Evidence map›Paper›PMID 27381177›Full record

ReviewBMC pregnancy and childbirth2016

Dirty and 40 days in the wilderness: Eliciting childbirth and postnatal cultural practices and beliefs in Nepal.

Sheetal Sharma, Edwin van Teijlingen, Vanora Hundley, Catherine Angell, Padam Simkhada

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in BMC pregnancy and childbirth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06409208 (Postnatal Care and Services Utilization in Nepal), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
14.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06409208 nacompletednot on this mapstarted 2025, after this paper: background citation

Postnatal Care and Services Utilization in Nepal: Use of mHealth Intervention in Improving Utilization of Postpartum Care

TypeinterventionalSponsorDhulikhel HospitalRan2025 to 2026Enrolled300ConditionsPostnatal CareArmsmHealth intervention (video and reminder SMSs)
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Perspectives and Beliefs Surrounding Postpartum Care and Physical Activity of South Asian Immigrant Women in Canada.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Exploring cultural influences in perinatal and early childhood nutrition.Revista de salud publica (Bogota, Colombia) · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Sheetal SharmaKenBerry Solutions Ltd., Nairobi, Kenya. sheetale@gmail.com.
Edwin van TeijlingenFaculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.
Vanora HundleyFaculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.
Catherine AngellFaculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.
Padam SimkhadaCentre for Public Health, Liverpool John Moores University, Liverpool, UK.
Bournemouth University · GBLiverpool John Moores University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnancy and childbirth are socio-cultural events that carry varying meanings across different societies and cultures. These are often translated into social expectations of what a particular society expects women to do (or not to do) during pregnancy, birth and/or the postnatal period. This paper reports a study exploring beliefs around childbirth in Nepal, a low-income country with a largely Hindu population. The paper then sets these findings in the context of the wider global literature around issues such as periods where women are viewed as polluted (or dirty even) after childbirth.

methodsA qualitative study comprising five in-depth face-to-face interviews and 14 focus group discussions with mainly women, but also men and health service providers. The qualitative findings in Nepal were compared and contrasted with the literature on practices and cultural beliefs related to the pregnancy and childbirth period across the globe and at different times in history.

resultsThe themes that emerged from the analysis included: (a) cord cutting & placenta rituals; (b) rest & seclusion; (c) purification, naming & weaning ceremonies and (d) nutrition and breastfeeding. Physiological changes in mother and baby may underpin the various beliefs, ritual and practices in the postnatal period. These practices often mean women do not access postnatal health services.

conclusionsThe cultural practices, taboos and beliefs during pregnancy and around childbirth found in Nepal largely resonate with those reported across the globe. This paper stresses that local people's beliefs and practices offer both opportunities and barriers to health service providers. Maternity care providers need to be aware of local values, beliefs and traditions to anticipate and meet the needs of women, gain their trust and work with them.

Indexed as

Ceremonial BehaviorCulturePostnatal CareAdolescentAdultBreast FeedingCross-Cultural ComparisonFemaleFocus GroupsFoodHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMiddle AgedNepalBabies newborns postnatal careNepalPostnatal periodTraditional practicesWomen

Identifiers

PMID27381177
PMCPMC4933986
OpenAlexW2461497634

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.