Abstract
Objectives
Traditional postpartum care practices in East Asia have been recognized as non-functional by some government public health agencies. This study examined the perception of traditional postpartum care practice among families of Korean descent in the United States. In addition to pragmatic health care issues, the research was designed to contribute to cross-cultural understanding of hot–cold theory of reproductive behavior.
Methods
A descriptive survey study and follow-up interviews were conducted among women of Korean descent living in the United States (n = 141). A questionnaire was used to explore the variation in women’s beliefs about traditional postpartum care and the extent to which they or their relatives practiced this care. In the follow-up interview, the participants freely described the different ways of postpartum care practice.
Results
Compared to women from other Asian and immigrant populations, women of Korean descent maintained similar or higher rates of believing the functionality of temperature maintenance care practice, and believed that the associated forms of traditional care will continue in the future.
Conclusions for Practice
Traditional postpartum care practices are broadly shared and practiced in Asian immigrant populations, even in highly industrialized and modernized settings. Furthermore, from their own experience of somatic pain and its functionality, women called for better implementation of traditional care as an alternative or supplement to modern medical care. Health-care systems need to improve understanding and accommodation of cultural beliefs about possible benefits of temperature maintenance after childbirth in Asian ethnic populations.
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Data Availability
The dataset supporting the results of this study is available upon request.
References
Chen, C.-H., Wang, S.-Y., Chung, U.-L., Tseng, Y.-F., & Chou, F.-H. (2006). Being reborn: The recovery process of postpartum depression in Taiwanese women. Journal of Advanced Nursing, 54(4), 450–456. https://doi.org/10.1111/j.1365-2648.2006.03843.x
Chien, L.-Y., Tai, C.-J., Ko, Y.-L., Huang, C.-H., & Sheu, S.-J. (2006). Adherence to “Doing-the-month” practices is associated with fewer physical and depressive symptoms among postpartum women in Taiwan. Research in Nursing & Health, 29(5), 374–383. https://doi.org/10.1002/nur.20154
Cochrane, D. J. (2004). Alternating hot and cold water immersion for athlete recovery: A review. Physical Therapy in Sport, 5(1), 26–32.
Crowe, M. J., O’Connor, D., & Rudd, D. (2007). Cold water recovery reduces anaerobic performance. International Journal of Sports Medicine, 28(12), 994–998. https://doi.org/10.1055/s-2007-965118
Dennis, C.-L., Fung, K., Grigoriadis, S., Robinson, G. E., Romans, S., & Ross, L. (2007). Traditional postpartum practices and rituals: A qualitative systematic review. Women’s Health, 3(4), 487–502. https://doi.org/10.2217/17455057.3.4.487
Eberhard-Gran, M., Garthus-Niegel, S., Garthus-Niegel, K., & Eskild, A. (2010). Postnatal care: A cross-cultural and historical perspective. Archives of Women’s Mental Health, 13(6), 459–466.
Elujoba, A. A., Odeleye, O. M., & Ogunyemi, C. M. (2005). Traditional medicine development for medical and dental primary health care delivery system in Africa. African Journal of Traditional, Complementary and Alternative Medicines, 2(1), 46–61.
Hoban, E., & Liamputtong, P. (2013). Cambodian migrant women’s postpartum experiences in Victoria, Australia. Midwifery, 29(7), 772–778. https://doi.org/10.1016/j.midw.2012.06.021
Hoban, T. J. (2003). Public Concerns about biotechnology. Biotechnology in agriculture series, 279–288.
Kaewsarn, P., Moyle, W., & Creedy, D. (2003a). Traditional postpartum practices among Thai women. Journal of Advanced Nursing, 41(4), 358–366. https://doi.org/10.1046/j.1365-2648.2003.02534.x
Kaewsarn, P., Moyle, W., & Creedy, D. (2003b). Thai nurses’ beliefs about breastfeeding and postpartum practices. Journal of Clinical Nursing, 12(4), 467–475. https://doi.org/10.1046/j.1365-2702.2003.00719.x
Kim-Godwin, Y. S. (2003). Postpartum beliefs and practices among non-Western cultures. MCN: The American Journal of Maternal/Child Nursing, 28(2), 74–78.
Liamputtong, P. (2004). Yu Duan practices as embodying tradition, modernity and social change in Chiang Mai, Northern Thailand. Women & Health, 40(1), 79–99.
Liamputtong, P., & Watson, L. F. (2006). The meanings and experiences of cesarean birth among Cambodian, Lao and Vietnamese immigrant women in Australia. Women & Health, 43(3), 63–82.
