Myths in Pregnancy and Childbirth: A Systematic Review of Risks

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Journal name: The Malaysian Journal of Medical Sciences
Original article title: Understanding Myths in Pregnancy and Childbirth and the Potential Adverse Consequences: A Systematic Review
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Original source:

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Author:

Norain Ahmad, Sharifah Fazlinda Syed Nor, Faiz Daud


The Malaysian Journal of Medical Sciences:

(A peer-reviewed, open-access journal)

Full text available for: Understanding Myths in Pregnancy and Childbirth and the Potential Adverse Consequences: A Systematic Review

Year: 2019 | Doi: 10.21315/mjms2019.26.4.3

Copyright (license): CC BY 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

In recent years, there has been a notable increase in the trend of natural home births in Malaysia, often occurring without adequate supervision from qualified healthcare professionals. This trend has emerged amidst widespread misconceptions about modern medical care, leading to potentially dangerous outcomes for both mothers and newborns. Due to the prevalence of myths and false beliefs surrounding pregnancy and childbirth, it is essential to critically examine these misconceptions and their implications for maternal and child health globally. A systematic review of literature revealed various harmful beliefs, including dietary taboos and over-reliance on unregulated birth attendants.

The Danger of Unsanctioned Home Births

One of the concerning findings from the literature reviewed is the belief that unregulated birth attendants, such as doulas, possess the necessary expertise to handle complications during labor and delivery. Many women express a preference for home births, motivated by the desire to create a familiar and comforting environment, or to avoid interventions they perceive as unnecessary. However, such beliefs can endanger lives, as complications can arise unexpectedly during childbirth. The review highlights instances where women, despite being assessed as low-risk, were referred to hospitals due to unforeseen complications. This underscores the critical need for promoting awareness about the risks associated with unsupervised home births and ensuring that women receive care from trained healthcare professionals during childbirth to minimize maternal and neonatal morbidity and mortality.

Conclusion

This systematic review underscores the pervasive nature of myths and harmful practices surrounding pregnancy and childbirth, not only in developing nations but also in more affluent countries. It becomes clear that women and children are particularly vulnerable populations in this context. To address these challenges effectively, healthcare providers must prioritize health education initiatives aimed at dispelling these myths and encouraging healthy behaviors. Establishing reliable antenatal care and promoting skilled birth attendance can significantly enhance outcomes for mothers and infants, ultimately leading to healthier communities. Combatting misinformation and fostering informed decision-making among expectant mothers must be key components of healthcare strategies.

FAQ section (important questions/answers):

What are common myths about pregnancy and childbirth in Malaysia?

In Malaysia, there are beliefs that certain nutritious fruits should be avoided, which can lead to poor nutrition. Additionally, some believe that unregulated birth attendants possess the necessary skills to manage complications, which can be dangerous.

Why do some women prefer home births over medical facilities?

Women may choose home births to avoid medical interventions and due to a belief that birth is a natural process. They may also feel more comfortable in their own environment, perceiving hospital practices as interruptive.

What is the impact of dietary beliefs during pregnancy?

Dietary myths can lead to malnutrition, with women avoiding essential foods due to fears of miscarriage or complications. This can increase risks for low birth weight and other negative health outcomes for both mother and child.

How can healthcare providers address myths surrounding childbirth?

Healthcare providers can implement effective health education programs, encourage regular antenatal visits, and engage with communities to debunk harmful myths, ensuring women receive accurate information to make informed choices related to pregnancy and childbirth.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Myths in Pregnancy and Childbirth: A Systematic Review of Risks”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Birth:
The term 'birth' refers to the process of bringing forth a child from the mother's body. It has significant emotional, medical, and social implications, as the choices surrounding the birth process, such as location and method (hospital vs. home birth), reflect deeper cultural beliefs and practices. Understanding these concepts can help shape effective maternal care approaches globally.

2) Study (Studying):
In this context, 'study' refers to a systematic examination or analysis of specific beliefs and practices related to pregnancy and childbirth. The study reviewed existing literature to identify prevalent myths and wrong beliefs across various cultures, aiming to understand how these affect maternal and child health outcomes.

