Transição para a parentalidade: Estratégias promotoras utilizadas pelos profissionais de saúde

Andrea Victória; Catarina Costa; Marta Cordeiro; Ana Paula Santos; Márcio Tavares; Patrícia Tavares

doi:10.31211/rpics.2024.10.1.324

Authors

Andrea Victória Escola Superior de Saúde da Universidade dos Açores; Unidade de Saúde da Ilha de São Miguel, Centro de Saúde da Ribeira Grande, Ponta Delgada https://orcid.org/0009-0003-8462-2674
Catarina Costa Escola Superior de Saúde da Universidade dos Açores (ESS-UAc); Hospital do Divino Espírito Santo de Ponta Delgada, Serviço de Obstetrícia, Ponta Delgada https://orcid.org/0009-0007-2520-7410
Marta Cordeiro Escola Superior de Saúde da Universidade dos Açores (ESS-UAc)Hospital do Divino Espírito Santo de Ponta Delgada, Serviço de Cirurgia III, Ponta Delgada https://orcid.org/0009-0000-9102-4742
Ana Paula Santos Escola Superior de Saúde da Universidade dos Açores (ESS-UAc) https://orcid.org/0000-0003-2069-7813
Márcio Tavares Escola Superior de Saúde da Universidade dos Açores (ESS-UAc) https://orcid.org/0000-0002-2820-5660
Patrícia Tavares Hospital do Divino Espírito Santo de Ponta Delgada, EPER https://orcid.org/0009-0002-6009-7249

DOI:

https://doi.org/10.31211/rpics.2024.10.1.324

Keywords:

Transition to parenthood, Pregnancy, Intervention, Support, Husband, Health professionals, Scoping review

Abstract

Background: The transition to parenthood is a multifactorial process directly influenced by multiple stakeholders. Objective: To identify and analyze healthcare professionals' strategies promoting the transition to parenthood. Methods: A scoping review was conducted following Joanna Briggs Institute guidelines. The research was carried out on the EBSCOhost platform for studies published between 2018 and 2023. Empirical studies focused on the transition to parenthood during pregnancy were included. Results: Six studies were included and analyzed, and the results were grouped into four categories: Internal Resources, highlighting the woman's confidence in her pregnancy process and the use of family and community support networks; Support Programs for Future Parents, emphasizing the reduction of stress and anxiety through the formation of groups facilitated by healthcare professionals; Adjunct Psychological Interventions in the Transition to Parenthood, showing that these contribute to a healthy transition; and the Husband as a Support Element, underlining the active role of the husband in emotional support and practical task management. Conclusions: The transition to parenthood is influenced by the actions of healthcare professionals, the role of the woman, and her partner. The strategies identified in the four categories should be integrated into clinical practice to promote a more assertive transition to parenthood. There is a need for further studies focused on the role of partners in this process and the inclusion of interventions that consider individuals' personal resources and support networks.

Downloads

Download data is not yet available.

References

Akerman, N., & Dresner, M. (2009). The management of breakthrough pain during labour. CNS Drugs, 23(8), 669–679. https://doi.org/c2vmdx

Alio, A., Lewis, C. A., Scarborough, K., Harris, K., & Fiscella, K. (2013). A community perspective on the role of fathers during pregnancy: A qualitative study. BMC Pregnancy and Childbirth, 13(1), Artigo 60. https://doi.org/gbcr42

Alves, S., Milek, A., Bodenmann, G., Fonseca, A., Canavarro, M. C., & Pereira, M. (2019). Romantic attachment, dyadic coping, and parental adjustment across the transition to parenthood. Personal Relationships, 26(2), 286–309. https://doi.org/gqhbtn

Barimani, M., & Vikström, A. (2015). Successful early postpartum support linked to management, informational, and relational continuity. Midwifery, 31(8), 811–817. https://doi.org/f3gxjg

Bellhouse, C., Bilardi, J., Temple-Smith, M., & Newman, L. (2022a). Subjective experiences of participating in the Supporting Transitions, Attachment and Relationships (STAR Mums) program, a psychological group intervention for high-risk pregnant women. SSM - Mental Health, 2, 100065. https://doi.org/mxrq

Bellhouse, C., Komiti, A., Temple-Smith, M., Bilardi, J., & Newman, L. (2022b). A psychological group intervention for high-risk pregnant women: A protocol of a feasibility and acceptability study of the STAR Mums program. Journal of Reproductive & Infant Psychology, 40(4), 342–351. Academic Search Complete.

