Midwives' recommendations for addressing paternal postnatal depression in Tanzania: A qualitative descriptive study

IF 2.5 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-07-06 DOI:10.1016/j.midw.2025.104512

Paul Shidende , Randi Bates , Gary Dick , Rebecca Lee

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引用次数: 0

Abstract

Background

Paternal postnatal depression (PPND) is a condition affecting fathers during the postpartum period. This study investigated the role of midwives in managing PPND in Tanzania, focusing on their recommendations for its management.

Purpose

To address the critical yet often neglected issue of PPND in Tanzania and, based on midwives' views, to explore midwifery recommendations for its identification, support, and treatment.

Methods

A qualitative descriptive study explored Tanzanian midwives' perceived knowledge, perceptions, and experience in PPND. Twenty-two midwives were purposively selected from two hospitals in Dar es Salaam, Tanzania, to participate in two focus group discussions. Following Elo and Kyngäs' (2008) framework, qualitative content analysis was employed to identify and interpret patterns in the data.

Results

Twenty-two Midwives from two selected referral hospitals in Dar es Salaam, Tanzania, were involved in this study. They identified the need for comprehensive midwifery education on PPND and recommended increased public awareness and community education. They advocated for the full involvement of fathers in postnatal care and the creation of supportive healthcare environments with specific spaces for fathers.

Conclusions

Several key recommendations highlighted the importance of involving fathers in prenatal and postnatal care, enhancing midwifery education, and creating supportive healthcare environments. These recommendations offered a pathway to improving paternal postnatal mental health and the well-being of both parents, ultimately fostering a more inclusive approach to family health care.

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助产士对解决坦桑尼亚父亲产后抑郁症的建议：一项定性描述性研究

父亲产后抑郁症（PPND）是一种影响父亲在产后期间的疾病。本研究调查了助产士在坦桑尼亚管理产后抑郁症中的作用，重点是他们对其管理的建议。目的解决坦桑尼亚PPND这一关键但经常被忽视的问题，并根据助产士的观点，探讨其识别、支持和治疗的助产建议。方法一项定性描述性研究探讨了坦桑尼亚助产士对PPND的认知知识、认知和经验。有目的地从坦桑尼亚达累斯萨拉姆的两家医院挑选了22名助产士参加两个焦点小组讨论。遵循Elo和Kyngäs（2008）的框架，采用定性内容分析来识别和解释数据中的模式。结果选取坦桑尼亚达累斯萨拉姆两家转诊医院的22名助产士参与本研究。他们确定需要对产后抑郁症进行全面的助产教育，并建议提高公众认识和社区教育。他们提倡父亲充分参与产后护理，并为父亲创造具有特定空间的支持性医疗保健环境。结论几项关键建议强调了父亲参与产前和产后护理、加强助产教育和创造支持性医疗环境的重要性。这些建议为改善父亲的产后心理健康和父母双方的福祉提供了一条途径，最终促成一种更具包容性的家庭保健方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.