Enhancing Husband Support System for Fertile Age Couples (Pus) Predisposed to High-Risk Pregnancy and Husbands of High-Risk Pregnant Women in The Prevention of High-Risk Pregnancy

Abstract

Background: Support system / husband's support to wives classified as Fertile Age Couples (PUS) predisposed to high-risk pregnancy is highly needed so that high-risk pregnancy in the wife does not occur. However, in reality, it is found that husbands do not provide support to their wives, even expecting the wife to get pregnant again even though the wife is already ≥ 35 years old, the youngest child is ≥ 5 years old, already has 4 children, and has experienced abortion.

Objective: The objective of this research is to investigate how the support system / support provided by husbands to wives predisposed to high-risk pregnancy and to strive so that husbands can provide full support to wives predisposed to high-risk pregnancy to not get pregnant again.

Materials and Methods: This research was conducted in Aceh Besar by conducting direct interviews and discussions with husbands of Fertile Age Couples (PUS) predisposed to high-risk pregnancy, husbands of high-risk pregnant women, Fertile Age Couples (PUS) predisposed to high-risk pregnancy, high-risk pregnant women, Posyandu cadres, village midwives, and the head of the Community Health Center (Puskesmas). The details of respondents are as follows: Husbands of Fertile Age Couples (PUS) predisposed to high-risk pregnancy as many as 4 people, husbands of high-risk pregnant women as many as 4 people, Fertile Age Couples (PUS) predisposed to high-risk pregnancy as many as 4 people, high-risk pregnant women as many as 4 people, Posyandu cadres as many as 4 people, village midwives as many as 4 people, and the head of Puskesmas as many as 4 people. The sources for interviews and discussions came from 4 (four) sub-districts in Aceh Besar Regency, namely: Lembah Seulawah Sub-district, Kuta Cot Glei Sub-district, Darul Imarah Sub-district, Baitussalam Sub-district within the time span of June 17 to July 31, 2025. The interview and discussion content was about the support system / husband's support for the prevention of high-risk pregnancy to wives predisposed to high-risk pregnancy.

Results: From the interview results with husbands of Fertile Age Couples (PUS) predisposed to high-risk pregnancy, husbands of high-risk pregnant women, Fertile Age Couples (PUS) predisposed to high-risk pregnancy, high-risk pregnant women, Posyandu cadres, village midwives, and the head of Puskesmas, it was found that husbands of Fertile Age Couples (PUS) predisposed to high-risk pregnancy do not receive support from their husbands in efforts to prevent high-risk pregnancy, husbands tell their wives that: in the past women gave birth at ages 40-50, they were healthy, a husband of a Fertile Age Couple (PUS) said: he still wants his wife to get pregnant again because he wants to add a daughter since currently the family has 1 daughter and 3 sons. Another husband of a high-risk pregnant woman said: that he still wants his wife to get pregnant again, because he considers age, sustenance to be the destiny of Allah SWT.

Discussion: Husbands of Fertile Age Couples (PUS) predisposed to high-risk pregnancy and husbands of high-risk pregnant women should understand the impact of high-risk pregnancy and can provide support to their wives so that the wife is not classified as having a high-risk pregnancy. To realize this, there is a need to increase the capacity/knowledge of husbands of Fertile Age Couples (PUS) predisposed to high-risk pregnancy regarding high-risk pregnancy and the impact of high-risk pregnancy on both the mother and the fetus.

Conclusion: So far, the support system / support from husbands of Fertile Age Couples (PUS) predisposed to high-risk pregnancy and husbands of high-risk pregnant women towards efforts to prevent high-risk pregnancy for their wives is very lacking. Husbands still think that in the past women gave birth at ages 40-50 and were healthy, then still want to add a daughter even though the family already has 1 daughter and 3 sons, and still hold the view that age, sustenance is the destiny from Allah SWT. So that husbands of Fertile Age Couples (PUS) predisposed to high-risk pregnancy and husbands of high-risk pregnant women can provide a support system / support to their wives to not get pregnant and be classified as high-risk pregnancy, it is necessary to increase the capacity/knowledge of husbands about the prevention of high-risk pregnancy. For this, it is hoped that cadres and village midwives can provide maximum education to husbands of Fertile Age Couples (PUS) predisposed to high-risk pregnancy regarding high-risk pregnancy and the impact that will occur on the mother and fetus.