Lundberg, P. C., & Thu, T. T. N. (2011). Vietnamese women’s cultural beliefs and practices related to the postpartum period. Midwifery, 27(5), 731–736. https://doi.org/10.1016/j.midw.2010.02.006
Manderson, L. (1987). Hot-cold food and medical theories: Overview and introduction. Social Science & Medicine, 25(4), 329–330.
Messer, E. (1981). Hot-cold classification: Theoretical and practical implications of a Mexican study. Social Science & Medicine. Part B: Medical Anthropology, 15(2), 133–145.
Min, P. G. (1992). The structure and social functions of Korean immigrant churches in the United States. International Migration Review, 26(4), 1370–1394. https://doi.org/10.1177/019791839202600413
Min, P. G., & Kim, D. Y. (2005). Intergenerational transmission of religion and culture: Korean protestants in the U.S. Sociology of Religion, 66(3), 263–282. https://doi.org/10.2307/4153099
Nahas, V., & Amasheh, N. (1999). Culture care meanings and experiences of postpartum depression among Jordanian Australian women: A transcultural study. Journal of Transcultural Nursing, 10(1), 37–45. https://doi.org/10.1177/104365969901000113
Navarrete, C. D., & Fessler, D. (2003). Meat is good to taboo: Dietary proscriptions as a product of the interaction of psychological mechanisms and social processes. Journal of Cognition and Culture, 3(1), 1–40.
Park, K.-J.Y., & Peterson, L. M. (1991). Beliefs, practices, and experiences of Korean women in relation to childbirth. Health Care for Women International, 12(2), 261–269.
Pew Research Center. (2015). Key facts about Asian Americans. https://www.pewresearch.org/fact-tank/2017/09/08/key-facts-about-asian-americans/
Pillsbury, B. L. (1978). “Doing the month”: Confinement and convalescence of Chinese women after childbirth. Social Science & Medicine Part B: Medical Anthropology, 12, 11–22.
Sargent, C. F. (2006). Reproductive strategies and Islamic discourse. Medical Anthropology Quarterly, 20(1), 31–49.
Sattayakorn, S., Ichinose, M., & Sasaki, R. (2017). Clarifying thermal comfort of healthcare occupants in tropical region: A case of indoor environment in Thai hospitals. Energy and Buildings, 149, 45–57.
Simons, R. C., & Hughes, C. C. (2012). The culture-bound syndromes: Folk illnesses of psychiatric and anthropological interest (Vol. 7). Springer Science & Business Media.
Stern, G., & Kruckman, L. (1983). Multi-disciplinary perspectives on postpartum depression: An anthropological critique. Social Science & Medicine, 17(15), 1027–1041.
Thrakul, S., Lundberg, P. C., Chaladthanyagid, K., & Unsanit, K. (2007). Traditional postpartum practices and food consuming among women in rural Thailand. Journal of Public Health, 37(3), 178–190.
Vaile, J., Halson, S., Gill, N., & Dawson, B. (2008). Effect of hydrotherapy on the signs and symptoms of delayed onset muscle soreness. European Journal of Applied Physiology, 102(4), 447–455. https://doi.org/10.1007/s00421-007-0605-6
Wang, X., Wang, Y., Zhou, S., Wang, J., Wang, J., & Löfstedt, P. (2009). Women’s postpartum practices and chronic pain in rural China. Maternal and Child Health Journal, 13(2), 206–212.
Wilkins, C., Baker, R., Bick, D., & Thomas, P. (2009). Emotional processing in childbirth: A predictor of postnatal depression? British Journal of Midwifery, 17(3), 154–159.
Yoo, E. (1998). Reflections on Sanhujori: A Korean postnatal care paradigm for women’s health. Asian Journal of Women’s Studies, 4(4), 110–128. https://doi.org/10.1080/12259276.1998.11665837
Yoo, E. K. (1993). Health promotion. Health promoting behavior for women’s health: An analysis on meanings of Sanhujori, Korea, postpartum care. Kanhohak t’amgu, 2(2), 37–65.
Acknowledgements
We thank Cathryn Townsend for contribution to this study. We also appreciate our study participants who helped this research possible.
Funding
This work was supported by the H. Clyde Wilson Opportunities for Excellence in Cultural Anthropology from the University of Missouri.
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SW and MF developed the study design, SW conducted the survey and interviews, SW and MF conducted the data analysis, and wrote the manuscript. All authors read and approved the final manuscript.
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The study was approved by the MU Institutional Review Board of the University of Missouri-Columbia, Columbia, MO, USA.
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Woo, S., Flinn, M.V. Traditional Postpartum Care Among Women of Korean Descent in the United States. Matern Child Health J 26, 1871–1880 (2022). https://doi.org/10.1007/s10995-022-03378-6
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DOI: https://doi.org/10.1007/s10995-022-03378-6