The Truth: Pregnancy and African American Fathers

June 11, 2016

June 11, 2016

Last Updated on July 29, 2026 by Successful Black Parenting Staff


Pregnancy • Black Fathers • Family


Black fathers during pregnancy supporting their partners at an ultrasound appointment

 

Black fathers are often discussed after the baby arrives, but fatherhood can begin long before birth. Research shows that expectant dads can provide emotional support, share responsibility, prepare for parenthood, and become powerful advocates for the health and safety of Black mothers and babies.

Originally by Marta Sánchez
Updated by Successful Black Parenting Magazine

What Families Need to Know

  • Father involvement does not begin when a baby comes home. Expectant fathers can become active partners during pregnancy.
  • Research with predominantly African American families has found that parents value fathers being present, supportive, communicative, and involved in preparing for their baby.
  • Support means more than paying bills. Emotional support, household help, attending appointments when invited, learning about pregnancy, and sharing parenting decisions all matter.
  • Black fathers can also play an important advocacy role when their pregnant partners feel dismissed, unheard, or concerned about symptoms.
  • The father also needs support. Pregnancy represents a major emotional and identity transition for expectant dads too.

Fatherhood Can Begin Before the Baby Is Born

Pregnancy naturally centers the person carrying the baby. Their body is changing. They are attending medical appointments, experiencing symptoms, preparing for birth, and taking on the physical risks of pregnancy.

But that does not mean the other parent should spend nine months standing on the sidelines.

For expectant Black fathers, pregnancy can be the beginning of fatherhood itself.

There are appointments to attend when possible. Questions to ask. Meals to prepare. Children already in the household may need care. Birth plans have to be discussed. Finances change. The baby’s arrival has to be planned for.

And there is emotional work too.

An expectant mother may need reassurance, companionship, patience, practical help, and someone who notices when something is not right.

At the same time, the father may be experiencing his own mixture of excitement, fear, uncertainty, financial pressure, and questions about what kind of father he wants to become.

“Pregnancy may happen in one person’s body, but preparing for a baby can still be a shared family experience.”

First, Let’s Challenge the Myth About Black Fathers

For generations, Black fathers have been stereotyped as absent or disengaged.

The data tell a far more complicated and much more positive story.

A landmark National Center for Health Statistics report, published in 2013 using national data collected from 2006 through 2010, examined how fathers participated in their children’s lives.

Among fathers living with their young children, Black fathers frequently reported high levels of involvement in caregiving activities such as eating meals together, bathing or dressing children, reading, and playing.

Among fathers of older children, researchers also examined involvement in activities including helping with homework, talking with children about their day, and transporting them to activities.

The data are older, so we should not present those percentages as a snapshot of Black fatherhood in 2026. But the report remains important because it directly challenged a stereotype that still circulates today.

Successful Black Parenting recently took a deeper look at those numbers in The Most Involved Dads in America? The Data Says It’s Black Fathers.

The bigger point is simple:

Black fatherhood should not begin from an assumption of absence.

So What Does Involvement Look Like During Pregnancy?

When the original version of this article was published, research specifically exploring African American fathers’ experiences during pregnancy was surprisingly limited.

That has begun to change.

One of the studies cited in the original article, led by researcher Amina Alio and colleagues, explored community perspectives on the role of fathers during pregnancy.

Participants described an ideal father as someone who was present, accessible, emotionally available, willing to learn about pregnancy, and prepared to provide emotional, physical, and financial support.

Fathers were also described as caregivers and comforters who could help with cooking, cleaning, caring for other children, and the practical demands of family life.

But one idea stood out above the others.

“Togetherness during pregnancy and beyond.”

Togetherness was not just about physically being in the same room.

  • It meant sharing commitment.
  • Sharing responsibility.
  • Showing interest in the pregnancy.
  • Preparing to raise the baby together.

And recognizing that becoming parents was happening to both partners, even though only one person’s body was carrying the pregnancy.

Newer Research Says Black Parents Still Want Fathers Included

More recent research supports many of the same themes.

A 2020 study examining father involvement during pregnancy and early infancy included parents from low-income communities in Baltimore, with 80% of participants identifying as African American.

Researchers identified five major themes:

  • understanding the father’s role
  • supporting the pregnant partner
  • learning how to co-parent
  • managing parenting logistics
  • learning parenting skills

Parents talked about fathers needing to “be there,” but the study also identified barriers.

  • Finances could create stress.
  • Some fathers lacked positive fatherhood role models.
  • Fathers discussed difficulty navigating conflict with their partners.
  • Mothers wanted more empathy.
  • And both parents wanted better communication and clearer strategies for sharing responsibilities.
  • In other words, involvement was not simply about showing up.

Families wanted fathers to know how to participate.

