2016
DOI: 10.1186/s12884-016-0991-z
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Eating soup with nails of pig: thematic synthesis of the qualitative literature on cultural practices and beliefs influencing perinatal nutrition in low and middle income countries

Abstract: BackgroundThe perinatal period, i.e. pregnancy, childbirth and early infancy, is a significant transition period where the biological and the social strongly intersect. In low and middle-income countries the disease burden arising from the perinatal period, is still substantial. The perinatal period is also a crucial window of opportunity for reducing undernutrition and its long term adverse effects.MethodsWe explored qualitative research conducted in low resource settings around the perinatal continuum over t… Show more

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Cited by 34 publications
(30 citation statements)
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“…Although better informed, midwives lacked confidence in counselling pregnant women on appropriate nutrition. Considering the limitations of counselling by health workers in HIC, a feeling of inadequacy among local midwives is not surprising in this low-resource context with a rapidly changing burden of diet-related disease [27,28,32]. …”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Although better informed, midwives lacked confidence in counselling pregnant women on appropriate nutrition. Considering the limitations of counselling by health workers in HIC, a feeling of inadequacy among local midwives is not surprising in this low-resource context with a rapidly changing burden of diet-related disease [27,28,32]. …”
Section: Discussionmentioning
confidence: 99%
“…All methods allowed for triangulation of the main study findings. Study limitations include limited generalisability due to geographic and cultural specificity [32], and lack of external validation of the cross-sectional survey. Regression analysis was limited to a small subset of women presenting in the first trimester, potentially obscuring significant associations, but baseline characteristics of women who attended in the first trimester were not significantly different to women who presented later.…”
Section: Discussionmentioning
confidence: 99%
“…Another study confirms this custom, and describes a widespread Afghan practice whereby the neonate is fed with dates and honey before breastfeeding starts [25]. The fact that the baby is not put to the breast immediately may affect the success of breastfeeding, and may turn out to be an unfortunate norm when it comes to preventing malnutrition and optimising the child's development [42]. In our study the women highlighted the fact that the midwives promoted immediate skin-to-skin contact and early breastfeeding as being particularly positive per se, thus demonstrating successful, empowering and health-promoting communication between the women and the skilled midwives.…”
Section: Quality Of Services Appreciating Life-saving Carementioning
confidence: 99%
“…While on the other hand, qualitative studies have identi ed barriers that are not related to insu cient or inaccurate information or the lack of mentoring support for breastfeeding. These barriers were mostly related to milk insu ciency beliefs, cultural beliefs and practices, health systems and gender and power-relations [12][13][14]. A systematic review on studies from Brazil [15] reported maternal employment as the most frequently cited barrier to EBF followed by maternal perceptions of insu cient breast milk supply and medical barriers related to illness of mothers and/or infants, as well as breast problems.…”
Section: Introductionmentioning
confidence: 99%
“…Since the 2014 global commitment by the United Nations to improve breastfeeding [16,17], a plethora of platforms to provide breastfeeding information and support have evolved to address aspects that may particularly undermine mothers' successful breastfeeding practices, namely, mothers' self-con dence and psychological disposition [18,19]; mother's resilience to risks and threats [20,21]; and the socio-cultural practices [14,[22][23][24] that will require localized and tailored interventions to suit the mother's needs and context. A systematic review identi ed that for low-and middle-income countries there were few intervention studies targeting mothers with infants aged 1 to 5 months that were conducted in the family or community setting and even fewer that used integrated media or social media to improve EBF outcomes [9] .…”
Section: Introductionmentioning
confidence: 99%