Traditional practices during pregnancy and childbirth among tribal women from Maharashtra: a review

Begum, Shahina; Sebastian, A.; Kulkarni, Ragini; Singh, Shalini; Donta, Balaiah

doi:10.18203/2394-6040.ijcmph20171301

Cited by 10 publications

(11 citation statements)

References 6 publications

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“…Good communication and liaison between ASHA and ANM workers helped to improve maternal health services in the rural areas, especially improving access to services among marginalized populations [29,30]. Congruent to other studies, we found that women had certain beliefs or customs, related to antenatal check-ups or maternal care, and vaccine hesitancy in certain places [31,32]. These customs or beliefs are passed down from one generation to the other.…”

Section: Discussionmentioning

confidence: 61%

Health Workers’ Perceptions about Maternal and Adolescent Health among Marginalized Populations in India: A Multi-Centric Qualitative Study

Sharma

Bhardwaj

Arora

et al. 2021

Women

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Frontline workers are instrumental in bridging the gap in the utilization of maternal health services. We performed a qualitative cross-sectional study with medical officers, accredited social health activists (ASHA), and auxiliary nurse midwifes (ANM), across 13 districts of India, in order to understand the barriers and enablers, at the system and population levels, for improving access of adolescents and mothers to services. The data were collected by means of in-depth interviews (IDI) with medical officers and focus group discussions (FGD) with ASHA and ANM in 2016. The interview guide was based on the conceptual framework of WHO health interventions to decrease maternal morbidity. Content analysis was performed. In total, 532 frontline workers participated in 52 FGD and 52 medical officers in IDI. Adolescent clinics seemed nonexistent in most places; however, services were provided, such as counselling, iron tablets, or sanitary pads. Frontline workers perceived limited awareness and access to facilities among women for antenatal care. There were challenges in receiving the cash under maternity benefit schemes. Mothers-in-law and husbands were major influencers in women’s access to health services. Adolescent clinics and antenatal or postnatal care visits should be seen as windows of opportunities for approaching adolescents and women with good quality services.

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Section: Discussionmentioning

confidence: 61%

Health Workers’ Perceptions about Maternal and Adolescent Health among Marginalized Populations in India: A Multi-Centric Qualitative Study

Sharma

Bhardwaj

Arora

et al. 2021

Women

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“…Among the Bhil tribal community of Gujarat, skin-to-skin care is not a common practice. [ 21 ] A qualitative study (as cited by Begum[ 22 ]) conducted among 30 tribal women from two tribal villages at Ahmednagar reported that the newborns used to be wrapped with cotton clothes. Both the newborn and mother were made to lie down near the place where firewood was burnt to maintain temperature.…”

Section: Discussionmentioning

confidence: 99%

Traditional Newborn Care Practices in a Tribal Community of Tamilnadu, South India: A Mixed Methods Study

Srinivasan¹,

Arumugam²,

Kamala³

et al. 2023

Indian Journal of Community Medicine

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Background and Objectives: Traditional newborn rearing practices play a vital role in neonatal morbidity and mortality. In this context, a concurrent mixed method study was conducted to identify the traditional practices in newborn care in tribal villages of Sittilingi Panchayat of Tamil Nadu, South India. Methods: The quantitative data were collected by a community-based cross-sectional study among 59 mothers of infants. Qualitative component included two focus group discussions (FGD) each with seven mothers and one traditional dai. Results: About 38.9% of newborns received colostrum, and 61.1% had prelacteal feeds. Majority (84.7%) of newborns had received appropriate thermal care. More than two-thirds (71.2%) of newborns were given bath before umbilical cord dropped off. During bathing, 83.1% were massaged and 67.8% had their vernix removed. Practice of blowing into nostrils (45.7%), substance application on the cord (94.9%), tepid sponging during fever (28.8%), sweet flag application over umbilicus for colic (8.5%), herbal medications during diarrhea (40.6%) and cold (25.4%), exposure to sunlight (67.8%) during jaundice, oil instillation in nostrils (76.3%), and ears (32.2%) to protect against infection were reported. Majority reported approaching traditional health practitioners during illness. Similar practices were reported in the FGDs. The beliefs related to these practices were explored. Conclusion: Both beneficial and harmful practices in newborn care were identified. Primary health care workers like ASHAs could be trained to recognize traditional newborn practices in their field areas to deliver appropriate behavior change communication to preserve safe practices and avoid harmful practices to improve newborn health.

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“…Same as in King Sabata Dalindyebo Sub-district, the strong traditional beliefs and practices found in Maharashtra led to the poor utilization of maternal and child health services during pregnancy and delivery, resulting in late prenatal bookings. Such poor maternal and child care services often lead to unhygienic cord care practices, which can cause tetanus and septicaemia to the baby; delay in initiation of breastfeeding involved depriving the new-born of very nutritious and essential colostrum [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Pregnant Women on Traditional Health Practices in a Rural Setting in South Africa

Thipanyane

Nomatshila

Oladimeji

et al. 2022

IJERPH

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Though there are prenatal and perinatal protocols across the African continent, traditional practices are commonly used. Improving maternal health requires an understanding of local cultural approaches and traditional health systems. The purpose of this study was to determine the perceptions of pregnant mothers of various ages and gravidities towards traditional maternal health practices during pregnancy. A descriptive phenomenological study was carried out with 27 purposively selected pregnant women from the King Sabatha Dalindyebo health sub-district. Discussion from three focus groups yielded three major themes and eight sub-themes. Content analysis revealed strong opinions and support for traditional practices. Although specialist practitioners were mentioned, family members were the primary source of information on traditional perinatal health practices. African mahogany bark, herbal decoctions, and holy water were allegedly used to treat labor pains, postnatal care, and the warding off of evil spirits. During pregnancy, these were thought to be beneficial and necessary. Nonetheless, the protection of some traditional practices’ know-how prevents integration of the traditional health system into the national health system. Consequently, there is a need for dialogue to facilitate the exchange of ideas on maternal health between the two health systems in order to facilitate more efficient policy formulation and implementation.

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Traditional practices during pregnancy and childbirth among tribal women from Maharashtra: a review

Cited by 10 publications

References 6 publications

Health Workers’ Perceptions about Maternal and Adolescent Health among Marginalized Populations in India: A Multi-Centric Qualitative Study

Health Workers’ Perceptions about Maternal and Adolescent Health among Marginalized Populations in India: A Multi-Centric Qualitative Study

Traditional Newborn Care Practices in a Tribal Community of Tamilnadu, South India: A Mixed Methods Study

Perceptions of Pregnant Women on Traditional Health Practices in a Rural Setting in South Africa

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