Paternal preferences, perspectives, and involvement in perinatal decision making

Erika R. Cheng, Haley McGough, Brownsyne Tucker Edmonds

Research output: Contribution to journalArticle

Abstract

Importance Despite increasing attention to the importance of father involvement during pregnancy, the literature on fathers' roles in perinatal decision making is scant. Objective The aim of this study was to conduct a narrative review of the literature exploring fathers' preferences, perspectives, and involvement in perinatal decision making. Evidence Acquisition We searched PubMed, Ovid, EMBASE, Cochrane Library, and CINAHL databases using the terms father, spouse(s), husband, and paternal separately with the combined terms of attitude, preference, involvement, influence, informed consent, decision making, pregnancy, labor induction, genetic testing, prenatal diagnosis, amniocentesis, fetal surgery, genetic abnormalities, congenital anomalies, birth defects, perinatal, and antenatal. The search was limited to English-language studies that were published anytime and conducted between July and September 2018. Results The initial search identified 616 articles; 13 articles met criteria for inclusion. Fathers view themselves as serving distinct roles in perinatal decision making and have specific informational needs that would support their involvement in decision making. Although fathers want to support their partners and learn about fetal health, they often feel excluded from perinatal screening decisions. Mothers and fathers also have different needs, concerns, and preferences regarding key perinatal decisions that, if unresolved, can impact the couples' relationship and perinatal outcomes. Conclusions Findings provide import insights into the distinct experiences, roles, needs, and perspectives of fathers facing perinatal decision making. Relevance Advancing research and policy on fathers' involvement in perinatal decision making could lead to a paradigm shift in how maternity care is structured, how obstetric services are delivered, and how perinatal interventions are designed and implemented. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completing this activity, the learner should be better able to describe why fathers are important to perinatal health; assess gaps in care practices that limit father involvement in perinatal decision making; evaluate situations where fathers wish to be involved in perinatal decision making; and list opportunities for future research in this area.

Original languageEnglish (US)
Pages (from-to)170-177
Number of pages8
JournalObstetrical and Gynecological Survey
Volume74
Issue number3
DOIs
StatePublished - Mar 1 2019

Fingerprint

Fathers
Decision Making
Spouses
Induced Labor
Pregnancy
Amniocentesis
Family Physicians
Health
Genetic Testing
Informed Consent
Prenatal Diagnosis
PubMed
Libraries
Obstetrics
Language
Mothers
Learning
Databases

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Paternal preferences, perspectives, and involvement in perinatal decision making. / Cheng, Erika R.; McGough, Haley; Tucker Edmonds, Brownsyne.

In: Obstetrical and Gynecological Survey, Vol. 74, No. 3, 01.03.2019, p. 170-177.

Research output: Contribution to journalArticle

@article{18908025b34948798c3c6c54b13d0714,
title = "Paternal preferences, perspectives, and involvement in perinatal decision making",
abstract = "Importance Despite increasing attention to the importance of father involvement during pregnancy, the literature on fathers' roles in perinatal decision making is scant. Objective The aim of this study was to conduct a narrative review of the literature exploring fathers' preferences, perspectives, and involvement in perinatal decision making. Evidence Acquisition We searched PubMed, Ovid, EMBASE, Cochrane Library, and CINAHL databases using the terms father, spouse(s), husband, and paternal separately with the combined terms of attitude, preference, involvement, influence, informed consent, decision making, pregnancy, labor induction, genetic testing, prenatal diagnosis, amniocentesis, fetal surgery, genetic abnormalities, congenital anomalies, birth defects, perinatal, and antenatal. The search was limited to English-language studies that were published anytime and conducted between July and September 2018. Results The initial search identified 616 articles; 13 articles met criteria for inclusion. Fathers view themselves as serving distinct roles in perinatal decision making and have specific informational needs that would support their involvement in decision making. Although fathers want to support their partners and learn about fetal health, they often feel excluded from perinatal screening decisions. Mothers and fathers also have different needs, concerns, and preferences regarding key perinatal decisions that, if unresolved, can impact the couples' relationship and perinatal outcomes. Conclusions Findings provide import insights into the distinct experiences, roles, needs, and perspectives of fathers facing perinatal decision making. Relevance Advancing research and policy on fathers' involvement in perinatal decision making could lead to a paradigm shift in how maternity care is structured, how obstetric services are delivered, and how perinatal interventions are designed and implemented. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completing this activity, the learner should be better able to describe why fathers are important to perinatal health; assess gaps in care practices that limit father involvement in perinatal decision making; evaluate situations where fathers wish to be involved in perinatal decision making; and list opportunities for future research in this area.",
author = "Cheng, {Erika R.} and Haley McGough and {Tucker Edmonds}, Brownsyne",
year = "2019",
month = "3",
day = "1",
doi = "10.1097/OGX.0000000000000650",
language = "English (US)",
volume = "74",
pages = "170--177",
journal = "Obstetrical and Gynecological Survey",
issn = "0029-7828",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Paternal preferences, perspectives, and involvement in perinatal decision making

AU - Cheng, Erika R.

