Beliefs and dietary practices in pregnancy and the puerperium: application of the Health Traditions Model
Abstract
Objective: To describe the cultural beliefs and practices related to food during pregnancy and the puerperium in adult women (over 60 years old) in two different cultures by applying the Health Traditions Model.
Method: A qualitative study was carried out with the participation of 16 women resident during their pregnancy / childbirth / puerperium in a rural area of Braga (Portugal), and León (Spain). The information collection technique was the semi-structured interview. A content analysis was made, following the Health Traditions Model.
Results: Beliefs and dietary practices related to feeding were identified, aimed at protecting, maintaining and recovering the health of the mother / newborn, from the physical / mental / spiritual sphere (9 interrelated dimensions).
Conclusion: Eating beliefs and practices in pregnancy / puerperium of older women were described, confirming the role of culture in them. 9 interrelated dimensions were considered, as well as the relevant role of family / relatives. These data can help us plan for current, participatory (family / community) maternal health actions, correct certain practices, and provide care consistent with the culture of women. This can help transform beliefs, or values and attitudes that embody a certain cultural form in nursing.
Downloads
References
Siles-González J. Historia de la enfermería. Madrid: Difusión Avances de Enfermería; 2011.
Martins MF. Educação para a Saúde e Vigilância Pré-Natal: Inter-confluências profissionais e familiares. Braga: Instituto de Ciências Sociais da Universidade do Minho; 2011. Doutoramento em Sociologia.
Wehbe-Alamah H. Madeleine Leininger´s Theory of Culture Care Diversity and Universality. In: Smith MC, Parker ME (ed.). Nursing Theories and Nursing Practice. Philadelphia: FA Davis Company; 2015. p. 303-319.
Martins MF. Mitos e Crenças na Gravidez: Sabedoria e segredos tradicionais das mulheres de seis concelhos do Distrito de Braga. Lisboa: Colibri; 2007.
Miranda DB, Marostica FC Matão MEL. Influence of cultural factor in the process of care in the postpartum. Revista Eletrônica Gestão & Saúde. 2015; 6(3):2444-59
Sheehy G, Aung Y, Foster AM. ‘‘She learned it from her mother and grandmother’’: Women’s experiences with Delivery and post-partum practices in Periurban Yangon, Myanmar. Matern Child Health J. 2016; 20:854–861. doi:10.1007/s10995-016-1918-z
Joseph FI, Earland J. A qualitative exploration of the sociocultural determinants of exclusive breastfeeding practices among rural mothers, North West Nigeria. Int Breastfeed J. 2019; 14:38. doi:10.1186/s13006-019-0231-z
Andina-Díaz E, Siles-González J. The domestic participation in birth assistance in the mid-twentieth century. Rev Lat Am Enfermagem. 2016; 24:e2727. doi:10.1590/1518-8345.0574.2727
Ngum Chi Watts MC, Liamputtong P, Mcmichael C. Early motherhood: a qualitative study exploring the experiences of African Australian teenage mothers in greater Melbourne, Australia. BMC Public Health. 2015; 10(15):873. doi:10.1186/s12889-015-2215-2
Herlihy JM, Shaikh A, Mazimba A, Gagne N, Grogan C, et al. Local Perceptions, Cultural Beliefs and Practices That Shape Umbilical Cord Care: A Qualitative Study in Southern Province, Zambia. PLoS ONE. 2013; 8(11): e79191. doi:10.1371/journal.pone.0079191
Spector RE. Cultural Competence. Cult Cuid. 2016; 20:44. doi:10.14198/cuid.2016.44.01
Andina Díaz E. Valoración sobre la participación de lo doméstico en torno al parto. Creencias y prácticas populares en Almanza y Cebanico (Sahagún, León) durante la primera mitad del Siglo XX. Alicante: Universidad de Alicante; 2015. Doctorado en Enfermería y Cultura de los Cuidados.
