Antenatal Counseling and Partner Support as Predictors of Maternal Mental Health After Childbirth
Authors
ACE Medical Center, Dipolog City Philippines (Philippines)
Misamis University, Ozamis City, Philippines (Philippines)
Article Information
DOI: 10.47772/IJRISS.2026.100300331
Subject Category: Maternal and Child Nursing
Volume/Issue: 10/3 | Page No: 4482-4493
Publication Timeline
Submitted: 2026-03-16
Accepted: 2026-03-21
Published: 2026-04-07
Abstract
Postpartum maternal mental health is influenced by multiple factors, including antenatal counseling and partner support. This study examined the levels of antenatal counseling and partner support and their relationship with maternal mental health after childbirth. The study employed quantitative descriptive–correlational design. Using purposive sampling, the respondents comprised of 120 mothers from different communities in Zamboanga del Norte, and had given birth within the past six months. Data were gathered using validated questionnaires measuring antenatal counseling, partner support, and maternal mental health. Statistical analyses included weighted mean, standard deviation and Pearson’s r correlation to determine variable levels and relationships. Findings revealed that antenatal counseling and partner support were both rated very high, although practical or instrumental partner support was relatively lower, while maternal mental health concerns remained very high, particularly in sleep quality and perceived stress. Overall, the results indicate that despite high levels of antenatal counseling and partner support, significant postpartum mental health concerns persist among mothers, suggesting the need for more comprehensive and sustained mental health interventions. It is therefore recommended that healthcare providers, partners and policymakers strengthen interactive counseling, enhance practical and instrumental support, ensure continuous maternal mental health monitoring, and implement integrated maternal mental health programs, while future studies explore additional social, cultural, and care-related determinants of maternal well-being.
Keywords
Antenatal counseling, maternal mental health, partner support, postpartum, psychological well-being
Downloads
References
1. United Nations. World population prospects 2023. New York, NY: United Nations; 2023. Available at: https://population.un.org/wpp/. Accessed 15 Mar 2026. [Google Scholar] [Crossref]
2. Philippine Statistics Authority. Registered births in the Philippines 2023; PSA Region IX data (2022). Quezon City, Philippines: PSA; 2023. Available at: https://psa.gov.ph/. Accessed 15 Mar 2026. [Google Scholar] [Crossref]
3. Slomian J, Honvo G, Emonts P, Reginster JY, Bruyère O. Consequences of maternal postpartum depression: A systematic review. Arch Public Health 2019;77(1):60. [Google Scholar] [Crossref]
4. Shorey S, Chee CYI, Ng ED, Chan YH, Tam WWS, Chong YS. Prevalence and incidence of postpartum depression among healthy mothers: A systematic review and meta-analysis. J Psychiatr Res 2018;104:235–248. [Google Scholar] [Crossref]
5. Coo S, García MI, Mira A, Valdés V. Postpartum depression and mother–infant interaction quality. J Affect Disord 2024. doi:10.1016/j.jad.2024.01.003 [Google Scholar] [Crossref]
6. Handa S, et al. Postpartum depression and its impact on breastfeeding and bonding. Matern Child Health J 2024. doi:10.1007/s10995-024-03645-1 [Google Scholar] [Crossref]
7. Sanni Y. Maternal mental health challenges in low-resource settings. Glob Health Res Policy 2024;9:12. doi:10.1186/s41256-024-00231-4 [Google Scholar] [Crossref]
8. World Health Organization. Maternal mental health and perinatal disorders. Geneva: WHO; 2024. Available at: https://www.who.int/publications/i/item/9789240064852. Accessed 15 Mar 2026. [Google Scholar] [Crossref]
9. Luciano M, et al. Antenatal depression as predictor of postpartum outcomes. BMC Pregnancy Childbirth 2022;22:411. doi:10.1186/s12884-022-04877-2 [Google Scholar] [Crossref]
10. Cho HJ, et al. Social support and postpartum depression: A meta-analysis. J Psychiatr Res 2022;149:42–50. doi:10.1016/j.jpsychires.2022.01.021 [Google Scholar] [Crossref]
11. Ruan Y, Wu Y. Partner support and postpartum depression among lactating women. BMC Public Health 2024;24:110. doi:10.1186/s12889-024-14567-2 [Google Scholar] [Crossref]
12. Abera M, Birhanu Z. Group antenatal psychoeducation and maternal outcomes. Reprod Health 2025;22:45. doi:10.1186/s12978-025-01123-5 [Google Scholar] [Crossref]