The “Silent Agreement” Can Still Get in the Way

One of the most interesting ideas in Marta Sánchez’s original article came from the work of Dr. Lisa Paisley-Cleveland.

She described what can happen when pregnancy is quietly assigned to the category of “women’s business.”

  • Nobody formally says the father should stay out of it. Instead, both people may simply fall into roles they assume are expected.
  • The pregnant partner manages the appointments.
  • She reads about pregnancy.
  • She keeps track of symptoms.
  • She chooses what baby items are needed.
  • She asks the doctor the questions.

Meanwhile, the father may believe his primary job is to provide financially or wait until the baby arrives.

The result can be distance even when neither person intended to create it.

“Don’t assume you already know what your partner needs during pregnancy. Ask.”

Breaking that silent agreement does not mean a father takes over the pregnancy.

It means both partners talk openly about expectations.

Ask:

“How can I support you?”

“Do you want me at this appointment?”

“What are you worried about?”

“What do you want me to learn before the baby comes?”

“What can I take off your plate this week?”

Black Fathers Can Be Part of the Maternal Health Safety Net

There is another reason this conversation matters in 2026 that was far less visible when the original article was written.

Black maternal health remains a serious crisis in the United States.

According to the National Center for Health Statistics’ final 2024 maternal mortality data, the maternal mortality rate for non-Hispanic Black women was 44.8 deaths per 100,000 live births.

For non-Hispanic White women, it was 14.2. That means the Black maternal mortality rate remained more than three times the White rate. The CDC has also reported that more than 80% of pregnancy-related deaths are preventable. Those facts change the conversation about father involvement. An engaged partner can become another set of eyes and ears.

Support Can Also Mean Advocacy

An expectant father can:

  • learn the warning signs that require urgent medical attention
  • attend prenatal appointments when invited and feasible
  • help remember questions the couple wants answered
  • take notes during complicated medical conversations
  • notice major changes in their partner’s health
  • speak up when their partner says something feels wrong
  • help seek another opinion when appropriate
  • know the birth plan and emergency contacts
  • continue paying attention after delivery, when serious complications can still occur

Being an advocate does not mean speaking over the pregnant person.

  • It means helping make sure her voice is heard.
  • If she says something feels wrong, believe her.
  • If she says she is in unusual pain, listen.
  • If she says she is having trouble breathing, experiencing severe headaches, heavy bleeding, chest pain, extreme swelling, or another concerning symptom, do not assume she is overreacting.
  • Help her seek medical attention.

For a deeper look at the systems affecting Black mothers, read The Black Maternal Health Momnibus: What Black Parents Need to Know in 2026 and The Crisis in Black Maternal and Infant Health: What You Need to Know.

What Expectant Black Fathers Can Actually Do

Sometimes telling fathers to “be involved” is too vague.

Involvement needs verbs.

An Expectant Father’s Pregnancy Action Plan

  1. Ask. Find out what your partner actually wants and needs instead of assuming.
  2. Learn. Read about pregnancy, birth, newborn care, postpartum recovery, and warning signs.
  3. Show up. Attend appointments, ultrasounds, childbirth classes, or hospital tours when your partner wants you there, and circumstances allow.
  4. Listen. Pregnancy can bring excitement, fear, discomfort, frustration, and uncertainty. Not every conversation needs a solution.
  5. Take responsibility at home. Cooking, cleaning, errands, transportation, and caring for older children are part of pregnancy support.
  6. Prepare financially. Talk honestly about leave, child care, insurance, baby expenses, and how the household will function after delivery.
  7. Know the birth plan. Understand your partner’s preferences while remembering that medical circumstances can change quickly.
  8. Advocate without taking over. Help make sure your partner’s concerns are heard and respected.
  9. Prepare for postpartum too. Father involvement should increase after birth, not end at the delivery room door.
  10. Take care of your own mental health. Becoming a father is a major life transition. Fathers need support too.

Father Involvement Is Also About Co-Parenting

The relationship between parents does not have to be romantic for effective father involvement to matter.

That point is important. Marriage is not a requirement for meaningful fatherhood. Living under the same roof is not a requirement for caring about a pregnancy. And a couple can be separated while still building a functional co-parenting relationship. Researchers have begun testing programs created specifically around the experiences of Black parents.

A randomized prenatal coparenting study included 138 Black and mixed-race mother-father pairs expecting their first baby. Families who received a six-session prenatal coparenting consultation showed some promising differences after birth, including better coparenting communication reported by mothers and more time fathers spent with their babies. A later follow-up of the same intervention examined outcomes through the baby’s first year.

The point is not that every family needs a formal program.

It is that coparenting can be learned and strengthened before the baby arrives.

Talk About These Things Before Baby Arrives

  • Who will handle nighttime care?
  • How will feeding responsibilities be supported?
  • Who can visit immediately after birth?
  • How will boundaries with extended family be handled?
  • How will household chores change?
  • What happens when both parents are exhausted?
  • How will disagreements about parenting be handled?
  • What support will each parent need emotionally?
  • How will work schedules and child care be managed?

