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The study sought to explore the prenatal fear of childbirth and its contributing factors among pregnant women and their spouses in Kenya. 254 pregnant women and their spouses participated in this cross-sectional analytical study. A researcher-developed questionnaire was used alongside the Fear of Birth Scale (FOBS) for data collection. 58.6% of pregnant women and 45.7% of their spouses reported high fear of childbirth with primiparous spouses having high fear of childbirth compared to multiparous spouses. Also, the findings revealed a s