A literature review and meta-ethnography of fathers’ psychological health and received social support during unpredictable complicated childbirths

Vallin, Emmeli; Wells, Michael B.

doi:10.1016/j.midw.2018.10.007

Cited by 45 publications

(21 citation statements)

References 29 publications

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“…However, little is known about possible mid-and long-term consequences. Research on this topic has focused mainly on mothers; however, fathers are affected, too, and might respond differently due to genderrelated variations in birth experience and role expectations (7,8).…”

Section: Introductionmentioning

confidence: 99%

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Does Birth-Related Trauma Last? Prevalence and Risk Factors for Posttraumatic Stress in Mothers and Fathers of VLBW Preterm and Term Born Children 5 Years After Birth

et al. 2020

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Previous research suggests that the birth of a preterm child with very low birth weight (VLBW; <1,500 g) can be traumatic for both parents and lead to short-term consequences like clinical levels of posttraumatic stress symptoms (PTSS) or even to the development of a Posttraumatic Stress Disorder (PTSD). However, little is known about possible mid- and long-term psychological consequences in affected parents. The purpose of this study were (a) to examine the prevalence of parental birth-related PTSS and PTSD in a group of parents with VLBW preterm infants compared to parents of full-term infants 5 years after birth and (b) to investigate potential associations with risk factors for parental PTSS at 5 years postpartum. Perinatal factors (VLBW preterm or term, perceived stress during birth), psychological factors (perceived social support and PTSS 4–6 weeks postpartum, psychiatric lifetime diagnosis) and sociodemographic characteristics (number of children, singleton or multiple birth, socio-economic status), were included in the analysis. The sample consisted of 144 families (77 VLBW, 67 term birth) who participated in the prospective longitudinal cohort study “Hamburg study of VLBW and full-term infant development” (HaFEn-study) and were initially recruited at three perinatal care centers in Hamburg, Germany. PTSD prevalence and PTSS of mothers and fathers were assessed with the Impact of Event Scale-Revised (IES-R), social support with the Questionnaire of Social Support (SOZU-K-22), and lifetime psychiatric diagnoses with the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (SCID-I). Data were analyzed by hierarchic multiple regression analyses. Results showed that 5 years after birth none of the parents fulfilled the criteria for a birth-related PTSD diagnosis. For mothers, postnatal PTSS and a VLBW preterm birth significantly predicted PTSS 5 years postpartum. For fathers, psychiatric lifetime diagnosis and postnatal PTSS significantly predicted PTSS 5 years after birth. Early identification of parents with higher risk of PTSS, especially after VLBW preterm birth, and their clinical needs seems beneficial to reduce the risk of long-term consequences. More research is needed on the paternal perspective and on potential effects of preterm birth on both parents and their children's mental health outcomes.

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Section: Introductionmentioning

confidence: 99%

“…One important general risk factor is lack of social support, both during pregnancy, childbirth, and the postpartum transition into parenthood (8,22). Perceived social support is related to PTSS (27,28) and it might be of special importance for parents of preterm children (29).…”

Section: Introductionmentioning

confidence: 99%

Does Birth-Related Trauma Last? Prevalence and Risk Factors for Posttraumatic Stress in Mothers and Fathers of VLBW Preterm and Term Born Children 5 Years After Birth

et al. 2020

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“…The Family Focus theme illustrates new and unique nuances in women's views on the importance of familyoriented care; it is perceived as pivotal that the partner is involved, included and cared for both emotionally and through the provision of good facilities, which is also found in studies on fathers' experiences and expectations of childbirth. [24][25][26][27][28][29] Furthermore, our results suggest that the value of looking after birth companions is a way of looking after the woman herself. If she does not have to worry about the wellbeing of her partner, she can commit to the labour process.…”

Section: Main Findingsmentioning

confidence: 60%

What women emphasise as important aspects of care in childbirth: An online survey study of 8,401 women who have given birth in Norway

Vedeler¹,

Nilsen²,

Blix³

et al. 2020

Preprint

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Objective To explore and describe what women who have given birth in Norway emphasise as important aspects of care during childbirth. Design The study is based on data from the Babies Born Better survey, version 2, a mixed-method online survey. Setting The maternity care system in Norway. Study population Women who gave birth in Norway between 2013 and 2018. Method Descriptive statistics were used to describe sample characteristics and to compare data from the B3 survey with national data from the MBRN, using SPSS® software (version 20). The open-ended questions were analysed with an inductive thematic analysis, using NVIVO 12® software. Main outcome measures Themes developed from two open-ended questions. Results The final sample included 8,401 women. There were no important differences between the sample population and the national population with respect to maternal age, marital status, parity, mode of birth and place of birth, except for the proportion of planned homebirths. Four themes and one overarching theme were identified; Compassionate and Respectful Care, A Family Focus, Continuity and Consistency, and Sense of Security, and the overarching theme Coherence in Childbearing. Conclusions Socio-cultural and psychological aspects of care are significant for women in childbirth, alongside physical and clinical factors. Caring for the woman implies caring for her partner and having a baby is about ‘becoming a family or expanding the family’. Childbirth is a continuous experience in women’s lives and continuity and consistency are important for women to maintain and promote a coherent experience.

