How involved are husbands in antenatal care? the perspective of women availing antenatal services at a maternity hospital in rural South Karnataka, India

Authors

  • Nancy A. Gnanaselvam Department of Community Health, St. John’s Medical College, Bangalore, Karnataka, India http://orcid.org/0000-0001-7293-4839
  • Apoorva Dore Department of Community Health, St. John’s Medical College, Bangalore, Karnataka, India
  • Sadhana Beaty Department of Community Health, St. John’s Medical College, Bangalore, Karnataka, India
  • Jacqueline V. Y. Department of Community Health, St. John’s Medical College, Bangalore, Karnataka, India
  • Tresa Rose A. Department of Community Health, St. John’s Medical College, Bangalore, Karnataka, India
  • Arockia Mary Department of Community Health, St. John’s Medical College, Bangalore, Karnataka, India
  • Avita Rose Johnson Department of Community Health, St. John’s Medical College, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20194346

Keywords:

Antenatal care, Awareness, Health education, Male partner, Patriarchy, Pregnancy

Abstract

Background: Male involvement in maternal health is associated with significant positive health outcomes in the mother. We aimed to assess the antenatal womens’ perception of their husbands’ involvement in antenatal care in a maternity hospital in rural Karnataka, India.

Methods: 200 pregnant women in a maternity hospital in Karnataka were interviewed using a semi-structured pilot tested questionnaire on their perception about their husbands’ participation in antenatal care.

Results: The mean score of women’s perception of husband’s awareness of antenatal care was 10.1±2.2 out of a maximum of 12, while that of husband’s attitude to antenatal care was 7.7±1.4 out of a maximum of 9 and of husband’s participation was 21.7±5.4 out of a maximum of 30. The score of perception of husband’s awareness was significantly higher among multigravidae and among women who had a planned pregnancy. The score of perception of husband’s attitude was significantly higher among women from nuclear families, multigravidae, those with a living child and those with no complications in the current pregnancy. The score of perception of husband’s participation was significantly higher among women with no complications in the current pregnancy.

Conclusions: Husbands play a vital role in the antenatal care of their wives. This should be harnessed by health care workers by providing health education to them, encouraging husbands to accompany their wives to antenatal checkups and labour and promptly communicating clinical findings to them.

References

Yargawa J, Leonardi-Bee J. Male involvement and maternal health outcomes: systematic review and meta-analysis. J Epidemiol Com Health. 2015;69:604-12.

Mullany BC, Becker S, Hindin MJ. The impact of including husbands in antenatal health education services on maternal health practices in urban Nepal: results from a randomized controlled trial. Health Educ Res. 2007;22(2):166-76.

World Health Organization. Press material: Uganda launches the national male involvement strategy and guidelines, 2016. Available at: http://www.afro.who. int/uganda/press-materials/item/7174-uganda-launches-the-national-male-involvement-strategy-and-guidelines.html?lang=en. Accessed on 5th April 2019.

Vermeulen E, Solnes Miltenburg A, Barras J, Maselle N, Van Elteren M, Van Roosmalen J. Opportunities for male involvement during pregnancy in Magu district, rural Tanzania. BMC Preg Childbirth. 2016;16:66.

Audet CM, Chire YM, Vaz LME, Bechtel R, Carlson-Bremer D, Wester CW, et al. Barriers to Male Involvement in Antenatal Care in Rural Mozambique. Qual Health Res. 2016;26(12):1721-31.

Odimegwu C, Adewuyi A, Odebiyi T, Aina B, Adesina Y, Olatubara O, et al. Men’s role in emergency obstetric care in Osun State of Nigeria. Afr J Reprod Health. 2005;9(3):59-71.

Bhatta DN. Involvement of males in antenatal care, birth preparedness, exclusive breast feeding and immunizations for children in Kathmandu, Nepal. BMC Preg Childbirth. 2013;13:14.

Singh D, Lample M, Earnest J. The involvement of men in maternal health care: cross-sectional, pilot case studies from Maligita and Kibibi, Uganda. Reprod Health. 2014;11(1):68.

Government of India Census 2011. Results: Age structure and Marital Status, 2011. Available at: http://censusindia.gov.in/Census_And_You/age_structure_and_marital_status.aspx. Accessed on 6th May 2019.

National Institute of Public Cooperation and Child Development. Reports: Statistics of women in India, 2010. Available at: http://nipccd.nic.in/reports/ehndbk10.pdf. Accessed on 7th May 2019.

Singh S, Shekhar C, Acharya R. The incidence of abortion and unintended pregnancy in India, 2015. Lancet Glob Health. 2018;6:111-20.

Gatrad AR, Ray M, Sheikh A. Hindu birth customs. Arch Dis Childh. 2004;89:1094-7.

World Health Organization. News. New guidelines on antenatal care for a positive pregnancy experience, 2016. Available at: https://www.who.int/reproductivehealth/news/antenatal-care/en/. Accessed on 4th April 2019.

Majella MG, Sarveswaran G, Krishnamoorthy Y, Sivaranjini K, Arikrishnan K, Kumar SG. A longitudinal study on high risk pregnancy and its outcome among antenatal women attending rural primary health centre in Puducherry, South India. J Educ Health Promot. 2019;8:12.

Benegal V, Velayudhan A, Jain S. Social costs of alcoholism: a Karnataka perspective. NIMHANS J. 2000;18(1/2):67.

Mohammed BH, Johnston JM, Vackova D, Hassen SM, Yi H. The role of male partner in utilisation of maternal health care services in Ethiopia: a community based couple study. BMC Preg Childbirth. 2019;14:19(1):28.

Wai KM, Shibanuma A, Oo NN, Fillman TJ, Saw YM. Are husbands involving in their spouses’ utilisation of maternal care services? A cross sectional study in Yangon, Myanmar. PLOS ONE. 2016;11(3):e0151295.

Owonikoko MK, Muritala WO, Adeniji AO, Atanda OA. Evaluation of knowledge of husbands of primigravida on antenatal care and birth preparedness in Ogbomoso, Nigeria. IJRANSS. 2015;3(3):61-70.

Government of Karnataka. Maternal Health. National Health Mission. Health and Family Welfare Services, 2017. Available at: https://www.karnataka.gov.in /hfw/nhm/pages/maternal_health.aspx. Accessed on 1st May 2019.

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Published

2019-09-26

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Original Research Articles