Integrating cultural values, beliefs, and customs into pregnancy and postpartum care: Lessons learned from a Hawaiian public health nursing Project. Certain medical procedures associated with pregnancy, such ascircumcisionand blood transfusions in emergency situations, are not acceptable by all religions. Originally created for low-income families to give all babies an equal start in life, Finlands freebie package became available to all moms in 1949. Sponsored contents planned and edited by JT Media Enterprise Division. For example, not all places can offer painless delivery (an epidural injection during labor to relieve pain); others have more advanced ultrasound technology, and so on. During the elaborate ceremony, the placenta is cleaned, put in a sealed container, wrapped in white cloth and then buried outside of the home. With your current subscription plan you can comment on stories. There was, however, no consensus on the strategies used to prevent unplanned pregnancy. Each culture has its own values, beliefs and practices related to pregnancy and birth. Our intake team asks about vegan, gluten-free, kosher, and other needs and preferences in order to optimize nutrition and increase comfort during their stay. 10,000 to15,000 for the first health check-up which includes multiple blood tests. These positions are shown with the following quotes: It depends on every individual; I sometimes indulge in sex six months after delivery (Postnatal woman, FGD). Usually that is an option, particularly at anacademic medical center. Pregnancy care providers see a lot of cultural diversity every day. The taped interviews were transcribed verbatim into Microsoft word. The qualitative data were audio-taped using a digital voice recorder. Disclaimer. Purposive sampling was used to select focus group discussion participants (13) among community members, pregnant women whose gestation was at least 6months, and women with babies less than 6 months of age. It is for that reason that a participant indicated the choice for people to utilise the TBA outlets. Further, it was revealed that socio-cultural practices such as not crossing rivers and confinement made some women not show up for ANC. Stud Fam Plann. Fortunately, many taxi companies offer a maternity service (, jints-takushii). Therefore, this study was conducted to identify these beliefs and practices and how they affect maternal and child health care services. A disproportionate number of studies on this topic come from South Asia and China. Parents dress the babies up in detailed kimonos. This is an open access article distributed under the terms of the Creative Commons CC BY license, which permits unrestricted use, distribution, reproduction in any medium, provided the original work is properly cited. Despite the well-established benefits of exercise during pregnancy, many women remain inactive. A study conducted in Zambia found out that women intentionally delayed the initiation of Ante Natal Care (ANC) to avoid making several visits to the healthcare facility and to reduce the overall costs of patronising the facilities (Menon et al., Citation2010). They were of the view that babies need variety in their diet. The study found that some mothers prefer to give birth at facilities of traditional birth attendants. General hospitals and university hospitals are favoured by some because they have the facilities and medical staff on hand to deal with any complications that might arise during childbirth. 2016 Jul 28;16(1):192. doi: 10.1186/s12884-016-0991-z. This according to participants was to protect the baby from evil people in the community. To learn about our use of cookies and how you can manage your cookie settings, please see our Cookie Policy. However, it turns out, that in as much as some of these beliefs and practices are helpful, some can be detrimental to both mother and child. Design: All interested researchers/readers/persons who meet the criteria for access to confidential data can access the data set from the corresponding author via this email address: easampong@ug.edu.gh. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Below are some of the most intriguing traditions that have stood the test of time. If individuals have a sense of personal agency or self-efficacy, they can change behaviours even when faced with obstacles. These codes were turned unto nodes within the software. However, in higher risk cases such as where the mother is pregnant with twins or is older, the private hospital may advise delivery at a general hospital. In this South American country, mothers mark their calendars for the ninth day after babys birththats when they celebrate the little ones arrival with family and friends, who bring sweets and gifts, including money and gold bangle bracelets for baby. 2016 Jul 5;16(1):147. doi: 10.1186/s12884-016-0938-4. This was made of 72 and 22 participants in the FGD, and IDI, respectively (Table 1). You can see the statistics by prefecture and type of institution here (Japanese only). 1999. Objective: For me I have a small baby so I protect myself using the injectable so that I dont get pregnant (Woman with children under five, FGD). You should then apply for a Birth Notification Certificate of Acceptance (, shusshtodoke-juri-shmeisho) at the local city office which, because a Family Register is not created for foreign nationals, is often used as an official Birth Certificate. Community-based management of neonatal conditions using trained village health workers has been shown to be effective in reducing neonatal mortality (Bhutta et al., Citation2005). All authors read and approved the final manuscript, Majority of the anonymised data have been included in this manuscript. Good practices need to be identified and promoted whilst harmful practices must be discouraged (Saaka & Iddrisu, Citation2014). However, babies born at such places may miss out on immunisations given immediately after birth like BCG and OPV. Did you know that with a free Taylor & Francis Online account you can gain access to the following benefits? Terada S, Doi S, Tani Y, Maeda Y, Isumi A, Sugawara J, Maeda K, Satoh S, Mitsuda N, Fujiwara T. Front Psychiatry. These maternity vouchers are included as part of a maternity pack expecting mothers will receive from the local city office which also includes the Maternity and Children Health Handbook (, boshi-kenk-tech). This will often go away so we do not seek medical attention for it (Elderly woman, FGD). This might mean more dedicated and personalized care, better food, a private room, or the benefit that the doctor with you for the regular check-ups should also be present at the birth. Names that are objects (like