Husband Support and Maternal Mental Health Among Pregnant Women in Independent Midwifery Practices

https://doi.org/10.53770/amhj.v6i1.833

Authors

  • Damai Yanti Simanjuntak Department of Midwifery, Budi Luhur Health Sciences, Cimahi, West Java, Indonesia
  • Karwati Karwati Department of Midwifery, Budi Luhur Health Sciences, Cimahi, West Java, Indonesia
  • Sri Maryati Department of Midwifery, Budi Luhur Health Sciences, Cimahi, West Java, Indonesia

Keywords

Husband Support Maternal Mental Health

Abstract

Evidence on the role of husband support in maternal mental health remains limited in community-based midwifery services in Indonesia. This study aimed to examine the relationship between husband support and maternal mental health among pregnant women attending independent midwifery practices in Cimahi City and to explore the psychosocial mechanisms underlying this relationship. A convergent mixed-methods design was employed, involving 72 pregnant women for the quantitative component and 20 participants for in-depth qualitative interviews. Husband support, antenatal anxiety, and emotional wellbeing were assessed using validated questionnaires. Quantitative data were analyzed using Pearson correlation and multiple linear regression, while qualitative data were examined through thematic analysis. Husband support was significantly associated with lower antenatal anxiety and higher emotional wellbeing and remained an independent predictor of maternal mental health after controlling for maternal age, education, parity, and economic status. Descriptive findings indicated that a considerable proportion of participants experienced moderate to severe antenatal anxiety. Qualitative analysis identified emotional presence, shared responsibility, and affirmation of maternal identity as key mechanisms through which husband support strengthened maternal coping capacity. These findings demonstrate that husband support serves as an important protective psychosocial factor for maternal mental health. Integrating family empowerment strategies into routine antenatal care may improve psychological wellbeing and strengthen community-based maternal health services.

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References

Alio, A. P., Lewis, C. A., Scarborough, K., Harris, K., & Fiscella, K. (2013). A community perspective on the role of fathers during pregnancy: A qualitative study. BMC Pregnancy and Childbirth, 13, 60. https://doi.org/10.1186/1471-2393-13-60

Alipour, Z., Kazemi, A., Kheirabadi, G., & Eslami, A. A. (2019). Relationship between marital quality, social support, and mental health during pregnancy. Community Mental Health Journal, 55(6), 1064–1070. https://doi.org/10.1007/s10597-019-00419-8

Biaggi, A., Conroy, S., Pawlby, S., & Pariante, C. M. (2016). Identifying women at risk of antenatal anxiety and depression: A systematic review. Journal of Affective Disorders, 191, 62–77. https://doi.org/10.1016/j.jad.2015.11.014

Bodunde, E. O., Buckley, D., O'Neill, E., Al Khalaf, S., Maher, G. M., O'Connor, K., ... & Khashan, A. S. (2025). Pregnancy and birth complications and long‐term maternal mental health outcomes: A systematic review and meta‐analysis. BJOG: An International Journal of Obstetrics & Gynaecology, 132(2), 131-142. https://doi.org/10.1111/1471-0528.17889

Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357. https://doi.org/10.1037/0033-2909.98.2.310

Dennis, C. L., Falah-Hassani, K., & Shiri, R. (2017). Prevalence of antenatal and postnatal anxiety: Systematic review and meta-analysis. The British Journal of Psychiatry, 210(5), 315–323. https://doi.org/10.1192/bjp.bp.116.187179

Fisher, J., Cabral de Mello, M., Patel, V., Rahman, A., Tran, T., Holton, S., & Holmes, W. (2012). Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries. Bulletin of the World Health Organization, 90(2), 139–149. https://doi.org/10.2471/BLT.11.091850

Fitriana, L. A., Nurhidayah, I., & Hidayati, N. O. (2021). Family support and maternal anxiety during pregnancy: Evidence from community maternal services. Jurnal Keperawatan Padjadjaran, 9(2), 134–141. https://doi.org/10.24198/jkp.v9i2.1687

Fontein-Kuipers, Y. J., Nieuwenhuijze, M. J., Ausems, M., Budé, L., & de Vries, R. (2014). Antenatal interventions to reduce maternal distress: A systematic review and meta-analysis of randomised trials. BJOG: An International Journal of Obstetrics & Gynaecology, 121(4), 389–397. https://doi.org/10.1111/1471-0528.12500

Hajure, M., Alemu, S. S., Abdu, Z., Tesfaye, G. M., Workneh, Y. A., Dule, A., ... & Gezimu, W. (2024). Resilience and mental health among perinatal women: a systematic review. Frontiers in psychiatry, 15, 1373083. https://doi.org/10.3389/fpsyt.2024.1373083

Henderson, V. (1966). The nature of nursing: A definition and its implications for practice, research, and education. Macmillan.

Mulyani, S., Suryani, S., & Widiastuti, Y. P. (2020). Husband involvement in antenatal care and maternal psychological wellbeing. Jurnal Kebidanan Indonesia, 11(1), 45–53. https://doi.org/10.36419/jki.v11i1.326

Rahman, A., Iqbal, Z., Bunn, J., Lovel, H., & Harrington, R. (2013). Impact of maternal depression on infant nutritional status and illness: A cohort study. Archives of General Psychiatry, 61(9), 946–952. https://doi.10.1001/archpsyc.61.9.946.

Razurel, C., Kaiser, B., Sellenet, C., & Epiney, M. (2013). Relation between perceived stress, social support, and coping strategies and maternal well-being: a review of the literature. Women & health, 53(1), 74–99. https://doi.org/10.1080/03630242.2012.732681

Rini, C., & Dunkel Schetter, C. (2010). The effectiveness of social support transactions in intimate relationships during pregnancy and postpartum. Journal of Family Psychology, 24(3), 308–318. https://doi.org/10.1037/a0019661

Sari, E. P., Handayani, L., & Astuti, D. (2019). Family empowerment model in maternal health services at community health centers. Jurnal Kesehatan Masyarakat Nasional, 14(3), 123–129. https://doi.org/10.21109/kesmas.v14i3.2943

Stapleton, L. R. T., Schetter, C. D., Westling, E., Rini, C., Glynn, L. M., Hobel, C. J., & Sandman, C. A. (2012). Perceived partner support in pregnancy predicts lower maternal and infant distress. Journal of Family Psychology, 26(3), 453–463. https://doi.org/10.1037/a0028332

Tama, K. A., Kusrini, P., Adnani, Q. E. S., Susiarno, H., & Adepoju, V. A. (2025). The influence of maternal mental health disorders on pregnancy outcomes: A scoping review. Public Health of Indonesia, 11(2), 226-237. https://doi.org/10.36685/phi.v11i2.975

Wisner, K. L., Murphy, C., & Thomas, M. M. (2024). Prioritizing maternal mental health in addressing morbidity and mortality. JAMA Psychiatry, 81(5), 521-526. https://doi.org/10.1001/jamapsychiatry.2023.5648

World Health Organization. (2022). WHO recommendations on maternal and newborn care for a positive postnatal experience. World Health Organization.

Yargawa, J., & Leonardi-Bee, J. (2015). Male involvement and maternal health outcomes: Systematic review and meta-analysis. Journal of Epidemiology and Community Health, 69(6), 604–612. https://doi.org/10.1136/jech-2014-204784

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Published

2026-06-30

How to Cite

Simanjuntak, D. Y., Karwati, K., & Maryati, S. (2026). Husband Support and Maternal Mental Health Among Pregnant Women in Independent Midwifery Practices. Ahmar Metastasis Health Journal, 6(1), 105–112. https://doi.org/10.53770/amhj.v6i1.833