Family Welfare Research Articles

Preparedness of Practicing Nurses in the Care of Sexual and Gender Diverse People in the United States: A Scoping Review.

Sexual and gender diverse (SGD) people in the United States (US) experience health inequities due to societal stigma and marginalisation. The nursing workforce must provide evidence-based affirming, inclusive and culturally responsive care for SGD people to meet individual and community health needs and eliminate disparities. The purpose of this scoping review was to synthesise what is known about (1) nurses' knowledge, skills and attitudes related to caring for SGD people in the US and (2) the existence, development and evaluation of SGD-related educational offerings available to practicing nurses in the US to develop the knowledge and skills needed to promote the health and wellbeing of SGD individuals, families and communities. This review followed the scoping review methodology and PRISMA for Scoping Reviews (PRISMA-ScR). In conjunction with a health librarian, an electronic literature search was conducted using PubMed, LGBT Health, CINAHL, ERIC and Health Source-Nursing. Thirty-two studies were included in this review, including quantitative and qualitative studies that sought to understand the knowledge, attitudes and clinical experiences of nurses related to the care of SGD people; studies that tested educational interventions and studies that identified educational barriers and facilitators. Major gaps in education, practice and research, as well as methodological limitations of existing studies, were noted. Nurses would benefit from expanded access to effective standardised foundational SGD-related health continuing education to help prepare them to care for diverse patient populations. Equity, inclusivity and dignity are key values of the nursing profession. It is imperative that nurses have the knowledge and skills to apply these values consistently in day-to-day professional practice across populations and settings. There is an urgent need to develop standardised, easily accessible evidence-based educational content to address nurses' knowledge of and attitudes towards caring for SGD people. This study adhered to the PRISMA-ScR reporting guidelines. There was no patient or public contribution to this study.

LEGAL REGULATION OF DIGITISING AND OUTSOURCING MEDICAL RECORDS DEPARTMENT IN INDIA

The whole deal with digitizing and outsourcing medical records in India is complicated. You've got a bunch of laws, guidelines, and ethical considerations all playing a role in ensuring data privacy, security, and patient confidentiality are on point. As the healthcare sector embraces digital solutions more and more, moving from old-fashioned paper records to electronic health records (EHRs) has become a big part of managing healthcare. The Information Technology (IT) Act of 2000, along with its updates, lays the groundwork for all the legal stuff surrounding electronic data and how it's kept secure. Then there's the Personal Data Protection Bill of 2019, which hasn't been passed yet but has some pretty comprehensive measures in place to protect personal data, including health info. On top of all that, the Ministry of Health and Family Welfare (MoHFW) has introduced the National Digital Health Mission (NDHM). This aims to create a national digital health system and puts a lot of emphasis on making sure data privacy and security are top-notch. When it comes to outsourcing the management of medical records to outside parties, there's a need to stick to legal standards and international best practices, like the ones laid out by the Health Insurance Portability and Accountability Act (HIPAA) in the United States. Healthcare providers need to make sure that the folks they outsource to are following confidentiality agreements and data protection protocols. It's all about reducing the risks of data breaches and unauthorized access. The legal framework also requires regular audits, safe data storage solutions, and using fancy encryption technology. To wrap it up, digitizing and outsourcing medical records in India is all about blending existing IT laws, upcoming data protection rules, and specific guidelines for the healthcare industry. The goal is to keep patient data safe while making healthcare more efficient. As the world of digital health data keeps changing, ongoing legal reforms and clear regulatory standards will be important to keep everything in check.

The Feasibility and Acceptability of Using a Digital Conversational Agent (Chatbot) for Delivering Parenting Interventions: Systematic Review.