Apple) or surnames are never allowed, and you must be able to tell the babys gender by his or her first name. The following quotes are reflections of those views: Sometimes when you go for them and you later on decide to give birth and want to take it out, it can break your womb and render you barren (Woman with under five child, FGD). To reduce this, policymakers and healthcare providers must encourage women with traditionally low rates of maternal health care utilization to access services. According to SCT, three main factors affect the likelihood that a person will change health behaviour: (1) Self-efficacy, (2) Goals, and (3) Outcome expectancies. JA designed the study, participated in data collection and analysis, and prepared the draft of the manuscript; EA and PBA provided scientific advice on the design of the study and data analysis. The growing recognition of the critical importance of providing care to mothers and newborns and the substantial coverage gaps have prompted a paradigm shift in responding to maternal and newborn health issues. In other words, you cannot continue to attend a separate clinic all the way up until labor and then turn up at the other hospital just to give birth. Cultural meaning of pregnancy and childbirth among Mexican-American women Pregnancy Beliefs and Customs - daytranslations.com The primary causes of maternal death are haemorrhage, hypertension, infections, and indirect causes, mostly due to interaction between pre-existing medical conditions and pregnancy. When it is not, we recommend that the doctor have a conversation with the patient to find solutions to make the situation more comfortable. FOIA After baby arrives, the new mom traditionally stays at her parents home for at least a month, and rests in bed for 21 days to recuperate and bond with baby, while family members pitch in with chores. Socio-cultural beliefs and practices dur . https://doi.org/10.1080/27707571.2022.2046908, http://www.statisticshowto.com/maximum-variation-sampling/, http://www.unicef.org/publications/files/APR, https://www.who.int/malaria/areas/preventive_therapies/pregnancy/en/, Medicine, Dentistry, Nursing & Allied Health. The process included reading and rereading of the interviews and focusing on the identification of themes relating to the beliefs and practices relating to intrapartum and postpartum continuum of care at community. This was done to get a better understanding of the socio-cultural beliefs and practices among pregnant women in the community. In principle, the maternity vouchers cannot be re-issued. The SCT proposes that behaviour change describes a dynamic, ongoing process in which personal factors, environmental factors, and human behaviour exert influence on each other. Childbirth traditions and cultural perceptions of safety in Nepal: critical spaces to ensure the survival of mothers and newborns in remote mountain villages. Instead of reducing the choices available to women during the birth experience, providers should understand, respect, and integrate cultural interpretations of childbirth and the needs of women and their families. Local knowledge and derived practices of safety during pregnancy, childbirth and postpartum: a qualitative study among nurse-midwives in urban eastern Tanzania. Chen M, Makama M, Skouteris H, Moran LJ, Harrison CL, Choi T, Lim S. Nutrients. This figure further decreased to 776 in 2020. In African cultures, because of many superstitious beliefs, many families will perform different rituals to safeguard the pregnancy. Traditional Postpartum Practices and Rituals: A Qualitative Systematic While pregnancy and childbirth is a universal experience, having a baby in another culture can be full of surprises. Further, hospitals and clinics in Japan offer different levels of service, from the hotel-like treatment with your own separate room at the private hospitals to a more standard level of care elsewhere. PDF At the end of World - Queensland Health 2.6. No pain, no gain | The Economist For three weeks after childbirth, it is traditional for the new mother to recover in her parents' home, staying in bed. Traditionally, doctors are scientific and data-driven. This referral letter, along with test results, will then be submitted to the new hospital. Another tradition says being pregnant with a boy makes a womans hair thick and shiny, while a girl does the opposite. Conclusion: This study concluded that the cultural beliefs held by these women greatly affected their decision to deliver at home. If this is not treated, it can affect the womans health and that of the child (Postnatal woman, FGD). Broadly speaking, there are three types of medical institutions in which mothers can give birth. (Citation2008) to play an important role during pregnancy, childbirth, postpartum period and care of neonates. Download The AppDaily pregnancy & newborn updates with our FREE app. To receive this you will need to submit a pregnancy notification form (, ninshin-todokeshutsu-sho). Search Conditions & Treatments Parents buy a full set of new red dishes for a boy or new black dishes for a girl to serve the meal. Abstract Determining the elements of culturally competent health care is an important goal for nurses. The CS is because of lack of sex during pregnancy (Woman with child under five year, FGD). As soon as a woman tells an employer she's pregnant, she cannot be fired. So this time when I was pregnant I never moved outside the house and I have had successful birth at home (Postnatal woman, IDI). So, you have to keep the baby in the room until outdooring where they would have performed the rituals to protect the baby (Pregnant woman). The Japan Times LTD. All rights reserved. Some participants were of the view that yellowish discoloration of the eyes and palms of the baby are normal and will often resolve with time. Once 20 days have passed, mother and baby visit the homes of gift givers, where they receive a handkerchief filled with candy (for a good-natured baby) and an egg (for a healthy one). Some patients request a male or female doctor due to cultural or personal preferences. So, to respect the patients wishes and properly care for her baby, we partitioned the room with screens the male doctor could be present without invading the patients privacy. And we must ask the right questions to ensure that patients understand why we are making certain recommendations and how we will care for them in a thoughtful, open-minded manner. Especially in pregnancy care, there are cultural nuances to many aspects of communication, from religious and family dynamics to guidelines around personal space and privacy.
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