A meta-synthesis of fathers' experiences of their partner's labour and the birth of their baby
A meta-synthesis of fathers' experiences of their partner's labour and the birth of their baby
复制标题
DOI：
10.1016/j.midw.2014.05.005
复制
发表时间：
2015-01-01
期刊：
影响因子：
2.7
通讯作者：
Premberg, A.
中科院分区：
文献类型：
--
作者：
Johansson, M.;Fenwick, J.;Premberg, A.
目的：加深对准爸爸如何体验其伴侣的分娩和随后的婴儿出生的理解。设计：定性综合。数据在CINAHL、PubMed、Psych Info和SCOPUS中检索。环境：包括在英国、马拉维、尼泊尔和瑞典进行的8项研究。参与者：120名父亲，他们的伴侣有自然阴道，辅助或手术分娩的经历。测量和发现：一阶主题被确定，随后被分为七个二阶主题。最后，通过探索模式和联系的过程，七个三阶主题被开发出来，这些主题对男性的劳动和生育经历产生了新的见解。这一综合研究表明，大多数男性希望积极参与伴侣的分娩，在孩子出生时在场，并因自己的贡献而受到尊重。男人们认识到，生育是一件独特的事情，可能需要一定程度的准备，具有潜在的挑战性。也有男性因为压力而不得不参加。在实际的劳动经历中，男性通常表现出压倒性的感情和支持伴侣的能力不足。他们尤其与分娩的“痛苦”作斗争。助产士随后被确定为最适合对男性如何看待他们的分娩经历以及他们所描述的改变生活的出生事件产生重大影响的人。关键结论：准爸爸的出生经历是多维的。许多人承诺参与分娩过程，但往往感到脆弱。做好准备和接受支持是积极经验的基本要素，也有助于他们充分支持劳动妇女的能力。对实践的影响：男子积极准备分娩和分娩过程并在分娩过程中得到支持的能力影响到他们对分娩事件的看法以及他们与伴侣的联系感，夫妻应该有机会探索期望，以及这些期望如何影响他们在分娩过程中对自己角色的建构。虽然应促进和支持准父亲在分娩和生产中的作用，但可以说他们不参与的愿望也应得到同样的尊重。(C) 2014 Elsevier Ltd.版权所有。
Objective: to develop greater understanding of how expectant fathers experience their partner's labour and the subsequent birth of their baby.Design: a qualitative meta-synthesis. Data were search for in CINAHL, PubMed, Psych Info and SCOPUS.Setting: eight studies conducted in England, Malawi, Nepal and Sweden were included.Participants: 120 fathers with experiences of their partner having a spontaneous vaginal, assisted or surgical birth.Measurements and findings: 1st order themes were identified and subsequently grouped into seven 2nd order themes. Finally through a process of exploring patterns and connections seven 3rd order themes were developed which produced new insights into the men's experiences of labour and birth. This meta-synthesis revealed that roost men wanted to be actively involved in their partner's labour, present at the birth and respected for what they could contribute. Men recognised that birth was a unique event that may be potentially challenging requiring a level of preparation. There were also men who felt pressured to attend. During the actual experience of labour men commonly expressed overwhelming feelings and inadequacy in their ability to support their partner. They particularly struggled with the 'pain' of labour. Midwives were subsequently identified as best placed to make a significant difference to how men perceived their experiences of labour and what they described as the life changing event of birth.Key conclusions: the expectant fathers' birth experiences were multidimensional. Many were committed to being involved during labour and birth but often felt vulnerable. Being prepared and receiving support were essential elements of positive experience as well as contributing to their ability to adequately support the labouring woman.Implications for practice: men's ability to actively prepare for and be supported through, the labour and birth process influences their perceptions of the childbirth event as well as their sense of connection to their partner Couples should be given opportunities to explore expectations and how these may influence their own construction of their role during the birth process. While the role of expectant fathers in labour and birth should be facilitated and supported arguably their wish not to participate should be afforded the same respect. (C) 2014 Elsevier Ltd. All rights reserved.