The Effectiveness of Education Based on Modules on Knowledge, Attitudes, and Involvement of Husbands in Childbirth Support: Literature Review
DOI:
https://doi.org/10.55927/ajha.v5i1.16439Keywords:
Booklet, E-Module, Module, Labor Companionship, Birth Companion, HusbandAbstract
In Indonesia, husbands often serve as the primary birth partner, but their involvement during childbirth is still influenced by variations in knowledge, attitudes, emotional readiness, cultural norms, and health facility policies. Education through modules, booklets, e-modules, and similar media is viewed as a practical strategy to prepare husbands to fulfill their role as birth partners more effectively. The objective is to examine the scientific evidence regarding the effectiveness of module-based education on knowledge, attitudes, and husbands’ involvement in childbirth support, as well as to situate this within the broader evidence base on labor companionship. The synthesis was conducted thematically across review articles, observational studies, qualitative studies, quasi-experimental studies, and reports on educational interventions. High-level evidence indicates that continuous support during childbirth enhances the childbirth experience, improves certain maternal outcomes, and strengthens the mother’s sense of security. On the other hand, specific evidence regarding childbirth companion modules for husbands is still dominated by small-scale quasi-experimental studies, community service projects, and implementation studies. Consistently, module formats—booklets, e-modules, and educational videos—enhance knowledge, understanding of roles, motivation, and husbands’ readiness to provide emotional, informational, instrumental, and advocacy support.
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References
Bohren MA, Berger BO, Munthe-Kaas H, Tunçalp Ö. Perceptions and experiences of labour companionship: a qualitative evidence synthesis. Cochrane Database Syst Rev. 2019;3:CD012449. doi:10.1002/14651858.CD012449.pub2.
Bohren MA, Hazfiarini A, Vazquez Corona M, Colomar M, De Mucio B, et al. From global recommendations to (in)action: a scoping review of the coverage of companion of choice for women during labour and birth. PLOS Glob Public Health. 2023;3(2):e0001476. doi:10.1371/journal.pgph.0001476.
Bohren MA, Hofmeyr GJ, Sakala C, Fukuzawa RK, Cuthbert A. Continuous support for women during childbirth. Cochrane Database Syst Rev. 2017;7(7):CD003766. doi:10.1002/14651858.CD003766.pub6.
Bruggemann OM, Parpinelli MA, Osis MJD, Cecatti JG, Neto ASC. Support to woman by a companion of her choice during childbirth: a randomized controlled trial. Reprod Health. 2007;4:5. doi:10.1186/1742-4755-4-5.
Daniele MAS, Ganle JK, Salway S, et al. Male partner participation in maternity care and social support for childbearing women: a discussion paper. Philos Trans R Soc Lond B Biol Sci. 2021;376(1827):20200021. doi:10.1098/rstb. 2020.0021.
Dewi U, Safitri T. Edukasi persiapan persalinan pada suami ibu hamil melalui media e-modul SUMPING (Support Suami Pendamping) di praktik mandiri bidan Kota Tanjungpinang. Segantang Lada J Pengabdian Kesehat. 2023;1(1):72-77. doi:10.53579/segantang.v1i1.104.
El-Halabi S, Pembe AB, Dumont A, Betrán AP, Kaboré C, Chipeta E, et al. Towards a universal implementation of labor companionship: a synthesis of the policy and facility environment of eight low-and middle-income countries. Front Health Serv. 2025;5:1550473. doi:10.3389/frhs.2025.1550473.
Elyasari E, Feryani F, Aisa S, Arsulfa A. Pendampingan persalinan oleh suami berpengaruh terhadap lama persalinan kala 1: penelitian kuasi-eksperimen. Health Information: Jurnal Penelitian. 2022;14(2). doi:10.36990/hijp.v14i2.763.
Estuningtyas A, Lestari P, Herbawani CK. Peran serta suami dalam menjalani proses kehamilan pada ibu hamil: systematic review. Pros Semin Nas Kesehat Masy. 2020;1(1):121-137.
