How Rural Superstitions Impact Maternal Healthcare in India
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doctor.turned.author

India

Aug 13

Joined Feb 16, 2025

India has made significant progress in maternal healthcare over the past few decades, yet deep-rooted superstitions continue to hinder medical advancements, particularly in rural areas. For many expectant mothers, pregnancy and childbirth are shaped as much by traditional beliefs as by medical guidance. While some of these customs provide emotional and cultural comfort, others pose serious health risks to both mothers and newborns. Understanding these superstitions and addressing their impact is crucial to improving maternal health outcomes in India.

The Power of Belief Over Medicine

In rural India, pregnancy and childbirth are seen as natural processes that should not be interfered with. As a result, many women and their families turn to age-old customs rather than modern medical interventions. These superstitions are often passed down from generation to generation, deeply ingrained in the social fabric of communities. While some beliefs have psychological benefits—such as creating a sense of community support—many interfere with essential maternal healthcare practices, leading to preventable complications.

1. Avoiding Hospitals and Skilled Birth Attendants

One of the most dangerous superstitions is the belief that childbirth should take place at home rather than in a hospital. Many rural families consider home births to be "purer" and more "natural" than hospital deliveries. There is also a fear that stepping into a hospital will expose the mother and baby to "evil spirits" or negative energy.

As a result, pregnant women often rely on untrained midwives (dais) who lack the expertise to handle complications such as prolonged labor, excessive bleeding, or breech births. In cases of obstructed labor, where a cesarean section could save the mother and baby, women may be forced to endure long and painful deliveries at home, sometimes with fatal consequences.

Despite government initiatives promoting institutional deliveries, the fear of hospitals persists. This reluctance is further fueled by concerns over hospital costs, mistreatment by medical staff, and the misconception that medical interventions—such as C-sections—are unnecessary unless the situation is critical.

2. Food Restrictions During Pregnancy

Food taboos during pregnancy are another common superstition that can lead to malnutrition and complications. Many rural communities have strict dietary restrictions for expectant mothers, often based on myths rather than medical science. For example:

  • Some believe that consuming cold foods, such as yogurt or coconut water, can cause excessive bleeding or a difficult delivery.
  • Dairy is avoided in certain communities due to the belief that it will cause excessive mucus in the baby.
  • Pregnant women are often advised to eat less to ensure that the baby remains small, making delivery “easier.” However, inadequate nutrition during pregnancy can lead to low birth weight, developmental issues, and increased risk of maternal complications.

These food restrictions can result in severe nutritional deficiencies, particularly in rural areas where women already have limited access to a balanced diet. Iron and calcium deficiencies, in particular, can lead to anemia, weak bones, and complications during childbirth.

3. Postpartum Isolation and “Pollution” Beliefs

Many rural traditions dictate that new mothers must remain isolated for days or even weeks after childbirth due to beliefs about "pollution" or impurity. In some communities, postpartum women are kept in separate rooms or outside the main house in unhygienic conditions.

This practice is rooted in the idea that childbirth is impure and that a woman must undergo purification rituals before rejoining her family. Unfortunately, this isolation often results in delayed medical care for both the mother and the newborn. Women who experience postpartum complications, such as excessive bleeding, infections, or high blood pressure, may not receive timely medical attention because they are confined by tradition.

Newborns are also affected by these beliefs. Some communities delay breastfeeding for several days after birth because they consider colostrum—the first milk produced by the mother—to be impure. Instead, babies are fed honey, cow’s milk, or herbal concoctions, depriving them of essential immunity-boosting nutrients.

4. Ignoring Pregnancy Complications

Medical conditions such as high blood pressure (preeclampsia), gestational diabetes, and prolonged labor require immediate attention, but in many rural areas, such complications are attributed to supernatural causes. Some families believe that pregnancy complications occur due to bad karma, the evil eye, or ancestral curses.

Rather than seeking medical help, women may be subjected to rituals, prayers, or herbal remedies that may not be effective. In many cases, these delays can be fatal. Preeclampsia, for example, can quickly escalate into eclampsia—a life-threatening condition that causes seizures and organ failure. If not treated in time, it can result in maternal death.

Similarly, women experiencing prolonged labor may be told that the baby will be born "when it is meant to be," rather than receiving the medical intervention they need. By the time they are taken to a hospital, it is often too late.

Bridging the Gap Between Tradition and Healthcare

Addressing harmful superstitions requires a delicate balance between respecting cultural traditions and ensuring the safety of mothers and babies. Here are some key steps that can help bridge the gap between belief and science:

1. Education & Awareness

Conducting community workshops and awareness campaigns can help debunk harmful myths and educate families about the importance of maternal healthcare. Pregnant women, as well as their families and village elders, should be involved in discussions about safe childbirth practices.

