The Impact of Paternal Support on Maternal Perception During Pregnancy
Main Article Content
Abstract
Paternal involvement in maternal health is a critical yet often underexplored factor in enhancing antenatal care (ANC) attendance and pregnancy outcomes. This study aimed to examine how paternal support—across emotional, instrumental, informational, and appraisal dimensions—shapes maternal perception during pregnancy and influences ANC attendance. A quantitative, cross-sectional study was conducted among 38 couples of pregnant women attending Poncol Primary Health Center in Semarang, Central Java, Indonesia. Using the FSDP’s structured questionnaire, the study assessed four dimensions of paternal support. Findings revealed that father involvement varied across support types, with higher levels of emotional and instrumental support positively associated with ANC attendance. Moreover, the consistency of perceived support significantly influenced maternal perception. In conclusion, maternal perception of paternal support is closely linked to ANC-seeking behavior and the overall pregnancy experience. Enhancing father engagement through targeted, culturally responsive interventions may foster improved outcomes for both mothers and infants
Downloads
Article Details

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
References
Kementerian Kesehatan Republik Indonesia. Agar Ibu dan Bayi Selamat [Internet]. Jakarta: Kemenkes RI; 2024 Jan 25 [cited 2025 Jun 19]. Available from: https://sehatnegeriku.kemkes.go.id/baca/blog/20240125/3944849/agar-ibu-dan-bayi-selamat/
World Health Organization. SDG target 3.1: Reduce maternal mortality [Internet]. Geneva: WHO; 2023 [cited 2025 Jun 19]. Available from: https://www.who.int/data/gho/data/themes/topics/sdg-target-3-1-maternal-mortality
Ditekemena J, Koole O, Engmann C, Matendo R, Tshefu A, Ryder R, et al. Determinants of male involvement in maternal and child health services in sub-Saharan Africa: a review. Reprod Health [Internet]. 2012 [cited 2025 Jun 20];9:32. Available from: https://reproductive-health-journal.biomedcentral.com/articles/10.1186/1742-4755-9-32
Safitri Y, Elda F. Male participation factors in antenatal care for maternal health in rural areas: a systematic review. Jurnal Ilmu Kesehatan Masyarakat [Internet]. 2025 [cited 2025 Jun 20];16(1):1–17. Available from: https://ejournal.fkm.unsri.ac.id/index.php/jikm/article/download/1823/611
Royal College of Midwives. Reaching out: Involving fathers in maternity care [Internet]. London: RCM; 2024 [cited 2025 Jun 20]. Available from: https://www.rcm.org.uk/wp-content/uploads/_wpfd/2024/06/reaching-out-involving-fathers-in-maternity-care.pdf
World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience [Internet]. Geneva: WHO; 2016 [cited 2025 Jun 19]. Available from: https://www.who.int/publications/i/item/9789241549912
Tikmani SS, Ali SA, Saleem S, Moore JL, Goudar SS, Garces A, et al. Trends of antenatal care during pregnancy in low- and middle-income countries: Findings from the global network maternal and newborn health registry. Semin Perinatol [Internet]. 2019 [cited 2025 Jun 19];43(5):297–307. Available from: https://doi.org/10.1053/j.semperi.2019.03.020
Laksono AD, Wulandari RD, Sukoco NEW, Suharmiati S. Husband’s involvement in wife’s antenatal care visits in Indonesia: What factors are related? J Public Health Res [Internet]. 2022 [cited 2025 Jun 19];11(2):1–8. Available from: https://journals.sagepub.com/doi/pdf/10.1177/22799036221104156
Lisnawati L, Sumiaty S, Fadliah U. Husband support and the activity of health officers to antenatal care (ANC) visits of pregnant women. Urban Health [Internet]. 2019 [cited 2025 Jun 19];2(1). Available from: https://jurnal.poltekkes-mks.ac.id/ojs2/index.php/Prosiding/article/view/1195
Syam, A., & Musni, M. (2022). Constructing Instrument of Fathers Support during Pregnancy. Jurnal Kesehatan Masyarakat, 18(2): 289-295. https://doi.org/10.15294/kemas.v18i2.35764
Redshaw M, Henderson J. Fathers’ engagement in pregnancy and childbirth: evidence from a national survey. BMC Pregnancy Childbirth [Internet]. 2013 [cited 2025 Jun 20];13:70. Available from: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-13-70
Tokhi M, Comrie-Thomson L, Davis J, Portela A, Chersich M, Luchters S. Involving men to improve maternal and newborn health: A systematic review of the effectiveness of interventions. PLoS One [Internet]. 2018 [cited 2025 Jun 20];13(1):e0191620. Available from: https://doi.org/10.1371/journal.pone.0191620
Foglabenchi LH, Stöckl H, Marchant T. ‘I am a father but not pregnant’: perspectives of pregnant couples on male partner roles during pregnancy care in Bamenda, Cameroon. Reprod Health [Internet]. 2024 [cited 2025 Jun 20];21:195. Available from: https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-024-01928-5
Iskandar I, Syam A. Father support, postpartum depression, and breastfeeding weaning time: A structural equational model. Media Keperawatan Indonesia [Internet]. 2024 [cited 2025 Jun 20];14(2):223–34. Available from: https://doi.org/10.14710/nmjn.v14i2.54272
Comrie-Thomson L, Tokhi M, Ampt F, Portela A, Chersich M, Luchters S. Challenging gender inequity through male involvement in maternal and newborn health: critical assessment of an emerging evidence base. Cult Health Sex. 2015;17(S2):177–89.
