Professional Documents
Culture Documents
So,". Sci. Med. Vol. 43, No. 11, pp. 1561-1567. 1996
Copyright 1996 ElsevierScience Ltd
Printed in Great Britain. All rights reserved
S0277-9536(96)00052-4
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Key words--prenatal care, reproductive health, health services use, Nigeria, Yoruba
INTRODUCTION
In a Nigerian community, pregnancies were likened
to pots containing water. The situation of maternal
and child health in the study area was likened to a
group of women who carried their earthen pots and
trekked to a local brook to fetch water. The pathway
from the brook was considered narrow and the
terrain difficult; a few fell and broke their pots; some
staggered but kept pots even though the water spilled,
and the majority of the people returned home
successfully with their pots and water. This metaphor
o f pot (or gourd) is one of the Yoruba ways of
thinking about the w o m b or pregnancy. The first
category represented the small proportion of women
who may unfortunately die in the course of
pregnancy and for pregnancy-related causes. The
second group represented those who might have
miscarriage, stillbirths, or lose their infants. Because
the risk of breaking the pot or spilling the water was
high, the traditionally established procedure for
averting or minimizing such risks was called ideyun
(pregnancy care), which aimed to ensure that each
pregnancy was carried to term, successfully delivered
and that the resulting baby was given a head-start for
life. The objective of this paper is to provide a
detailed description of the ideyun process in the place
o f study and to highlight for further research some
policy-relevant themes that apparently emerged from
the traditional belief system.
*Fax No: (301) 572-0993.
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Jacob A. Adetu~i
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Proscribed behavior
Traditional pregnancy care involved some food
taboos and other things to be avoided. During the
fieldwork I asked mothers about this. A woman
farmer, Adun, aged 46 with no schooling, a mother
of four, said that pregnant women ought to avoid
cocoa-based beverages, milk and similar foods that
could make the fetus big. Similarly, she said that cold
food and iyan-kasi (stale pounded yam) should not be
eaten so as to give birth to clean-bodied babies. A
43-year-old woman with no schooling, and a mother
of four, 2 of whom were dead at the time of interview,
replied:
Each pregnancy comes with its different demands. I eat
whatever I like when I am pregnant, but I abstain from
cassava and pounded yam.
Another woman aged 37 with 5 years of schooling
and a mother of seven (6 alive) replied:
I know that pregnant women should not eat some animals
killed by hunters, such as snakes, porcupine and newt. Other
food taboos are family-specific. There is none in our family.
Pounded yam and cassava meals are high-density
carbohydrate foods. Women reported that they
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Jacob A. Adetunji
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Jacob A. Adetunji
CONCLUSION
1567
APPENDIX
Health statistics
Hospital
Maternity center
Local government dispensary
Private clinics
Patent medicine stores (chemists)
Faith clinics
Quack medicals
Educational stati.~tics
Kindergarten
Primary schools
Secondary schools
Places of worship (modern)
Catholic churches
Protestant (orthodox)
Christ Apostolic
Other African churches
Pentecostal/evangelical (Gospellers)
Jehovah's Witness Kingdom hall
Mosque
Other social amenitie.s
Police stations
Bank
Post office
Fire service station
Customary court
Number
2
I
I
3
13
7
10
2
9
5
2
4
12
10
7
1
1
2
1
1
I
I