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Miscarriages
Nutrition in pregnancy - a guide to eating well in pregnancy
Nausea and vomiting in early pregnancy
Relieving heartburn and constipation in pregnancy
Diabetes developed during pregnancy
Antenatal diagnostic tests
Rhesus negative - what it means
Birth plan
Childbirth
Monitoring your baby during labour
Pain relief in labour
Cord blood banking - where are we
Vaginal birth after caesarean section
Successful breastfeeding
Post-natal exercises
   
Do you think confinement practices are good or detrimental to the mother…or is it a waste of time?
 
One can not dismiss age old practices totally, even in the modern era with advances in medical care and evidence-based medicine. A lot of the confinement practices (more than 60%) are related to foods, and food directly contributes to nutrition, which is important to everyone, more so after a childbirth.

After childbirth, a woman may feel “weak”, and this is likely to be due to a sudden withdrawal of “feel good” hormones as well as anemia due to blood loss during labour. Also, the stomach and bowels which are initially compressed by the pregnant womb, now suddenly expands because of the sudden decrease in the size of the womb. These organs swell up with air and fluid, hence the sensation of bloatness or “wind”. If we can understand this, we can appreciate why the foods that are prepared (containing ginger or black pepper) for the mother in confinement appears to correct the problem.

However, like everything else, one should be selective about confinement practices. Practices that are outright irrational such as not taking shower for prolonged periods or avoidance of fruits or vegetables cannot possibly be beneficial to the woman.

   
What are some of the confinement practices that contradict modern science?
 
 
The most glaring is the prohibition of having a bath and washing the hair. It is illogical not to put hygiene as top priority. Keeping one’s body clean through regular shower is more likely to contribute to quick recovery.

The other one would be the avoidance of fruits or vegetables. These foods are a good source of vitamins and fibres which would help ensure good bowel habits and faster recovery.

Eating internal organs or seafoods are fine if well cooked. For that matter, foods that are raw should not be consumed during pregnancy and confinement for fear of contracting nasty bacteria such as listeriosis or salmonella (leading to food poisoning).

Travelling long distance in the car is fine, provided she takes plenty of breaks in between. In general, carrying heavy objects less than 10kg is acceptable.

Apart from this, carrying out any activities or taking any foods in moderation should not be an issue.

   
 
What is your advice to those who want confinement lady or services?
 
The post natal period is a very stressful period, especially for couples who are on their own in big cities without their parents. In this scenario, a confinement lady would provide the much needed advice or support. There are now several confinement centres in existence in Malaysia. The best way to select your centre or confinement lady is to ensure that the mother is comfortable with the confinement lady. Agencies that provide confinement services are quite professional and also provide confinement foods. However, if a woman has good family or social support, she can well do without a confinement lady.
   
What is your advice to women who don’t believe in confinement practices? How best for them to take care themselves?
 
There is now an increasing breed of modern women who would rather take care of themselves after childbirth. As long as she remains sensible with her diet, ie take a healthy balanced diet and look after her hygiene, she should remain absolutely fine. However, one should not disbelieve completely some sensible general advice from well meaning family members and friends.
     
Disclaimer
 
For Patients:
The health information provided in this website is not intended as a substitute for medical advice, diagnosis, or treatment.  Always consult your own physician for your own specific medical condition.

For Health Professionals:
While efforts has been made to get the relevant experts in each topic to contribute, the views and opinions of authors expressed in this section do not necessarily reflect those of the OGSM.

   
     
mail to admin: ogsm@myjaring.net
 
   
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