Preconception Care for Having a Male Descendant: An Ethnographic Study of Indonesian Batak Women

Authors

  • Evi Karota BSN, MNS, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia, Faculty of Nursing, Universitas Sumatra Utara, Medan, Indonesia
  • Yati Afiyanti BSN, MN. Department of Maternity and Women Health Faculty of Nursing, Universitas Indonesia, Depok, Indonesia.

Keywords:

Indonesian Women, Ethnography, Knowledge, Perception, Preconception Care, Stress, Unplanned Pregnancy

Abstract

          Indonesia is still facing high maternal and infant mortalities cases, and preconception care is one of the essential interventions to prepare for a healthy pregnancy and try to avoid these cases. This ethnographic study explores how Indonesian Batak women deal with preconception care and how they perceive cultural influence in their pregnancy preparation. Semi-structured interviews with 14 Indonesian Batak women and field observations were conducted in this study. The informants were recruited purposively under specific criteria. Recorded and transcribed data were analyzed thematically.
          Four themes were constructed from the data: perceptions and knowledge of preconception care, rituals, family pressure to have a son, and stressful unplanned pregnancy. Batak women have some knowledge about preconception care, and families conduct cultural rituals for these women in the hope that they give birth to a son. However, when a baby boy is not coming to the family, the women suffer from stressful unplanned pregnancies. The findings show that the Batak culture supports preconception care; however, the family often has less tolerance to women’s reproductive health rights in preserving the paternal line. Health care providers, including nurses and midwives, should educate and empower the women for preconception care and contraceptive use and culturally negotiate with the family to optimally support the women’s health.

References

Kementerian Kesehatan RI. Indonesian health profile in 2020. Kementrian Kesehatan RI, Jakarta. 2021. Available from: https://pusdatin.kemkes.go.id/folder/view/01/structure-publikasi-pusdatin-profil-kesehatan.html (in Indonesian)

Hemsing N, Greaves L, Poole N. Preconception health care interventions: a scoping review. Sex Reprod Healthc. 2017;14:24-32. https://doi.org/10.1016/j.srhc.2017.08.004

Stephenson J, Heslehurst N, Hall J, Schoenaker DAJM, Hutchinson J, Cade JE, et al. Before the beginning: nutrition and lifestyle in the preconception period and its importance for future health. Lancet. 2018;391:1830- 41. https://doi.org/10.1016/S01 40-6736(18)30311-8

Lassi ZS, Dean SV, Mallick D, Bhutta ZA. Preconception care: delivery strategies and packages for care. Reprod Health. 2014;11 Suppl 3(Suppl 3):S7. https://doi.org/10.1186/1742-4755-11-S3-S7

World Health Organization. Preconception care: maximizing the gains for maternal and child health. Department of Maternal, Newborn, Child, and Adolescent Health, Geneva. 2013. Available from: https://www.who.int/maternal_child_adolescent/documents/preconception_care_policy_brief.pdf

National Population and Family Planning Board (BKKBN), Statistics Indonesia (BPS), Ministry of Health (Kemenkes), and ICF. Indonesia demographic health survey 2017. BKKBN, BPS, Kemenkes, and ICF, Jakarta. 2018. Available from: https://dhsprogram.com/pubs/pdf/

FR342/FR342.pdf

Tuomainen H, Cross-Bardell L, Bhoday M, Qureshi N, Kai J. Opportunities and challenges for enhancing preconception health in primary care: qualitative study with women from ethnically diverse communities. BMJ Open. 2013;3:e002977. http://dx.doi.org/10.1136/bmjopen- 2013-002977

Toivonen KI, Oinonen KA, Duchene KM. Preconception health behaviours: a scoping review. Preventive Medicine. 2017;96:1-15. https://doi.org/10.1016/j.ypmed.2016. 11.022

Kufakunesu L, Shumba P, Kapfunde A, Zvinavashe PM, Makoni DP. Preconception care: concept paper. Journal of Health Sciences and Nursing. 2017;2(11), 42-53. https://www.ijrdo.org/index.php/hsn/article/view/1157

Yulizawati Y, Nurdiyan A, Iryani D, Insani AA. Effect of health education using peer education method on preconception screening on the knowledge and attitudes of women of childbearing age in Agam. Journal of Midwifery Research and Practice. 2016;1(2);11-20. doi:10.25077/

jom.1.2.11-20.2016 (in Indonesian).

