Cultural Aspects in the Care of the Orthodox Jewish Woman

Berkowitz, Bayla

doi:10.1016/j.jmwh.2007.07.008

Cited by 12 publications

(13 citation statements)

References 7 publications

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“…This is reflected in religious practices requiring “purification” after a menstrual bleeding. For instance, Orthodox Jewish women observing the laws of family purity, abstain from physical contact with their husbands from the onset of menses until 7 days after their cessation; at this point the woman must take a ritual bath, after which she may resume physical and sexual relations with her husband 36. In the Islamic tradition, menstruating women are exempt from some important religious rites, such as ritual prayers, fasting, and the pilgrimage to Mecca.…”

Section: Effectivenessmentioning

confidence: 99%

Safety, efficacy and patient satisfaction with continuous daily administration of levonorgestrel/ethinylestradiol oral contraceptives

Benagiano

Carrara²,

Filippi³

2009

PPA

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The progestational steroid norgestrel was synthesized and tested between 1960 and 1965 through an international cooperation between Wyeth, USA and Schering, Berlin. It is a mixture of two “enantiomers,” with only one form (designated as levonorgestrel) biologically active. When taken orally, it is rapidly absorbed, not subjected to a “first-pass” effect and is approximately 90% bioavailable, with a circulating half-life around 15 hours. Its contraceptive action is exerted at the central (hypothalamic) and peripheral (cervical mucus and endometrium) levels. Levonorgestrel (LNG), alone or in combination with ethinyl estradiol (EE), is the most widely employed contraceptive progestin: it is used in combined oral contraceptives, progestogen-only pills, long-acting contraceptive implants, intrauterine contraceptive systems and in emergency contraception. It is also the steroid of choice for new oral contraceptive regimens aimed at reducing the frequency of bleeding episodes. This novel approach, already tried more than 30 years ago, gained interest around the year 2000 when surveys of women’s attitudes toward monthly menstrual bleeding started to show a major change: more and more women declared that they would welcome a hormonal contraceptive method that reduced bleeding episodes to 4, 2 or even 1 per year. At this point, while the debate on the significance and “usefulness” of menstruation went on, attention focused on new regimens. The first new modality consisted of changing the 7-day medication-free interval, either shortening it to fewer than 7 days, or by the administration of low-dose estrogens during the interval between packages. Then, continuous administration regimens started to be investigated. This, however, did not happen suddenly, since, in specific situations, doctors had for years empirically utilized various continuous administration regimens. The first extended-cycle oral contraceptive regimen introduced in clinical practice is an 84-day regimen that results in bleeding only 4 times a year. A commercial product specifically packed for continuous use is now available in Europe and contains 30 μg EE and 150 μg LNG. In a variation of this regimen, after administration of the same combination for 84 days, women are given 7 pills containing 10 μg EE. A 6-monthly regimen has also been tested in a small study using EE 20 μg plus LNG 100 μg taken with and without a hormone-free interval. Women in the continuous group reported significantly fewer bleeding days requiring protection and were more likely to have amenorrhea; in addition they also reported significantly fewer days of bloating and menstrual pain. A yearly regimen is now being developed. Each pill of this novel formulation contains EE 20 μg and LNG 90 μg to be taken continuously for 364 days (13 cycles) per year. A phase III trial has now evaluated safety, efficacy and menses inhibition. At the end of the 1-year trial amenorrhea was present in 58.7% of the women and a complete absence of bleeding in 79.0%. Overall, the number of bleeding and spott...

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Section: Effectivenessmentioning

confidence: 99%

Safety, efficacy and patient satisfaction with continuous daily administration of levonorgestrel/ethinylestradiol oral contraceptives

Benagiano

Carrara²,

Filippi³

2009

PPA

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“…Solitary confinement continues for a number of weeks after birth [11]. Similarly, a Jewish birthing woman is considered ‘polluted’ according to Rabbinic law [12]. As such, a male partner is not allowed to be present during childbirth to avoid being contaminated.…”

Section: Introductionmentioning

confidence: 99%

Malawian fathers’ views and experiences of attending the birth of their children: a qualitative study

Kululanga

Malata

Chirwa

et al. 2012

BMC Pregnancy Childbirth

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BackgroundExploring the experiences and views of men who had attended the birth of their children is very vital, especially in a setting where traditionally only women accord women support during labour and childbirth. The insights drawn from the male partners’ views and experiences could enhance the current woman-centred midwifery model that encompasses the needs of the baby, the woman’s family and other people important to the woman, as defined and negotiated by the woman herself. This paper explored the views and experiences of men who attended the birth of their children from two private hospitals in an urban setting in southern Malawi.MethodsThis study used an exploratory descriptive qualitative approach. The data were collected through in-depth interviews from 20 men from Blantyre, a city in the southern part of Malawi, who consented to participate in the study. These men attended the birth of their children at Blantyre Adventist and Mlambe Mission Hospitals within the past two years prior to data collection in August 2010. A semi-structure interview guide was used to collect data. Qualitative content analysis was used to analyse the data set.ResultsFour themes were identified to explain the experiences and views of men about attending childbirth. The themes were motivation; positive experiences; negative experiences; reflection and resolutions. The negative experiences had four sub-themes namely shame and embarrassment, helplessness and unprepared, health care provider – male partner tension, and exclusion from decision-making process.ConclusionsThe findings showed that with proper motivational information, enabling environment, positive midwives’ attitude and spouse willingness, it is possible to involve male partners during childbirth in Malawi. Midwives, women and male peers are vital in the promotion of male involvement during childbirth. In addition, midwives have a duty to ensure that men are well prepared for the labour and childbirth processes for the experience to be a positive one.

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“…These laws, termed the laws of family purity, are intricate and relevant only to married life, and it is therefore essential to religious practice that they are studied prior to marriage. Briefly, the laws of family purity proscribe physical contact and intimacy while a woman is menstruating (Berkowitz, 2008). Even putting an object such as keys directly into one's spouse's hand is avoided during the prohibited time so that the couple does not come to touch (Lyubomirsky, 2007).…”

Section: Orthodox Jewish Premarital Educationmentioning

confidence: 99%

“…Furthermore, one of the main topics included in this education is the laws of family purity which proscribe physical intimacy and contact between a couple while a woman is menstruating (Berkowitz, 2008). The absence of physical contact for a period of time each month may create a continuous cycle of renewal of physical attraction that enhances the marital quality among Orthodox Jewish married couples (Lyubomirsky, 2007).…”

Section: Downloaded By [North West University] At 01:10 04 February 2015mentioning

confidence: 99%

Religious Premarital Education and Marital Quality Within the Orthodox Jewish Community

Maybruch¹,

Pirutinsky²,

Pelcovitz³

2014

Journal of Couple & Relationship Therapy

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Although a majority of premarital education occurs in religious contexts, research in this area is limited. The current authors studied the religious service delivery model of premarital education among 1244 married Orthodox Jews. Results indicate that education focusing on the religious approach and practices regarding the sexual relationship is significantly associated with greater marital quality. The findings also suggest a need for increased premarital education related to communication and conflict resolution.

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Cultural Aspects in the Care of the Orthodox Jewish Woman

Cited by 12 publications

References 7 publications

Safety, efficacy and patient satisfaction with continuous daily administration of levonorgestrel/ethinylestradiol oral contraceptives

Safety, efficacy and patient satisfaction with continuous daily administration of levonorgestrel/ethinylestradiol oral contraceptives

Malawian fathers’ views and experiences of attending the birth of their children: a qualitative study

Religious Premarital Education and Marital Quality Within the Orthodox Jewish Community

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