2. Empowering Local Midwives & Dais

Since traditional birth attendants (dais) are often trusted figures in rural communities, training them in basic medical skills can improve maternal health outcomes. By equipping them with knowledge about safe delivery practices and danger signs, they can play a crucial role in referring high-risk pregnancies to hospitals.

3. Government & NGO Initiatives

The Indian government has already launched several programs, such as Janani Suraksha Yojana (JSY) and Pradhan Mantri Matru Vandana Yojana (PMMVY), to promote institutional deliveries. However, more efforts are needed to improve rural healthcare infrastructure, provide better incentives for hospital deliveries, and establish mobile health units for remote areas.

4. Leveraging Religious & Community Leaders

In many villages, religious and community leaders hold immense influence. Engaging them in maternal health initiatives can help change narratives around childbirth practices. If respected figures endorse hospital deliveries and proper prenatal care, families are more likely to follow suit.

Conclusion

Superstitions should never come at the cost of a mother’s life. While it is important to respect cultural traditions, it is equally essential to ensure that every woman receives the best possible medical care during pregnancy and childbirth.

By combining education, healthcare access, and community engagement, we can replace harmful myths with medically sound practices. Every woman, regardless of where she lives, deserves a safe and dignified childbirth experience.

Have you or someone you know faced challenges in accessing maternal healthcare due to cultural beliefs? Share your thoughts in the comments. Let’s start the conversation!Superstitions in rural India are deeply ingrained, often passed down through generations. While some cultural practices have symbolic or psychological significance, many interfere with maternal healthcare in critical ways.

  1. Avoiding Hospitals and Skilled Birth Attendants

  2. Many rural women are discouraged from delivering in hospitals, as home births are considered “purer” and more “natural.” Some fear that stepping into a hospital will expose them to “evil spirits” or negative energy. As a result, they rely on untrained midwives (dais) who often lack the skills to handle complications like obstructed labor or excessive bleeding.
  3. Food Restrictions During Pregnancy
  4. Superstitions around food can lead to malnutrition among pregnant women. For example:
  • Some believe that consuming cold foods, such as yogurt or coconut water, can cause complications like excessive bleeding or a difficult delivery.
  • Dairy is avoided in certain communities to prevent the baby from having excess mucus.
  • Some mothers-to-be are told to eat less so that the baby remains small, making delivery "easier"—a dangerous practice that can lead to underweight newborns and developmental issues.
  1. Postpartum Isolation and “Pollution” Beliefs
  2. Many rural traditions dictate that new mothers remain isolated for days or even weeks after childbirth, often in unhygienic conditions. This practice is rooted in the belief that postpartum women are “impure” and must be kept away from the rest of the family. Unfortunately, this can delay critical medical attention for both mother and baby, increasing risks of postpartum infections and complications.
  3. Delaying Colostrum Feeding
  4. Colostrum, the nutrient-rich first milk a mother produces, is often discarded in some villages due to the belief that it is impure. Babies are instead fed honey, cow’s milk, or even herbal concoctions, depriving them of essential immunity-boosting nutrients and increasing their risk of infections.
  5. Ignoring Pregnancy Complications
  6. Conditions like high blood pressure (preeclampsia), gestational diabetes, or even prolonged labor are sometimes ignored due to the belief that medical intervention will anger the gods. Instead, women are subjected to rituals, prayers, or given herbal remedies that may not be effective. By the time they reach a hospital, it is often too late.

Bridging the Gap Between Tradition and Healthcare

While some traditions provide emotional support and a sense of community, harmful superstitions must be challenged to improve maternal health outcomes. Possible solutions include:

  • Education & Awareness: Conducting community workshops to bust myths and explain the scientific basis of maternal care.
  • Empowering Local Midwives & Dais: Training traditional birth attendants in basic medical skills so that they can recognize danger signs and refer cases to hospitals.
  • Government & NGO Initiatives: Strengthening maternal healthcare services in rural areas through better infrastructure, incentives for hospital deliveries, and mobile health units.
  • Leveraging Religious & Community Leaders: Collaborating with influential figures in villages to change narratives around childbirth practices.

Conclusion

Superstitions should never come at the cost of a mother’s life. While respecting cultural traditions is important, there needs to be a balance between heritage and health. By replacing harmful myths with medically sound practices, we can ensure that every woman, regardless of where she lives, has a safe and dignified childbirth experience.

Have you or someone you know faced challenges in accessing maternal healthcare due to cultural beliefs? Share your thoughts in the comments. Let’s start the conversation!







Sexual and Reproductive Rights
Menstrual Health
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