AU - McGough, Haley

AU - Tucker Edmonds, Brownsyne

PY - 2019/3/1

Y1 - 2019/3/1

N2 - Importance Despite increasing attention to the importance of father involvement during pregnancy, the literature on fathers' roles in perinatal decision making is scant. Objective The aim of this study was to conduct a narrative review of the literature exploring fathers' preferences, perspectives, and involvement in perinatal decision making. Evidence Acquisition We searched PubMed, Ovid, EMBASE, Cochrane Library, and CINAHL databases using the terms father, spouse(s), husband, and paternal separately with the combined terms of attitude, preference, involvement, influence, informed consent, decision making, pregnancy, labor induction, genetic testing, prenatal diagnosis, amniocentesis, fetal surgery, genetic abnormalities, congenital anomalies, birth defects, perinatal, and antenatal. The search was limited to English-language studies that were published anytime and conducted between July and September 2018. Results The initial search identified 616 articles; 13 articles met criteria for inclusion. Fathers view themselves as serving distinct roles in perinatal decision making and have specific informational needs that would support their involvement in decision making. Although fathers want to support their partners and learn about fetal health, they often feel excluded from perinatal screening decisions. Mothers and fathers also have different needs, concerns, and preferences regarding key perinatal decisions that, if unresolved, can impact the couples' relationship and perinatal outcomes. Conclusions Findings provide import insights into the distinct experiences, roles, needs, and perspectives of fathers facing perinatal decision making. Relevance Advancing research and policy on fathers' involvement in perinatal decision making could lead to a paradigm shift in how maternity care is structured, how obstetric services are delivered, and how perinatal interventions are designed and implemented. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completing this activity, the learner should be better able to describe why fathers are important to perinatal health; assess gaps in care practices that limit father involvement in perinatal decision making; evaluate situations where fathers wish to be involved in perinatal decision making; and list opportunities for future research in this area.

AB - Importance Despite increasing attention to the importance of father involvement during pregnancy, the literature on fathers' roles in perinatal decision making is scant. Objective The aim of this study was to conduct a narrative review of the literature exploring fathers' preferences, perspectives, and involvement in perinatal decision making. Evidence Acquisition We searched PubMed, Ovid, EMBASE, Cochrane Library, and CINAHL databases using the terms father, spouse(s), husband, and paternal separately with the combined terms of attitude, preference, involvement, influence, informed consent, decision making, pregnancy, labor induction, genetic testing, prenatal diagnosis, amniocentesis, fetal surgery, genetic abnormalities, congenital anomalies, birth defects, perinatal, and antenatal. The search was limited to English-language studies that were published anytime and conducted between July and September 2018. Results The initial search identified 616 articles; 13 articles met criteria for inclusion. Fathers view themselves as serving distinct roles in perinatal decision making and have specific informational needs that would support their involvement in decision making. Although fathers want to support their partners and learn about fetal health, they often feel excluded from perinatal screening decisions. Mothers and fathers also have different needs, concerns, and preferences regarding key perinatal decisions that, if unresolved, can impact the couples' relationship and perinatal outcomes. Conclusions Findings provide import insights into the distinct experiences, roles, needs, and perspectives of fathers facing perinatal decision making. Relevance Advancing research and policy on fathers' involvement in perinatal decision making could lead to a paradigm shift in how maternity care is structured, how obstetric services are delivered, and how perinatal interventions are designed and implemented. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completing this activity, the learner should be better able to describe why fathers are important to perinatal health; assess gaps in care practices that limit father involvement in perinatal decision making; evaluate situations where fathers wish to be involved in perinatal decision making; and list opportunities for future research in this area.

UR - http://www.scopus.com/inward/record.url?scp=85063205250&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85063205250&partnerID=8YFLogxK

U2 - 10.1097/OGX.0000000000000650

DO - 10.1097/OGX.0000000000000650

M3 - Article

C2 - 31634920

AN - SCOPUS:85063205250

VL - 74

SP - 170

EP - 177

JO - Obstetrical and Gynecological Survey

JF - Obstetrical and Gynecological Survey

SN - 0029-7828

IS - 3

ER -