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A Comparison of Practices During the Confinement Period among Chinese, Malay, and Indian Mothers in Singapore
Author(s) -
Fok Doris,
Aris Izzuddin M.,
Ho Jiahui,
Lim Sok Bee,
Chua Mei Chien,
Pang Wei Wei,
Saw SeangMei,
Kwek Kenneth,
Godfrey Keith M.,
Kramer Michael S.,
Chong Yap Seng
Publication year - 2016
Publication title -
birth
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.233
H-Index - 83
eISSN - 1523-536X
pISSN - 0730-7659
DOI - 10.1111/birt.12233
Subject(s) - malay , period (music) , history , demography , geography , ancient history , sociology , physics , linguistics , philosophy , acoustics
Background Confinement (restrictions placed on diet and practices during the month right after delivery) represents a key feature of Asian populations. Few studies, however, have focused specifically on ethnic differences in confinement practices. This study assesses the confinement practices of three ethnic groups in a multi‐ethnic Asian population. Methods Participants were part of a prospective birth cohort study that recruited 1,247 pregnant women (57.2% Chinese, 25.5% Malay, and 17.3% Indian) during their first trimester. The 1,220 participants were followed up 3 weeks postpartum at home when questionnaires were administered to ascertain the frequency of adherence to the following confinement practices: showering; confinement‐specific meals; going out with or without the baby; choice of caregiver assistance; and the use of massage therapy. Results Most participants reported that they followed confinement practices during the first 3 weeks postpartum (Chinese: 96.4%, Malay: 92.4%, Indian: 85.6%). Chinese and Indian mothers tended to eat more special confinement diets than Malay mothers ( p < 0.001), and Chinese mothers showered less and were more likely to depend on confinement nannies during this period than mothers from the two other ethnic groups ( p < 0.001 for all). Malay mothers tended to make greater use of massage therapy ( p < 0.001), whilst Indian mothers tended to have their mothers or mothers‐in‐law as assistant caregivers ( p < 0.001). Conclusion Most Singapore mothers follow confinement practices, but the three Asian ethnic groups differed in specific confinement practices. Future studies should examine whether ethnic differences persist in later childrearing practices.