MidwiferyPub Date : 2025-04-30DOI: 10.1016/j.midw.2025.104424
Priscille Sauvegrain , Clémence Schantz , Mounia El Kotni , Laurent Gaucher , Anne Alice Chantry
{"title":"Consolidation of the questionnaire proposed by National College of French Midwives to measure and characterise violence in perinatal care: Insights from women and representatives","authors":"Priscille Sauvegrain , Clémence Schantz , Mounia El Kotni , Laurent Gaucher , Anne Alice Chantry","doi":"10.1016/j.midw.2025.104424","DOIUrl":"10.1016/j.midw.2025.104424","url":null,"abstract":"<div><h3>Background</h3><div>Violence in perinatal care remains challenging to define, as well as to measure. To address this, a midwifery research group published a questionnaire endorsed by the French National College of Midwives, but women’s perspective was lacking.</div></div><div><h3>Aim</h3><div>To consolidate this questionnaire on violence in perinatal care with insights from women and their representatives.</div></div><div><h3>Methods</h3><div>We conducted a qualitative study, abiding by the COREQ criteria, based on semi-guided interviews held with 16 women and three representatives of perinatal patient organisations. Women were recruited via social media and targeted outreach. The interviews explored their understanding of the questionnaire, its relevance to their experiences, and potential areas for improvement. Data was transcribed and thematically analyzed.</div></div><div><h3>Findings</h3><div>Participants appreciated the questionnaire’s brevity and endorsed its use of the term ‘violence’, validating its focus on subjective experiences. However, they highlighted unclear items, such as assessing health professionals’ experience or evidence-based care. Suggested additions included categories of infantilizing language, as well as specific roles like radiologists and anesthetists. The nested aspect of the questionnaire was also discussed. Divergent opinions emerged regarding the timing of administration of the questionnaire, some favoring postpartum hospital stay and others suggesting later follow-up.</div></div><div><h3>Discussion /Conclusion</h3><div>This study highlighted the importance of including women to ensure the tool’s relevance and comprehensiveness. Revisions enhanced clarity, expanded the scope of professional interactions assessed, and introduced nuanced categories of violence. Challenges remain, including optimizing timing for questionnaire administration. Perspectives include dissemination within clinical practice, tests among minorities and validation of the questionnaire using psychometric tools.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104424"},"PeriodicalIF":2.6,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
MidwiferyPub Date : 2025-04-25DOI: 10.1016/j.midw.2025.104436
Naomi Simpson , Rachael A Vernon , Annette L Briley , Adrian J Esterman , Mary Steen
{"title":"Evaluating the effectiveness of a conflict resolution and resilience building bespoke educational workshop for South Australia midwifery students: A pre-post measure education study","authors":"Naomi Simpson , Rachael A Vernon , Annette L Briley , Adrian J Esterman , Mary Steen","doi":"10.1016/j.midw.2025.104436","DOIUrl":"10.1016/j.midw.2025.104436","url":null,"abstract":"<div><h3>Background</h3><div>Workplace bullying, and violence are well-recognised concerns within the midwifery profession. Research suggests midwifery students are exposed to bullying in clinical and education settings, impacting their professional and personal lives. A potential solution to this negative phenomenon experienced is the inclusion of conflict resolution and resilience building education within the Bachelor of Midwifery degree, which may equip midwifery students with the skills to manage and address conflict in the workplace.</div></div><div><h3>Aim</h3><div>To evaluate the effectiveness of a conflict resolution and resilience building education workshop for second-year midwifery students in South Australia.</div></div><div><h3>Method</h3><div>This paper focuses on data from phase 1 of a larger explanatory sequential mixed methods study. A semi-structured questionnaire and validated conflict measurement tool were used to examine students’ experiences of workplace bullying, and violence. A previously published research protocol guided this study. The study was not registered as a clinical trial as it used a pre-post measure of an education program that was included in the curriculum, for a singular group of students.</div></div><div><h3>Results</h3><div>Thirty-three midwifery students in South Australia participated in both the pre- and 1-week post-education data collection. Only 10 of the 33 students who completed the pre- and 1-week post-education data, completed the 3-month post-education data collection. Midwifery students’ knowledge and level of confidence improved following conflict resolution and resilience building education.</div></div><div><h3>Conclusion</h3><div>The inclusion of conflict resolution and resilience building in midwifery curriculum, strengthened students’ knowledge and understanding of conflict in the workplace. Students’ confidence levels in managing subtle forms of workplace bullying, and violence improved, however their confidence addressing confrontational styles of conflict showed little change, highlighting that conflict resolution and resilience education should be scaffolded throughout their curriculum to better equip students to manage conflict in the workplace.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104436"},"PeriodicalIF":2.6,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
