Introduction: Accompaniment in childbirth represents a strategy with various benefits, which is why it is necessary to satisfy the physical and emotional needs present in women to provide a humanized and quality service that satisfies their expectations. Objective: To describe the expectations of the pregnant woman about the accompaniment of the couple during labor in a hospital of the tertiary care level. Methods: Descriptive and cross-sectional study, carried out in 120 pregnant women treated at the Sergio E. Bernales National Hospital, who were selected in a non-probabilistic way. A validated questionnaire was applied on the expectation of the accompaniment of the couple. Absolute and relative frequencies were estimated. Results: The 98,3 % preferred to be accompanied by their partner during childbirth. In preparing for childbirth, 75 % preferred that their partner be informed about her role and 76.7 % that they provide security and confidence. For the period of dilation, 88,3 % expected their partner to understand and 6,7 % indicated that they did not want to receive messages from their partner. For the second stage, 96,7 % indicated that they expected their partner to be attentive to the birth of the baby; and for delivery, 95 % expected their partner to show affection to their child. Conclusions: Pregnant women have high expectations about the accompaniment before and during the labor process, especially in the emotional aspect with her and the newborn.