Fletcher R, Forbes F, Dadi AF, Kassa GM, Regan C, Galle A, et al. Effect of male partners' involvement and support on reproductive, maternal, and child health and well-being in East Africa: a scoping review. Health Sci Rep. 2024;7(8):e2269. doi:10.1002/hsr2.2269.
Gadappa SN, Deshpande SS. A quasi-experimental study to compare the effect of respectful maternity care using an intrapartum birth companion of her choice on maternal and newborn outcomes in a tertiary care centre. J Obstet Gynaecol India. 2021;71(Suppl 2):84-89. doi:10.1007/s13224-021-01587-7.
Galle A, Plaieser G, Van Steenstraeten T, Griffin S, Osman NB, Roelens K, et al. Systematic review of the concept 'male involvement in maternal health' by natural language processing and descriptive analysis. BMJ Glob Health. 2021;6(4):e004909. doi:10.1136/bmjgh-2020-004909.
Heidi K, Emin WS, Taqiyah Y, Asnaniar WS. Husband's support for the childbirth process: concept analysis. An Idea Nurs J. 2023;2(2):87-91. doi:10.53690/inj.v2i02.189.
Indriastuti D, Margawati A, Rachma N. Manfaat dukungan suami pada kesehatan ibu hamil. Adi Husada Nurs J. 2017;3(1):1-7.
Jayasundara DMCS, Jayawardane IA, Weliange SDS, Jayasingha TDKM, Madugalle TMSSB. Impact of continuous labor companion-who is the best: a systematic review and meta-analysis of randomized controlled trials. PLoS One. 2024;19(7):e0298852. doi:10.1371/journal.pone.0298852.
Kabakian-Khasholian T, Portela A. Companion of choice at birth: factors affecting implementation. BMC Pregnancy Childbirth. 2017;17(1):265. doi:10.1186/s12884-017-1447-9.
Li J, Jin Y. Labor companionship in midwifery context: a concept analysis. Nurs Midwifery Stud. 2024;13(2):92-99. doi:10.48307/nms.2024.423058.1296.
Limbong T. Faktor pendukung dan penghambat peran pendampingan suami terhadap istri pada masa kehamilan dan persalinan. J Ilm Kesehat Sandi Husada. 2021;10(2):475-483. doi:10.35816/jiskh.v10i2.635.
Lunda P, Minnie CS, Benadé P. Women's experiences of continuous support during childbirth: a meta-synthesis. BMC Pregnancy Childbirth. 2018;18(1):167. doi:10.1186/s12884-018-1755-8.
Mulugeta C, Emagneneh T, Kumie G, Sisay A, Alamrew A, et al. Male partner involvement in delivery care service and associated factors in Ethiopia: a systematic review and meta-analysis. BMC Health Serv Res. 2024;24:11993. doi:10.1186/s12913-024-11993-y.
Oladapo OT, Tunçalp Ö, Bonet M, Lawrie TA, Portela A, Downe S, et al. WHO model of intrapartum care for a positive childbirth experience: transforming care of women and babies for improved health and wellbeing. BJOG. 2018;125(8):918-922. doi:10.1111/1471-0528.15237.
Rahmadona R, Mey Lestanti D. Peningkatan pengetahuan suami tentang pendampingan persalinan melalui pemanfaatan e-modul SUMPING (Support Suami Pendamping). J Pengabdian UntukMu NegeRI. 2023;7(2):379-383. doi:10.37859/jpumri.v7i2.6211.
Rahmadona, Dewi U, Rullyni NT, Syam H, Batubara KSD. Pengembangan media SUMPING (Support Suami Pendamping) untuk mengukur kemandirian suami dalam mendampingi persalinan. Faletehan Health J. 2025;12(1):75-84. doi:10.33746/fhj.v12i01.793.