3) Pregnant:
The word 'pregnant' describes the state of carrying a developing fetus within the uterus. It is a critical period in a woman's life characterized by physical, emotional, and nutritional changes that impact both maternal and fetal health. Understanding the challenges faced during pregnancy can inform supportive interventions.

4) Food:
Food is crucial during pregnancy as it affects both maternal health and fetal development. Cultural beliefs often dictate food taboos, leading to inadequate nutrition that may result in adverse outcomes like low birth weight and malnutrition. Awareness of these beliefs is essential for healthcare providers to offer appropriate dietary guidance.

5) Activity:
Physical activity during pregnancy is crucial for promoting overall health and may reduce risks of complications. However, misconceptions about its safety often discourage women from engaging in exercise. Understanding these misconceptions aids healthcare providers in offering tailored advice to support the well-being of pregnant women.

6) Labour (Labor):
Labor refers specifically to the physiological process of childbirth. Understanding the beliefs and practices surrounding labor, including preferences for home versus hospital birth, is essential to improving outcomes and ensuring safety in childbirth experiences.

7) Table:
In this context, 'table' refers to a structured representation of data, likely summarizing characteristics from reviewed studies on pregnancy-related myths and beliefs. Tables in research aid in effectively communicating findings, providing an easily digestible format for comparing information across different studies and populations.

8) Perception:
Perception refers to the way individuals interpret and understand pregnancy and childbirth experiences. Cultural perceptions shape beliefs about medical interventions, dietary restrictions, and the role of traditional birth attendants, which can significantly influence women’s choices and outcomes during pregnancy and delivery.

9) Discussion:
The discussion section of the research serves to analyze findings, drawing connections between identified myths and their implications for maternal health. This is critical for developing strategies that address misconceptions, fostering a community understanding of safe practices and thus improving health outcomes.

10) Knowledge:
Knowledge encompasses the information and understanding women have about pregnancy, childbirth, and related health practices. This impacts decision-making and health-seeking behavior. Enhancing knowledge through education can help dispel myths and promote safer practices, ultimately contributing to better maternal and child health outcomes.

11) Reason:
Reason denotes the underlying motivations or explanations for women’s choices regarding pregnancy and childbirth. Understanding reasons behind preferences for home birth, avoidance of medical facilities, or engagement with traditional practices can inform targeted health education programs tailored to community dynamics.

12) Post:
The term 'post' in a health context often refers to postpartum, a period after childbirth. This phase involves significant physical and emotional changes as well as challenges in maternal care. Understanding postpartum dynamics is vital for ensuring adequate support and resources for new mothers to promote recovery and bonding.

13) Death:
Death, particularly maternal and perinatal death, emphasizes the critical risks associated with unsafe birthing practices and inadequate care. Understanding the causes and prevalence of death during and after childbirth drives the need for improved healthcare access, education, and policies to protect vulnerable populations.

14) Education:
Education is a vital component in addressing myths and misconceptions regarding pregnancy and childbirth. Effective health education programs can transform beliefs, enhancing understanding of safe practices and the importance of medically supervised births, thereby reducing risks associated with misinformation.

15) Medicine:
Medicine refers to the field focused on the diagnosis, treatment, and prevention of illness and injury. In the context of pregnancy, medical care practices can significantly impact maternal and fetal outcomes, highlighting the need for awareness and education around the benefits of modern medicine in childbirth.

16) Science (Scientific):
Scientific research provides evidence-based frameworks for understanding pregnancy and childbirth. Grounded in empirical data, scientific approaches inform healthcare practices and challenge harmful myths, making it essential for enhancing maternal and neonatal health worldwide.

17) Pur:
The term 'poor' often describes inadequate health conditions or lack of access to medical care and education. In the context of pregnancy, poor health outcomes can result from myths, nutritional deficiencies, and inadequate prenatal care, necessitating targeted interventions for vulnerable populations.