MidwiferyPub Date : 2025-04-25DOI: 10.1016/j.midw.2025.104438
Fiona L. Challacombe , Edward Bickers , Rosanna Gilderthorp , Rachael Buabeng , Claudia Hallett
{"title":"Understanding the support needs of women with hyperemesis gravidarum","authors":"Fiona L. Challacombe , Edward Bickers , Rosanna Gilderthorp , Rachael Buabeng , Claudia Hallett","doi":"10.1016/j.midw.2025.104438","DOIUrl":"10.1016/j.midw.2025.104438","url":null,"abstract":"<div><h3>Problem</h3><div>Hyperemesis Gravidarum (HG) is a severe condition, but little is known about how best to psychologically support those going through this experience.</div></div><div><h3>Background</h3><div>HG, a severe form of nausea and vomiting affects 0.3–3.4 % of pregnancies. It can have significant psychological impacts on sufferers, with increased rates of anxiety, depression and post-traumatic stress. There is a need for interventions tailored to this group that could ameliorate these impacts.</div></div><div><h3>Aim</h3><div>To explore what women with HG found useful for their mental health, what could and should be targeted in an intervention and optimal features of an intervention.</div></div><div><h3>Methods</h3><div>A series of focus groups were run with 22 survivors of HG, analysed using reflexive thematic analysis.</div></div><div><h3>Findings</h3><div>Four overarching themes were identified: the individual journey of HG; recognition and validation by healthcare professionals; impact on family roles and systems; flexible personalised support. The need for cultural competence in understanding and developing support ran through the themes.</div></div><div><h3>Discussion</h3><div>HG involves both physical and psychological impacts, some of which are exacerbated by invalidating interactions and lack of knowledge in the healthcare system. Those with HG are simultaneously physically and mentally depleted, leading to multiple impacts on woman and family. A tailored intervention including elements of information, recording and active psychological intervention could support women’s physical and mental health during HG, with the potential to prevent or ameliorate negative psychological consequences.</div></div><div><h3>Conclusion</h3><div>Psychological support for women with HG is a current gap. A tailored intervention has promise to mitigate negative impacts of this condition.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104438"},"PeriodicalIF":2.6,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"“The pandemic was a bit of a blessing”. Re-writing the rulebook – how the pandemic prompted fathers to re-evaluate their lives and roles","authors":"Kieva Richards , Norma Barrett , Karen Wynter , Kirk Reed","doi":"10.1016/j.midw.2025.104437","DOIUrl":"10.1016/j.midw.2025.104437","url":null,"abstract":"<div><h3>Background</h3><div>Substantial public health measures in Victoria, Australia during the COVID-19 pandemic led to widespread disruption to daily life. Little is known about the impact of these changes on fathers residing in Victoria, a state that endured the longest and potentially harshest pandemic-related restrictions in the world.</div></div><div><h3>Aim</h3><div>To explore reflections of Victorian fathers on their parenting journey during the COVID-19 pandemic.</div></div><div><h3>Method</h3><div>A descriptive qualitative research design was used to collect data via semi-structured interviews. Men (<em>n</em> = 7) were recruited through social media and self-nominated to participate in interviews. Data were analysed using Braun and Clarke’s six-phase reflexive thematic analysis process.</div></div><div><h3>Findings</h3><div>Four themes were generated from the thematic analysis: What makes or made the fathering role easier? Positive coping strategies; Fathers’ reflections on the positive and negative impacts of the pandemic; and the pandemic as a prompt to seek balance.</div></div><div><h3>Conclusion</h3><div>While the acute stages of the pandemic have passed, the learning from the experience is ongoing. The pandemic influenced family relationships and unearthed variations in equitable service provision, leave entitlement and shifts in perceptions of fatherhood. The pandemic created a unique experience that triggered fathers to engage in a process of self-discovery and re-prioritisation of their role and relationship with their family.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104437"},"PeriodicalIF":2.6,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
