Strategies of nurses in stimulating active paternity in prenatal




Primary health care; Paternity; Prenatal care; Health services administration; Public Health policy; Health management.


Objective: to analyze in the scientific literature the managerial strategies of nurses in stimulating active fatherhood in prenatal care in primary care. Method: this is an integrative review, with a 7-year time frame, in which the descriptors were used: Primary Care, Paternity, prenatal care, health services administration, whose languages were English and Portuguese. Studies from all countries were included for a sample. The searches were carried out in the databases: Medline, Lilacs, Bdenf through the Virtual Health Library (VHL) and Cinahl. Results: 2840 articles were found, of which were selected according to criteria 48. After analyzing the studies, it was observed that the practice of using: formal and informal invitations, lectures, electronic materials, pamphlets, competitions, prizes and training to encourage active parenting in prenatal care. Conclusion: there was a lack of management strategies designed specifically by nurses to establish greater adherence to active parenting, the existence of different programs with the multiprofessional team are still insufficient for adherence to prenatal care. Being of paramount importance to encourage the development of more inclusive actions.


Aborigo RA, Reidpath DD, Oduro AR & Allotey P (2018). Male involvement in maternal health: perspectives of opinion leaders. BMC Preg and Childbirth. 18(3): 1-10. DOI: 10.1186/s12884-017-1641-9

Aborigo RA, Reidpath DD, Oduro AR & Allotey P (2018). Male involvement in maternal health: perspectives of opinion leaders. BMC Preg and Childbirth. 18(3): 1-10. DOI: 10.1186/s12884-017-1641-9

Adejoh SO, Olorunlana A & Olaosebikan O (2017). Maternal health: A qualitative study of male partners’ participation in Lagos, Nigeria. International Journal of Behavioral. jun 05; 25(1): 1-11. DOI: 10.1007/s12529-017-9659-y

Aguiar C & Jennings L (2015). Impact of Male Partner Antenatal Accompaniment on Perinatal Health Outcomes in Developing Countries: A Systematic Literature Review. Matern Child Health J; (19): 2012–2019. DOI: 10.1007/s10995-015-1713-2

Ahrne M, Schytt E, Andersson E, Small, Adan A, Essén B & Byrskog U (2019). Antenatal care for Somali-born women in Sweden: Perspectives from mothers, fathers and midwives. Midwifery. (74): 107–115. DOI: 10.1016/j.midw.2019.03.022

Albuja AF, Sanchez DT, Lee SJ, Lee JY & Yadava S (2019). The effect of paternal cues in prenatal care settings on men’s involvement intentions. PLoS ONE. 14(5): 1-15. DOI: 10.1371/journal.pone.0216454

Anderson E & Small R (2017). Fathers’ satisfaction with two different models of antenatal care in Sweden – Findings from a quasi-experimental study. Midwifery. (50): 201–207. DOI: 10.1016/j.midw.2017.04.014

Anderson E, Norman A, Kanlinder C & Plantin L (2016). What do expectant fathers expect of antenatal care in Sweden? A cross-sectional study. Sexual & Reproductive Healthcare. 9: 27-34. DOI: 10.1016/j.srhc.2016.06.003

Audet CM, Chire YM, Vaz L, Bechte R, Calson-Bremer D, Wester W, Amico R & Calvo L (2016). Barriers to Male Involvement in Antenatal Care in Rural Mozambique. Qual Health ResOctober ; 26(12): 1721–1731. DOI: 10.1177/1049732315580302

Bawadi HA, Qandil AM, Al-hamdan ZM & Mahallawi HH (2016). The role of fathers during pregnancy: A qualitative exploration of Arabic fathers’ beliefs. Midwifery. 32: 75-80. DOI: 10.1016/j.midw.2015.10.006

