Exploration Of Postpartum Cultural Care Practices And Their Implications For Midwifery Practice In Sulawesi: A Qualitative Study

Abstract

The cultural practices surrounding postpartum care are deeply entrenched in the fabric of Sulawesi society, exerting a substantial influence on the health of mothers in the postpartum period. Despite the existence of research on postpartum cultural practices in various regions of Indonesia, there remains a paucity of in-depth exploration of the specific Sulawesi context using a midwifery ethoscience approach. The objective of this study is to The objective of this study is to explore in depth the cultural practices surrounding postpartum care in Sulawesi and to analyse their implications for evidence-based midwifery practice. Methodology: A qualitative study was conducted in three districts/cities in Sulawesi, employing a descriptive phenomenological approach. A total of 10 participants were selected using purposive sampling, comprising postpartum mothers, traditional birth attendants, and community midwives. The data for this study was collected through the implementation of semi-structured in-depth interviews, utilising a validated interview guide. The analysis of the data was conducted using Braun and Clarke's thematic analysis method. Ensuring the validity of the data was achieved through the implementation of source triangulation, member checking, and the use of audit trails. Results: Five overarching themes were identified: The following five factors must be considered when analysing body care practices in this context: firstly, the use of traditional herbal remedies (pilis, tapel, and param); secondly, restrictions on physical activity and dietary taboos; thirdly, the role of traditional birth attendants as cultural authority figures; fourthly, spiritual rituals and supernatural beliefs; and fifthly, conflicts between traditional practices and modern medical recommendations. It is acknowledged that these practices possess both positive dimensions and potential clinical risks that need to be accommodated within midwifery care. Conclusion: Postpartum cultural practices in Sulawesi are multidimensional and require a responsive transcultural midwifery approach. The integration of local wisdom into contemporary midwifery protocols has the potential to enhance healthcare service utilisation and maternal outcomes.