Bhatta DN. Involvement of males in antenatal care, birth preparedness, exclusive breast feeding and immunizations for children in Kathmandu, Nepal. BMC Pregnancy Childbirth. 2013;13:14.
Kululanga LI, Sundby J, Malata A, Chirwa E. Striving to promote male involvement in maternal health care in rural and urban settings in Malawi – a qualitative study. Reprod Health. 2011;8:36.
Lundberg, P. C., & Phoosuwan, N. (2025). Parenting involvement of Thai expectant fathers during the last trimester of pregnancy of their spouses exhibiting depressive symptoms: A qualitative study. BMC Pregnancy and Childbirth, 25, Article 168. https://doi.org/10.1186/s12884-025-07288-7
Fisher, S. D., & Glangeaud-Freudenthal, N. (2023). Fathers as assets to support maternal mental health and family wellbeing. Archives of Women's Mental Health, 26, 87–88. https://doi.org/10.1007/s00737-023-01292-6.
Fitriana, L., Prasetya, H., & Aryani, F. (2025). Male participation in antenatal care and its impact on maternal outcomes: A quantitative review. Jurnal Ilmu Kesehatan Masyarakat, 20(1), 45–56. https://ejournal.fkm.unsri.ac.id/index.php/jikm/article/download/1823/611
Juniarti, N., Dharmayanti, I., & Herawati, D. M. (2012). Factors related to maternal mortality in Indonesia: A qualitative study. BMC Public Health, 12(25), 1–9.
Ridwan, F., & Shaluhiyah, Z. (2018). Suami SIAGA (Alert Husband): Male engagement in maternal health in Indonesia. Proceedings of the GRaCE Conference, Universitas Muhammadiyah Yogyakarta. https://prosiding.umy.ac.id/grace/index.php/pgrace/article/download/318/311
Cerdeira, R., & Zangão, O. (2024). The knowledge acquired by parents in pregnancy monitoring consultations. International Journal of Environmental Research and Public Health, 21(967), 1–14. https://doi.org/10.3390/ijerph21080967
Kotelchuck, M. (2024). The impact of father’s health on reproductive and infant health and development. The Fatherhood Project. https://thefatherhoodproject.org/the-impact-of-fathers-health-on-reproductive-and-infant-health-and-development-2/
Liverpool, S., Hayes, D., & Edbrooke-Childs, J. (2021). An affective-appraisal approach for parental shared decision making in children and young people's mental health settings: A qualitative study. Frontiers in Psychiatry, 12, Article 626848. https://doi.org/10.3389/fpsyt.2021.626848
Alio AP, Lewis CA, Scarborough K, Harris K, Fiscella K. A community perspective on the role of fathers during pregnancy: a qualitative study. BMC Pregnancy Childbirth [Internet]. 2013 [cited 2025 Jun 20];13:60. Available from: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-13-60
Yargawa J, Leonardi-Bee J. Male involvement and maternal health outcomes: systematic review and meta-analysis. J Epidemiol Community Health [Internet]. 2015 [cited 2025 Jun 20];69(6):604–12. Available from: https://jech.bmj.com/content/69/6/604
Mangeni JN, Mwangi A, Mbugua S, Mukthar VK. Male involvement in maternal healthcare as a determinant of utilization of skilled birth attendants in Kenya. East Afr Med J [Internet]. 2012 [cited 2025 Jun 20];89(11):372–83. Available from: https://pubmed.ncbi.nlm.nih.gov/26852442
Gessesse NA, Gela GB, Aweke AM, Beyene FY, Kassahun EA, Getu AA, et al. Male partners’ involvement in antenatal care and its associated factors in West-central Ethiopia. BMC Public Health [Internet]. 2024 [cited 2025 Jun 20];24:3015. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-024-20502-z