Midwives’ perceptions and experiences of engaging fathers in perinatal services

Rominov, Holly; Giallo, Rebecca; Pilkington, Pamela D.; Whelan, Thomas A.

doi:10.1016/j.wombi.2016.12.002

Cited by 33 publications

(53 citation statements)

References 30 publications

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“…they're keeping them back, I think, a little bit really' [33]. Language barriers caused difficulties in communication, establishing relationships and providing care for minority ethnic women [30][31][32][33][34]. In situations where midwives were unable to communicate with their clients without having an interpreter present, communication became fragmented; furthermore, it was difficult to provide personal care while interpreters were physically present during medical examinations.…”

Section: Lack Of Cultural Understandingmentioning

confidence: 99%

“…One study [18] found that telehealth was not an option in ANC and that clients were not allowed to access their electronic care records-they were, however, given physical copies of their records. Studies also described how language barriers resulted in fragmented communication and required use of interpreters [32,34]. Appointment lengths were usually standardized and did not allow for flexibility-'they might not be long enough or flexible to get all that information in' [32]-and accessing professional interpreting services after hours was complicated.…”

Section: Frustrated By Unfit Premises Restricted Access To Ict and Imentioning

confidence: 99%

“…Midwives found it important to involve partners in ANC consultations [31,34]; according to some, continuity of care was critical in this regard [34,36,40]. To include fathers, it was important to offer flexibility with scheduling of appointments [34] and provide culturally sensitive ANC [35]. This was sometimes difficult, due to lack of knowledge and differing beliefs about fathers' parenting roles [33,34] and time and funding constraints [34].…”

Section: Readiness To Include Fathers and Family Membersmentioning

confidence: 99%

“…To include fathers, it was important to offer flexibility with scheduling of appointments [34] and provide culturally sensitive ANC [35]. This was sometimes difficult, due to lack of knowledge and differing beliefs about fathers' parenting roles [33,34] and time and funding constraints [34]. Some also found that language barriers and family members attending consultations contributed to challenges when working with fathers from non-Western cultures [33,34].…”

Section: Readiness To Include Fathers and Family Membersmentioning

confidence: 99%

“…This was sometimes difficult, due to lack of knowledge and differing beliefs about fathers' parenting roles [33,34] and time and funding constraints [34]. Some also found that language barriers and family members attending consultations contributed to challenges when working with fathers from non-Western cultures [33,34]. Many midwives said they had not received any formal training in working with fathers and requested father-focused education to improve their care provision.…”

Section: Readiness To Include Fathers and Family Membersmentioning

confidence: 99%

See 4 more Smart Citations

From Midwife-Dominated to Midwifery-Led Antenatal Care: A Meta-Ethnography

Dahl

Heinonen

Bondas

2020

IJERPH

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Provision of antenatal care includes risk identification, prevention and management of pregnancy-related diseases, but also health education, health promotion, support and guidance to smooth the transition to parenthood. To ensure good perinatal health, high-quality, free and easily accessed antenatal care is essential. The aim of this study was to identify, integrate and synthesize knowledge of midwives’ experiences of providing antenatal care, attending to clients’ individual needs whilst facing multiple challenges. We conducted a meta-ethnography, which is a seven-step grounded, comparative and interpretative methodology for qualitative evidence synthesis. A lines-of-argument synthesis based on two metaphors was developed, based on refutational themes emerging from an analogous translation of findings in the included 14 papers. The model reflects midwives’ wished-for transition from a midwife-dominated caring model toward a midwifery-led model of antenatal care. Structural, societal and personal challenges seemingly influenced midwives’ provision of antenatal care. However, it emerged that midwives had the willingness to change rigid systems that maintain routine care. The midwifery-led model of care should be firmly based in midwifery science and evidence-based antenatal care that emphasize reflective practices and listening to each woman and her family. The change from traditional models of antenatal care towards increased use of digitalization no longer seems to be a choice, but a necessity given the ongoing 2020 pandemic.

