Experiences of first-time fathers: a systematic review of qualitative studies
DOI:
https://doi.org/10.5216/ree.v27.77458Keywords:
Postpartum Period, Fathers, Paternity., Review, Qualitative researchAbstract
Objective: to summarize the postnatal period experiences of first-time fathers based on qualitative scientific evidence. Methods: systematic review of qualitative studies conducted in the CINAHL, SCOPUS, and LILACS databases, and the PubMed portal according to JBI guidelines, complemented by manual searches of the references of the selected material. The results were grouped using the JBI SUMARI with the meta-aggregation approach. The reliability of the synthesis result from qualitative studies was based on the ConQual approach. Results: a total of 1,046 studies were found, of which 12 were included, comprising a sample of 164 fathers. The findings were grouped into two categories: “Repercussions of fatherhood” and “Striving for an involved and caring fatherhood”, which reveal new roles and health impacts of becoming a father. Fatherhood is accompanied by learning new roles and satisfaction, but it also has negative impacts on mental and sexual health. Conclusion: first-time fathers need support from health professionals during the postnatal period, including the embracement of their emotional and informational needs, in addition to preparing them to care for the child.
Downloads
References
Alves ACP, Lovadini VL, Sakamoto SR. Sentimentos vivenciados pela mulher durante o puerpério. Rev. Enferm. Atual In Derme [Internet]. 2021 feb 01 [cited 2025 juN 30];95(33):e-021013. Available from: https://revistaenfermagematual.com.br/index.php/revista/article/view/721
Tomasoni TA, Silva JB, Bertotti TCW, Perez J, Korelo RIG, Gallo RBS. Pain intensity and immediate puerperal discomforts. BrJP. 2020 July 17;3(3):217-21. https://doi.org/10.5935/2595-0118.20200047
Silva C, Pinto C, Martins C. Transição para a paternidade no período pré-natal: um estudo qualitativo. Ciênc. Saúde Colet. 2021;26(2):465-74. https://doi.org/10.1590/1413-81232021262.41072020
Wang D, Li YL, Qiu D, Xiao SY. Factors influencing paternal postpartum depression: a systematic review and meta-analysis. J Affect Disord. 2021 June 5;293:51-63. https://doi.org/10.1016/j.jad.2021.05.088
Liu X, Wang S, Wang G. Prevalence and risk factors of postpartum depression in women: a systematic review and meta-analysis. J Clin Nurs. 2021 Nov 8;31(19-20):2665-77. https://doi.org/10.1111/jocn.16121
Nascimento AO, Marcelino PHR, Vieira RS, Lemos A. The importance of parental accompaniment during postpartum and the fatherhood. J. res.: fundam. care. online. 2019 Jan 21;11(n. esp):475-80. https://doi.org/10.9789/2175-5361.2019.v11i2.475-480
Trage FT, Donelli TMS. Quem é o novo pai? Concepções sobre o exercício da paternidade na família contemporânea. Barbarói. 2020 July 5;57:141-64. https://doi.org/10.17058/barbaroi.v0i57.14263
Frizzo GB, Schmidt B, Vargas V, Piccinini CA. Coparentalidade no contexto de depressão pós-parto: um estudo qualitativo. Psico-USF. 2019 Jan-Mar;24(1):85-96. https://doi.org/10.1590/1413-82712019240107
Shorey S, Ang L, Goh ECL, Gandhi M. Factors influencing paternal involvement during infancy: a prospective longitudinal study. J Adv Nurs. 2018 Sept 12;75(2):357-67. https://doi.org/10.1111/jan.13848
Lamb ME. The history of research on father involvement. Marriage Fam Rev. 2008 Oct 13;29(2–3):23-42. https://doi.org/10.1300/J002v29n02_03
Provenzi L, Lindstedt J, De Coen K, Gasparini L, Peruzzo D, Grumi S, et al. The paternal brain in action: a review of human fathers’ fMRI brain responses to child-related stimuli. Brain Sci. 2021 June 20;11(6):816. https://doi.org/10.3390/brainsci11060816