18) Disease:
Disease refers to health conditions that may arise during pregnancy due to various factors including inadequate care, harmful beliefs, or nutritional deficiencies. Understanding how these diseases manifest can aid in crafting preventive strategies that address the specific needs of pregnant women.

19) India:
India is significant in this context as it represents a diverse cultural landscape where various pregnancy beliefs and practices manifest. Exploring health-related myths in India helps illuminate broader global trends and informs healthcare strategies tailored for the unique challenges faced in different regions.

20) Ghana:
Ghana serves as a case study within discussions of pregnancy beliefs across cultures. Understanding Ghanaian practices helps decipher the intersection of cultural beliefs and maternal health, shedding light on the need for culturally sensitive education and healthcare approaches to improve health outcomes.

21) Visit:
Visit refers to the health facility attendance for antenatal care, a critical aspect of ensuring maternal and fetal well-being. The frequency and quality of visits can greatly influence health outcomes during pregnancy, emphasizing the importance of increasing healthcare access and patient education.

22) Fear:
Fear often influences women’s decisions regarding childbirth, particularly in contexts of home birth versus hospital delivery. Cultural fears surrounding medical interventions can lead to risky practices, underscoring the need for effective communication to alleviate fears and promote safe birthing practices.

23) Hand:
The word 'hand' symbolizes care and assistance in the birthing process. Trained healthcare workers can provide essential support during childbirth, highlighting the importance of skilled birth attendants to manage complications and ensure safe deliveries, thereby enhancing maternal and child health outcomes.

24) Burning (Burn, Burned, Burnt):
In this context, 'burn' likely references the practice of burning certain herbs or substances believed to have medicinal properties during pregnancy. Cultural rituals involving burning may reflect deep-rooted beliefs and affect decisions about seeking conventional medical care, requiring sensitivity in health education.

25) Developing:
Developing nations often face more pronounced challenges regarding maternal health due to limited resources, education, and healthcare access. Examining the beliefs and practices in these contexts can highlight disparities and inform targeted actions to improve maternal health outcomes globally.

26) Attending:
Attending refers to the participation in medical services such as antenatal care. Regular attendance at healthcare facilities is crucial for monitoring pregnancy and preventing complications, showcasing the need for community awareness and education to encourage the utilization of available healthcare services.

27) Cutting:
Cutting may reference practices surrounding the umbilical cord or surgical interventions during delivery. Misconceptions about cutting practices can have significant implications for maternal and neonatal safety, emphasizing the importance of proper education and awareness about safe birthing practices.

28) Sharman (Sarma, Sharma, Sarman):
Sharma, likely referring to a researcher or author cited in the analysis, represents a contributor to the understanding of pregnancy-related beliefs and practices. Their work contributes valuable insights into the cultural aspects influencing maternal health in specific populations.

29) Turan:
Duran appears as another significant name in the context of the study, possibly referring to a researcher or contributor whose insights add depth to understanding cultural beliefs around pregnancy. Contributions from diverse authors enrich the exploration of this complex subject.

30) Pir:
Peer influences refer to the impact that friends, family, and community have on individual beliefs and behaviors related to pregnancy. Understanding peer dynamics helps tailor interventions that address community-level misconceptions and support healthier practices among pregnant women.

31) Surrounding:
Surrounding denotes the cultural context and environment in which pregnancy occurs. This includes the norms, beliefs, and practices that influence a woman's experience and choices during pregnancy, emphasizing the need for culturally sensitive healthcare strategies to improve maternal health.

32) Toxicology:
Toxicology studies the effects of substances on living organisms, which is critical in evaluating the safety of various foods and practices during pregnancy. Understanding toxicological effects helps healthcare providers offer appropriate guidance to pregnant women, ensuring their safety and that of their developing child.

33) Family:
Family dynamics play a significant role in shaping pregnancy-related beliefs and practices. Elder relatives may pass down myths and expectations, influencing a woman's decisions. Understanding these family influences can help healthcare providers develop effective educational interventions tailored to the family unit.

