Blessing of the moon: cultural beliefs, birth timing and child health in Nepal
Blessing of the moon: cultural beliefs, birth timing and child health in Nepal
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DOI：
10.1080/13691058.2022.2111466
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发表时间：
2022-08-08
影响因子：
2.2
通讯作者：
Duc Tran，Duc
中科院分区：
文献类型：
--
作者：
Chalise，Binaya;Kaneko，Shinji;Duc Tran，Duc
在许多南亚背景下，特定的日期对于与健康有关的行为和结果是吉祥的和不吉利的。这项研究分析了尼泊尔与农历日期相关的吉祥信仰对分娩和新生儿健康结局的影响。使用一家三级妇产医院的每日出生记录，我们实证地检查了满月前后分娩是否不成比例。我们发现，在满月当天及之前，平均多出10.7个新生儿，而在满月当天，平均多出7.5个剖腹产。我们证明，在满月当天或之前出生的新生儿健康状况不佳。然而，一项亚样本分析表明，低风险母亲的健康结果较好，而高风险母亲的健康结果较差。这些发现表明，与高危母亲相比，低风险母亲可能会将分娩推迟到吉祥日期，并发症较少。这一结果强调了进一步研究的必要性，以区分尼泊尔的医疗服务需求和供应对生育时间的影响。
In many South Asian contexts, specific dates are auspicious and inauspicious for health-related behaviours and outcomes. This study analysed the effect of lunar date-related auspicious beliefs in Nepal on childbirths and neonatal health outcomes. Using the daily birth records from a tertiary maternity hospital, we empirically examined whether births occurred disproportionally around full moon days. We found an average of 10.7 extra births on and before full moon days, with an average of 7.5 extra Caesarean deliveries on full moon days. We demonstrated that births occurring on or before the full moon day have poor neonatal health outcomes. However, a subsample analysis suggested better health outcomes for low-risk mothers and worse health outcomes for high-risk mothers. These findings suggest that low-risk mothers may move their deliveries to auspicious dates with fewer complications than high-risk mothers. The results emphasise the need for additional research to distinguish health service demand from supply influences on birth timing in Nepal.