Impact of Male Partner Antenatal Accompaniment on Perinatal Health Outcomes in Developing Countries: A Systematic Litera
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Impact of Male Partner Antenatal Accompaniment on Perinatal Health Outcomes in Developing Countries: A Systematic Literature Review Carolina Aguiar • Larissa Jennings
Ó Springer Science+Business Media New York 2015
Abstract Encouraging male partners to accompany women to antenatal care (ANC) is an important first step in engaging men on maternal and newborn health. However, little is known regarding the impact of male partner antenatal accompaniment beyond HIV-related perinatal outcomes. A systematic review was conducted to synthesize the evidence on the influence of male accompaniment on non-HIV outcomes during pregnancy and into the postpartum period. Eligible studies were published in English from 2003 to 2013 and evaluated the effect of male antenatal accompaniment on perinatal health in a developing country. Four electronic databases and selected reference lists were searched. Out of 84 potential citations retrieved, seven publications were retained for the assessment of male antenatal accompaniment’s influence using iterative thematic analysis. During pregnancy, male antenatal accompaniment positively impacted women’s knowledge of danger signs, but did not affect birth preparedness, ANC utilization, or miscarriages. During labor and delivery, men’s ANC presence was associated with increases in institutional delivery and skilled birth attendance, but with no effect for birth-related outcomes. During the early postnatal period, male antenatal accompaniment was associated with higher uptake of postnatal services, but with mixed effects on breastfeeding and newborn survival. Couples’ increased
C. Aguiar (&) Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Room E5038, Baltimore, MD 21205, USA e-mail: [email protected] L. Jennings Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA e-mail: [email protected]
communication on pregnancy care and men’s subsequent motivation to ensure safe delivery may explain these observed benefits. Inadequate communication, late accompaniment, or partner type may explain the lack of influence on some outcomes. More efforts are needed to expand the implementation and evaluation of male involvement strategies to improve perinatal health. Keywords Male involvement Perinatal health Maternal and newborn care Antenatal care Abbreviations ANC Antenatal care HIV Human immunodeficiency virus PMTCT Prevention of mother-to-child transmission SBA Skilled birth attendant
Introduction Inviting male partners to antenatal care (ANC) is viewed as an important first step in engaging men in supporting women’s health from pregnancy throughout the postnatal period [1–3]. While pregnancy in many countries is considered a woman’s domain, men often have the final say regarding whether and under what conditions their spouses will use clinical services [2, 4–6]. This can negatively impact the health of mothers and newborns if men, as primary household decision-makers, und
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