Parenting interventions are crucial for promoting family well-being, reducing violence against children, and improving child development outcomes; however, scaling these programs remains a challenge. Prior reviews have characterized the feasibility, acceptability, and effectiveness of other more robust forms of digital parenting interventions (eg, via the web, mobile apps, and videoconferencing). Recently, chatbot technology has emerged as a possible mode for adapting and delivering parenting programs to larger populations (eg, Parenting for Lifelong Health, Incredible Years, and Triple P Parenting). This study aims to review the evidence of using chatbots to deliver parenting interventions and assess the feasibility of implementation, acceptability of these interventions, and preliminary outcomes. This review conducted a comprehensive search of databases, including Web of Science, MEDLINE, Scopus, ProQuest, and Cochrane Central Register of Controlled Trials. Cochrane Handbook for Systematic Review of Interventions and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were used to conduct the search. Eligible studies targeted parents of children aged 0 to 18 years; used chatbots via digital platforms, such as the internet, mobile apps, or SMS text messaging; and targeted improving family well-being through parenting. Implementation measures, acceptability, and any reported preliminary measures of effectiveness were included. Of the 1766 initial results, 10 studies met the inclusion criteria. The included studies, primarily conducted in high-income countries (8/10, 80%), demonstrated a high mean retention rate (72.8%) and reported high acceptability (10/10, 100%). However, significant heterogeneity in interventions, measurement methods, and study quality necessitate cautious interpretation. Reporting bias, lack of clarity in the operationalization of engagement measures, and platform limitations were identified as limiting factors in interpreting findings. This is the first study to review the implementation feasibility and acceptability of chatbots for delivering parenting programs. While preliminary evidence suggests that chatbots can be used to deliver parenting programs, further research, standardization of reporting, and scaling up of effectiveness testing are critical to harness the full benefits of chatbots for promoting family well-being.

Mitigating and minimising at-home illness-related stress of well-siblings through school support

Living with a chronic health condition in the home can have a debilitating effect on the psychosocial and psychoaffective wellbeing of the entire family. This is particularly the case for healthy school aged siblings. This research investigated the perceptions and experiences of at-school support for well-siblings to evaluate its effectiveness in mitigating and minimising the at-home illness-related stress effect. Seven siblings (both primary and secondary age) whose brothers had received treatment for a chronic illness (e.g. cancer) were interviewed, as were their mothers, six schoolteachers, and two principals. Responses were analysed thematically, and the findings revealed that the chronic illness of a sibling bears strongly on how well-siblings feel about themselves: their very identity is challenged; and they lose their sense of belonging, worth, and self. Findings identified that inconsistencies in at-school support are linked with a lack of an overarching mandate for support, emphasising the need for urgent remediation in policy development and process reform.

The relationship between violent political rhetoric and suicide rates

ABSTRACT Among the groupings of Social Work Grand Challenges is Individual and Family Well-Being. One threat to individual and family well-being is suicide. Between 2011 and 2022 over half a million Americans committed suicide. Suicide has profound effects on family members. Recent research has found violent political rhetoric (VPR) as an aspect of the social environment is associated with violence, including mass shootings and police shootings of civilians, both threats to individual and family well-being. No studies have investigated the possible relationship between VPR and suicide rates. This study, a secondary analysis of publicly available data, addresses this absence. The dependent variable was suicide rates in the U.S. Census regions. Independent variables included census region populations, VPR, gun ownership, and temperature. Panel analysis methods with Driscoll-Kraay robust standard errors were used. Statistically significant relationships between suicide rates and VPR, changes in gun ownership, and temperature were found, with between-region differences. Violent political rhetoric appears to be associated with increasing suicide rates, and these relationships may differ between regions. Implications of these findings for future research and for social work efforts to combat the effects of VPR and potentially reduce suicide rates, especially for populations targeted by VPR, are considered.