34) Indian:
Indian cultural contexts are relevant in understanding diverse pregnancy beliefs and practices that affect maternal health. Analyzing Indian perspectives sheds light on the complexities of global maternal health issues, as similar beliefs may also exist in other developing nations.

35) Sugar:
Sugar's reference may highlight dietary beliefs surrounding pregnancy, suggesting that cultures attribute certain health benefits or remedies to sugar consumption. Such beliefs can influence dietary practices during pregnancy, necessitating education on balanced nutrition for maternal health.

36) Rules:
Rules inform community norms regarding pregnancy, childbirth, and maternal health. Cultural, societal, and familial rules can dictate practices that may not align with medical recommendations, thus requiring sensitive interventions to promote awareness about safe practices.

37) Field:
Field refers to the professional and educational environments pertaining to maternal health. It encompasses evidence-based practices, guidelines, and ongoing research that influence healthcare delivery during pregnancy and childbirth, emphasizing the importance of continuing education and adaptation in health services.

38) Pose:
Pose indicates the risks or challenges associated with certain beliefs and practices during pregnancy. For instance, avoiding healthcare services or interventions may pose significant dangers to maternal and child health, highlighting the need for education and the dispelling of myths.

39) Fish:
Fish may refer to dietary restrictions some cultures have regarding its consumption during pregnancy, often tied to fears of adverse outcomes. Understanding these beliefs can help healthcare providers offer tailored nutritional guidance to improve dietary practices among pregnant women.

40) Life:
Life encompasses the various stages and experiences surrounding pregnancy, childbirth, and motherhood. Understanding how cultural perspectives about life, health, and wellbeing influence pregnancy practices is critical for developing effective healthcare interventions.

41) Bitter gourd:
Bitter gourd is referenced as a food item with cultural beliefs surrounding its effects on pregnancy. Misconceptions about its safety for consumption can impact maternal nutrition, necessitating education on healthy dietary choices during pregnancy.

42) Malnutrition:
Malnutrition refers to insufficient or imbalanced nutrition that can adversely affect pregnant women and their babies. Addressing cultural beliefs and practices that contribute to malnutrition is essential in promoting healthier outcomes for mothers and infants.

43) Observation:
Observation involves monitoring health conditions during pregnancy. Understanding the importance of careful observation during antenatal visits can help detect potential complications early, underscoring the value of engaging healthcare professionals for safe pregnancy outcomes.

44) Peshawar:
Peshawar stands as an example of a region where beliefs surrounding pregnancy and childbirth practices may reflect broader cultural trends. Exploring local perspectives can inform tailored interventions to improve maternal health in similar communities.

45) Vomiting:
Vomiting may be referred to as a common symptom during pregnancy but can also signify underlying health issues. Understanding cultural beliefs around vomiting impacts healthcare approaches, with emphasis on open communication between providers and expectant mothers.

46) Training:
Training pertains to the education and skill-building required for healthcare providers to effectively support pregnant women. Ensuring proper training about safe practices and community beliefs can improve health outcomes and foster trust between providers and patients.

47) Worry (Worried, Worrying):
Worrying often reflects the anxieties mothers face during pregnancy, influenced by cultural beliefs or misinformation. Addressing these worries through effective communication and support can enhance the overall well-being of mothers-to-be.

48) Nausea:
Nausea is a common symptom during pregnancy that can affect dietary intake and overall health. Cultural beliefs surrounding nausea may influence how women navigate their eating habits and healthcare choices during this period.

49) Bitter:
Bitter refers to the taste of certain foods like bitter gourd, which may have associated cultural beliefs that affect dietary choices during pregnancy. Understanding these associations can guide healthcare providers in offering culturally sensitive nutritional advice.

50) Animal:
Animal may refer to beliefs surrounding the consumption of animal products during pregnancy, which can lead to dietary restrictions. Understanding these beliefs is important for addressing maternal nutrition and ensuring a balanced diet.

51) Egypt:
Egypt serves as another cultural context that can offer insights into the beliefs and practices surrounding pregnancy and childbirth. Understanding Egyptian experiences may highlight shared challenges faced by women in various regions, making it relevant for global maternal health initiatives.

