Alice Lee Center for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Nursing Science Division, Faculty of Nursing, Chiang Mai University, Thailand.
Midwifery. 2024 Apr;131:103956. doi: 10.1016/j.midw.2024.103956. Epub 2024 Feb 15.
Despite numerous initiatives attempting to enhance BF across Asia, recent studies show that exclusive BF rates remain alarmingly low. With globalization, society has shifted from traditional family roles towards more egalitarian marriages, where Asian fathers are now more involved in parenting. As fathers' involvement in breastfeeding is highly complex and context-sensitive, evaluation of a wide range of concepts and evidence within the Asian context is necessary.
This review aims to consolidate and appraise empirical studies exploring fathers' breastfeeding knowledge, attitude, and involvement within the Asian context.
A systematic mixed-studies review was conducted. Six electronic databases (PubMed, CINAHL, PsycINFO, Embase, Scopus, and ProQuest Dissertations and Theses Global) were searched from each database's inception date until June 2022. Studies were appraised using the Mixed Method Appraisal Tool and data was synthesised using the results-based convergent integration method.
Twenty-two studies were included in this review. The synthesis of findings identified two main themes and six sub-themes.
Asian fathers have a varied understanding of breastfeeding and their involvement in breastfeeding is influenced by personal, cultural, religious, social, and environmental factors.
Perinatal care professionals play a crucial role in engaging and enhancing fathers' involvement in breastfeeding education programmes. The findings also urge policymakers to introduce more 'father-friendly' breastfeeding guidelines and educate perinatal care professionals to be more aware and sensitive to the needs of fathers. There is also a need to introduce more flexible and economically sensitive paternal leave policies to improve fathers' breastfeeding involvement.
尽管亚洲有许多旨在提高 BF 率的举措，但最近的研究表明，纯 BF 率仍然低得惊人。随着全球化的发展，社会已经从传统的家庭角色转变为更加平等的婚姻关系，亚洲父亲现在更多地参与育儿。由于父亲对母乳喂养的参与度非常复杂且受到背景的影响，因此需要评估亚洲背景下广泛的概念和证据。
本综述旨在整合和评价探索亚洲背景下父亲母乳喂养知识、态度和参与度的实证研究。
进行了系统的混合研究综述。从每个数据库的创建日期开始，直到 2022 年 6 月，在六个电子数据库（PubMed、CINAHL、PsycINFO、Embase、Scopus 和 ProQuest Dissertations and Theses Global）中进行了搜索。使用混合方法评估工具对研究进行评估，并使用基于结果的综合方法对数据进行综合。
本综述纳入了 22 项研究。研究结果的综合确定了两个主要主题和六个子主题。
亚洲父亲对母乳喂养有不同的理解，他们对母乳喂养的参与受到个人、文化、宗教、社会和环境因素的影响。
围产期保健专业人员在参与和加强父亲参与母乳喂养教育计划方面发挥着至关重要的作用。这些发现还敦促政策制定者引入更多“父亲友好型”母乳喂养指南，并教育围产期保健专业人员更加了解和敏感地满足父亲的需求。还需要引入更灵活和经济敏感的陪产假政策，以提高父亲对母乳喂养的参与度。
