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Published on: January 12, 2018
Role of male partners in birth preparedness and complication readiness: A qualitative study
Maya Chacko1, Leyanna Susan George1, Charutha Retnakumar1
1Department of Community Medicine and Public Health, Amrita Institute of Medical Sciences, Ponekkara, Kochi 682031, Kerala, India.
Insights
Men play a crucial role in birth preparedness and complication readiness (BPCR) by supporting pregnant partners financially and in decision-making. Their involvement is key to improving maternal health outcomes.
Area of Science:
- Sociology
- Public Health
- Maternal Health
Background:
- Men are often key decision-makers and financial providers in patriarchal societies.
- Assessing male involvement in birth preparedness and complication readiness (BPCR) is vital as men influence women's health access.
- Understanding men's roles, motivators, and barriers in BPCR is essential for improving maternal and newborn outcomes.
Purpose of the Study:
- To examine the role of male partners in birth preparedness and complication readiness (BPCR).
- To identify the motivators and barriers influencing male participation in BPCR.
- To explore generational shifts in attitudes and practices regarding men's involvement in childbirth.
Main Methods:
- Qualitative study employing a grounded theory approach.
- Data collected through 29 in-depth interviews (husbands, mothers, mothers-in-law, health professionals) and 3 focus group discussions with pregnant women.
- Thematic analysis of transcribed data, with conclusions drawn via triangulation.
Main Results:
- Men actively support pregnant wives in maintaining health, providing financial resources, and aiding treatment decisions.
- Men facilitate complication readiness by arranging transportation and hospital admission.
- Generational differences in men's roles and participation in BPCR were observed.
Conclusions:
- Men play a significant role in both birth preparedness and complication readiness.
- While attitudes and practices are evolving, cultural transformation and knowledge transfer are necessary for greater male involvement.
- Increased male participation in BPCR can positively impact maternal and child health outcomes.
Abstract:
Background In familial and societal matters, men are the decision-makers and economic resource providers in many patriarchal societies. It is important to assess the involvement of men in birth preparedness and complication readiness (BPCR), as men act as gatekeepers to women's health. We examined the role, motivators and barriers for participation of male partners of pregnant women in BPCR. Methods This qualitative study was based on the grounded theory approach. Data were collected through 29 in-depth interviews conducted among husbands (n=8), mothers (n=8), mothers-in-law (n=8), health professionals (n=5) and focus group discussions (FGDs) with pregnant women (FGD, n=3). Interviews and FGDs were transcribed; themes and sub-themes were generated and conclusions were drawn by triangulation of the data. Results Men were found to have a major role in BPCR. They supported their pregnant wives by maintaining their health, providing financial support and helping them in the decision-making process regarding treatment. They also provided complication readiness support by arranging transportation and facilitating the process of hospital admission. Conclusions Our study emphasizes how changes have occurred in the attitudes and practices over generations regarding men's role in BPCR and their participation during delivery. However, there is a long way to go for which transference of knowledge and cultural transformation have become necessities.
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