Relationship Between Husband Support and the Use of Postpartum Contraceptives: A Literature Review

Authors

  • Nova Anggaraini Sultan Agung University
  • Is Susiloningtyas Sultan Agung University

DOI:

https://doi.org/10.47701/fepfyj28

Keywords:

Husband Support, Postpartum Contraception, Postpartum Family Planning

Abstract

The postpartum period is a critical phase in reproductive health because the risk of closely spaced pregnancy increases when appropriate contraception is not used. The coverage of postpartum contraceptive use remains suboptimal and is influenced by multiple factors, including husband support in the decision-making process. This study aimed to analyze the relationship between husband support and the use of postpartum contraception based on recent empirical evidence. Methods: This study applied a literature review method by analyzing 10 research articles obtained from PubMed, Google Scholar, and ScienceDirect using the keywords "husband support," "postpartum contraception," and "postpartum family planning" published between 2021 and 2026. Inclusion criteria were primary research articles-quantitative or mixed methods design, full text availability, and articles written in English or Indonesian. Results and Discussion: Most studies used a cross-sectional design with Chi Square and logistic regression analysis. The majority of articles reported p values less than 0.05, indicating a significant relationship between husband support and postpartum contraceptive use. Influential forms of support included emotional, informational, instrumental, and joint decision-making support. Several studies also reported that women who received strong husband support were more than twice as likely to use postpartum contraception. Conclusion: Husband support is a key determinant in increasing the use of postpartum contraception. Integrating couple-based counseling into antenatal and postnatal care is necessary to strengthen the effectiveness of postpartum family planning programs.

References

1. Organization WH. Programming strategies for postpartum family planning [Internet]. Geneva: World Health Organization; 2013. Available from: https://iris.who.int/bitstream/handle/10665/93680/9789241506496_eng.pdf

2. Khurram J, Lal A, Rahim A, Tikmani SS. Prevalence of postpartum family planning uptake and its association with spousal discussion, joint decision-making and partner approval: a systematic review and meta-analysis. BMJ Open. 2025 Sep;15(9):e094628.

3. Anggraini DT, Siregar PA. Analysis of Husband Support and Behavior of Puerperal Mothers in Using Postpartum Birth Control in the West Range District of Asahan Regency. Int Arch Med Sci Public Heal [Internet]. 2022;3(2). Available from: https://www.pcijournal.org/index.php/iamsph/article/view/490

4. Purwanti R, Setiyobroto I, Retnaningsih Y. The Influence Factors of Mother in Using Postpartum Contraceptives in the Work Area of Kokap I PHC. J Kesehat Ibu dan Anak [Internet]. 2023; Available from: https://e-journal.poltekkesjogja.ac.id/index.php/kia/article/view/1411

5. Ni Ketut Siarni, Made Widhi Gunapria Darmapatni, Ni Made Purnamayanthi. Knowledge of Postpartum Mother and Husband’s Support Regarding Postpartum Birth Control In Tembuku II. Gaster [Internet]. 2024 Feb 28;23(1):21–8. Available from: https://journal.aiska-university.ac.id/index.php/gaster/article/view/1658

6. Permatasari L, Yolandia RA, Lisca SM. Hubungan Pengetahuan Ibu, Sumber Informasi dan Dukungan Suami terhadap Kesediaan Ibu Bersalin untuk Pemasangan IUD Post Plasenta di Puskesmas Karangpawitan Kabupaten Garut Tahun 2023. Sentri J Ris Ilm [Internet]. 2023; 2(10):4359–73. Available from: https://ejournal.nusantaraglobal.or.id/index.php/sentri/article/view/1674

7. Harmoni NWD, Noriani NK, Rahayuni NWS. Hubungan Pengetahuan dan Dukungan Suami dengan Keikutsertaan Ibu Nifas Dalam Akseptor KB Pasca Persalinan di RSU Negara. J Kesehat Terpadu [Internet]. 2025;9(2):79–85. Available from: https://doi.org/10.36002/jkt.v9i2.4327

8. Cleland J, Shah IH, Daniele M. Interventions to Improve Postpartum Family Planning in Low- and Middle-Income Countries: Program Implications and Research Priorities. Stud Fam Plann. 2015 Dec;46(4):423–41.

9. Sebastian MP, Khan ME, Kumari K, Idnani R. Increasing postpartum contraception in rural India: evaluation of a community-based behavior change communication intervention. Int Perspect Sex Reprod Health. 2012 Jun;38(2):68–77.

10. Hartmann M, Gilles K, Shattuck D, Kerner B, Guest G. Changes in Couples’ Communication as a Result of a Male-Involvement Family Planning Intervention. J Health Commun [Internet]. 2012 Aug 1;17(7):802–19. Available from: https://doi.org/10.1080/10810730.2011.650825

11. Sonalkar S, Kapp N. Intrauterine device insertion in the postpartum period: A systematic review. Eur J Contracept Reprod Heal Care [Internet]. 2015 Jan 2;20(1):4–18. Available from: https://doi.org/10.3109/13625187.2014.971454

12. Borda MR, Winfrey W, McKaig C. Return to sexual activity and modern family planning use in the extended postpartum period: an analysis of findings from seventeen countries. Afr J Reprod Health. 2010 Dec;14(4 Spec no.):72–9.

