Life-threatening complications in childbirth: a discursive analysis of fathers’ accounts

Moore, Hannah; Solomons, Wendy; Hinton, Lisa

doi:10.1080/02646838.2018.1546382

Cited by 6 publications

(12 citation statements)

References 72 publications

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“…The rst theme focused on the lack of communication, the experience of neglect and near-total exclusion from healthcare staff. This increased fathers' sense of alienation and insecurity which exacerbated their anxiety, sense of powerlessness and role ambiguity in not knowing how to be there to support their partner and child (17)(18)(19). The exclusion of men was experienced both in terms of institutional exclusion (lack of privacy, absence of facilities or spaces for men to occupy within the hospital environment) as well as amongst healthcare professionals (lack of support, information and acknowledgement of his role and trauma experienced).…”

Section: Discussionmentioning

confidence: 99%

“…In terms of father's engagement with healthcare staff, fathers reported a lack of communication, feelings of neglect and near-total exclusion from healthcare professionals concerning issues of their spouses. The lack of communication experienced by fathers often lead to their inability to adequately prepare for worse-case-scenarios, which increased feelings of alienation and insecurity and precipitated feelings of anxiety and powerlessness (17)(18)(19). As such, fathers indicated that they did not have a lot of knowledge regarding the prognosis of the high-risk pregnancy and its associated complications.…”

Section: The Father Versus the Healthcare Professional And The Hospit...mentioning

confidence: 99%

“…Ultimately, men need to negotiate the dilemma of maintaining traditional constructions of masculinity within the context of disempowerment, lack of agency and confrontation with their own vulnerability (18). These narratives call on men to reconstruct their identities and how they imagine their future.…”

Section: The Impact Of High-risk Pregnancies On Fathersmentioning

confidence: 99%

“…Within this, family relationships serve as the primary source for healing and shared-meaning making (18). Although this period is incredibly di cult for both parents, fathers indicated that it was worthwhile particularly if the mother and child came through healthily (23,27).…”

Section: The Impact Of High-risk Pregnancies On Fathersmentioning

confidence: 99%

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Fatherhood and High-Risk Pregnancy: A Scoping Review

Jackson

Erasmus

Mabanga

2022

Preprint

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Background The experience of expectant parenthood is commensurate of relative angst and nervousness albeit one of overall excitement and joy. However, when the pregnancy is regarded as high-risk, this experience changes dramatically for both parents. While literature on high-risk pregnancies is gaining traction, the focus is predominantly on the mother’s experiences and therefore, a paucity exists in exploring the father’s experiences of a high-risk pregnancy. This study aimed to determine the current extent of literature focusing on father’s experiences of a high-risk pregnancy using a scoping review methodology. Method Nine databases were reviewed using the EBSCOHost metadatabase: Academic Search Complete; APA PsychArticles; CINAHL Plus with full-text; Health Source: Nursing/Academic Edition; MasterFILE Premier; MasterFILE Reference eBook Collection; MEDLINE; SocINDEX with full-text; and eBook Collection. Data was extracted according to the following headings: Authors (including the year of publication); aim of the study; research context; research design; sample characteristics; and key findings. Results 15 studies were included in this review. A narrative synthesis was applied within which 4 key themes emerged from the data: (1) The father versus the healthcare professional and the hospital environment; (2) The impact of high-risk pregnancies on fathers; (3) Redefining the role of ‘father’ after experiencing high-risk pregnancy and (4) Focus on fathers: Recommendations for support during high-risk pregnancies. Conclusion The findings of this study highlights the importance of the inclusion of men and fathers in supporting both his partner and (un)born child. The findings further illustrated the long-lasting impact of trauma felt by men which constrained his ability to support his family. A family-centred approach is needed to further support the family and the impact of a high-risk pregnancy on all members within the family unit.

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Section: Discussionmentioning

confidence: 99%

Section: The Father Versus the Healthcare Professional And The Hospit...mentioning

confidence: 99%

Section: The Impact Of High-risk Pregnancies On Fathersmentioning

confidence: 99%

Section: The Impact Of High-risk Pregnancies On Fathersmentioning

confidence: 99%

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Fatherhood and High-Risk Pregnancy: A Scoping Review

Jackson

Erasmus

Mabanga

2022

Preprint

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“…Early postpartum care to avert mental distress, for example postpartum depression has been proposed in studies from Benin [38] as well as from Britain [8]. The Benin study specifically mentions the maternal near-miss population and those women that experienced perinatal death to be targeted with preventative and diagnostic strategies [39]. Hinton et al make a case for the potential role for primary health care structures in this, with another British study [40] additionally advocating for emotional support mechanisms for the partners of the women.…”

Section: Resiliencementioning

confidence: 99%

“I lost my happiness, I felt half dead and half alive” - a qualitative study of the long-term aftermath of obstetric near-miss in the urban district of Zanzibar, Tanzania

Herklots

Yussuf

Mbarouk

et al. 2020

BMC Pregnancy Childbirth

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Background This study aims to explore the stories of three women from Zanzibar, Tanzania, who survived life-threatening obstetric complications. Their narratives will increase understanding of the individual and community-level burden masked behind the statistics of maternal morbidity and mortality in Tanzania. In line with a recent systematic review of women-centred, qualitative maternal morbidity research, this study will contribute to guidance of local and global maternal health agendas. Methods This two-phased qualitative study was conducted in July-August 2017 and July-August 2018, and involved three key informants, who were recruited from a maternal near-miss cohort in May 2017 in Mnazi Mmoja Hospital, Zanzibar. The used methods were participant observation, interviews (informal, unstructured and semi-structured), participatory methods and focus group discussions. Data analysis relied primarily on grounded theory, leading to a theoretical model, which was validated repeatedly by the informants and within the study team. The findings were then positioned in the existing literature. Approval was granted by Zanzibar’s Medical Ethical Research Committee (reference number: ZAMREC/0002/JUN/17). Results The impact of severe maternal morbidity was found to be multi-dimensional and to extend beyond hospital discharge and thus institutionalized care. Four key areas impacted by maternal morbidities emerged, namely (1) social, (2) sexual and reproductive, (3) psychological, and (4) economic well-being. Conclusions This study showed how three women’s lives and livelihoods were profoundly impacted by the severe obstetric complications they had survived, even up to 16 months later. These impacts took a toll on their physical, social, economic, sexual and psychological well-being, and affected family and community members alike. These findings advocate for a holistic, dignified, patient value-based approach to the necessary improvement of maternal health care in low-income settings. Furthermore, it emphasizes the need for strategies to be directed not only towards quality of care during pregnancy and delivery, but also towards support after obstetric complications.

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