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Engaging fathers in childbirth: A meta synthesisSteen, Mary; Downe, Soo; Bamford, Nicola; Edozien, Leroy; University of Chester ; University of Central Lancashire ; University of Manchester/St Mary's University Hospital (2012-04-26)This presentation explores the evidence from a meta synthesis undertaken as part of a programme of work entitled, Engaging Fathers in Childbirth (EPIC). There is growing evidence that active involvement of fathers in maternity care is associated with many health and social benefits for the mother and baby. However, maternity care expectations and experiences of expectant and new fathers have received little attention from policy makers and maternity service providers. Twenty three papers were included in the meta-synthesis and studies where undertaken in 9 countries (7 UK, 5 Australia, 4 Sweden, 2 USA, 1 Japan, 1 Taiwan, 1 South Africa, 1 Finland, 1 New Zealand). Ten of these focused on the prenatal period (prenatal diagnosis, A/N education & care), 5 focused on the intrapartum period (place of birth, premature birth & experiences),8 focussed on the postnatal period (transition to fatherhood & post-traumatic stress disorder). Six themes emerged from the included studies: risk and uncertainty,exclusion, fear and frustration, the ideal and the reality, issues of support, experiencing transition. 'As Partner and Parent’ fathers experience as not-patient and not-visitor situates them in an interstitial and undefined space with the consequence that many feel excluded and fearful. They cannot support their partner effectively unless they are themselves supported, included, and prepared for the reality of risk and uncertainty in pregnancy, labour and parenthood and for their role in this context.
Not-patient and not-visitor: A metasynthesis of fathers’ encounters with pregnancy, birth and maternity careSteen, Mary; Downe, Soo; Bamford, Nicola; Edozien, Leroy; University of Chester ; University of Central Lancashire ; St Mary's Hospital, Manchester (Elsevier, 2011-08-06)The active engagement of fathers in maternity care is associated with long-term health and social benefits for the mother, baby and family. This study's aim was to identify and synthesise good quality qualitative research that explores the views and experiences of fathers who have encountered maternity care in high resource settings. A pre-determined search strategy identified 23 papers published between January 1999 and January 2010. Analysis was based on the metaethnographic techniques of Noblit and hare (1988) as amended by Downe et al, (2007). The emerging themes were: risk and uncertainty, exclusion, fear and frustation, the ideal and the reality, issues of support and experiencing transition.The following synthesis was generated from these themes:Most fathers in the included studies saw themselves as partner and parent, with a strong desire to support their partners and to be fully engaged with the process of becoming a father. However, the experience of maternity care was often as not-patient and not visitor. This situated them in an interstitial and undefined space (both emotionally and physically) with the consequence that many felt uncertain, excluded and fearful.