Bergström M, Rudman A, Waldenström U & Kieler H (2013). Fear of childbirth in expectant fathers, subsequent childbirth experience and impact of antenatal education: subanalysis of results from a randomized controlled trial. Acta Obstet Gynecol Scand. 92: 967–973. DOI: 10.1111/aogs.12147

Braide ASG, Brilhante AV, Arruda CN, Mendonça FAC, Caldas JMP & Nations MK, et al. Sou homem e pai sim! (Re)construindo a identidade masculina a partir da participação no parto. Rev. panam. salud pública. 2019; 42. DOI: 10.26633/RPSP.2018.190

Caldeira L, Ayres LF, Oliveira LV & Henriques BD (2017). A visão das gestantes acerca da participação do homem no processo gestacional. Rev. enferm. Cent.-Oeste Min. 7: 1-10. DOI: 10.19175/recom.v7i0.1417

Cardoso VEPS, Silva Junior AJ, Bonatti AF, Santos GWS & Ribeiro TAN (2018). A participação do parceiro na rotina pré-natal sob a perspectiva da mulher gestante. Rev. Pesqui. Cuid. Fundam. Online.10(3): 856-862. DOI: 10.9789/2175-5361.2018.v10i3.856-862

Cheng ER, Rifas-Shiman SL, Perkins ME, Rich-Edwards JW, Gillman MW, Wright R & Taveras EM (2016). The Influence of Antenatal Partner Support on Pregnancy Outcomes. Journal of women’s health. 25(7): 672-679. DOI: 10.1089/jwh.2015.5462

Chikalipo MC, Chirwa EM & Muula AS (2018). Acceptability of couple antenatal education: A qualitative study of expectant couples attending antenatal clinics in Blantyre, Malawi. Malawi Med J. 30(3): 146-151. DOI: 10.4314/mmj.v30i3.3

Costa SF & Taquette SR (2017). Atenção à Gestante Adolescente na Rede SUS - O acolhimento do parceiro no pré-natal. Rev. enferm. UFPE on line. 11(5): 2067-2074. DOI: 10.5205/reuol.9302-81402-1-RV.1105sup201711

Davis J, Vaughan C, Nankinga J, Davidson L, Kigodi H & Alalo E (2018). Expectant fathers’ participation in antenatal care services in Papua New Guinea: a qualitative inquiry. BMC Preg & Childbirth. May 8; 18(138): 1-13. DOI: 10.1186/s12884-018-1759-4

Draper H & Ives J (2013). Men’s involvement in antenatal care and labour: Rethinking a medical model. Midwifery. 29(7): 723–729. DOI: 10.1016/j.midw.2013.02.007

Ferreira IS, Fernandes AFC, Lô KKR, Melo TP, Gomes AMF & Andrade IS (2016). Percepções de gestantes acerca da atuação dos parceiros nas consultas de pré-natal. Rev. RENE. 7(3): 318-323. DOI: 10.15253/2175-6783.2016000300003

Forbes F, Wynter K, Wade C, Zeleke BM & Fisher J (2018). Male partner attendance at antenatal care and adherence to antenatal care guidelines: secondary analysis of 2011 Ethiopian demographic and health survey data. BMC Pregnancy and Childbirth. 18(145): 1-11. DOI: 10.1186/s12884-018-1775-4

Gomes R, Albernaz L, Ribeiro CRS, Moreira MCN & Nascimento M (2016). Linhas de cuidados masculinos voltados para a saúde sexual, a reprodução e a paternidade. Ciênc. saúde coletiva. 21(5): 1545-1552. DOI: 10.1590/1413-81232015215.26842015

Gross K, Mayumana I & Obrist B (2013). My wife, you are supposed to have a rest now: an analysis of norms influencing men’s role in prenatal care in south-eastern Tanzania. Anthropol Med. 20(1): 98–108. DOI: 10.1080/13648470.2012.747594

Guadagno M, Mackert M & Rochlen A (2013). Improving Prenatal Health: Setting the Agenda for Increased Male Involvement. American Journal of Men’s Health. 7(6): 523-526. DOI: 10.1177/1557988313490785