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“…Diğer yandan bazı çalışmalarda bu konuda genel olarak babaların ihmal edildiği, bazı engel ile karşılaştığı ve sağlık çalışanları tarafından dinlenmediği ifade edilmektedir [1,25,26] [31]. Diğer yandan yeterli bilgi alamamanın da olumsuz doğum deneyiminin yanı sıra belirsizlik, hayal kırıklığı, kafa karışıklığı, öfke, korku ve çaresizlik gibi olumsuz deneyimler yaşanmasına neden olduğu belirtilmektedir [27,32,33]. Bu sonuçlar babaların doğum eylemine katılımlarının sağlanması ve desteklenmesi gerektiğini göstermesi bakımından önemlidir.…”

Section: Discussionunclassified

Babaların Doğum Eylemine Katılma Konusundaki Görüşleri ve Gereksinimleri

Karaçam

2020

Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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Bu araştırmada, babaların doğum eylemine katılma konusundaki görüş ve gereksinimlerinin belirlemesi amaçlanmıştır. Gereç ve Yöntemler: Araştırma niteliksel olarak, Şubat 2018'de, Aydın Kadın Doğum ve Çocuk Hastalıkları Hastanesi'nde eşleri vajinal doğum yapmak üzere doğum ünitesine kabulü yapılan ya da yeni bebeği olan 20 baba ile yapılmıştır. Verileri, yapılandırılmış ve yarı yapılandırılmış görüşme formu ile toplanmıştır. Veriler içerik analizi yöntemi ile analiz edilmiş, babaların görüşleri ile ilgili beş ve gereksinimleri ile ilgili de beş tane olmak üzere toplam 10 kod oluşturulmuştur. Bulgular: Araştırmaya katılan babaların yaş ortalamalarının 31,15±5,27 (min-max:22-41), çoğunun ilkokul/ortaokul (n=10) ve lise (n=8) eğitiminde oldukları belirlenmiştir. Babaların dördünün ilk, 11'inin ikinci ve üçünün üçüncü kez baba olacakları/oldukları, çoğunun bu gebeliği planladıkları (n=15) ve istedikleri (n=12) belirlenmiştir. Araştırmamızda babaların doğuma katılma ve eşlerine destek olma konusundaki görüşleri "yanında bulunma isteği, destek olma isteği, koruma isteği, fiziksel engeller ve duygusal engeller" kodları altında toplanmıştır. Babaların doğumda katılma ve destek olma ile ilgili gereksinimleri ise "bilgilendirilme, desteklenme, yanında olmaya izin verilmesi, işten izin verilmesi ve ortamın iyileştirilmesi" kodları altında yer almıştır. Sonuç: Bu çalışmada, babaların doğum eylemine katılma ve eşlerine destek olma konusunda olumlu görüşe sahip oldukları, ancak bunu sağlayabilmek için bilgilendirilme, desteklenme, eşinin yanında olmasına izin verilmesi ve ortamın iyileştirilmesine gereksinim duydukları sonuçları elde edilmiştir. Anne dostu hastane uygulamaları, gebe eğitim sınıfları ve klinik uygulamalar sırasında bu bilgilerin dikkate alınması ile doğumun her iki ebeveyn için de daha keyifli bir deneyime dönüştürülmesine katkı sağlanabilir.

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A literature review and meta-ethnography of fathers’ psychological health and received social support during unpredictable complicated childbirths

Cited by 45 publications

References 29 publications

Does Birth-Related Trauma Last? Prevalence and Risk Factors for Posttraumatic Stress in Mothers and Fathers of VLBW Preterm and Term Born Children 5 Years After Birth

Does Birth-Related Trauma Last? Prevalence and Risk Factors for Posttraumatic Stress in Mothers and Fathers of VLBW Preterm and Term Born Children 5 Years After Birth

What women emphasise as important aspects of care in childbirth: An online survey study of 8,401 women who have given birth in Norway

Babaların Doğum Eylemine Katılma Konusundaki Görüşleri ve Gereksinimleri

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