研究。研究结果描述了让男性参与产妇护理的基本原理,以及在孕产妇健康领域与男性接触所固有的批评和挑战。让男性参与产妇服务可以改善妇女和婴儿的健康结果。旨在教育男性的健康策略在使男性具备知识和技能方面具有相关性,这些知识和技能有助于男性在妇女怀孕和分娩期间支持妇女的福祉。

结论

男性可以作为妇女的倡导者,增强其伴侣在获得熟练护理和婴儿喂养方面的选择。需要进一步研究,以考察男性参与对妇女自主权的影响,并评估旨在减轻男性参与产妇服务的有害后果的健康教育干预措施。

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