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Traditional beliefs and practices in pregnancy, childbirth and postpartum: A review of the evidence from Asian countries
Abstract
Introduction Asian women suffer the largest proportion of the world's maternal deaths. To reduce this, policymakers and healthcare providers must encourage women with traditionally low rates of maternal health care utilization to access services. Objective The purpose of this study is to provide a comprehensive review of the most common traditional practices in Asia relating to pregnancy, childbirth and the postpartum period. Design We conducted a literature search of articles: a) focusing on Asia; b) relating to pregnancy, childbirth or postpartum, c) relating to traditional beliefs and/or cultural practices; and 4) published in English in the year 2000 or more recently. Findings A total of 74 articles are included in this review; 20 articles related to pregnancy, 44 to childbirth, and 45 to postpartum. More than one-half (38) of the articles focused on South Asia and 13 related to China. In the pregnancy category, the majority of the studies focused on dietary recommendations and behavioral taboos. For the childbirth category, many articles examined beliefs and practices that helped to explain women's aversion to institutional births, such as preference for traditional birth positions, and fear of medical interventions. In the postpartum period, confinement was common because postpartum women were perceived to be weak, fragile and vulnerable to illness. Other prevalent beliefs and practices across Asian countries included massage, the state of pollution after childbirth, the use of traditional healers and traditional medicine and herbs, beliefs relating to hot/cold imbalance, behavioral taboos, magic, and superstition. Key conclusions Many Asian women continue to practice a wide range of traditional beliefs and practices during pregnancy, childbirth, and the postpartum period. More information is needed on the benefits of formal maternal healthcare services; such educational programs should be geared towards not only women but also husbands, parents, and in-laws. By recognizing and appreciating common local beliefs, providers can be better positioned to provide culturally competent care. 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.
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“Cultural. Cross-cultural factors such as variations in the Value of Children (VOC) and postpartum practices, can help or hinder maternal development (33, 34).”
From A critical need for the concept of matrescence in perinatal psychiatry (2024) · cites this paper as [34]
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Cheung, N. F., & Pan, A. (2012) · Nursing and Health Sciences · doi:10.1111/j.1442-2018.2012.00728.x · Cited by 12
Maternal, Perinatal and Neonatal Mortality in South-East Asia Region
Sharma, G. (2011) · Asian Journal of Epidemiology · doi:10.3923/aje.2012.1.14 · Cited by 12
From the forest to the clinic: Changing birth practice among the Katang, Lao
Chithtalath, S., & Earth, B. (2001) · Reproductive Health Matters · doi:10.1016/s0968-8080(01)90096-5 · Cited by 10
Beyond biomedicine: health through social and cultural understanding
Basnyat, I. (2011) · Nursing Inquiry · doi:10.1111/j.1440-1800.2011.00518.x · Cited by 8
Rees, G., & Yoneda, F. (2013) · World Archaeology · doi:10.1080/00438243.2013.820140 · Cited by 5
Childbirth, Midwifery and Concepts of Time edited by Christine McCourt
Anderson, B. A. (2011) · Medical Anthropology Quarterly · doi:10.1111/j.1548-1387.2011.01188.x · Cited by 2
Teman, E. (2011) · Journal of the Royal Anthropological Institute · doi:10.1111/j.1467-9655.2010.01675_19.x · Cited by 2
Flagged first, then by citations
2 of the 123 references couldn’t be matched to a known paper.
Research works printed but not linked: 3
- Barnes, 2007, Women's Experience of Childbirth in Rural Jharkhand, Economic and Political Weekly, 42, 62
- Haq, 2008, Place of Childbirth and Infant Mortality in India: a Cultural Interpretation, Indian Anthropologist, 38, 17
- Lundberg, 2010, Vietnamese Women's Cultural Beliefs and Practices Related to the Postpartum Period, Midwifery, 5, 731
Cited by
Sorted by citations
Epidemiology and determinants of obesity in China
Pan, X., Wang, L., & Pan, A. (2021) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(21)00045-0 · Cited by 1,587
Dietary guideline adherence during preconception and pregnancy: A systematic review
Caut, C., Leach, M., & Steel, A. (2019) · Maternal and Child Nutrition · doi:10.1111/mcn.12916 · Cited by 135
Midwives’ perspectives of respectful maternity care during childbirth: A qualitative study
Moridi, M., Pazandeh, F., Hajian, S., & Potrata, B. (2020) · PLoS ONE · doi:10.1371/journal.pone.0229941 · Cited by 120
Omer, S., Zakar, R., Zakar, M. Z., & Fischer, F. (2021) · Reproductive Health · doi:10.1186/s12978-021-01151-6 · Cited by 135
A review and comparison of common maternal positions during the second-stage of labor
Huang, J., Zang, Y., Ren, L., Li, F., & Lu, H. S. (2019) · International Journal of Nursing Sciences · doi:10.1016/j.ijnss.2019.06.007 · Cited by 92
Metadata
- Authors
- Withers, M., Kharazmi, N., & Lim, E.
- Affiliations
- University of Southern California (US)
- Corresponding author
- Withers, Mellissa
- Venue
- Midwifery
- Publisher
- Elsevier BV
- Published
- 2018-01
- Volume
- 56
- Pages
- 158-170
- ISSN
- 0266-6138 (ISSN-L)
- OpenAlex
- W2766690992
- Cited by
- 311
- References
- 123
- Citations by year
- 2026: 31 · 2025: 56 · 2024: 47 · 2023: 43 · 2022: 40 · 2021: 33 · 2020: 32 · 2019: 23 · 2018: 5
- FWCI
- 3.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Midwifery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Social Sciences › Arts and Humanities › History › Historical Studies on Reproduction, Gender, Health, and Societal Changes
- Keywords
- traditional beliefs, cultural practices, pregnancy, childbirth, postpartum period, maternal health, maternal mortality, postpartum confinement, traditional healers, traditional medicine, food taboos, cultural competence, South Asia, China
- MeSH terms
- Adult, Asia, Female, Humans, Health Knowledge, Attitudes, Practice, Maternal Health Services, Medicine, East Asian Traditional, Pregnancy, Delivery, Obstetric
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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