Bellhouse, C., Newman, L., Bilardi, J. E., & Temple-Smith, M. (2021). A systematic narrative review of psychological interventions available in the antenatal period to prepare parents for parenting. Current Psychology, 42(11), 8733–8746. https://doi.org/mk43

Berg, S. J., & Wynne-Edwards, K. (2001). Changes in testosterone, cortisol, and estradiol levels in men becoming fathers. Mayo Clinic Proceedings, 76(6), 582–592. https://doi.org/fgbvtz

Cowan, C. P., & Cowan, P. A. (2018). Enhancing parenting effectiveness, fathers' involvement, couple relationship quality, and children's development: Breaking down silos in family policy making and service delivery. Journal of Family Theory & Review, 11(1), 92–111. https://doi.org/gk6jv8

Daniele, M. (2021). Male partner participation in maternity care and social support for childbearing women: A discussion paper. Philosophical Transactions of the Royal Society B, 376(1827), 1–9. https://doi.org/mw3p

Deave, T., & Johnson, D. (2008). The transition to parenthood: what does it mean for fathers? Journal of Advanced Nursing, 63(6), 626–633. https://doi.org/cwxj9c https://doi.org/f54ttm

Eddy, B. P., & Fife, S. T. (2021). Active husband involvement during pregnancy: A grounded theory. Family Relations, 70(4), 1222–1237. https://doi.org/mxsr

Ekelöf, K., Thomas, K., Almquist-Tangen, G., Nyström, C. D., & Löf, M. (2023). Well-being during pregnancy and the transition to motherhood: An explorative study through the lens of healthcare professionals [Preprint]. BMC Pregnancy and Childbirth. https://doi.org/mxrr

Erickson, N. L., Neumann, A. A., Hancock, G. R., & Gartstein, M. A. (2020). Baby preparation and worry scale (Baby-PAWS): Instrument development and psychometric evaluation. Early Human Development, 147, Artigo 105080, https://doi.org/mxss

Finn, M., & Henwood, K. (2009). Exploring masculinities within men's identificatory imaginings of first-time fatherhood. The British Journal of Social Psychology, 48(Pt 3), 547–562. https://doi.org/bjg65f

Genesoni, L., & Tallandini, M. (2009). Men's psychological transition to fatherhood: An analysis of the literature, 1989–2008. Birth, 36(4), 305–318. https://doi.org/f9jc4p

Gillis, A., Gabriel, B., Galdiolo, S., & Roskam, I. (2019). Partner support as a protection against distress during the transition to parenthood. Journal of Family Issues, 40(8), 1107–1125. https://doi.org/mw3n

Gjerdingen, D., Froberg, D., & Fontaine, P. (1991). The effects of social support on women's health during pregnancy, labor and delivery, and the postpartum period. Family Medicine, 23(5), 370–375.

Gutiérrez-Zotes, A., Labad, J., Martín-Santos, R., García-Esteve, L., Gelabert, E., Jover, M., Guillamat, R., Mayoral, F., Gornemann, I., Canellas, F., Gratacós, M., Guitart, M., Roca, M., Costas, J., Ivorra, J. L., Navinés, R., de Diego-Otero, Y., Vilella, E., & Sanjuán, J. (2016). Coping strategies for postpartum depression: A multi-centric study of 1626 women. Archives of Women's Mental Health, 19, 455–461. https://doi.org/mxdn

Hahn-Holbrook, J., Cornwell-Hinrichs, T., & Anaya, I. (2018). Economic and health predictors of national postpartum depression prevalence: A systematic review, meta-analysis, and meta-regression of 291 studies from 56 countries. Frontiers in Psychiatry, 8. https://doi.org/gcxhzd

Hoekzema, E., Barba-Müller, E., Pozzobon, C., Picado, M., Lucco, F., García‐García, D., Soliva, J., Tobeña, A., Desco, M., Crone, E., Ballesteros, A., Carmona, S., & Vilarroya, Ó. (2016). Pregnancy leads to long-lasting changes in human brain structure. Nature Neuroscience, 20, 287–296. https://doi.org/f9jc4p

Höfner, C., Schadler, C., & Richter, R. (2011). When men become fathers: men’s identity at the transition to parenthood. Journal of Comparative Family Studies, 42, 669-686. https://doi.org/gj2ssz

Hughes, C., Devine, R. T., Foley, S., Ribner, A. D., Mesman, J., & Blair, C. (2020). Couples becoming parents: Trajectories for psychological distress and buffering effects of social support. Journal of Affective Disorders, 265, 372–380. https://doi.org/gnctjx

Joanna Briggs Institute. (2020). JBI manual for evidence synthesis. Joanna Briggs Institute. https://synthesismanual.jbi.global

Kuan, L., Britto, M., Decolongon, J., Schoettker, P., Atherton, H., & Kotagal, U. (1999). Health system factors contributing to breastfeeding success. Pediatrics, 104, Artigo e28. https://doi.org/bm3jj5

