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Support Needs of Expectant Mothers and Fathers: a Qulitative Study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland.
Centrum för öppen hälso- och sjukvård, Lunds universitet.
Akademin för hälsa, vård och välfärd, Mälardalens högskola .
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2012 (English)In: The Journal of Perinatal Education, ISSN 1058-1243, Vol. 21, no 1, 36-44 p.Article in journal (Refereed) Published
Abstract [en]

The aim was to describe expectant mothers’ and fathers’ perceived needs of support during pregnancy. Twenty-two women and 10 men were interviewed in four focus groups and 13 individual interviews. Systematic text condensation was performed. Parents described a broad spectrum of social support needs but also needs of psychological and physical support. They also requested to share experiences with others.  The foci of care and parents’ needs of support are more harmonized with medical than with psychological and emotional support. Mother’s needs were dominant in the health-services but father’s often felt “invisible”. Antenatal-services might offer more customized individual support and emphasize peer support in groups; the challenge is to involve both parents through communication and encouragement so they can support each other.

Place, publisher, year, edition, pages
2012. Vol. 21, no 1, 36-44 p.
Keyword [en]
fathers, mothers, midwifery, support needs
National Category
Nursing
Research subject
Caring Sciences
Identifiers
URN: urn:nbn:se:uu:diva-155047DOI: 10.1891/1058-1243.21.1.36PubMedID: 23277729OAI: oai:DiVA.org:uu-155047DiVA: diva2:423513
Available from: 2011-06-15 Created: 2011-06-15 Last updated: 2017-01-24Bibliographically approved
In thesis
1. Journey from Pregnancy to Early Parenthood: Perceived Needs of Support, Fathers’ Involvement, Depressive Symptoms and Stress
Open this publication in new window or tab >>Journey from Pregnancy to Early Parenthood: Perceived Needs of Support, Fathers’ Involvement, Depressive Symptoms and Stress
2015 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aims: The overall aim was to describe the perceived needs for support and fathers’ involvement among expectant parents, and to examine depressive symptoms and parental stress in early parenthood among mothers and fathers.

Methods: Two qualitative studies using focus groups and individual interviews, and three quantitative comparative studies using three questionnaires were conducted.

Results: The expectant parents had different needs and suggestions for health-care improvement. One improvement of these was better involvement of expectant fathers, as fathers were described as the mothers’ best means of support and also had needs of their own. The fathers used different strategies to get involved during the pregnancy, but sometimes found it difficult to know what was expected of them. The mothers perceived more depressive symptoms and parental stress than the fathers. The mothers also perceived higher dyadic consensus than the fathers. Parents with depressive symptoms reported lower consensus than those without. There was a negative correlation between dyadic consensus and depressive symptoms in both mothers and fathers. Mothers perceived higher parental stress than fathers in the sub-areas ‘Incompetence regarding parenthood’, ‘Role restriction’, ‘Spouse relationship problems’, and ‘Health problems’, and overall. In contrast, fathers perceived higher stress than mothers in the sub-area ‘Social isolation’. Low education, lack of a role model and poor sense of coherence promoted more stress in mothers in the sub-areas ‘Social isolation’ and ‘Spouse relationship problems’, while lack of a role model and low sense of coherence promoted stress in fathers in the sub-area ‘Social isolation’.

Conclusions and clinical implications: The expectant parents’ needs of support were not consistent with the support offered from health care services. These services need to become more client-centred, for example by offering customized individual support and peer support in groups. Further, they should also meet the needs of expectant fathers which can benefit the whole family. To promote parents’ health and family stability, health professionals should consider depressive symptoms and parental stress. They should also take gender norms into account so that parents become prepared for parenthood and get adequate support during early parenthood.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2015. 73 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 1057
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-237088 (URN)978-91-554-9119-2 (ISBN)
Public defence
2015-01-28, Samlingssalen, Ingång 29, Västmanlands sjukhus, Västerås, 13:15 (Swedish)
Opponent
Supervisors
Available from: 2014-12-18 Created: 2014-11-26 Last updated: 2015-02-03

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Widarsson, MargaretaKerstis, BirgittaSarkadi, Anna

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