Exploring the role of the Kinship programme’s joint nature experience in family well-being

ABSTRACT As technology advances, there is a risk of losing touch with nature and, therefore, missing out on its benefits. Many studies provide evidence that time spent in nature enhances and contributes to individual well-being. However, few studies are conducted in other countries or in South Africa regarding joint nature experiences and their role in family well-being. This study aimed to explore and describe the role of the Kinship Programme’s joint nature experience in family well-being in a South African context. The research employed a qualitative, explorative-descriptive design. Through purposive sampling, five families were included. Data were collected through semi-structured family interviews and family drawings which were analysed thematically. Four themes emerged from the analysis: Personal growth and development within the family; strengthening familial relationships; connecting with nature; and fostering a sense of belonging. The programme plays a positive role in the participants’ well-being.

Balancing nutrition and budgets: Socio-ecological impacts on nutritional environments of families with low incomes

BackgroundResearch on childhood nutritional environments, which are predictive of a variety of child and family health and wellbeing outcomes, has primarily focused on parenting behaviors and the home food environment. However, broader social and community factors play an important role in shaping nutritional environments during early childhood. Food security is a key example that is closely linked to nutrition-related health disparities, which can arise from constrained financial resources and material deprivations. Understanding parent and caregiver lived experiences related to social and community components of family nutritional environments in the context of economic constraints could help to support multi-level nutritional practices that are optimal for healthy child development. MethodSemi-structured in-depth interviews were conducted using a narrative approach with parents (n = 21) of pre-school aged children living near or below the poverty line. Participants were recruited from social and community service sites pertinent to maternal and child health in Philadelphia where health disparities are highly concentrated. Analysis was conducted using MAX QDA analytic software following a systematic approach for thematic analysis in narrative research. ResultsThree themes describe the feeding and eating environments in the home and community context: 1) Food Procurement and Meal Planning; 2) Family Togetherness; 3) Creativity, Variety, and Flexibility. Creative decision making and food procurement strategies responsive to child preferences were balanced by shopping to save and visiting multiple stores for the best foods and savings. Logistical (e.g., transportation, childcare) and emotional supports facilitated food shopping habits and routines, while lack of trusted childcare, reliable transportation, and social support barriers challenged feeding and eating decisions. ConclusionStrategies for improving cost and time-efficiencies could help support health-promoting nutritional environments of families with food insecurity. Building social and community capacity and facilitating connections to practical supports that include trustworthy childcare and peer support may be particularly important for this population.

Psychometric properties of the Turkish version of the developmental care scale for neonates with congenital heart disease.

Developmental care for newborns with congenital heart disease (CHD) improves cardiac and respiratory patterns. According to the American Heart Association, developmental care in newborns with CHD is important for improving neurodevelopmental outcomes. This study aimed to evaluate the validity and reliability of the Turkish version of the Developmental Care Scale for Neonates with Congenital Heart Disease. This was a methodological, descriptive study conducted with 169 nurses from a tertiary-level NICU. The Demographical Information Form and the Developmental Care Scale for Neonates with Congenital Heart Disease were used to collect the data. The scales' language and content validity, construct validity, and internal consistency were also assessed. The scale consists of 31 items and four subscales. Factor loadings ranged from 0.44 to 0.82 and explained 65% of the total variance. Fit indices indicate that the model is acceptable. Cronbach's α was 0.95 for the entire instrument, 0.91 for developing the external environment subscale, 0.94 for assessing family well-being, 0.86 for the caregiver activities toward the neonate, and 0.82 for the basic need subscale. Item-total correlations ranged between 0.34 and 0.75, according to the item analysis results. The Turkish version of the Developmental Care Scale for Neonates with Congenital Heart Disease is valid and reliable. The use of this scale could improve the performance of neonatal intensive care nurses in providing developmental care to newborns with CHD as well as the quality of care.

Stepped-Care Web-Based Parent Support Following Congenital Heart Disease: Protocol for a Randomized Controlled Trial.

