Male partner involvement in maternal health services among ethnic minority population in England

Abstract Background Women from ethnic minority groups accessing maternal health services in the UK reported poor experiences, where Asian or Asian British mothers experienced two times higher maternal death rates compared to their white counterparts. While male partner involvement during wives’ maternal journey enhances maternal and family wellbeing, limited research exists on the opportunities and challenges specific to minority communities in the UK. Methods We conducted semi-structured interviews among diverse Asian or Asian British women, who were either pregnant or in the first year of childbirth, to explore their experiences and perceptions of male partner involvement in maternal healthcare and support. Results Four broader themes emerged following thematic analysis: i) Women's experiences of male partner involvement in maternal journey; ii) Women's perceptions of male involvement in maternal care and support; iii) Perceived cultural and systematic challenges for male involvement; iv) Opportunities for enhanced male engagement. Male involvement included emotional reassurance, practical support, and shared decision-making. However, involvement varied depending on family dynamics, cultural expectations, and partner's level of awareness. Women perceived male partner lacked adequate understanding of maternal needs or felt less supported by wider social structures for their active engagement. First-time fathers were perceived to have limited knowledge about maternal health and experienced uncertainty or anxiety during the maternal journey. Participants emphasised the need for healthcare services to advocate for improved male involvement in maternal care and support, and the importance of better communication and collaboration between partners. Conclusions Women value their partners’ support during the maternal journey and appreciate efforts to enhance male engagement. However, knowledge gaps, cultural norms, and systemic barriers often limit meaningful male engagement. Key messages • Engaging men as partners in maternal health not only improves positive maternal experiences but also strengthens family dynamics and promotes culture of shared responsibility in reproductive health. • Findings highlights the need for strength-based community initiatives that create inclusive spaces for male/spouse involvement in maternal care and support.