13. Widyastuti Y, Akhyar M, Setyowati R, Mulyani S. Relationship Between Gender Equality and Husband Support in the Use of Postpartum Family Planning (PPFP). SAGE open Nurs. 2023;9:23779608231186744.

14. Jayanti RD, Hida SRA, Prasetyo B. Husband’s Support Associated With Postpartum Family Planning Use. J Ners dan Kebidanan (Journal Ners Midwifery) [Internet]. 2024;11(3):237–43. Available from: https://ojs.phb.ac.id/index.php/jnk/article/view/1075

15. Cempakawati NMR, Budiani NN, Armini N wayan. Hubungan Dukungan Suami Dengan Keikutsertaan Ibu Dalam Pemilihan Alat Kontrasepsi Dalam Rahim. Bali Heal Publ J [Internet]. 2025 Jun 30; 7(1):51–63. Available from: https://ejurnalstikeskesdamudayana.ac.id/index.php/bhpj/article/view/637

16. Yuslina Simangunsong, Candra Wahyuni, Reni Yuli Astutik, Erma Retnaningtyas. The Relationship of Husband’s Support and The Role of Health Worker On Interest In Choosing Iud Contraception in The Mopah Baru Health Center Area. J Heal Sci Community [Internet]. 2024 Aug 14;5(1 SE-Articles):21–8. Available from: https://thejhsc.org/index.php/jhsc/article/view/231

17. Putri NS, AstutI SAP, Vellia V. Hubungan Dukungan Suami dan Pengetahuan Ibu Post Partum Riwayat SC Dengan Pemilihan Alat Kontrasepsi IUD Pasca SC di RSUD Sungai Dareh Tahun 2022. PREPOTIF J Kesehat Masy [Internet]. 2023 Dec 20; 7(1):1165–71. Available from: https://journal.universitaspahlawan.ac.id/index.php/prepotif/article/view/13758

18. Ramayani R, Agustia N. Hubungan Dukungan Suami dan Pengetahuan Terhadap Penggunaan Alat Kontrasepsi. J Bid Ilmu Kesehat [Internet]. 2025;15(4):427–37. Available from: https://ejournal.urindo.ac.id/index.php/kesehatan/article/view/7948

19. Budiarti B, Santi A. Pengaruh Konseling dan Dukungan Suami Terhadap Pengambilan Keputusan Alat Kontrasepsi Pada Masanifas di Puskesmas Payung Tahun 2023. SENTRI J Ris Ilm [Internet]. 2023 May 10;2(5):1436–41. Available from: https://ejournal.nusantaraglobal.ac.id/index.php/sentri/article/view/825

20. Mufidah AM, Meilani N, Djanah N. Factors affecting postpartum contraceptive utilization in Yogyakarta. J Kesehat Ibu dan Anak [Internet]. 2021 Oct 30;15(1 SE-Research Articles):25–35. Available from: https://e-journal.poltekkesjogja.ac.id/index.php/kia/article/view/1049

21. Rahayuwati L, Nurhidayah I, Ekawati R, Agustina HS, Suhenda D, Rosmawati D, et al. Determinant Factors of Post-Partum Contraception among Women during COVID-19 in West Java Province, Indonesia. Vol. 20, International Journal of Environmental Research and Public Health. 2023. p. 2303.

22. Nurjanah S, Sulistyowati E, Irmawati AA, Mindiatussholihah. Husband’s Support and Attitude Toward Postpartum Contraception In Srondol Village, Semarang BT- Proceedings of the 3rd Lawang Sewu International Symposium on Medical and Health Sciences (LEWIS-MHS 2024). In Atlantis Press; 2025. p. 108–18. Available from: https://doi.org/10.2991/978-94-6463-760-1_11

23. Hanna MM, El Gibaly O, Fathalla MMF, Mohammed HM. Exploring barriers and facilitators to immediate postpartum intrauterine device uptake within the strengthening Egypt family planning program: a case-control study. BMC Health Serv Res [Internet]. 2025;25(1):1081. Available from: https://doi.org/10.1186/s12913-025-13306-3

24. Rahayu S, Romadlona NA, Utomo B, Aryanty RI, Liyanto E, Hidayat M, et al. Reassessing the level and implications of male involvement in family planning in Indonesia. BMC Womens Health [Internet]. 2023;23(1):220. Available from: https://doi.org/10.1186/s12905-023-02354-8

25. Zulfa SN, Ayudha MD, Ernawaty E, Kurniawan A. Factors Associated Post-Partum Contraception Planning. J Biometrika dan Kependud [Internet]. 2024 Jul 6;13(1 SE-Articles):29–37. Available from: https://e-journal.unair.ac.id/JBK/article/view/46778

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Published

2026-04-01

How to Cite

Relationship Between Husband Support and the Use of Postpartum Contraceptives: A Literature Review. (2026). OVUM : Journal of Midwifery and Health Sciences, 6(1), 36-49. https://doi.org/10.47701/fepfyj28