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Japanese Maternal/Newborn Culture

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James Lower

on 25 April 2014

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Transcript of Japanese Maternal/Newborn Culture

Japanese Maternal & Newborn Culture
Impolite to think of personal needs
Nurse should offer food and drink at least 2-3 times/day even after negative reply
Perceived as withdrawn, reserved or silent.
Do not address by first name
Culture overview
Japan composed of 4 islands: Hokkaido, Honshu, Shikoku, Kyushu.
Seafood is major staple in diet.
In 2009 766,875 Japanese living in U.S.
Family vertically structured with father at top
Feel self is insubordinate to the family
Close contact among generations.
Religion: Zen Buddhism, Confucianism and Shintoism

James Lower
Stacy Daniel
Tyler Sayre-Lafave

Common Words
Ninshinshiteiru- Pregnant
Jūsanshū- Weeks
Seiri- Menstration, period
Futotta- Fat
Chōonpa- Ultrasound
Undō- Exercise
Akancha ga taihen!- It's hard on the baby
Prenatal Care
Childbearing practices
Diet Variation
Maternal Activities to avoid
Family Roles:
Participation & Exclusion
Placental practices
Unique L&D Procedures
Cultural Postpartum Practices
Newborn Care
Miso Soup
Chatukai- bleached cotton sash tied around abdomen.
Traditionally expect pain and deal with nonpharmacologically
Some newer generations are using epidural
Expect an episiotomy
Japanese insurance covers total birthing cost
Cover 70-90% of neonatal complications
Typical stay in hospital in Japan 1 week.

May feel stay in U.S. short
Expect breast massage during breastfeeding
Hospital will keep part of umbilical cord and present to family as keepsake
In Japan receive parent and child handbook from goverment
Satogaeri- Woman goes to her mother's house during the 8th month and stays for 6-8 weeks after delivery
The University of Michigan Japanese Family Health Program to provide cultural and linguistically competent health care.
Dress newborn in Japanese clothing
Bath infant after birth
Japanese mother's tend to refuse circumcision
Believe stepping over placenta may help woman conceive.
Umbilical cord kept as keepsake and given to spouse at marriage.
Pregnant women should abstain from activities which require concentration.
Epinephrine release cause maternal mental stress
During 8th month woman decreases physical activity and move to maternal home for delivery
Believe the woman's eyes tire easily after birth and should not use eyes too much
All written information should be read to the patient
Childbirth should be drug free, natural and assisted by midwife.
The woman is encourage to eat providing energy for delivery but is not supposed to cry.
Cesarean is a hardship but feel important to listen to doctor.
Traditionally father not in room at birth.
Changing for those that moved to U.S.
Satogaeri- pt stays with maternal mom for 6-8 weeks after delivery
Maternal mom helps care for infant after birth
May not shower/wash hair for 7 days after delivery.
Breast feeding very common
Midwife assists by massaging breast daily.
Soak baby in hot water
Part of stress relief and health promotion.
Family members may bath together.
Desire completely natural birth
Need support person
Chakutai- custom where a bleached cotton cloth is tied around abdomen while prayers are offered for delivery.
Required to register pregnancies
Maternal Child Health Act
Receive hand-book on screening and early detection as well as early treatment for disabilities.
14 Prenatal visits (Low-Moderate risk)
Rely on technology for healthy baby
Genetic testing rare.
Doula is selected
Learn yelling during birth is frowned upon while grunting is encouraged.
Commonly in present fathers are present in room at birth
Historically only doctor/midwife and nurse were present
Kankyo= environment
Theory for food
Hot vs. Cold foods
Consume only native Japanese food
Only vitamin acceptable is iron
All other vitamins and minerals are consumed through balanced diet
Maternal grandmother take care of infant after birth
1. Ito, M., & Sharts-Hopko, N. (2002). Japanese women's experience of childbirth in the United States. Health Care For Women International, 23(6-7), 666-677.

2. Kish, R., McElmurry, B., Vonderheid, S., Altfeld, S., McFarlin, B., & Tashiro, J. (2011). Japanese Translation and Cultural Adaptation of the Listening to Mothers II Questionnaire. Journal Of Perinatal Education, 20(1), 14-27. doi:10.1891/1058- 1243.20.1.14

3. Taniguchi, H., & Magnussen, L. (2009). Expatriate Japanese women's growth and transformation through childbirth in Hawaii, USA. Nursing & Health Sciences, 11(3), 271-276. doi:10.1111/j.1442-2018.2009.00452.x

4. Yamazaki, A. (2010). Living With Stillborn Babies as Family Members: Japanese Women Who Experienced Intrauterine Fetal Death After 28 Weeks Gestation. Health Care For Women International, 31(10), 921-937. doi:10.1080/07399332.2010.503289

5. Yeo, S., Fetters, M., & Maeda, Y. (2000). Japanese Couples' Childbirth Experiences in Michigan: Implications for Care. Birth: Issues In Perinatal Care, 27(3), 191-198. doi:10.1046/j.1523-536X.2000.00191.x

6. Yoshioka, T., Yeo, S., & Fetters, M. (2012). Experiences with epidural anesthesia of Japanese women who had childbirth in the United States. Journal Of Anesthesia, 26(3), 326-333. doi:10.1007/s00540-012-1328-3

7. http://www.health.qld.gov.au/multicultural/health_workers/Japanese-preg-prof.pdf
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