Rullyni NT, Dewi U, Putri SI. Edukasi modul SUMPING (Support Suami Pendamping) sebagai persiapan persalinan bagi ibu dan calon pendamping persalinan. Borneo Community Health Service Journal. 2025;5(1).
Rumaseuw R, Berliana SM, Nursalam N, Efendi F, Pradanie R, Rachmawati PD, et al. Factors affecting husband participation in antenatal care attendance and delivery. IOP Conf Ser Earth Environ Sci. 2018;116(1):012012. doi:10.1088/1755-1315/116/1/012012.
Rungreangkulkij S, Ratinthorn A, Lumbiganon P, Zahroh RI, Hanson C, Dumont A, et al. Factors influencing the implementation of labour companionship: formative qualitative research in Thailand. BMJ Open. 2022;12(5):e054946. doi:10.1136/bmjopen-2021-054946.
Salehi A, Fahami F, Beigi M. The effect of the presence of trained husbands beside their wives during childbirth on women's anxiety. Iran J Nurs Midwifery Res. 2016;21(6):611-615. doi:10.4103/1735-9066.197672.
Sapkota S, Kobayashi T, Takase M. Husbands' experiences of supporting their wives during childbirth in Nepal. Midwifery. 2012;28(1):45-51. doi:10.1016/j.midw.2010.10.010.
Satrianegera MF, Hadju V, Kurniati Y. The importance of husband support during childbirth in Indonesia. Al-Sihah Public Health Sci J. 2021;13(1):74-87. doi:10.24252/al-sihah.v13i1.21398.
Suandi D, Williams P, Bhattacharya S. Does involving male partners in antenatal care improve healthcare utilisation? Systematic review and meta-analysis of the published literature from low- and middle-income countries. Int Health. 2020;12(5):484-498. doi:10.1093/inthealth/ihz073.
Tokhi M, Comrie-Thomson L, Davis J, Portela A, Chersich M, Luchters S. Involving men to improve maternal and newborn health: a systematic review of the effectiveness of interventions. PLoS One. 2018;13(1):e0191620. doi:10.1371/journal.pone.0191620.
van Vulpen M, Heideveld-Gerritsen M, van Dillen J, Oude Maatman S, Ockhuijsen H, van den Hoogen A. First-time fathers' experiences and needs during childbirth: a systematic review. Midwifery. 2021;94:102921. doi:10.1016/j.midw.2020.102921.
Veradilla, Rohani, Afriyani L. Promosi kesehatan menggunakan media booklet terhadap peran suami mendampingi persalinan di PMB Megawati. J Kesehat Pembangunan. 2023;13(25):183-189. doi:10.52047/jkp.v13i25.209.
Vianti RA, Nahdliyyah AI. Edukasi dukungan suami pada ibu hamil. J-ABDI J Pengabdian Kpd Masy. 2023;2(9):6227-6234. doi:10.53625/jabdi.v2i9.4841.
Wang M, Song Q, Xu J, Hu Z, Gong Y, Lee AC, Chen Q. Continuous support during labour in childbirth: a cross-sectional study in a university teaching hospital in Shanghai, China. BMC Pregnancy Childbirth. 2018;18(1):480. doi:10.1186/s12884-018-2119-0.
Wilson CL, Simpson JA. Childbirth pain, attachment orientations, and romantic partner support during labor and delivery. Pers Relatsh. 2016;23(4):622-644. doi:10.1111/pere. 12157.
World Health Organization. Maternal mortality. Geneva: WHO; 2025.
World Health Organization. Standards for improving quality of maternal and newborn care in health facilities. Geneva: WHO; 2016.
World Health Organization. WHO recommendations: intrapartum care for a positive childbirth experience. Geneva: WHO; 2018.
Yargawa J, Leonardi-Bee J. Male involvement and maternal health outcomes: systematic review and meta-analysis. J Epidemiol Community Health. 2015;69(6):604-612. doi:10.1136/jech-2014-204784.
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