EXPLORING NON-PREGNANT PARTNER SUPPORT DURING PERICONCEPTION: A QUALITATIVE STUDY

Abstract

Introduction: Periconception care primarily focuses on the pregnant person. Despite numerous studies showing the biological and the psychosocial contributions of the non-pregnant partner on the health of the pregnancy, this evidence is poorly recognized by the public or by clinicians. We set out to describe non-pregnant partners' perceptions of their biological and social contributions to a healthy pregnancy and where they get information on how to support their pregnant partner. Methods: We conducted semi-structured interviews with 21 Canadian residents whose partners were either pregnant or had given birth in the past 18 months. Participants were recruited using flyers, social media, community organizations, and personal/professional networks. Data analysis and semi-structured interviews about experiences supporting pregnancy and information-seeking behaviours were guided by constructivist grounded theory. Results: We found that interactions with healthcare providers, information gathering, norms and stereotypes, exposure to preconception health and pregnancy, relationship dynamics, and self-concept, role & responsibilities are factors that influence how non-pregnant partners perceive their role in pregnancy. Most non-pregnant partners are not aware of the sperm’s role in supporting the developing fetus and placenta and largely recognize emotional and instrumental supports as the most critical forms of social support for pregnant individuals. Supportive actions taken by non-pregnant partners included helping with household tasks, taking care of older children, easing worries, prioritizing exercise and healthy diet. Conclusion: Our study highlights the need for targeted interventions to communicate the importance of the biological and social contributions of the non-pregnant partner in a healthy pregnancy. This could improve non-pregnant partner health literacy and engagement during the pregnancy. By incorporating non-pregnant partners into periconception care and sharing resources about their supportive role in pregnancy and fetal health outcomes, periconception strategies can better address the non-pregnant partner’s unique roles, fostering healthier outcomes for families.