Rodrigues M, Sokolovic N, Madigan S, Luo Y, Silva V, Misra S, et al. Paternal sensitivity and children’s cognitive and socioemotional outcomes: a meta-analytic review. Child Dev. 2021 Jan 28;92(2):554-77. https://doi.org/10.1111/cdev.13545
Van Vulpen M, Heideveld-Gerritsen M, Van Dillen J, Oude Maatman S, Ockhuijsen H, Van den Hoogen A. First-time fathers’ experiences and needs during childbirth: a systematic review. Midwifery. 2021 Jan 2;94:102921. https://doi.org/10.1016/j.midw.2020.102921
Leahy-Warren P, Philpott L, Elmir R, Schmied V. Fathers’ perceptions and experiences of support to be a parenting partner during the perinatal period: a scoping review. J Clin Nurs. 2022 July 27;32(13-14):3378-96. https://doi.org/10.1111/jocn.16460
Buek KW, Cortez D, Mandell DJ. NICU and postpartum nurse perspectives on involving fathers in newborn care: a qualitative study. BMC Nurs. 2021 Feb 23;20:35. https://doi.org/10.1186/s12912-021-00553-y
Xue WL, Shorey S, Wang W, He HG. Fathers’ involvement during pregnancy and childbirth: an integrative literature review. Midwifery. 2018 July;62:135-45. https://doi.org/10.1016/j.midw.2018.04.013
Leiferman JA, Farewell CV, Jewell J, Lacy R, Walls J, Harnke B, et al. Anxiety among fathers during the prenatal and postpartum period: a meta-analysis. J Psychosom Obstet Gynaecol. 2021 Feb 25;42(2):152-61. https://doi.org/10.1080/0167482X.2021.1885025
Giallo R, Wynter K, McMahon G, Seymour M, Fogarty A, Cooklin A, et al. Preconception factors associated with postnatal mental health and suicidality among first-time fathers: results from an Australian Longitudinal Study of Men’s Health. Soc Psychiatry Psychiatr Epidemiol. 2023 Jan 28;58(8):1153-60. https://doi.org/10.1007/s00127-023-02421-3
Wynter K, Di Manno L, Watkins V, Rasmussen B, Macdonald JA. Midwives’ experiences of father participation in maternity care at a large metropolitan health service in Australia. Midwifery. 2021 May 24;101:103046. https://doi.org/10.1016/j.midw.2021.103046
Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, editors. JBI manual for evidence synthesis. JBI. 2024. https://doi.org/10.46658/JBIMES-20-01
Lockwood C, Porritt K, Munn Z, Rittenmeyer L, Salmond S, Bjerrum M, et al. Chapter 2: Systematic reviews of qualitative evidence. In: Aromataris E, Munn Z, editors. JBI Reviewer’s Manual. JBI; 2020 June. p. 23-71. https://doi.org/10.46658/JBIMES-20-03
Tong A, Flemming K, McInnes E, Oliver S, Craig J. Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Med Res Methodol. 2012 Nov 27;12:181. https://doi.org/10.1186/1471-2288-12-181
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021 Mar 29;372:n71. https://doi.org/10.1136/bmj.n71
World Health Organization (WHO). Newborn Mortality [Internet]. 2024 Mar 14 [cited 2024 July 13]. Available from: https://www.who.int/news-room/fact-sheets/detail/newborns-reducing-mortality
Stansfield C, Brunton G, Rees R. Search wide, dig deep: literature searching for qualitative research. An analysis of the publication formats and information sources used for four systematic reviews in public health. Res Synth Methods. 2013 Oct 25;5(2): 142–51. http://doi.wiley.com/10.1002/jrsm.1100
Cooke A, Smith D, Booth A. Beyond PICO: The SPIDER tool for qualitative evidence synthesis. Qual Health Res. 2012 July 24;22(10):1435–43. https://doi.org/10.1177/1049732312452938
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016 Dec 5;5:210. https://doi.org/10.1186/s13643-016-0384-4
Reis SMG, Leite ACAB, Alvarenga WA, Araujo JS, Zago MMF, Nascimento LC. Meta-synthesis about man as a father and caregiver for a hospitalized child. Rev. Latino-Am. Enfermagem. 2017;25:e2922. https://doi.org/10.1590/1518-8345.1850.2922