Guimarães WSG, Parente RCP, Guimarães TLF & Garnelo LG (2018). Acesso e qualidade da atenção pré-natal na estratégia saúde da família: infraestrutura, cuidado e gestão. Cadernos de Saúde Pública. 34(5): 1-13. DOI: 10.1590/0102-311X00110417

Henz GS, Medeiros CRG & Salvador M (2017). A inclusão paterna durante o pré-natal. Revista de Enfermagem e Atenção à Saúde [Online]. jan/jun; 6(1): 52-66. DOI: DOI: 10.18554/reas.v6i1.2053

Hopia H, Latvala E & Liimatainen L. Reviewing the methodology of an integrative review. Scand J Caring Sci. 2016; 30: 662–669. DOI: 10.1111/scs.12327

Ibid. Ministério da Saúde (BR)(2016). Guia do Pré-Natal do Parceiro para Profissionais de Saúde. Rio de janeiro: Ministério da Saúde; 1-58. Available from: https://portalarquivos2.

Johnsen H, Stenback P, Halldén BM, Svalenius EC & Persson EK (2017). Nordic fathers’ willingness to participate during pregnancy. Journal of Reproductive and Infant Psychology. 35(3): 223-235. DOI: 10.1080/02646838.2017.1297890

Johnston JT (2018). Incorporating “Father-Friendly” Breastfeeding Language in Maternity Settings. J Perinat Neonat Nurs. 32(2): 112-115. DOI: 10.1097/JPN.0000000000000320

Kashanian M, Faghankhani M, Hadizadeh H, Salehi MM, Roshan MY, Pour ME, Ensan LS & Sheikhansari N (2018). Psychosocial and biological paternal role in pregnancy outcomes. The Journal of Maternal-Fetal & Neonatal Medicine. 33(2): 243-252, DOI: 10.1080/ 1476 7058.2018.1488167

Kaye KD, Kakaire O, Nakimuli A, Osinde OM, Mbalinda NS & Kakande N (2014). Male involvement during pregnancy and childbirth: men’s perceptions, practices and experiences during the care for women who developed childbirth complications in Mulago Hospital, Uganda. BMC Preg & Childbirth. Jan 31; 14(54): 1-8. DOI: 10.1186/1471-2393-14-54

Maken ZH, Idrees NI, Zahid A, Zulfiqar A, Munib A, Hassan F & Mahmood R (2018). Factors influencing father’s antenatal and perinatal involvement in maternal healthcare. The Journal of Maternal-Fetal & Neonatal Medicine. Oct; 31(19): 2569-2575. DOI: 10.1080 /14767058.2017.1347920

Mersha AG (2018). Male involvement in the maternal health care system: implication towards decreasing the high burden of maternal mortality. BMC Pregnancy Childbirth; 18(1): 2-8. DOI: 10.1186/s12884-018-2139-9

Ministério da Saúde (BR). Portaria n° 2488. Diário Oficial da União. 2011; Available from:

Nash M (2018). Addressing the needs of first-time fathers in Tasmania: A qualitative study of father-only antenatal groups. Aust. J. Rural Health. (26): 106–111. DOI: 10.1111/ajr. 12371

Oliveira NM, Strassburg U & Piffer M. Técnicas de pesquisa qualitativa: uma abordagem conceitual. UNIOESTE/MCR. 2017; 17(32): 87-110. Available from:

Palsson P, Persson EK, Ekelin M, Hallström IK & Kvist LJ (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. DOI: 10.1016/j.midw.2017.03.021

Pinto MT, Samorinha C, Tendais I, Silva S & Figueiredo B (2017). Antenatal paternal adjustment and paternal attitudes after infertility treatment. Human Reprodution. 33(1): 109-115. DOI: 10.1093/humrep/dex349

