A community perspective on the role of fathers during pregnancy: a qualitative study.

A community perspective on the role of fathers during pregnancy: a qualitative study.
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DOI:
10.1186/1471-2393-13-60
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发表时间:
2013-03-07
影响因子:
3.1
通讯作者:
Fiscella K
Fiscella K
中科院分区:
医学3区
文献类型:
--
作者:
Alio AP;Lewis CA;Scarborough K;Harris K;Fiscella K

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定义男性在怀孕期间的参与对于未来研究和适当干预措施的发展至关重要,以优化旨在改善出生结果的服务。研究目的:定义男性在怀孕期间的参与,并获得基于社区的干预措施建议,以改善男性在怀孕期间的参与。我们与国家健康起步协会计划的母亲和父亲进行了焦点小组讨论,以获得有关男性参与活动、好处、障碍的详细描述,并提出了增加男性在怀孕期间参与的解决方案。大多数参与者是非裔美国父母。涉案“男性”被确定为孕妇的亲生父亲或现任男性伴侣。男性和女性都将理想的、参与其中的父亲或男性伴侣描述为在场、平易近人、可用、理解、愿意了解怀孕过程并渴望为怀孩子的女性提供情感、身体和经济支持。女性在怀孕期间强调“团结”感。建议包括制定针对男性的产前计划、加强当前针对女性的干预措施,以及提高医疗保健提供者对男性参与怀孕期间重要性的认识。个人、家庭、社区、社会和政策因素在阻止或减少父亲在怀孕期间的参与方面发挥着作用。未来的研究和干预措施应针对这些因素及其相互作用,以增加父亲的参与,从而改善妊娠结局。
Defining male involvement during pregnancy is essential for the development of future research and appropriate interventions to optimize services aiming to improve birth outcomes. Study Aim: To define male involvement during pregnancy and obtain community-based recommendations for interventions to improve male involvement during pregnancy. We conducted focus groups with mothers and fathers from the National Healthy Start Association program in order to obtain detailed descriptions of male involvement activities, benefits, barriers, and proposed solutions for increasing male involvement during pregnancy. The majority of participants were African American parents. The involved “male” was identified as either the biological father, or, the current male partner of the pregnant woman. Both men and women described the ideal, involved father or male partner as present, accessible, available, understanding, willing to learn about the pregnancy process and eager to provide emotional, physical and financial support to the woman carrying the child. Women emphasized a sense of “togetherness” during the pregnancy. Suggestions included creating male-targeted prenatal programs, enhancing current interventions targeting females, and increasing healthcare providers’ awareness of the importance of men’s involvement during pregnancy. Individual, family, community, societal and policy factors play a role in barring or diminishing the involvement of fathers during pregnancy. Future research and interventions should target these factors and their interaction in order to increase fathers’ involvement and thereby improve pregnancy outcomes.
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