MidwiferyPub Date : 2025-04-24DOI: 10.1016/j.midw.2025.104428
Paula Barry , Sunita Panda , Deirdre O'Malley , Nora Vallejo , Hazel Cazzini , Valerie Smith
{"title":"Midwives’ views and experiences of maternity care during COVID-19 in Ireland: A qualitative descriptive study","authors":"Paula Barry , Sunita Panda , Deirdre O'Malley , Nora Vallejo , Hazel Cazzini , Valerie Smith","doi":"10.1016/j.midw.2025.104428","DOIUrl":"10.1016/j.midw.2025.104428","url":null,"abstract":"<div><h3>Objective</h3><div>To explore and describe midwives’ views and experiences of maternity care during the COVID-19 pandemic in Ireland.</div></div><div><h3>Design</h3><div>A qualitative descriptive study involving semi-structured interviews to gather data was undertaken. Interviews, which were held between September 2022 and January 2023, were digitally recorded and transcribed verbatim. Thematic analysis was used to analyse the data.</div></div><div><h3>Setting & participants</h3><div>The study setting was a large urban maternity unit (> 8000 births per year) in the Republic of Ireland. Midwives of any grade, who were involved in providing maternity care to women and their families in any area of the hospital during the pandemic were eligible for inclusion. Midwives were invited to take part via the hospital intranet and advertisements that were posted on notice boards throughout the study site.</div></div><div><h3>Findings</h3><div>Thirteen midwives took part in the study. Four major themes reflective of midwives’ views and experiences were identified. These were: ‘<em>Ever-evolving goalposts’</em>, ‘<em>Feeling vulnerable’</em>, ‘<em>Changing relationships’</em> and ‘<em>Challenges to the Philosophy of Midwifery’</em>.</div></div><div><h3>Key conclusions and implications for practice</h3><div>This study highlights the need to consider the impact of COVID-19 on midwives and maternity services now and in the future. As a priority, embedding strategies to support midwives to regain and sustain psychological and physical well-being, are required. Attending to these factors may aid in sustainable retention of the midwifery workforce, and, ultimately, act as protective factors for crises that could emerge, potentially, in the future.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104428"},"PeriodicalIF":2.6,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Women’s experiences of waterbirth: A systematic review with narrative synthesis","authors":"Monna Kurvinen, Reeta Lamminpää, Katri Vehviläinen-Julkunen","doi":"10.1016/j.midw.2025.104434","DOIUrl":"10.1016/j.midw.2025.104434","url":null,"abstract":"<div><h3>Background</h3><div>Childbirth is a major event in a woman's life, shaped by various factors including the individual's circumstances, the birth process, the care provided, social support, and immediate post-birth experiences. Although waterbirth has become increasingly popular in recent years, research on women’s experience remains limited. This review aims to synthesize evidence on women’s experiences of waterbirths to inform clinical guidelines, support personalized care, and identify priorities for future research.</div></div><div><h3>Methods</h3><div>This study was a systematic review, with searches conducted across three databases (CINAHL, Scopus, and PubMed) covering 2013 to 2023. A total of 17 studies met the inclusion criteria, and the data were analyzed through a narrative synthesis approach.</div></div><div><h3>Findings</h3><div>Eight categories were identified that capture women's experiences with waterbirth. Women who give birth in water often feel a strong sense of control, describing the experience as empowering, intimate, and relaxing. They value the ease of changing positions in the birthing pool, although some find the pool’s design challenging and occasionally uncomfortable. Overall, water is widely regarded as an effective pain relief method and a natural, positive childbirth option, though it can also evoke negative emotions. The roles of both the partner and midwife are essential, and women generally report positive experiences following a waterbirth.</div></div><div><h3>Conclusion</h3><div>Most women were satisfied with waterbirth. However, further research is needed to understand waterbirth’s impact on women's psychological well-being, as well as the perspectives of partners and midwives. Additionally, cultural perceptions and effective ways to provide comprehensive information to support expectant mothers in their decision-making require further exploration.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104434"},"PeriodicalIF":2.6,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
MidwiferyPub Date : 2025-04-24DOI: 10.1016/j.midw.2025.104435
