An exploratory study on spousal involvement in antenatal care and labor: antenatal mothers’ perspectives

Spousal involvement in maternal healthcare is a critical strategy for reducing maternal and child mortality. However, husband involvement in antenatal care (ANC) and labor remains low in Nigeria. This study explored the perceptions of antenatal mothers regarding spousal involvement in ANC and labor. An exploratory qualitative study design was used. Participants were recruited via purposive sampling, with 12 antenatal mothers participating in two focus group discussions (FGDs) conducted at a tertiary health institution in Nigeria. Data were collected using semi-structured interviews, audio-recorded for accuracy, and analyzed using a thematic approach. Four themes emerged regarding spousal involvement: limited partner involvement in ANC, active male participation in preparing delivery items and transportation, absent husbands during labor, and desire for husband involvement in the labor room. Three themes described the perceived effects of male involvement: alleviation of physical workload, emotional support, and positive emotional impact. Barriers to male involvement included negative maternal attitudes, partner fear or discomfort, and work-related constraints. Antenatal mothers viewed male involvement as critical for improving maternal and newborn outcomes. Cultural and religious barriers, however, hindered such involvement. Addressing these barriers is essential to promote active male participation.