Early neurodevelopmental risks, compounded with traumatic medical experiences, contribute to emotional and behavioral challenges in as many as 1 in 2 children with congenital heart disease (CHD). Parents report a strong need for supports; yet, there remains a lack of accessible, evidence-based behavioral interventions available for children with CHD and their families. I-InTERACT-North is a web-based stepped-care mental health program designed to support family well-being and reduce behavioral concerns through positive parenting for children with early medical complexity. In previous pilot studies, the program was effective in increasing positive parenting skills and decreasing child behavior problems, with high parent-reported acceptability. This paper presents the protocol for the first randomized study of stepped-care parent support for families of children with CHD. This study will involve a single-site, 2-arm, single-blind randomized controlled trial to evaluate (1) the feasibility and acceptability of a web-based stepped-care parent support program (I-InTERACT-North) and (2) the effectiveness of the program in enhancing positive parenting skills and reducing behavioral concerns among families of children with CHD. Families will be randomized (1:1) to either receive treatment or continue with care as usual for 12 months. Randomization will be stratified by child's sex assigned at birth and baseline parent-reported child behavior intensity. Primary outcomes include positive parenting skills and child behavior at baseline, 3 months, 6 months, and 12 months. Secondary outcomes include parental mental health, quality of life, service usage, and feasibility including program reach and adherence. A sample size of 244 families will provide >95% power to detect an effect size of d=0.64. Based on attrition data from pilot studies, a target of 382 families will be enrolled. Parent reports of acceptability, adoption, and suggested adaptability of the program will be examined using cross-case thematic analyses. Primary efficacy analysis will be conducted using an intent-to-treat approach. Generalized estimating equations will be used to examine changes in positive parenting. Child behavior, quality of life, and parent mental health will be tested with repeated-measures analyses. Additional sensitivity and replication analyses will also be carried out. Recruitment began in February 2024, and recruitment and follow-up will continue until January 2029. We anticipate results in late 2029. This study aims to test the effectiveness of I-InTERACT-North web-based stepped-care parent support in improving positive parenting skills and reducing child behavior problems in families of children with CHD compared with a care as usual control group. Results will inform future clinical implementation and expansion of this program among families of children with early medical conditions. ClinicalTrials.gov NCT06075251; https://clinicaltrials.gov/study/NCT06075251. DERR1-10.2196/64216.

Семья как субъект правореализации на современном этапе развития российского законодательства

Today family as a collective subject of law enforcement performs a number of important for government functions: upbringing, educational, reproductive. Creation of conditions for full realization families` rights and opportunities becomes the State`s task. The article considers the problem of family recognition as an independent subject of law enforcement, reviews forms of rights realization by the family and its members, characterizes the main measures of state support, its influence on the level of legal protection and family well-being.

The Role of PKK in Sustainable Community Empowerment

The general background while community empowerment is widely studied, the specific contributions of PKK remain underexplored. Specific background this study focuses on PKK's role in Tambak Kalisogo Village, particularly within sustainable community empowerment programs. Knowledge Gap Existing literature lacks a comprehensive analysis of PKK's multifaceted role in community development initiatives. Aims this research aims to elucidate the various roles of PKK, including its functions as a motivator, facilitator, mobilizer, and regulator in community empowerment. Results the findings reveal that PKK effectively organizes activities, provides guidance in food processing, ensures quality in production, and complies with governmental regulations, thus significantly impacting community welfare. Novelty this research contributes to the field by presenting a detailed examination of PKK's diverse functions in fostering community development and enhancing the economic capabilities of women. Implications Strengthening PKK's initiatives can further improve community welfare, encouraging women's participation in economic activities, and leading to more prosperous and resilient families. Highlights: PKK functions acts as a motivator, facilitator, mobilizer, and regulator in community initiatives. The study demonstrates PKK's effectiveness in enhancing local economic welfare through various programs. Strengthening PKK's efforts fosters women's participation, contributing to improved family income and welfare. Keywords: PKK, Empowerment, Welfare, Community, Economy

Evaluate the Knowledge about the WHO- Recommended Antenatal Visits among Antenatal Mothers in the Outpatient Department