Juriah. Cultural beliefs and practices during pregnancy of the Karangsari Village community, Garut Distrik. Sosiohumaniora Jurnal Ilmu-ilmu Sosial dan Humaniora. 2018;20(2):162-7. https://doi.org/10.24198/sosiohumaniora.v20i2.10668 (in Indonesian).

Kurniawati W, Afiyanti Y, Prasetyo S, Achadi EL, Kumboyono K. The perspective of healthcare practitioners on preconception care at primary healthcare in Jakarta:a qualitative study. International Journal of Africa Nursing Sciences. 2021;15:100351. https://doi.org/10.1016/

j.ijans.2021.100351

Hasibuan R. Married in Batak culture. 2015. Available from: https://www.kompasiana.com/rickyhasibuan/55007a78a333117f7251117a/perkawinan-menurutadat-batak (in Indonesian)

Sibarani R, Situmorang H, Pawiro MA. Concerning Toba Batak’s local wisdoms and cultural values for regional character building. Indian Journal of Science and Technology. 2018:11(20):1-9. doi:10.17485/ijst/2018/v11i20/114298.

Creswell JW. Research design: qualitative, quantitative, and mixed methods approaches. SAGE Publications, Los Angeles. 2014.

Kottak CP. Cultural anthropology: appreciating cultural diversity Ed. 16th. New York: McGraw Hill. 2015

Field T. Massage therapy research review. Complement Therapy Clinical Practice. 2014;20(4):224-9. https://doi.org/10.1016/j.ctcp.2014.07.002

Gunawan. Mangukosi dan Upa-upa, meaningful Batak tradition. 2015. Available from: https://www.kompasiana.com/gun4w4n/551feec5a33311e32bb67358/mangulosidan-upa-upa-tradisi-adat-batak-penuh-makna (In Indonesian)

Alligood MR. Nursing theorists and their work. 8th ed. Elsevier, Singapore. 2017 (in Bahasa Indonesian).

McFarland MR, Mixer SJ, Webhe-Alamah H. Ethnonursing: a qualitative research method for studying culturally competent care across disciplines. Int J Qual.2012;11(3):259-79. https://doi.org/10.1177/160940691201100306

Afiyanti Y, Rachmawati IN. Qualitative methodology in nursing research. Rajawali Pers, Jakarta. 2014.

Simbolon CJ, Siregar RH. The value of Hagabeon and the efforts to get offspring in Infertile Toba Batak Tribe couples. Psikologia. 2014;9(1);25-31. https://jurnal.ugm.ac.id/buletinpsikologi/article/view/28489 (in Indonesian).

Girsang IE. The ceremony of manonggot-nonggoti practiced by Simalungun Society. 2015. Available from:https://search.yahoo.com/search?fr=mcafee&type=E210US91215G91418&p=The+Ceremony+of+Manonggot-nonggoti+Practiced+by+Simalungun+Society+Retrieved+from+http%3A%2F%2Frepository.usu.ac.id%2Fhandle%2F123456789%2F54151

Lang AY, Boyle JA, Fitzgerald GL, Teede H, Mazza D, Moran LJ. Harrison C. Optimizing preconception health in woman of reproductive age. Minerva Gynecologica. 2018;70(1):99-119. doi:10.23736/S0026-4784.17.04140-5.

Qureshi R, Pacquiao DF. Ethnographic study of experiences of pakistani women immigrants with pregnancy, birthing, and postpartum care in the United States and Pakistan. Journal of Transcultural Nursing. 2013;24(4):355-62. https://doi.org/10.1177/1043659613493438

Sitohang A. Batak philosophy in the life aim. 2018. Available from: https://hitabatak.com/filsafat-batak-dalamtujuan-hidup-3h-kesuksesan-bangso-batak/ (in BahasaIndonesian)

Novieastari E, Gunawijaya J, Indracahyani A. Culturally sensitive nursing care training effectively improves nurse’s cultural competence. Keperawatan Indonesia. 21(1):27-33. doi:10.7454/jki.v21i1.484 (in Indonesian).

Simamora H, Siti A. Anxiety levels differences between indigenous and migrant Batak fathers who don’t have boys. Anthropos: Jurnal Antropologi Sosial dan Budaya. 2018;3(2):117-121. https://doi.org/ 10.24114/antro. v3i2.8307 (in Indonesian).

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Published

2022-03-05

How to Cite

1.
Karota E, Afiyanti Y. Preconception Care for Having a Male Descendant: An Ethnographic Study of Indonesian Batak Women. PRIJNR [Internet]. 2022 Mar. 5 [cited 2024 Oct. 8];26(2):269-81. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/256514

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Original paper