Moreira LN, Barros DC, Baião MR, Cunha MB. “Quando tem como comer, a gente come”: fontes de informações sobre alimentação na gestação e as escolhas alimentares. Physis: Revista de Saúde Coletiva. 2018; 28(3):1-20
Arzoaquoi SK, Essuman EE, Gbagbo FY, Tenkorang EY, Soyiri I, Laar AK. Motivations for food prohibitions during pregnancy and their enforcement mechanisms in a rural Ghanaian district. J Ethnobiol Ethnomed. 2015; 11(59):1-9
Withers M, Kharazmi N, Lim E. Traditional beliefs and practices in pregnancy, childbirth and postpartum: a review of the evidence from Asian countries. Midwifery. 2018; 158-170. doi:10.1016/j.midw.2017.10.019
Fernandes ETBS, Nascimento ER, Ferreira SL, Coelho EAC, Silva LR, Pereira COJ. Cervical cancer prevention among quilombola women in the light of Leininger’s theory. Rev Gaúcha Enferm. 2018; 39:e2016-0004. doi:10.1590/1983-1447.2018.2016-0004
Gil-Esteban MD, Solano-Ruiz MC. La aplicación del modelo de competencia cultural en la experiencia del cuidado en profesionales de Enfermería de Atención Primaria. Aten Primaria. 2017; 49(9):549-556. doi:10.1016/j.aprim.2016.10.013
Gower S, van der Akker J, Jones M, Dantas JAR. Australian nursing and midwifery educators delivering evidence-based education in Tanzania: a qualitative study. Nurse Educ Pract. 2016; 18:16-22. doi:10.1016/j.nepr.2016.02.009
Merritt L. Communicating with Chinese American families in the NICU using the Ginger and Davidhizar transcultural model. Neonatal netw. 2013; 32(5). doi: 10.1891/0730-0832.32.5.335
World Health Organization. 2017. [Internet, homepage, may 2017]. 10 facts on ageing and heatlh. World Health Organization. [cited Sep 20, 2019]. Available from: https://www.who.int/features/factfiles/ageing/en/.
Bardin L. Analise de Conteúdo. Edição Revista e Atualizada. Lisboa: Edições 70; 2016.
Toschi Lahos N, Doumid Borges Pretto A, Alberici Pastore C. Myths and beliefs about breastfeedingin the state of Rio Grande do Sul (Brazil). Mutr Clín Diet Hospi. 2016; 36(4):27-33. doi:10.12873/364toschi
Chien YC, Liu JF, Huang YJ, Hsu CS, Chao JC. Alcohol levels in Chinese lactating mothers after consumption of alcoholic diet during postpartum "doing-the-month" ritual. Alcohol. 2005; 37(3):143-50
Straub B, Melvin C, Labbok M. A descriptive study of Cambodian refugee infant feeding practices in the United States. Int Breastfeed J. 2008; 24:3:2. doi:10.1186/1746-4358-3-2
Kidd M, Hnatiuk M, Barber J, Woolgar MJ, Mackay MP. “Something is wrong with your milk”: qualitative study of maternal dietary restriction and beliefs about infant colic. Can Fam Physician. 2019; 65(3):204-211
Blau LE, Lipsky LM, Dempster KW, Eisenberg Colman MH, Siega-Riz AM, Faith MS, Nansel TR. Women´s experience and understanding of food cravings in pregnancy : a qualitative study in women receiving prenatal care at the university of North Carolina-Chapel Hill. J Ac Nutr Diet. 2019. doi:10.1016/j.jand.2019.09.020
Jacques B. Le festin du foetus: interdits alimentaires et rituels de protection pendant la grossesse», Les Dossiers de l´Obstétrique, Se préparer à l´accouchement, à la naissance, à la parentalité, Editions E.L.P.E.A. 2004: 225-227.
Mao LM, Ma LP, Liu N, Chen BH, Lu QG, Ying CJ, Sun XF. Self-reported health problems related to tradicional dietary practices in pospartum women from urban, suburban and rural areas of Hubei province, China: the “zuo yuezi”. Asia Pac J Clin Nutr. 2016; 25(1):158-164. doi: 10.6133/apjcn.2016.25.2.03
Gélis J. La sage-femme ou le médecin. Une nouvelle conception de la vie. Paris: Fayard; 2004.
Marques C. Alimentação, saúde e cultura: um estudo das práticas alimentares em uma comunidade remanescente de quilombo na Amazônia brasileira. Dissertação apresentada ao Programa de Pós graduação em Saúde Pública da Escola Nacional de Saúde Pública Sérgio Arouca, da Fundação Oswaldo Cruz, como requisito para obtenção do título de Mestre em Saúde Pública. Área de concentração: Território, Vigilância e Avaliação das Condições de Saúde; 2018.
Gil-Estevan MD, Solano-Ruiz MC. La aplicación del modelo de competencia cultural en la experiencia del cuidado en profesonales de Enfermería de Atención Primaria. Aten Primaria. 2017; 49(9):549-556. doi:10.1016/j.aprim.2016.10.013
Silva TA, Solano MdC, Siles J, de Freitas GF. Professional Identity of Nurse Manager in the Light of the Structural Dialectic Care Model. Aquichan. 2019; 19(3):e1935. doi: 10.5294/aqui.2019.19.3.5
Napier D (ed). Culture matters: using a cultural contexts of Health approach to enhance policy-making. Copenhagen, Denmark: World Health Organization; 2017.
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.
