How do women's partners view perinatal mental health services? A qualitative meta‐synthesis
Open accessAbstract
Objectives: Perinatal mental health difficulties are prevalent among women and can adversely affect their partners too. There is also increasing recognition that a woman's partner can play a vital role in relation to her perinatal mental health and should be supported and involved in decisions about her care. Yet it is unclear how services are experienced by the partners of women with perinatal mental health difficulties. This study aimed to synthesize qualitative evidence of partners' views of perinatal mental health care. Methods: A systematic search of 5 electronic databases identified 20 studies that met the inclusion criteria. The findings of these studies were synthesized using an approach based on meta‐ethnography. Results: Six themes were identified, namely, the marginalization and neglect of women's partners, an unmet need for information, partners' ambivalence about involvement and support, practical barriers to involvement, views about support for women's partners, and the impact on partners of the care women received. Conclusions: Given the importance of women's partners in relation to perinatal mental health as well as to women's engagement with support and treatment outcomes, greater consideration should be given to their needs to ensure they feel well informed and involved in perinatal mental health care, rather than marginalized. However, professionals also need to challenge the barriers to involvement and support that women's partners face and consider the ways in which services may reinforce these barriers.
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Fathers often feel invisible across the perinatal period.
“Research suggests that fathers often feel invisible across the perinatal period [84].”
From Trajectories of Maternal and Paternal Internalizing Symptoms from Pregnancy to 2 Years Postpartum: Identifying Modifiable Risk and Protective Factors (2024) · cites this paper as [84]
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“Here, fathers in the included studies reported mixed views, characterized by ambivalence; this echoes findings of a meta-synthesis of 20 studies that examined the broader support needs of partners of women with perinatal mental health disorders (50).”
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“14 Nevertheless, our recent systematic review and meta-synthesis found that, across a range of countries, partners of women with perinatal mental health difficulties reported feeling marginalised by services and confronted by a largely mother-baby-oriented environment.(15) Our meta-synthesis also identified ambivalenc…”
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“This is in line with past research suggesting that partners often feel excluded in favor of a more women-centric approach to perinatal care [35-37].”
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“In line with previous research (Lever Taylor et al., 2018, 2019a), MBUs were seen as the most inclusive (in comparison to other services) for both involvement and support offered, although there was still room for improvement.”
ResultSelf-citationPerinatal Mental Healthcare Needs Among Women at a Community Hospital
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“…has been highlighted as crucial in studies of MBU feedback (Wright et al., 2018), and even though partners’ views were not analysed in this study, the mothers’ perception of family exclusion from services do resonate with partner research in perinatal mental health (Lever Taylor et al., 2018).”
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Screening Measures of Perinatal Mental Health and Wellbeing in Fathers: A Scoping Review
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- Authors
- Lever Taylor, B., Billings, J., Morant, N., & Johnson, S.
- Affiliations
- Division of Psychiatry University College London London UK
- University College London (GB)
- Venue
- Clinical Psychology & Psychotherapy
- Publisher
- Wiley
- Published
- 2017-08-30
- Volume
- 25
- Issue
- 1
- Pages
- 112-129
- ISSN
- 1063-3995 (ISSN-L)
- 1099-0879
- OpenAlex
- W2751263553
- Cited by
- 36
- References
- 49
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 4 · 2023: 4 · 2022: 6 · 2021: 3 · 2020: 6 · 2019: 3
- FWCI
- 2.31
- Type
- journal article
- Language
- en
- Open access
- green
- discovery.ucl.ac.uk
- Locations
- Clinical Psychology & Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- National Institute for Health Research (RP‐PG‐1210‐12002)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- perinatal mental health, unmet information needs, barriers to participation, lived experience of care, meta-ethnography
- MeSH terms
- Mental Disorders, Female, Humans, Male, Mental Health Services, Pregnancy, Professional-Family Relations, Spouses, Perinatal Care, Qualitative Research
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