One of the most crucial aspects of the World Health Organization's family welfare program in India is the promotion of maternal and child health. ANC is the care given to women during pregnancy to ensure that both the mother and the kid remain healthy. Reducing infant and mother mortality and morbidity as well as promoting, protecting, and preventing maternal and perinatal health are beneficial for the long-term growth and development of the nation. Sadly, a lot of women in underdeveloped nations do not get this kind of care.  Objectives: Assess the knowledge of WHO recommended ANC visit among pregnant women..  Methodology:  Research Approach: Qualitative study,  Research Design: Descriptive study,  Population: Antenatal mothers Antenatal mothers who are attending OPD.  Sample Size: The sample size consider of 30 antenatal mothers.  Sample Technique: Non probability sampling convenient sampling techniques adopted in this study.  Result: This study had given some clues that majority 22 (74%) of them had moderate knowledge. 6 (20%) of them had inadequate knowledge, 2(7%) of them had adequate knowledge about antenatal mothers.  Conclusion: This study experiences helped the investigator to spell out some recommendations and develop a self- instructional module so as to improve the knowledge about antenatal mothers.

Socioeconomic Disparities in Family Well-Being, Family Communication Quality, and Personal Happiness among Chinese: Findings from Repeated Cross-Sectional Studies in 2016–2023

AbstractSignificant socioeconomic changes in Hong Kong have coincided with a conspicuous knowledge gap regarding the impact of disparities on family well-being, family communication quality, and personal happiness. To examine changes on family well-being, family communication quality, and personal happiness before, during, and after the 2019 social unrest and the COVID-19 pandemic in Hong Kong. Five repeated territory-wide cross-sectional surveys were conducted from 2016 to 2023, using telephone and online surveys on 27,074 adults in Hong Kong. Respondents rated their family health, happiness, harmony (family 3Hs), family communication quality, and personal happiness on scales of 0–10. Family well-being was the sum of family 3Hs divided by three (0–10). Trends by socioeconomic factors were analysed using linear prediction and multiple linear regression, weighted for sex and age. Highest scores for all outcomes were observed in 2016 and 2017, followed by a noticeable decline in 2020 and 2021, with the lowest scores recorded in 2023 except for personal happiness with its lowest score recorded in 2021. The decline since 2021 was most noticeable with low monthly household income (predicted margins in 2023 ranged from 5.55 to 6.46 for ≤ HK$19,999; 5.62 to 6.51 for HK$20,000–39,999; 5.81 to 6.78 for ≥ HK$40,000), but no differences were observed by education level. Female, older age, and higher monthly household income were significantly associated with higher family well-being, family communication quality, and personal happiness (all P < 0.001). Higher education level was only significantly associated with personal happiness (P = 0.008). We have first shown socioeconomic disparities in the declining family well-being, family communication quality, and personal happiness from 2016 to 2023 in Hong Kong. These alarming findings require targeted interventions and policies aimed at addressing these disparities and improving wellbeing in the population.

Trauma-Informed Positive Parenting in Primary Care as a Tool to Support Child and Family Well-Being.

Factors affecting caregiver health and wellbeing, such as trauma and stress, can have significant negative impact on parenting behaviors and on subsequent child physical and mental health. Trauma-informed positive parenting (TIPP) is an effective tool that acknowledges and addresses a family's unique journey and needs, while promoting both nurturing caregiver-child interactions and appropriate limit setting. Primary care practices are in unique positions to provide such interventions, due to their long-standing and trusted involvement with families. Therefore, we propose that TIPP can feasibly be incorporated into the pediatric primary care setting to support overall family health and well-being. [Pediatr Ann. 2024;53(10):e360-e365.].

The Influence of Economic Stability on Neonatal and Family Well-Being.

Economic stability is one of the five domains of determinants of health influencing the well-being of families and communities. In this column, the impacts of economic instability, including poverty, employment, food insecurity, and housing instability, will be described. These challenges have unique impacts during pregnancy and the early years, with inequitable and accumulating health burdens over a lifetime. Actions that nurses can take within the NICU setting are described and opportunities for community and policy advocacy are identified.