Poh HL, Koh SSL & He H-G (2014). An integrative review of fathers' experiences during pregnancy and childbirth. Int. Nurs Rev. 61(4): 543-554. DOI: 10.1111/inr.12137

Redshaw M & Henderson J (2013). Fathers' engagement in pregnancy and childbirth: evidence from a national survey. BMC Preg & Childbirth. 13(70): 1-15. Available from:

Rocha AC & Andrade GS (2017). Atenção da equipe de enfermagem durante o pré-natal: percepção das gestantes atendidas na rede básica de Itapuranga- GO em diferentes contextos sociais. Revista Enfermagem Contemporânea. 6(1): 30-41. DOI: 10.17267/2317-3378rec. v6i1.1153

Salman-Engin S, Little T, Gaskin-Butler V & McHale JP (2017). A Prenatal Coparenting Intervention With Unmarried Father-Mother Dyads: Fidelity of Intervention Delivery by Male-Female Community Mentor Teams. The Journal of Nursing Research. 25(3): 240-250. DOI: 10.1097/JNR.0000000000000168

Sapkota S, Kobayashi T & Takase M (2012). Husbands’ experiences of supporting their wives during childbirth in Nepal. Midwifery. (28): 45–51. DOI: 10.1016/j.midw.2010.10.010

Schytt E & Bergström M (2014). First-time fathers’ expectations and experiences of childbirth in relation to age. Midwifery. (30): 82-88. DOI: 10.1016/j.midw.2013.01.015

Silva AV & Dauber, L (2013). O papel do pai na sociedade contemporânea. Interbio. 7(2): 57-66. DOI: 10.1590/2177-9465-EAN-2018-0173

Silva MMJ, Cardoso EP, Calheiros CAP, Rodrigues EOMA, Leite EPRC & Rocha LCD (2013). O envolvimento paterno na gestação sob o olhar de gênero. Rev. enferm. UFPE on line. 7(5): 1376-1381. DOI: 10.5205/reuol.3960-31424-1-SM.0705201316

Singh D, Lample M & Earnest J (2014). The involvement of men in maternal health care: cross-sectional, pilot case studies from Maligita and Kibibi, Uganda. Reproductive Health. 11(68): 1-8. Available from: /pdf/10.1186/1742-4755-11-68

Smyth S, Spence D & Murray K (2015). Does antenatal education prepare fathers for their role as birth partners and for parenthood?. British Journal of Midwifery. 2015 May; 23(5): 336-342. DOI: 10.12968/bjom.2015.23.5.336

Tokhi M, Comrie-Thomson L, Davis J, Portela A, Cherisich M & Luchters S (2018). Involving men to improve maternal and newborn health: a systematic review of the effectiveness of interventions. PLoS One. 13(1): 1-16. DOI: 10.1371/journal.pone.0191620

Widarsson M, Engestrom G, Tyden T, Lundberg P & Hammar LM (2015). ‘Paddling upstream’: Fathers’ involvement during pregnancy as described by expectant fathers and mothers. J Clin Nurs. 24(7–8): 1059–68. DOI: 10.1111/jocn.12784

Yende N, Rie AV, West NS, Bassett J & Schwartz SR (2017). Acceptability and Preferences among Men and Women for Male Involvement in Antenatal Care. Journal of Pregnancy: 1-8. DOI: 10.1155/2017/4758017



How to Cite

SANTOS, N. N. da S.; SILVA, K. B. da; COSTA, D. C.; FERRAZ, V. H. G.; CARVALHO, A. L. de S.; TAVARES, M. R.; MORAES, Érica B. de; NASSAR, P. R. B.; MESSIAS, C. M. Strategies of nurses in stimulating active paternity in prenatal. Research, Society and Development, [S. l.], v. 9, n. 7, p. e673974579, 2020. DOI: 10.33448/rsd-v9i7.4579. Disponível em: Acesso em: 23 feb. 2024.



Health Sciences