| Summary: | <h4>Objectives</h4>Fatherhood has evolved in recent decades from 'a moral teacher' to 'an involved father'. However, fatherhood experiences have not been examined in detail. This meta-synthesis aimed to examine fathers' experiences, needs, and perceptions of their involvement with their infants during the first 12 months of birth.<h4>Method</h4>Six electronic databases were systematically searched: PubMed, CINAHL, Embase, Scopus, PsycINFO, ProQuest (grey literature). The search resulted in 13 studies that met the inclusion criteria. Quality appraisal was conducted using the Critical Appraisal Skills Programme Checklist. All 13 studies met the appraisal criteria and were included in the meta-synthesis. The findings of the 13 studies were synthesized using the steps of Sandelowski and Barroso in conducting meta-synthesis.<h4>Results</h4>The 13 included studies comprised studies conducted in the West, Africa, and Asia. Fatherhood experiences differed according to different sociocultural contexts. Three themes were identified: (1) trajectory of the father-infant relationship, (2) reinforcements and hindrances to involvement, and (3) change from self-oriented to family-oriented behavior. Changes in a father's relationship with his infant were influenced by relationships with his spouse and family members after the birth of the infant. Reinforcements, hindrances, and needs to fathers' involvement were identified. Fathering responsibility and parenting satisfaction that developed overtime influenced a father's behavior, changing from self-oriented to family-oriented.<h4>Significance</h4>This is the first meta-synthesis that examined fathers' experiences, needs, and perceptions of their involvement with their infants during the first 12 months of birth. Multiple factors were found to influence the socially-defined fathering ideology. Cultural practices of fatherhood and fathers' own perceptions shaped their actual fathering behaviors. The findings of this study may guide healthcare professionals as frontline personnel to understand fathers' needs and experiences in order to promote fathers' involvement in the early days after their infants' birth.
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