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Child Birth Practices Across Cultures and Their Implications

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Child birth practices across cultures and their implications on maternal and child

health outcomes

Dr. AN. Hazemba-PhD


Introduction
• Health beliefs and practices related to pregnancy and childbirth exist in
various cultures globally
• There is diversity among the cultures within sub-Saharan Africa
surrounding pregnancy and childbirth
• However, there are striking similarities of beliefs and practices found
within traditional societies
Introduction…
• There are both positive and negative practices and beliefs which are
similar across all societies
• These beliefs and practices can pose a threat to maternal, newborn and
child survival if not well understood and give them a place in public
health
• Healthcare practitioners, researchers and policy makers need to be aware
of these beliefs and practices so as to contextualise them in service
delivery in the communities
Beliefs and practices
• Most traditional childrearing beliefs and practices persist to date in some
form, although they have been influenced by changes occurring in the
society as a whole
• For instance, pregnancy is no longer as sensitive a subject to talk about in
most societies as before
• There are different practices common in sub-Saharan Africa which are
grouped accordingly (pregnancy, delivery and after delivery)
Some known and documented beliefs and
practices
• Fathers are at a distance of child bearing process
• Food related beliefs and practices
• Sexual relations during pregnancy
• Breastfeeding and weaning
• Initiation of sexual intercourse after delivery
• Herbal use during pregnancy and child birth
Beliefs on appropriate food for pregnant women, labour
and postdelivery; the Zambian perspective

Although, there are some variations across regions and the districts
regarding appropriate and inappropriate foods for pregnant women, beliefs
and taboos around eating eggs and cold foods are known:
 Eating eggs during pregnancy is associated with the baby being born without hair
 Eating cold food is prohibited for pregnant women (Saving Mothers Giving Life
Project, 2012 and 2016)
 The above beliefs are also documented by: Maimbolwa, M. C., Yamba, B., Diwan,
V. and Ransjö-Arvidson, A.-B. (2003), Cultural childbirth practices and
beliefs in Zambia. Journal of Advanced Nursing, 43: 263–274.
doi: 10.1046/j.1365-2648.2003.02709.
2022-11-11 6
Birthing
Birthing
Practices on neonatal care in Zambia
• Global policy regarding optimal umbilical cord care to prevent neonatal
illness is an active discussion among researchers and policy makers
• A large cluster-randomized control trial to measure the impact of 4%
chlorhexidine as an umbilical wash versus dry cord care on neonatal
mortality in Southern Province, a qualitative study was conducted to
determine local perceptions of cord health and illness and the cultural
belief system that shapes umbilical cord care knowledge, attitudes, and
practices.
Practices on neonatal care in
Zambia…
• From the study it was found that umbilical cord care practices and beliefs
were diverse. Dry cord care, as recommended by the World Health
Organization at the time of the study, is not widely practiced in Southern
Province, Zambia
• A cultural health systems model that depicts all stakeholders is proposed
as an approach for policy makers and program implementers to work
synergistically with existing cultural beliefs and practices in order to
maximize effectiveness of evidence-based interventions.
Word Cloud of Cord Applications. The size of the font represents the
frequency at which this term was mentioned in
FGD and IDI
doi: 10.1371/journal.pone.0079191.g002
Adaption of Kleinman’s health care system as a cultural system
framework with illustrative examples of cord
beliefs in Southern Province, Zambia.
doi: 10.1371/journal.pone.0079191.g004
Implications and conclusion
• Debate

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