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Section: Lack Of Cultural Understandingmentioning

confidence: 99%

Section: Frustrated By Unfit Premises Restricted Access To Ict and Imentioning

confidence: 99%

Section: Readiness To Include Fathers and Family Membersmentioning

confidence: 99%

Section: Readiness To Include Fathers and Family Membersmentioning

confidence: 99%

Section: Readiness To Include Fathers and Family Membersmentioning

confidence: 99%

See 3 more Smart Citations

From Midwife-Dominated to Midwifery-Led Antenatal Care: A Meta-Ethnography

Dahl

Heinonen

Bondas

2020

IJERPH

View full text Add to dashboard Cite

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Engaging culturally diverse fathers in maternal and family healthcare: Experiences and perspectives of healthcare professionals

Forbes

Wynter

Zeleke

et al. 2023

Health Prom J of Aust

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Issue AddressedAustralian maternal, family and child services increasingly espouse the value of being ‘father‐inclusive’. However, fathers report feeling excluded or marginalised during healthcare visits with their partners/infants, and experience barriers to engaging in perinatal healthcare at the community, individual and healthcare service level. These barriers may be amplified in men who are members of minority groups, such as those from culturally and linguistically diverse (CALD) backgrounds.MethodsThis research investigated healthcare professionals' perceptions and experiences of providing perinatal health services to families from CALD backgrounds. Semi‐structured interviews were held with healthcare professionals from multiple disciplinary backgrounds providing services to families in the perinatal period. Interviews were audio recorded, transcribed and analysed thematically to identify key themes and sub‐themes.ResultsTen healthcare professionals were interviewed. Participants acknowledged that inclusion of fathers in care is important as involvement enables fathers to support their pregnant partners and children, manage their own mental health, and helps to transform harmful gender roles.ConclusionsOverall, healthcare professionals are willing to include culturally diverse fathers. However, the ability of culturally diverse families to engage with healthcare services is impacted by the cultural competency of the services. So what? Healthcare delivered during pregnancy, childbirth and postpartum year may be improved by adopting a whole‐family approach, which considers the needs and perspectives of fathers and partners. However, particular attention is needed to ensure healthcare policies and practices are culturally competent to meet the needs of fathers from culturally diverse backgrounds.

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Providing clinicians with ‘how to’ knowledge for technology‐based innovation: Introducing the SMS4dads texts

Fletcher

Regan

StGeorge

2023

Health Prom J of Aust

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Issue AddressedMale partners are key supports for women in birth preparation and postnatally. Text‐messaging can deliver timely information to expectant and new fathers to increase their support of the mother. However, technological innovations in healthcare often fail to be adopted. This study aims to assess the impact of disseminating a ‘taster’ set of SMS messages to increase clinicians' engagement with the intervention.MethodsExample messages from SMS4dads were delivered to clinicians over a 3‐week period and a link provided to an evaluation survey. Agreement to two closed questions was rated on a five‐point Likert scale; the frequency of specific recalled messages was calculated for the first open‐ended question. Responses to the remaining open‐ended questions were analysed with a descriptive thematic approach.ResultsA total of 418 participants (female 61.5%) working in health organisations (80.4%), mostly in nursing (33.9%) or midwifery (19.6%) enrolled. Of the 77 (18.4%) participants who provided an evaluation, 96% agreed or strongly agreed that the Professional Taster gave them a better understanding of how to explain the program, and 88% agreed or strongly agreed that they are now more likely to tell parents about the program. Analysis of the remaining two open‐ended questions revealed clinicians' concerns for fathers alongside their primary focus on maternal wellbeing.ConclusionProviding ‘how to’ knowledge through receiving a sample of the intervention may increase clinicians' acceptance of technological innovation.So What?Health‐promoting digital interventions using text are increasing. Novel tested strategies for gaining buy‐in from healthcare staff will be needed.

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Midwives’ perceptions and experiences of engaging fathers in perinatal services

Cited by 33 publications

References 30 publications

From Midwife-Dominated to Midwifery-Led Antenatal Care: A Meta-Ethnography

From Midwife-Dominated to Midwifery-Led Antenatal Care: A Meta-Ethnography

Engaging culturally diverse fathers in maternal and family healthcare: Experiences and perspectives of healthcare professionals

Providing clinicians with ‘how to’ knowledge for technology‐based innovation: Introducing the SMS4dads texts

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