{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:19:06Z","timestamp":1787797146618,"version":"build-2784847793"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T00:00:00Z","timestamp":1785628800000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Termination for medical reasons (TFMR) is an essential aspect of reproductive healthcare. While physical and emotional care of the birthing parent is central within healthcare systems, less is known about the experiences and support needs of non\u2010birthing partners during this process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore fathers\u2019 and non\u2010birthing partners\u2019 perceptions and experiences of support (covering clinical, psychological, and social support) during a TFMR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative study using semi\u2010structured interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and Participants<\/jats:title>\n                    <jats:p>Ten fathers\/non\u2010birthing partners who had experienced TFMR in the last 7 years, identified via social media or snowball sampling, were interviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Analysis<\/jats:title>\n                    <jats:p>Data were analysed using inductive thematic analysis and a mixture of semantic and latent coding of the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      An overarching theme of\n                      <jats:italic>Support in the shadows<\/jats:italic>\n                      was identified, capturing how non\u2010birthing partners were consistently present but rarely the focus of explicit or sustained care or support. Three themes were developed under the main theme of\n                      <jats:italic>support in the shadows:<\/jats:italic>\n                      (a) Feeling invisible, (b) seeking whole\u2010person support and (c) partners as a support rather than being supported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>In common with other forms of pregnancy loss, fathers\/non\u2010birthing partners described a pattern of silent responsibility, emotional invisibility and a lack of meaningful recognition of their needs. When care was individualised and specific to non\u2010birthing partners, it was experienced as supportive.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The support that fathers\/non\u2010birthing partners experienced during TFMR was largely incidental rather than embedded. Partners desired care and support that was deliberate, inclusive and individualised and covered clinical, psychological and social aspects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>A parent with lived experience of TFMR was involved in the study conception and methodology. The lived experience parent advised on study design and the presentation of participant information. Parents who had lived experience of TFMR in the last 7 years were interviewed for the study as participants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70799","type":"journal-article","created":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T14:12:44Z","timestamp":1785679964000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Support in the Shadows: Findings From a Qualitative Study Exploring Fathers\u2019 and Non\u2010Birthing Partners\u2019 Perceptions and Experiences of Support During a Termination for Medical Reasons"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6358-5873","authenticated-orcid":false,"given":"Sarah","family":"Fogarty","sequence":"first","affiliation":[{"name":"School of Medicine Western Sydney University Campbelltown Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirstin","family":"Tindal","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth, Mater Research The University of Queensland Brisbane Australia"},{"name":"The Ritchie Centre Hudson Institute of Medical Research Melbourne Australia"},{"name":"Department of Obstetrics and Gynaecology Monash University Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4303-7845","authenticated-orcid":false,"given":"Alexander E. P.","family":"Heazell","sequence":"additional","affiliation":[{"name":"Maternal and Fetal Health Research Centre, School of Medical Sciences University of Manchester Manchester UK"},{"name":"Department of Obstetrics, Saint Mary's Hospital Manchester University NHS Foundation Trust Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0099-8440","authenticated-orcid":false,"given":"Niki","family":"Munk","sequence":"additional","affiliation":[{"name":"School of Health &amp; Human Sciences Indiana University Indianapolis Indiana USA"},{"name":"Massage Therapy Foundation Evanston Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1665-2137","authenticated-orcid":false,"given":"Frances M.","family":"Boyle","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth, Mater Research The University of Queensland Brisbane Australia"},{"name":"Institute for Social Science Research The University of Queensland Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0296-6856","authenticated-orcid":false,"given":"Phillipa","family":"Hay","sequence":"additional","affiliation":[{"name":"Translational Health Research Institute Western Sydney University Penrith Australia"},{"name":"Mental Health Services, SWSLHD Campbelltown Hospital Campbelltown Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/whr.2022.0092"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04770-4"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2014.11.015"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2011.10.006"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/10383441.2025.2493484"},{"issue":"1","key":"e_1_2_12_7_1","first-page":"209","article-title":"Australia: Abortion and Human Rights","volume":"19","author":"Sifris R.","year":"2017","journal-title":"Health and Human Rights"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-0806-2"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732313484198"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2023.103827"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2019.102531"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/07481187.2025.2452486"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2020.101818"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2018.11.013"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15786"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.70464"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-070288"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-017-1607-y"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105302007002457"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/jnr.0000000000000246"},{"key":"e_1_2_12_21_1","volume-title":"Research Design: Qualitative, Quantitative, and Mixed Methods Approaches, 4 ed","author":"Creswell J. W.","year":"2014"},{"key":"e_1_2_12_22_1","volume-title":"Constructivist Learning Environments: Case Studies in Instructional Design","author":"Honebein P. C.","year":"1996"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11135-021-01182-y"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-69909-7_3470-2"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12805"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-017-1560-9"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.1127"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.1307"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.1763"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/02646838.2024.2431638"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-019-2677-9"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03514-6"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732319870270"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2021.01.005"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare9020161"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2024.104107"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/07481187.2025.2513984"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-06644-3"}],"container-title":["Health Expectations"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hex.70799","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hex.70799","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hex.70799","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:11:47Z","timestamp":1787796707000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hex.70799"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":38,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/hex.70799"],"URL":"https:\/\/doi.org\/10.1111\/hex.70799","archive":["Portico"],"relation":{},"ISSN":["1369-6513","1369-7625"],"issn-type":[{"value":"1369-6513","type":"print"},{"value":"1369-7625","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-02-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70799"}}