Laureij, L. T., Breunis, L. J., Steegers-Theunissen, R., & Rosman, A. (2020). Identifying the needs for a web-based postpartum platform among parents of newborns and health care professionals: Qualitative focus group study. JMIR Formative Research, 4(5), Artigo e16202. https://doi.org/mxrs

Leitão, M. (2019). Time-sharing in parental leave: Why and how fathers assess their time to care home alone. Portuguese Journal of Social Science, 18(3), 265–282. https://doi.org/mxq8

Mackert, M., Guadagno, M., Lazard, A., Donovan, E. E., Rochlen, A., García, A. A., & Damásio, M. (2018). Engaging men in prenatal health via ehealth: Findings from a national survey. JMIR Pediatrics and Parenting, 1(1), Artigo e9513. https://doi.org/mw3s

Meleis, A. I. (2017). Theoretical nursing: Development and progress (6.a ed.). Lippincott Wolters, Kluwer.

Meleis, A. I., Sawyer, L. M., Im, E.-O., Hilfinger Messias, D. K., & Schumacher, K. (2000). Experiencing transitions: An emerging middle-range theory. Advances in Nursing Science, 23(1), 12–28. https://doi.org/gfzq2w

Mendes, J., Sousa Santos, A. P., & Tavares, M. (2022). Perceções da violência obstétrica pelas parturientes e profissionais de saúde: Uma revisão scoping. Revista Portuguesa de Investigação Comportamental e Social, 8(2), 1–15. https://doi.org/mxrt

Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology, 18(1), 143. https://doi.org/gf98w2

Nasab, L., Shahoie, R., Zaheri, F., & Ranaie, F. (2011). Emotional and physical support during labor for primiparouse women. European Psychiatry, 26, 1102–1102. https://doi.org/c94vws

Olson, T., Bowen, A., Smith-Fehr, J., & Ghosh, S. (2018). Going home with baby: Innovative and comprehensive support for new mothers. Primary Health Care Research & Development, 20, Artigo e18. https://doi.org/mw87

Oliveira, J. M. D., Alvarenga, P., & Soares, Z. F. (2022). Relações entre a saúde mental e a conjugalidade de gestantes primíparas. Psico, 53(1), Artigo e38230. https://doi.org/mxrp

Pålsson, P., Kvist, L., Ekelin, M., Hallström, I., & Persson, E. (2018). “I Didn’t Know What to Ask About”: First-Time Mothers’ Conceptions of Prenatal Preparation for the Early Parenthood Period. The Journal of Perinatal Education, 27(3), 163–174. https://doi.org/gjcp7j

Pålsson, P., Persson, E., Ekelin, M., Hallström, I. K., & Kvist, L. (2017). First-time fathers experiences of their prenatal preparation in relation to challenges met in the early parenthood period: Implications for early parenthood preparation. Midwifery, 50, 86–92. https://doi.org/f97rvc

Pan, W.-L., Chang, C.-W., Chen, S.-M., & Gau, M.-L. (2019). Assessing the effectiveness of mindfulness-based programs on mental health during pregnancy and early motherhood: A randomized control trial. BMC Pregnancy & Childbirth, 19(1), 2–8. https://doi.org/gg9kc8

Parfitt, Y., & Ayers, S. (2014). Transition to parenthood and mental health in first-time parents. Infant Mental Health Journal, 35(3), 263–273. https://doi.org/f54ttm

Parlamento Europeu. (2013). Diretiva 2013/55/UE do Parlamento Europeu e do Conselho de 20 de novembro de 2013 que altera a Diretiva 2005/36/CE relativa ao reconhecimento das qualificações profissionais e o Regulamento (UE) n.o 1024/2012 relativo à cooperação administrativa através do Sistema de Informação do Mercado Interno («Regulamento IMI»). Parlamento Europeu. https://shre.ink/8dGO

Pellai, A., Festa, F., Cilento, F., Grossi, L., Grassino, E., Zaffaroni, M., Guidi, C., Bona, G., Bonomi, A., Visentin, R., Angellotti, P., & Guala, A. (2013). [What new fathers know, think and do: a survey about fathering's attitudes, beliefs and behaviors in a sample of 570 men just after the birth of their newborn]. Minerva Pediatrica, 65(5), 531–540. https://bit.ly/4buOZ28

Perreault, M., Atkinson, S., Mottola, M., Phillips, S. M., Bracken, K., Hutton, E., Xie, F., Meyre, D., Morassut, R. E., Prapavessis, H., & Thabane, L. (2018). Structured diet and exercise guidance in pregnancy to improve health in women and their offspring: study protocol for the Be Healthy in Pregnancy (BHIP) randomized controlled trial. Trials, 19, Artigo 691. https://doi.org/dsg7

