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Transcript of Thailand
Traditional Thai medicine has been influenced from Chinese medicine and Sanskrit traditions for many years. Thailand is more than 95% Buddhists and their belief is that the human body is composed of four elements known as water, earth, wind and fire. It is believed that an illness is caused when there is an imbalance of these elements.
Rituals and Beliefs
Allen, P., Edward, J., & McCullough, W. (2015). Does Karma Exist?: Buddhism, Social Cognition, and the Evidence of Karma. International Journal for the Psychology of Religion, 25(1), 1-17. DOI: 10.1080/10508619.2013.879427 Retrieved from www.tandonline.com/doi/full/10.1080/10508619.2013.879427#tabModule
Numrich, P. (2001, January 1). Religious Beliefs and Healthcare Decisions. The Park Ridge Center, 1-16. Retrieved from http://www.che.org/members/ethics/docs/1275/Buddhist.pdf
Rice, P., & Manderson, L. (1996). Health Beliefs and the Use of Antenatal Care Among Pregnant Women in Southern Thailand. In Maternity and Reproductive Health in Asian Societies (pp. 61-65). Amsterdam: Hardwood Academic Publisher
Sollmann, U (2012) Nonverbal communication in Thailand. Retrieved from http://www.body-languages.net/2012/11/nonverbal-communication-in-thailand/
Life does not begin with birth or end with death.You have to do well, be optimistic, forgive and other positive emotions to be able to have a rewarding birth in reincarnation. If bad is done physically or mentally, you may be reincarnated in to a lower life form or just simply degenerate (Allen, Edward, and McCullough, 2015).
Often in small rural villages, there is no prenatal care.
Most deliveries happen at home.
In certain areas, families go to the temple to pray for the protection & health of the baby.
Family members ensure the pregnant woman gets proper rest, eats adequately and that she receives help around the house.
There is the belief that the gender of the baby can be determined based on the baby's activity level during the pregnancy.
Very active baby = indicates a male
Less active baby = indicates a female.
Also, if the fundus (top of uterus) appears high in abdomen this would also indicate a male child.
Typically the woman notifies her significant other first and then both her mother and the father's mother.
Exercise and eating well is encouraged.
Child Birth Beliefs
An hmor tamyae or traditional birth attendants (TBA) provides care during the perinatal period.
Also a bomoh, or traditional healer may be present in case the birth becomes difficult by supernatural agents or spirits.
Family members provide emotional support during birth.
Fathers are allowed to be present in the room during the birth if desired.
Leaves & herbs are heat up and then wrapped around the woman's abdomen if there are complications during labor.
Most births are vaginal births; cesarean birth is increasing with modernization.
The placenta is cut up and buried by the father.
After birth, a woman may go into a tent prepared with aromatic steam of lemon grass & other herbs meant to assist with uterine involution (return to the normal size).
The woman dresses in warm clothing.
Another ritual is to place a wrapped heated stone on the woman’s abdomen and keep changing it as it cools down to provide continuous heat.
The heat from the stones is believed to help the womb descend into the pelvic area.
This ritual takes about nine days for a primagravida or gave birth to twins.
A multigravida woman will only need 5 to seven days by the fire.
Important nutritional items during pregnancy include:
• Ginger tea (to soothe symptoms & to increase milk production)
• Coconut milk (for its nutrients)
• Young coconut meat (for healthy skin on the fetus)
• Fish (for protein)
• Palm sugar (for beautiful eyes)
• Pregnancy is considered a "hot" condition. For this reason, women eat warm foods, drink warm liquids, and keep their body temperature warm.
Women are not allowed to shower for the first two days after giving birth. Once, the placenta is delivered it is milked back and forth 3 times in order to remove dirt because it is considered dirty. The blood inside the placenta is considered dirty and its clamped after the milking, next the cord is tied with a string and cut by the father.
Women are not allowed to bury anything in the dirt because it might contribute to the baby to dying, while in utero, or shortly after being born.
Hygienic & Environmental Practices
May request a midwife for vaginal delivery instead of an obstetrician unless complications are present and a cesarean section is needed.
May want to take the placenta home so they can burn it with the umbilical cord.
May request only warm fluids after delivery such as herbal teas, however nurse may not administer these herbal remedies because of the risk of harmful drug interactions.
If the woman and/or family members do not speak or write fluently English, a Certified Interpreter should be used. Due to cultural traditions, a shower should not be offered unless requested upon.
Nutrition and Special Considerations
Do not touch their head!!! The head is considered sacred, since it is the source of intelligence and spiritual substance.
Feet are considered dirty, because they are close to the ground.
A smile is often used for an apology, and a nod doesn’t mean yes, it is simply a gesture of respect
The traditional Thai greeting is called the wai.
In general, the younger person greets first, by placing the palms together at chest level and bowing slightly.
When giving, receiving or passing things, Thais ordinarily use the right hand. The left hand is placed under the right elbow, and bow the head slightly (sollmann, 2012).
Name is usually given on the fourth or fifth day by their father, however this may vary in different parts of thailand
Today both can decide the name of the baby (mom and dad).
Mother must stay close to breastfeed the baby
Banana, honey and water mixed together to prevent diarrhea
If the baby cries too much at night, its believed that their guardian spirit (MAe Sue) is teasing the newborn too much. This is considered normal, the baby ay also cry and laugh. Circumcision is not very prevalent.