Chiang Ron Kai Quan, Shorey Shefaly
KK Women's and Children's Hospital, Singapore, Singapore.
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Birth. 2023 Jun;50(2):276-286. doi: 10.1111/birt.12688. Epub 2022 Oct 30.
Men's involvement in antenatal care is critical for the family's overall well-being, yet remains low in many low-income and middle-income countries. The goal of this study was to consolidate and synthesize currently available literature on men's experiences of antenatal care services in low-income and middle-income countries.
PubMed, CINAHL, Embase, PsycINFO, and Scopus were searched through December 2020. Qualitative studies were included exploring the antenatal care experiences of men whose pregnant partners utilized antenatal care services, regardless of ethnicity, race, and education levels. Studies examining men's participation in antenatal care that specifically focused on certain conditions such as the human immunodeficiency virus, known pregnancy complications, as well as contraception/fertility treatment, were excluded. Quality appraisal of the included studies was conducted using the Critical Appraisal Skills Program checklist, and Sandelowski and Barroso's two-step approach was used to meta-summarize and meta-synthesize the extracted data.
Four themes were derived from the 27 studies included: (a) Factors enabling men's participation in antenatal care; (b) Barriers affecting men's participation in antenatal care; (c) Men's self-perceived care roles; and (d) Recommendations to improve men's involvement.
Men's involvement in antenatal care depended on community perceptions, traditional gender roles, and work commitments. Although men often regarded antenatal care services as exclusive to women, some expressed their willingness to participate. Current findings highlight the need for community educational programs, male role models, and training of healthcare providers to improve men's participation.
男性参与产前护理对家庭的整体幸福至关重要，但在许多低收入和中等收入国家，这一比例仍然很低。本研究的目的是整合和综合目前关于低收入和中等收入国家男性产前护理服务体验的现有文献。
检索截至2020年12月的PubMed、CINAHL、Embase、PsycINFO和Scopus数据库。纳入定性研究，探讨其怀孕伴侣使用产前护理服务的男性的产前护理体验，无论其种族、民族和教育水平如何。排除专门关注某些特定情况（如人类免疫缺陷病毒、已知的妊娠并发症以及避孕/生育治疗）的男性参与产前护理的研究。使用批判性评估技能计划清单对纳入研究进行质量评估，并采用桑德洛斯基和巴罗斯的两步法对提取的数据进行元总结和元综合。
从纳入的27项研究中得出了四个主题：（a）促使男性参与产前护理的因素；（b）影响男性参与产前护理的障碍；（c）男性自我认知的护理角色；以及（d）改善男性参与度的建议。
男性参与产前护理取决于社区观念、传统性别角色和工作承诺。尽管男性通常认为产前护理服务是女性专属的，但一些男性表示愿意参与。当前的研究结果强调需要开展社区教育项目、树立男性榜样以及培训医疗保健提供者，以提高男性的参与度。
