10.MAR.2020 5 MIN READ | 5 MIN READ

Drinking red date tea, eating copious amounts of ginger, or avoiding a shower? Are these common confinement myths you should ignore?

For Chinese mothers, the month after giving birth is a crucial time for growth and recovery. In fact, there’s an old Chinese adage that goes: “Eat well, sleep well, nothing is better than sitting the month well.” During this period, commonly known as confinement, mothers and their babies are advised to stay indoors for 30 – 40 days.

For generations, Chinese mothers have followed traditional confinement practices that are deeply rooted in traditional Chinese medicine. They’re often very restricting and rigorous, and some mothers find it difficult to adhere to them. However, is there even reason to follow these confinement myths?

Myth #1: Don’t shower

The belief: Coming into contact with cold water will cause “wind” to enter the body. This is said to lead to all sorts of diseases later in life, including chronic headaches and arthritis.

The truth: Maintaining good personal hygiene after giving birth is an absolute must – and this certainly involves taking a shower. It’s particularly important to keep the perineum (area between the genitals and the anus) clean and dry to promote wound healing and prevent infection.

Myth #2: Don’t drink plain water

The belief: Drinking plain water during confinement will increase water retention in the body, causing the body temperature to go down. This is believed to lead to “wind” entering the body.

The truth: Mothers need to stay hydrated, especially if they’re breastfeeding. A normal adult needs 8 glasses of water a day. Breastfeeding mums should take at least that amount plus a little more. To meet your hydration needs, you should take at least 1 glass of water after every breastfeeding session (which is 8 – 10 times a day).

Myth #3: Drink rice wine and other alcoholic drinks

Rice wine alcohol confinement myth
The belief: Mums aren’t allowed to drink plain water, but they can drink alcohol! Drinking alcoholic drinks like rice wine and eating dishes cooked with alcohol is believed to boost blood circulation and warm up the body.

The truth: While alcohol can affect blood circulation, it is not essential to the recovery of mums who have just given birth. In fact, mums should avoid alcohol intake especially if they’re breastfeeding. Large amounts of alcohol can be very harmful to a breastfeeding baby and could impair growth and development.

Myth #4: Wear warm clothing and don’t use fans or air conditioning

The belief: Confinement is all about keeping warm and preventing “wind” from entering the body. To do this, mothers are told to wear warm clothing (even in warm weather) and refrain from using fans or air conditioning.

The truth: After childbirth, a mother’s hormone levels change as her body adjusts to not being pregnant anymore. Changes in these hormone levels can cause changes in body temperature. Women may also sweat more to get rid of excess fluid. Night sweats can disturb a mother’s sleep, cause irritability, and affect her quality of life. The best way to manage postpartum sweating is to stay cool, wear comfortable clothing, and drink plenty of water.

Myth #5: Don’t read or cry

The belief: In traditional Chinese medicine, childbirth is thought to weaken the liver which is linked to the eyes. During confinement, mothers should not read or cry to avoid putting stress on the eyes.

The truth: There is no scientific proof to back up this belief. While prolonged reading of fine print may cause eye strain, there is no evidence to suggest that it can directly cause damage to the eyes. The same can be said for crying. In fact, crying can be a way of relieving stress and dealing with the emotions that come with being a new mum.

Myth #6: Consume copious amounts of ginger and herbal supplements

Herbal supplement confinement myth
The belief: One of the goals of confinement is to restore a woman’s “energy” or qi. Since childbirth drains a woman of qi, it’s important for her to consume specific herbal soups and dishes to boost energy and blood flow. This also includes consuming a lot of ginger, which is believed to promote healing and boost milk production in lactating mums.

The truth: There is no problem with mothers consuming ginger. In fact, ginger has several proven health benefits, including reducing muscle pain and soreness. However, it’s best to practise caution when taking in herbal supplements. Most studies attempting to prove the efficacy of Chinese herbal supplements provide no firm conclusions. More importantly, some Chinese herbal products have been found to contain toxic compounds, heavy metals and pesticides.

Myth #7: You should only eat meat, liver, and herbs

The belief: During confinement, mothers are restricted to a diet of meat, liver, and herbs. These are believed to be essential to heating the body because they’re excellent sources of protein and iron.

The truth: While consuming meat, liver, and herbs isn’t a problem, mothers should not be restricted to these 3 foods. In fact, half of a recovering mother’s diet should consist of fruits and vegetables to help her restore important nutrients. The other half should include whole grains like brown rice and whole-grain bread. Overall, following the food pyramid is still the way to go.

Myth #8: You shouldn’t walk or move about

The belief: Walking or moving about can increase muscle weakness after giving birth. This is why mothers are advised to only lie down in bed during this period.

The truth: While it’s true that mothers who have just given birth (especially those who gave birth via C-section) need to rest, they should not be restricted to just lying in bed. Experts recommend new mothers to walk and move around once they feel comfortable as it can help decrease the risk of blood clots (deep vein thrombosis).

If you have more confinement or pregnancy-related questions, speak to your doctor or make an appointment with an O&G specialist.

 

Article reviewed by Dr Clara Ong, obstetrician & gynaecologist at Gleneagles Hospital

References

Alcohol. (28 December 2019) Retrieved from https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/vaccinations-medications-drugs/alcohol.html

Alli, R. (25 June 2019) New Mom’s Guide to Nutrition After Childbirth. Retrieved on 5 February 2020 from https://www.webmd.com/parenting/baby/nutrition-guide-new-moms

Breast-feeding nutrition: Tips for moms. (n.d.) Retrieved on 6 February 2020 from https://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/in-depth/breastfeeding-nutrition/art-20046912

Burgess, L. (7 October 2017) Eight benefits of crying: Why it's good to shed a few tears. Retrieved on 6 February 2020 from https://www.medicalnewstoday.com/articles/319631.php#benefits-of-crying

Common Eye Myths. (n.d.) Retrieved on 5 February 2020 from https://www.preventblindness.org/sites/default/files/national/documents/fact_sheets/FS20_CommonEyeMyths_0.pdf

Diet for a healthy breastfeeding mum. (March 2017) Retrieved from https://www.babycentre.co.uk/a3565/diet-for-a-healthy-breastfeeding-mum

Leech, J. (4 June 2017) 11 Proven Health Benefits of Ginger. Retrieved on 6 February 2020 from https://www.healthline.com/nutrition/11-proven-benefits-of-ginger

National Centre for Complementary and Integrative Health. (n.d.) Retrieved on 6 February 2020 from https://nccih.nih.gov/health/whatiscam/chinesemed.htm

Nwadike, V. (26 July 2018) How to relieve postpartum night sweats. Retrieved on 6 February 2020 from https://www.medicalnewstoday.com/articles/322589.php#managing-night-sweats

Trupin, S. (n.d.) Postpartum Perineal Care. Retrieved on 6 February 2020 from https://www.emedicinehealth.com/postpartum_perineal_care/article_em.htm#perineum_care_at_home

Women Should Rest for a Month After Childbirth – Myth or Fact? (29 May 2018) Retrieved on 5 February 2020 from https://healthcare.utah.edu/the-scope/shows.php?shows=0_4ekbzznm

10.MAR.2020
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Ong Aihui Clara
Obstetrician & Gynaecologist
Gleneagles Hospital

Dr Clara Ong is an obstetrician & gynaecologist at Gleneagles Hospital, Singapore.