Anette Lycke , Annika Brorsson , Ewa Andersson
{"title":"Midwives’ experiences of working with menopause counselling: a qualitative study","authors":"Anette Lycke , Annika Brorsson , Ewa Andersson","doi":"10.1016/j.midw.2025.104435","DOIUrl":"10.1016/j.midw.2025.104435","url":null,"abstract":"<div><h3>Background</h3><div>Studies have shown that women are asking for more knowledge and guidance about menopause. The professional competence of midwives encompasses menopause as a potential area of expertise. Midwives have good knowledge of women’s health and are used to providing health advice.</div></div><div><h3>Aim</h3><div>The aim was to examine midwives’ experiences of working with menopause counselling.</div></div><div><h3>Methods</h3><div>Data were collected by using semi-structured individual interviews with 14 midwives who had experience in conducting menopause counselling. The data analysis was carried out using Malterud systematic text condensation.</div></div><div><h3>Findings</h3><div>The data analysis yielded four themes: The midwife can fulfil a need for care; Menopause counselling, a midwifery task; Factors that facilitate; Promote equal menopause care. The midwives felt they were addressing a healthcare need that had previously been unmet. They thought midwives were well suited to perform this task, had good knowledge of women's health and were used to working from a holistic and salutogenic perspective. The midwives perceived certain conditions as essential, structured menopausal counselling, support in the organisation, education at advanced level and established cross-professional collaborations. They also thought an investment in menopause care is needed to promote equal care.</div></div><div><h3>Conclusion</h3><div>This work indicates that midwives with their skills and working methods are well suited to conduct menopausal counselling and thereby could satisfy a healthcare need. Resources needed are investments in menopausal counselling visits by midwives.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104435"},"PeriodicalIF":2.6,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143922782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Healthcare professionals’ perceptions of barriers and facilitators to postpartum diabetes screening participation in women with gestational diabetes mellitus in China: A qualitative study","authors":"Jing Huang , Judith Parsons , Angus Forbes , Ling Wang , Rita Forde","doi":"10.1016/j.midw.2025.104432","DOIUrl":"10.1016/j.midw.2025.104432","url":null,"abstract":"<div><h3>Background</h3><div>Women with a history of gestational diabetes mellitus (GDM) have a higher risk of developing type 2 diabetes (T2DM). Postpartum diabetes screening is usually recommended to identify glucose intolerance and introduce timely diabetes prevention strategies. However, the uptake of postpartum diabetes screening is suboptimal, especially in China, where GDM is prevalent. Healthcare professionals (HCPs) may offer unique insights into the challenges women face when attending screening, helping to develop interventions that improve uptake and fit in with routine clinical practice.</div></div><div><h3>Aim</h3><div>To explore HCPs’ perceptions of barriers and facilitators to postpartum diabetes screening uptake.</div></div><div><h3>Methods</h3><div>Online semi-structured interviews were conducted with HCPs recruited via online networks. The data were analysed using framework analysis and the socio-ecological model.</div></div><div><h3>Results</h3><div>Eighteen HCPs, including obstetricians, midwives, nurses, nurse managers, and a dietician participated. Thirteen themes were generated across four levels (individual, interpersonal, organisational and policy). Individual level themes included: women’s limited understanding, adherence and motivation; low diabetes risk awareness; and competing priorities. Interpersonal challenges involved communication and relationships between HCPs and women. Organizational barriers included workforce shortages, a lack of systemic GDM follow-up and care integration, and limited screening accessibility. At the policy level, GDM follow-up was not promoted nor prioritised.</div></div><div><h3>Conclusion</h3><div>HCPs have a vital role in improving patient education, postpartum follow-up and support after GDM to reduce long-term health risks. Strengthening HCP training in communication with women and improving continuity and integration of care could enhance GDM follow-up and prevent diabetes in women following GDM.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104432"},"PeriodicalIF":2.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143876494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
MidwiferyPub Date : 2025-04-18DOI: 10.1016/j.midw.2025.104430
Alice McInnes , Janet Bradley , Nazihah Uddin , Ricardo Khine , Rebecca Webb , Susan Ayers