The impact of the Prevent Agenda on social work: a systematic literature review

The Prevent Agenda, introduced in 2006, is a counter-terrorism strategy aiming to address radicalisation and extremist behaviour. This systematic literature review (SLR) focuses on its impact on child protection social work, examining how it influences roles, responsibilities and decision-making processes. Analysing articles, governmental reports and relevant literature, the review explores outcomes, such as improved inter-agency communication and heightened awareness of radicalisation risk factors. However, much more pronounced in the literature are very significant concerns that arise about potential biases in targeting, marginalising Muslim minorities and alienating families from support. This SLR offers insights into the multifaceted effects of Prevent on child protection social work, families and communities. Identifying trends and knowledge gaps contributes to understanding how counterterrorism intersects with child welfare. The review’s implications inform policy, professional training and future research for a balanced approach to national security and child and family well-being.

Development and Validation of a Scale to Measure Violence against Women among Myanmar Migrant Women in Thailand

Introduction: Violence against women (VAW) is a serious human rights violation with significant implications for public health. VAW affects the well-being of women, children, and families. This study aims to develop and validate a scale specifically designed for identifying and assisting migrant women who have experienced violence. Methods: A cross-sectional survey using stratified sampling was conducted among 295 Myanmar migrant women in Thailand. Violence among these women was assessed using self-administered questionnaires with data collection taking 15–20 min per participant between September and December 2023. The construct validity of the Violence against Migrant Women Scale (VAMWS) was confirmed through exploratory factor analysis (EFA) estimated by weighted least squares means and variance with Geomin rotation in Mplus software. Results: The EFA revealed a 13-item scale with a four-factor structure that fit the data exceptionally well, as indicated by the high comparative fit index of 0.99 and low root mean square error of approximation value of 0.02. Communalities ranged from 0.58 to 0.99 and rotated factor correlations between 0.36 and 0.53. The four dimensions were as follows: F1 – physical (4 items, loadings 0.51–0.73), F2 – sexual (2 items, loadings 0.66–0.99), F3 – psychological (3 items, loadings 0.57–0.73), and F4 – economic (3 items, loadings 0.50–0.78). VAMWS had Cronbach’s alpha of 0.90 and corrected item–total correlation values from 0.53 to 0.74. Physical violence, experienced by 50% of respondents, was most common, primarily by spouses, then siblings, acquaintances, employers, parents, and friends. Conclusion: VAMWS is applicable for assessing violence prevalence across multiple sectors, including health care, social services, law enforcement, and future research endeavors.

Health-related quality of life of children and adolescents with sickle cell disease: An evolutionary concept analysis

The concept of Health-Related Quality of life (HRQOL) of children and adolescents with Sickle cell disease (SCD) is not clearly understood due to the lack of available studies. This review aimed to elucidate various attributes and related concepts of HRQOL in children and adolescents with SCD using Rodgers' (2000) concept analysis framework. A systematic search was performed to identify studies reporting the attributes, antecedents, consequences, surrogate terms, and related concepts of HRQOL in children and adolescents with SCD. The review included 75 articles, including 70 quantitative, two mixed-methods, and three qualitative studies. These were categorized into attributes, antecedents, consequences, surrogate terms, related concepts, and an exemplar of HRQOL in children and adolescents with SCD. The review identified nine important attributes. It includes multidimensional and dynamic concepts, acknowledging the illness, maintaining emotional balance and self-control, coping with the disease, pain management, stigma and discrimination, treatment burden, palliative care and personal resilience. The antecedents were knowledge and attitude toward the disease, self-efficacy, social support, spirituality and spiritual well-being, disease severity, access to healthcare, environmental factors, and financial considerations. The consequences were independence in personal life, improved physical health outcomes, psychological well-being, family and caregiver well-being, improved family, social and peer relationships and social interactions, improved school performance, and improved overall HRQOL and long-term outcomes. This analysis provides an overview of HRQOL concepts related to children and adolescents with SCD, guiding further research into nursing care and clinical practice.