Neris RR, Bolis LO, Leite ACAB, Alvarenga WA, Garcia-Vivar C, Nascimento LC. Functioning of structurally diverse families living with adolescents and children with chronic disease: a metasynthesis. J Nurs Scholarsh. 2022 Oct 8;55(2):413-28. https://doi.org/10.1111/jnu.12831
Premberg Å, Hellström AL, Berg M. Experiences of the first year as father. Scand J Caring Sci. 2008 Feb 5;22(1):56–63. https://doi.org/10.1111/j.1471-6712.2007.00584.x
Deave T, Johnson D. The transition to parenthood: what does it mean for fathers? J Adv Nurs. 2008 Sept 4;63(6):626-33. https://doi.org/10.1111/j.1365-2648.2008.04748.x
Mbekenga CK, Lugina HI, Christensson K, Olsson P. Postpartum experiences of first-time fathers in a Tanzanian suburb: a qualitative interview study. Midwifery. 2010 Apr 10;27(2):174-80. https://doi.org/10.1016/j.midw.2009.03.002
Poh HL, Koh SSL, Seow HCL, He HG. First-time fathers’ experiences and needs during pregnancy and childbirth: a descriptive qualitative study. Midwifery. 2013 Oct 10;30(6):779-87. https://doi.org/10.1016/j.midw.2013.10.002
Eskandari N, Simbar M, Vedadhir A, Baghestani AR. Paternal adaptation in first-time fathers: a phenomenological study. J Reprod Infant Psychol. 2016 Oct 28;35(1):53-64. https://doi.org/10.1080/02646838.2016.1233480
Shorey S, Dennis CL, Bridge S, Chong YS, Holroyd E, He HG. First-time fathers’ postnatal experiences and support needs: A descriptive qualitative study. J Adv Nurs. 2017 May 30;73(12):2987-96. https://doi.org/10.1111/jan.13349
Baldwin S, Malone M, Sandall J, Bick D. A qualitative exploratory study of UK first-time fathers’ experiences, mental health and wellbeing needs during their transition to fatherhood. BMJ Open. 2019 Sept 13;9(9):e030792. https://doi.org/10.1136/bmjopen-2019-030792
Tarawneh TA, Shoqirat N, Almalik M. “Being relieved and puzzled”: A qualitative study of first time fathers’ experiences postpartum in Jordan. Women Birth. 2019 July 30;33(4):e320-5. https://doi.org/10.1016/j.wombi.2019.07.006
Marjorie KYL, Anna TLC, Shorey S. Perceptions of distressed fathers in the early postpartum period: a descriptive qualitative study. Journal of Family Issues. 2020 Dec 21;42(10):2397-417. https://doi.org/10.1177/0192513X20980042
Noh NI. First-time fathers’ experiences during their transition to parenthood: a study of korean fathers. Child Health Nurs Res. 2021 July 30;27(3):286-96. https://doi.org/10.4094/chnr.2021.27.3.286
Hodgson S, Painter J, Kilby L, Hirst J. The experiences of first-time fathers in perinatal services: present but invisible. Healthcare. 2021 Feb 3;9(2):161. https://doi.org/10.3390/healthcare9020161
Hodgson S, Painter J, Kilby L, Hirst J. “Crying on the bus”: first time fathers’ experiences of distress on their return to work. Healthcare. 2023 May 8;11(9):1352. https://doi.org/10.3390/healthcare11091352
Mathiolli C, Zani AV. O cuidado do pai com o filho prematuro no domicílio: revisão integrativa. REAS, Revista Eletrônica Acervo Saúde. 2018;10(3):1850-5. https://doi.org/10.25248/REAS288_2018
Afonso GA, Francisco NFX, Castro RBC. Participação paterna na unidade de terapia intensiva neonatal segundo a concepção da equipe de enfermagem. Rev. Enferm. Contemp. 2021 Aug 18;10(2):225-32. https://doi.org/10.17267/2317-3378rec.v10i2.3815
Strauss Z, Avrech Bar M, Stanger V. Fatherhood of a Premature Infant: “A Rough Roller-Coaster Ride” J Fam Issues. 2019 Feb 27;40(8):982-1000. https://doi.org/10.1177/0192513X19832939
Downloads
Published
Versions
- 2025-08-15 (2)
- 2025-07-04 (1)
Issue
Section
License
Copyright (c) 2025 Revista Eletrônica de Enfermagem

This work is licensed under a Creative Commons Attribution 4.0 International License.












