Prenatal Care In Afghanistan

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Afghanistan is a highly populated, landlocked country in southern Asia. Most citizens live in individual rural areas or in tribal groups that are war-torn and suffering from the affects of malicious, terrorist groups. Ninety-nine percent of the population is of the Islam or Muslim religion and the remaining one percent makes up a wide variety of typical Asian religions. There are no practicing Christian churches or organizations in Afghanistan. The primary languages spoken are Pashto and Dari with the amount of English speaking citizens on the rise (World Population Review, 2017).
Throughout the world, there are numerous third-world countries where women and children have poor health outcomes due to lack of proper healthcare and healthcare …show more content…

Many of the women receive their information from family members and/or tribal members. Many of the women follow the advice of “old wives tales” accompanied by the use of natural herbs to medicate themselves (Pearlman, 2012). Seeking out professional antenatal/prenatal care is almost unheard of and universally unaccepted by the predominantly rural culture. However, the few that make up the population in more urban areas tend to increase their use of antenatal/prenatal care (Rahmani & Brekke, 2013).
A special cultural custom during pregnancy that is important to keep in mind is that within the Muslim culture it is seen as honorable for a woman to hide her pregnancy up until the actual birth. Her modesty is seen as conservative and respectful as well as preventing ‘nazar” or the evil eye from outsiders that could cause spontaneous abortion (Pregnancy in the Afghan Culture, 2012). Taking this into consideration, when labor begins, many women are accompanied by only those who are aware of the birth such as immediate female family members to assist with knowledge based off of personal …show more content…

It is the wife’s immediate, female family members with previous birthing experience that aid the mother throughout labor and postpartum. It is considered a breech of the women’s modesty if the man observes the woman throughout any point of the birthing process and postpartum care is not seen as a concern for the presence of the father (Akseer et. al, 2016).
Typically in rural areas, the birthing process is in-home without the presence of a healthcare team. Birthing is a family-oriented and family-initiated affair that results in a lack of postpartum health check-ups and vaccinations. A midwife may be present upon request and if readily available/living within the remote, rural community. A few customs that occur during labor and throughout the postpartum period are keeping men out of the room while a woman is in labor to preserve modesty and her not donning proper religious garb. Another custom that is similar to that of the States is having the mother in the room at assist and support her daughter throughout labor (Akseer et. al., 2016). A custom during postpartum is breastfeeding. However, with the median age of the mothers being so low, education on the proper way to breast feed and provide proper nutrition is solely up to the family to provide. Being that manufactured formula is not readily available to these rural communities, breast feeding is a new mother’s

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