Psychosocial and mental health concerns among elderly people during COVID-19: Findings from national helpline in India

ABSTRACT Background: WHO reported that the epidemic SARS-CoV-2 spread was a public health emergency of international tension in January 2020 and pandemic in March 2020. In this regard, National Institute of Mental Health and Neuro Sciences (NIMHANS) launched a national helpline with the support of the Ministry of Health and Family Welfare for addressing psychosocial issues and mental health concerns of people during the COVID-19 pandemic. The recorded calls made to the National Psychosocial Support helpline were analysed to elicit the psychosocial issues seen among the elderly during the pandemic. Methods: The data of 70 randomly selected helpline callers were collected by using the sociodemographic data sheet and the semistructured questionnaire. The study employed descriptive research design. Results: In total, 71.1% of callers belonged to the 60-70 years’ age group. 57.1% of callers had approached the helpline by themselves. 38.6% of the callers had reported a preexisting mental illness, of which the majority (33%) reported anxiety and/or sleeplessness. 28.6% of callers complained of comorbid medical issues. Interventions provided to the callers were in the form of supportive psychotherapy (84.28%), the COVID-19-related information (72.85%), referral services (62.9%), lifestyle modifications (41.42%), and behavioural activation (35.71%). Conclusion: Study findings indicate that the older population encountered several mental health issues during COVID-19, and the telephonic interventions were the most feasible, accessible, and helpful method to reach out to them.

Parents’ experiences of perinatal child protection processes: A systematic review and thematic synthesis informed by a socio-ecological approach

BackgroundNationally and internationally, researchers and practitioners are increasingly expressing concerns regarding the number of babies removed by child protection systems soon after birth and how child protection processes in the perinatal period (conception to one year following birth) impact families. AimThis systematic review synthesises qualitative studies to gain an understanding of the experiences and needs of pregnant women, mothers, and fathers involved in perinatal child protection processes that occur in health, welfare, and legal systems. MethodsMulti-disciplinary electronic databases (13) were searched for relevant peer-reviewed journal articles written in English and published since 2000. Twenty-four articles met the inclusion criteria. Analysis adopted a socio-ecological approach and thematic synthesis. An expert advisory group comprised of lived experience advisors, service providers, and academics contributed to development of the thematic framework. ResultsAlthough the reviewed studies were conducted between 2005 and 2023 with diverse participants from six countries, they highlight parents’ similar experiences of perinatal child protection processes. Parents’ experiences are synthesised according to spheres of the socio-ecological model:(i) At the individual level, parents described their love, hope, confusion, fear, agency, and anguish.(ii) Within relationships parents recounted broken parent-baby bonds, limited personal and professional support, and the implications of trauma and trust for parent-professional relationships.(iii) When engaging with organisations parents reported pervasive surveillance and harmful processes, inadequate communication and support, and power imbalances.(iv) At policy and societal levels parents’ experiences pointed to dominant Western norms and values, increased poverty and homelessness, compromised rights, and prejudicial perinatal policies.Also synthesised are parents’, professionals’, and researchers’ recommendations for improving perinatal child protection processes and supporting families. ConclusionsOver the last 20 years, qualitative studies from around the globe have consistently reported the adverse biopsychosocial impacts of removing babies from their families. Addressing poverty and trauma, redressing power imbalances, and mitigating the enduring impact of perinatal child protection processes is critical for parents’ to be able to keep or be reunified with their babies. Shifts at institutional, policy, and societal levels are needed to: prioritise prevention and early intervention; enable relational practice and cross-sector collaboration; and move beyond traditional Western notions of family. Centring parents’ voices in efforts to improve child protection processes before and after birth will help inform the delivery of early and appropriate support to meet parents’ identified needs and promote family wellbeing.