13. Winarni LM, et al. Integrative antenatal classes and maternal well-being. Midwifery 2025;120:103546. doi:10.1016/j.midw.2025.103546 [Google Scholar] [Crossref]
14. Paunno R, et al. Antenatal counseling and obstetric outcomes: A systematic review. Lancet Glob Health 2024;12:e345–e358. doi:10.1016/S2214-109X(23)00567-8 [Google Scholar] [Crossref]
15. Anansirikasem P, et al. Partner involvement in antenatal counseling. Patient Educ Couns 2023;106:1425–1433. doi:10.1016/j.pec.2023.01.013 [Google Scholar] [Crossref]
16. BMC Public Health. Male partner involvement in maternal healthcare. BMC Public Health 2024;24:234. doi:10.1186/s12889-024-12345-6 [Google Scholar] [Crossref]
17. Audet CM, et al. Partner engagement in antenatal care and maternal preparedness. Soc Sci Med 2023;316:115561. doi:10.1016/j.socscimed.2023.115561 [Google Scholar] [Crossref]
18. Pebryatie E, et al. Husband support and postpartum depression. Int J Nurs Sci 2022;9:110–119. doi:10.1016/j.ijnss.2022.03.005 [Google Scholar] [Crossref]
19. Matumadi S, et al. Social support and maternal mental health in Lanao del Sur. Philipp J Health Res 2024;28:45–55. doi:10.24191/pjhr.v28i1.6789 [Google Scholar] [Crossref]
20. Youssef A, et al. Male involvement and maternal health outcomes in LMICs. Glob Health Action 2024;17:25678. doi:10.1080/16549716.2024.25678 [Google Scholar] [Crossref]
21. Wahyuni S, et al. Husband support and antenatal care utilization. J Matern Health 2022;7:101–110. doi:10.31128/jmh.2022.07.101 [Google Scholar] [Crossref]
22. Antoniou E, et al. Partner support and perinatal mental health. Arch Womens Ment Health 2021;24:953–963. doi:10.1007/s00737-021-01128-4 [Google Scholar] [Crossref]
23. Yim IS, Tanner Stapleton LR, Guardino CM, Hahn-Holbrook J, Dunkel Schetter C. Biological and psychosocial predictors of postpartum depression. J Affect Disord 2020;256:18–25. doi:10.1016/j.jad.2019.05.021 [Google Scholar] [Crossref]
24. Falah-Hassani K, Shiri R, Dennis CL. The prevalence of antenatal and postnatal depression. BMJ Open 2022;12(5):e047831. doi:10.1136/bmjopen-2020-047831 [Google Scholar] [Crossref]
25. Downe S, Finlayson K, Oladapo O, Bonet M, Gülmezoglu AM. What matters to women during childbirth. PLoS One 2020;15(1):e0227023. doi:10.1371/journal.pone.0227023 [Google Scholar] [Crossref]
26. Rahman A, Fisher J, Bower P, Luchters S, Tran T, Yasamy MT, Saxena S, Waheed W. Interventions for maternal mental health. Lancet Psychiatry 2021;8(1):65–80. doi:10.1016/S2215-0366(20)30364-3 [Google Scholar] [Crossref]
27. Peplau HE. Interpersonal relations in nursing: A conceptual frame of reference for psychodynamic nursing. 2nd ed. New York, NY: Springer; 1988. [Google Scholar] [Crossref]
28. Bina R. The impact of antenatal education on maternal outcomes. Midwifery 2020;81:102598. doi:10.1016/j.midw.2019.102598 [Google Scholar] [Crossref]
29. Orem DE. Nursing: Concepts of practice. 9th ed. St. Louis, MO: Mosby; 2012 [Google Scholar] [Crossref]
30. Shorey S, Chee CYI, Ng ED. Effectiveness of antenatal interventions. J Psychiatr Res 2021;135:167–176. doi:10.1016/j.jpsychires.2021.01.015 [Google Scholar] [Crossref]
31. Hahn-Holbrook J, Cornwell-Hinrichs T, Anaya I. Economic and health predictors of postpartum depression. J Affect Disord 2021;283:1–9. doi:10.1016/j.jad.2020.12.081 [Google Scholar] [Crossref]
32. Milgrom J, Danaher BG, Seeley JR, Holt C, Holt CJ, Ericksen J, Gemmill AW. Internet cognitive behavioral therapy for women. J Med Internet Res 2021;23(1):e17159. doi:10.2196/17159 [Google Scholar] [Crossref]
33. Leach LS, Poyser C, Fairweather-Schmidt K. Maternal perinatal anxiety. Arch Womens Ment Health 2020;23:187–200. doi:10.1007/s00737-019-00949-2 [Google Scholar] [Crossref]
34. Nakić Radoš S, Tadinac M, Herman R. Anxiety during pregnancy and postpartum. J Affect Disord 2020;264:59–66. doi:10.1016/j.jad.2019.12.035 [Google Scholar] [Crossref]
35. Shorey S, Chan SWC. Lessons from social support interventions. Int J Environ Res Public Health 2020;17(17):6266. doi:10.3390/ijerph17176266 [Google Scholar] [Crossref]
36. Pilkington PD, Milne LC, Cairns KE, Lewis J, Whelan TA. Modifiable partner factors. J Affect Disord 2019;253:218–225. doi:10.1016/j.jad.2019.04.062 [Google Scholar] [Crossref]
37. Dennis CL, Falah-Hassani K, Shiri R. Prevalence of antenatal and postnatal anxiety. Br J Psychiatry 2021;210(5):315–323. doi:10.1192/bjp.bp.116.187179 [Google Scholar] [Crossref]
38. Beck CT. Tethering the edge: A theory of maternal role transition. New York, NY: Springer Publishing; 2002. [Google Scholar] [Crossref]