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Highlights The experiences of pregnant women from past epidemics and pandemics were consolidated. Midwives’ and nurses’ perceptions of epidemics and pandemics were explored. Individualized and contextualized educational support is needed. Culturally congruent care and emotional and financial support need to be prioritized. Healthcare professionals can consider technology-based and community-led supportive programs.

Aims:To examine fathers' experiences and needs associated with mental health during the perinatal period.Design: Qualitative studies were meta-synthesized using the steps outlined by Sandelowski and Barroso. Data sources: Six databases (PubMed, Embase, PsycINFO, CINAHL, Scopus and ProQuest) were searched for qualitative studies from each database's inception to 24 June 2019.Review methods: Studies were critically appraised using the Critical Appraisal Skills Program tool. Qualitative data were extracted, meta-summarized, then meta-synthesized.Results: Fourteen studies were included and four themes were identified: (a) negative feelings and psychological difficulties, (b) role strain and role conflict with multiple sources, (c) coping strategies that buffered negative feelings and psychological difficulties and (d) support needs to enhance mental health.

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