Expectant Fathers Need Support Too

One mistake we can make when encouraging father involvement is treating dads only as resources for someone else.

  • The father is also going through a transition.
  • He may be excited while wondering whether he will be a good father.
  • He may be thinking about money.
  • He may be comparing himself to his own father.
  • He may be grieving the father he never had.
  • He may be afraid something will happen to his partner or baby.
  • He may not know where he belongs at medical appointments.
  • He may feel pressure to appear calm because everyone else is already anxious.
  • The 2020 study involving predominantly African American families found that fathers often learned about parenting through trial and error rather than structured sources of information.
  • That tells us something important.
  • We should not only tell Black fathers to participate.

We should make sure they are welcomed, educated, and supported when they try.

Prenatal programs, healthcare providers, childbirth educators, churches, family members, and community organizations can all help communicate that fathers have a meaningful role.

Healthcare Spaces Need to Make Room for Fathers Too

  • Not every barrier to father involvement begins at home.
  • Healthcare systems can unintentionally send a message that the father is an accessory.
  • Forms may address only the mother.
  • Providers may speak almost exclusively to her even when both parents are present.
  • Prenatal education may be designed primarily around women.
  • Clinic hours can conflict with work.
  • Some fathers may feel that they are physically present but socially invisible.

A 2024 systematic review of fathers’ involvement in pregnancy and childbirth across African countries found that many fathers wanted to be supportive and involved, but unwelcoming healthcare environments, financial pressures, and traditional gender expectations could create barriers.

Africa is a continent with enormous cultural diversity, so those findings should never be used to describe all African fathers or directly substitute for African American experiences.

But the broader lesson travels well:

If we want fathers involved, the systems surrounding pregnancy should make appropriate involvement possible.

Support Is Not Control

There is an important line here.

  • Being an involved father does not mean controlling the pregnancy.
  • The pregnant person still gets to make decisions about her body and medical care.
  • She gets to decide who attends appointments.
  • She gets to decide who is present during birth, subject to hospital policy.
  • She gets to say what kind of support feels supportive.
  • An involved partner asks rather than assumes.
  • A supportive father does not make the pregnancy about himself.
  • He becomes part of the team.

“The goal is not for fathers to take over pregnancy. The goal is for fathers to understand that they have a meaningful place in it.”

After Birth, Keep Showing Up

The delivery room is not the finish line.

It is the beginning.

The weeks after birth can bring physical recovery, sleep deprivation, feeding challenges, medical appointments, emotional changes, visitors, household disruption, and enormous adjustment.

An involved father can learn how to soothe the baby.

  • Change diapers.
  • Handle feedings when appropriate.
  • Wash bottles or pump parts.
  • Cook.
  • Take over household tasks.
  • Protect the mother’s opportunity to sleep.
  • Manage visitors.
  • Attend pediatric appointments.
  • Learn the baby’s routines.
  • Watch for postpartum warning signs.
  • And build his own relationship with his child.

The same father who becomes involved during pregnancy does not have to introduce himself to fatherhood for the first time after the baby comes home.

The Bottom Line: Black Fathers Belong in the Pregnancy Conversation

The original version of this article asked what African American fathers believe about pregnancy and whether cultural expectations might keep some fathers at a distance.

Ten years later, we can ask a better question:

How do we make sure Black fathers who want to be involved know exactly how much they can contribute?

The answer is not complicated.

  • Include them.
  • Educate them.
  • Listen to them.
  • Ask something of them.
  • Expect them to learn.
  • Give them opportunities to participate.

And remind them that fatherhood does not suddenly begin when someone places a newborn in their arms.

  • It can begin with an ultrasound.
  • A doctor’s appointment.
  • A late-night conversation.
  • A meal cooked when their partner is exhausted.
  • A hand held during frightening news.
  • A question asked when something does not seem right.
  • A nursery put together.
  • A birth plan discussed.
  • A promise made together.

That is what the earlier research called “togetherness during pregnancy and beyond.”

And that idea may be even more important now than it was when this article was first published.

Remember This

A father does not have to experience the physical changes of pregnancy to become part of the pregnancy experience.

Presence, communication, preparation, caregiving, advocacy, and shared responsibility are all forms of fatherhood.

About the Original Article

This article was originally written by Marta Sánchez for Successful Black Parenting Magazine and has been substantially updated with newer research, maternal-health data, current context, and additional resources for expectant Black families.

This article is for educational purposes and is not a substitute for prenatal, obstetric, mental health, or other individualized medical care from a qualified healthcare professional.

The views expressed in this article belong to the author and do not necessarily reflect the views of Successful Black Parenting Magazine.

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