52) Mitra:
Mitra likely refers to a researcher or contributor mentioned in the text, adding relevance to the understanding of pregnancy beliefs. Contributions from diverse researchers enrich the literature surrounding maternal health and cultural practices.

53) Lanka (Lamka, Lànkà):
Lanka indicates the Sri Lankan context, where cultural beliefs and practices around pregnancy may reveal insights applicable to wider global discussions. Understanding local practices can inform better health education approaches tailored to specific populations.

54) Sama (Shama):
Shama represents a specific district mentioned in the text, highlighting unique cultural beliefs toward pregnancy. Investigating local practices informs healthcare strategies that effectively address the specific needs and concerns of mothers in similar areas.

55) Honey:
Honey is often considered a beneficial food item; however, misconceptions about its effects on pregnancy can affect dietary practices. Understanding these beliefs can inform appropriate dietary recommendations for pregnant women.

56) Blood:
Blood relates to numerous health aspects in pregnancy, including monitoring for complications. Cultural beliefs surrounding blood can influence how women perceive treatment options and medical interventions during pregnancy.

57) Anna:
Anna could refer to a specific hospital or research context. Identifying facilities and their approaches to maternal health can inform broader health strategies addressing the unique needs of communities in that region.

58) Ovid:
Ovid refers to a database used for systematic research within the study, highlighting the importance of comprehensive literature reviews in creating informed and evidence-based understanding of cultural practices in pregnancy and childbirth.

59) Diet:
Diet encompasses the nutritional choices made by pregnant women, influenced by cultural beliefs and misconceptions. Ensuring adequate nutrition through informed dietary practices is critical for maternal and fetal health, necessitating targeted health education.

60) Ghi (Ghee):
Ghee, a form of clarified butter, may be referenced in the context of dietary practices during pregnancy. Understanding beliefs surrounding its benefits or risks can aid in providing appropriate nutritional advice to expectant mothers.

61) Milk:
Milk is often considered vital in numerous cultures, though some beliefs may denote it as harmful during pregnancy. Recognizing and addressing these beliefs is important for ensuring pregnant women receive appropriate nutritional support.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Myths in Pregnancy and Childbirth: A Systematic Review of Risks’. Further sources in the context of Science might help you critically compare this page with similair documents:

Natural process, Spiritual connection, Physical activity, Umbilical cord, Pregnancy, Medicinal properties, Herbal medicine, Cultural practice, Eating behavior, Harmful consequences, Medical care, Social media, Postpartum care, Placenta, Cultural beliefs and practices, Health education, Thematic analysis, Peer pressure, Developed countries, Exclusive breastfeeding, Antenatal Care, Low birth weight, Maternal morbidity, Vaginal examination, Focused group discussion, Birth weight, Systematic Review, Healthcare Facilities, Healthcare Workers, Deep vein thrombosis, Weight loss, Health facilities, Vaginal delivery, Traditional birth attendants, Health service, Gestational diabetes, Health programme, Maternal mortality, Obstetric complications, Partogram, Maternal outcome, Cooking oil, Caesarean section, Healthcare personnel, Perinatal morbidity, Maternal Death, Medical intervention, Peer Reviewed Article, Postpartum haemorrhage, Perinatal outcome, Green leafy vegetables, Eating behaviour, Home delivery, Qualitative study, Fetal heart rate, Maternal obesity, Primary care, Healthcare provider, Antenatal visit, Maternal and child health, Health authorities, Vulnerable group, Nutritional intake, Hospital delivery, Perinatal death, Moderate intensity, Cross-sectional design, Maternal mortality ratio (MMR), Primary care setting, Skilled Attendant, Health facility, Antenatal care visits, Hospital policies, Stillbirth, Health effect, Adverse health effect, Malaysian women, Maternal complication, Refined grains.

Concepts being referred in other categories, contexts and sources.

Wrong belief, Childbirth, Gentle birth, Miscarriage, Natural birth.

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