Perren, S., von Wyl, A., Bürgin, D., Simoni, H., & von Klitzing, K. (2005). Depressive symptoms and psychosocial stress across the transition to parenthood: Associations with parental psychopathology and child difficulty. Journal of Psychosomatic Obstetrics & Gynecology, 26(3), 173–183. https://doi.org/fgwcx3

Philpott, L., Leahy-Warren, P., FitzGerald, S., & Savage, E. (2017). Stress in fathers in the perinatal period: A systematic review. Midwifery, 55, 113-127. https://doi.org/gr3c9v

Rocha, M. (2020). Promoting gender equality through regulation: The case of parental leave. The Theory and Practice of Legislation, 9(1), 35–57. https://doi.org/grg6jd

Santos da Mota, D. M. dos., Oliveira, F. V. N., & Alves de Sousa, V. M. (2022). Participação paterna no pré-natal: Revisão integrativa. RECIMA21 - Revista Científica Multidisciplinar, 3(1), Artigo e3112340. https://doi.org/mxrv

Saxbe, D., Rossin-Slater, M., & Goldenberg, D. (2018). The Transition to Parenthood as a Critical Window for Adult Health. American Psychologist, 73, 1190-1200. https://doi.org/gjhd3r

Segal, S. C. (2005). Birthing fathers-the transformation of men in American rites of birth. Rutgers University Press https://www.jstor.org/stable/j.ctt5hj64k

Silva, C., Pinto, C., & Martins, C. (2021). Transição para a paternidade no período pré-natal: Um estudo qualitativo. Ciência & Saúde Coletiva, 26(2), 465–474. https://doi.org/mxrw

Smith, C., Levett, K. M., Collins, C. T., Armour, M., Dahlen, H., & Suganuma, M. (2018). Relaxation techniques for pain management in labour. The Cochrane Database of Systematic Reviews, 3, Artigo CD009514. https://doi.org/gdf8rv

Sousa, B. S. A., Almeida, C. A. P. L., Santos, J. R., Lago, E. C., Oliveira, J. F., Cruz, T. A., Lima, S., & Camargo, E. L. S. (2021). Meanings assigned by primary care professionals to male prenatal care: A qualitative study. The Open Nursing Journal, 15(Supl. 1, M8), 351–357. https://doi.org/mw3t

Tavares, I., Schlagintweit, H. E., Nobre, P., & Rosen, N. (2019). Sexual well-being and perceived stress in couples transitioning to parenthood: A dyadic analysis. International Journal of Clinical and Health Psychology, 19, 198–208. https://doi.org/f5d6

Taylor, C., McCance, D., Chappell, L., Nelson-Piercy, C., Thorne, S., Ismail, K., Green, J. S. A., & Bick, D. (2017). Implementation of guidelines for multidisciplinary team management of pregnancy in women with pre-existing diabetes or cardiac conditions: results from a UK national survey. BMC Pregnancy and Childbirth, 17, Artigo 434. https://doi.org/gcrrf3

Thiel, F., Eberhard-Gran, M., & Garthus-Niegel, S. (2020). The impact of perinatal life stress on infant temperament and child development: A 2-year follow-up cohort study. Journal of Developmental & Behavioral Pediatrics, 42(4), 299–306. https://doi.org/mxdp

Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/gfd8vk

Trillingsgaard, T. L., Maimburg, R. D., & Simonsen, M. (2021). Group-based parent support during the transition to parenthood: Primary outcomes from a randomised controlled trial. Social Science & Medicine, 287, 114340. https://doi.org/gmzkmg

Vidaurreta, M., López-Dicastillo, O., Serrano, I., Belintxon, M., Bermejo-Martins, E., & Mujika, A. (2021). Placing myself in a new normalized life: The process of becoming a first-time father. A grounded theory study. Nursing & Health Sciences, 24(1), 152–162. https://doi.org/mxch

Vismara, L., Rollé, L., Agostini, F., Sechi, C., Fenaroli, V., Molgora, S., Neri, E., Prino, L. E., Odorisio, F., Trovato, A., Polizzi, C., Brustia, P., Lucarelli, L., Monti, F., Saita, E., & Tambelli, R. (2016). Perinatal parenting stress, anxiety, and depression outcomes in first-time mothers and fathers: A 3- to 6-months postpartum follow-up study. Frontiers in Psychology, 7. https://doi.org/gfzgp8

Workman, J., Barha, C., & Galea, L. (2012). Endocrine substrates of cognitive and affective changes during pregnancy and postpartum. Behavioral Neuroscience, 126(1), 54–72. https://doi.org/d2j5tj