Systematic review has developed as a specific methodology for searching for, appraising and synthesizing findings of primary studies, and has rapidly become a cornerstone of the evidence-based practice and policy movement. Qualitative research has traditionally been excluded from systematic reviews, and much effort is now being invested in resolving the daunting methodological and epistemological challenges associated with trying to move towards more inclusive forms of review. We describe our experiences, as a very diverse multidisciplinary group, in attempting to incorporate qualitative research in a systematic review of support for breastfeeding. We show how every stage of the review process, from asking the review question through to searching for and sampling the evidence, appraising the evidence and producing a synthesis, provoked profound questions about whether a review that includes qualitative research can remain consistent with the frame offered by current systematic review methodology. We conclude that more debate and dialogue between the different communities that wish to develop review methodology is needed, and that attempts to impose dominant views about the appropriate means of conducting reviews of qualitative research should be resisted so that innovation can be fostered.

Structured approaches may not produce greater consistency of judgements about whether to include qualitative papers in a systematic review. Future research should address how appraisals of qualitative research should be incorporated in systematic reviews.

Background: Qualitative research makes an important contribution to our understanding of health and healthcare. However, qualitative evidence can be difficult to search for and identify, and the effectiveness of different types of search strategies is unknown.

This article explores men's articulations and practices of gender through transition to first-time fatherhood. Using qualitative longitudinal data, men's antenatal intentions and postnatal practices are explored in this study which replicates earlier research on motherhood. The contemporary context in the UK is one where paternity leave, discourses of caring masculinities and more public displays of fathering involvement appear to offer new possibilities for men. But data analysis shows that whilst opportunities to disrupt gender norms are initially imagined, longer term practices can confirm 'patriarchal habits'. The findings illuminate gender being done and undone, at times simultaneously, as the exhaustion and hard work of new parenting is encountered. A retreat into normative behaviours can be a path of least resistance as experiences unfold in an arena where men are found to have available to them a wider repertoire of discursive storylines. Optimistically, some changes in fathering involvement are discernible.

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This paper examines men's experiences of fertility/infertility against a backdrop of changing understandings of men's role in society and medical possibilities. It presents findings from two qualitative research projects on men's experiences of engagement with reproductive health services as they sought to become fathers and anticipate impending fatherhood. The findings from both projects provide insights into men's experiences of (in)fertility and their engagement with services set against cultural ideals of masculinity. Discussions of reproduction have historically focused most centrally upon women's bodies and maternal processes, leaving little space for consideration of men's experiences and perspectives. While women's experiences of infertility/fertility have been characterized in relation to productive or faulty biological processes, male infertility has been largely invisible and male fertility typically assumed. This context provides a difficult terrain for men in which to contemplate the potential of not being able to father a child. The findings discussed in this paper illuminate the ways in which men talk about and make sense of their reproductive journeys. In doing so, it challenges current understandings of masculinity and reproductive bodies and highlights the need to rethink how men are treated in reproductive spheres and how services to men are delivered.