{"title":"Validation of the City Birth Trauma Scale to assess post-traumatic stress symptoms in maternity staff","authors":"Alice McInnes , Janet Bradley , Nazihah Uddin , Ricardo Khine , Rebecca Webb , Susan Ayers","doi":"10.1016/j.midw.2025.104430","DOIUrl":"10.1016/j.midw.2025.104430","url":null,"abstract":"<div><h3>Background</h3><div>Each year, 295,000 women die from pregnancy or childbirth complications, with many more women and babies experiencing severe complications. Maternity staff are often exposed to these events and can develop post-traumatic stress symptoms or disorder (PTSD). However, there are currently no tools to specifically identify and assess birth-related PTSD in maternity staff. This study therefore adapted and validated the City Birth Trauma Scale (City BiTS) for this purpose.</div></div><div><h3>Method</h3><div>The City BiTS (Maternity staff) was completed by 396 maternity health professionals recruited in three waves between 2016 and 2023. Participants reported their experiences with traumatic birth events and completed the scale to assess PTSD symptoms. Psychometric analyses were used to determine internal consistency, factor structure, and construct validity.</div></div><div><h3>Results</h3><div>Over half of participants had witnessed severe injuries (55.9 %) or deaths (41.4 %), and 30.7 % met PTSD diagnostic criteria (95 % CI 26.2 - 35.5). The scale demonstrated good internal consistency (α = 0.95) and construct validity. PTSD symptoms were associated with greater perceived trauma (<em>rho</em> 0.37, <em>p</em><.001), poorer coping (-0.30., <em>p</em><.001), and symptoms were greater after births involving maternal or infant deaths (Mann-Whitney U 18,609, <em>p</em> = .05). Both 2-factor and 3-factor structures were supported, with the main subscale of <em>Birth-related symptoms</em> accounting for most variance (53.82 %) in both analyses. Remaining items either grouped into one subscale of <em>General symptoms</em> (fixed 2-factor model) or split into <em>Hyperarousal</em> and <em>Anhedonia & detachment</em> subscales (3-factor model).</div></div><div><h3>Conclusion</h3><div>Traumatic births have a significant psychological impact on maternity staff. The adapted City BiTS (Maternity staff) shows promise for identifying PTSD symptoms in this group, though further refinement of its factor structure is recommended.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104430"},"PeriodicalIF":2.6,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
MidwiferyPub Date : 2025-04-18DOI: 10.1016/j.midw.2025.104429
Qing Li , Siyu Yang , Yan Wang , Nantaporn Sansiriphun
{"title":"Fathers’ experience in supporting the mother and infant during the postpartum period: a qualitative systematic review","authors":"Qing Li , Siyu Yang , Yan Wang , Nantaporn Sansiriphun","doi":"10.1016/j.midw.2025.104429","DOIUrl":"10.1016/j.midw.2025.104429","url":null,"abstract":"<div><h3>Background</h3><div>Fathers become more involved in the health care of mothers and infants during the postpartum period. Qualitative studies on fathers’ postpartum experience are increasing, but a comprehensive synthesis of father’s experience of supporting the mother and infant is lacking.</div></div><div><h3>Aim</h3><div>To synthesize the best evidence of fathers’ experiences supporting the mother and infant during the postpartum period.</div></div><div><h3>Methods</h3><div>From inception until 20th August 2024, a comprehensive search of qualitative findings was conducted across nine databases, without publication year restraints but limited to language in English or Chinese. Using Joanna Briggs Institute (JBI) SUMARI, two reviewers independently screened studies, extracted data, and appraised quality. A meta-aggregation approach was used for data synthesis, with evidence assessed through the JBI ConQual approach.</div></div><div><h3>Findings</h3><div>24 studies from 1991 to 2024 were included in the review, which was then assessed as moderate to high quality (scores 5–10). The review included studies across 14 countries of different income levels. The total number of fathers included in the studies was 461. One hundred twenty-seven supported findings were extracted, and they were aggregated into eighteen categories and five synthesized findings: 1) Willingness to support mothers and infants; 2) Types of support provided by fathers; 3) Bittersweet experiences; 4) Challenges and coping strategies; and 5) Experience related to healthcare services.</div></div><div><h3>Conclusion</h3><div>This qualitative systematic review explored postpartum fathers’ diverse experiences supporting the mother and infant. It highlighted the importance of including fathers in postpartum healthcare education programs and services, increasing their health knowledge and health literacy about postpartum care.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104429"},"PeriodicalIF":2.6,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143876566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}