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Postpartum Confinement and Modern Medicine: Negotiating Omugwo Practices and Clinical Postnatal Care Among New Mothers in Bayelsa State

Major Iteimowei, Blessing Oyinbrakemi Moroyei

Abstract

Postpartum confinement and modern medicine were examined through an investigation of the role of Omugwo practices in promoting the uptake of clinical postnatal health care services among postpartum mothers in Bayelsa State. Specifically, the study explored the nature and practices of Omugwo, the utilization of modern postnatal healthcare services, and how the practices of postpartum confinement affect mothers' uptake of modern maternal and child recommendations. The study was based on the Health Belief Model . The study used a descriptive survey research design. The population for this study was 2,277,962 residents of Bayelsa State, as estimated by City Population (2025). The sample size of 400 respondents was obtained by adopting the Taro Yamane formula. Probability and non-probability sampling techniques were used to select communities from Yenagoa, Ogbia, and Sagbama Local Government Areas. The data were obtained through questionnaires administered to postpartum mothers, nurses, midwives, traditional birth attendants, and traditional elderly women. The instrument was valid based on face and content validity, and it was reliable with a coefficient of reliability of 0.70. Frequencies, percentages, mean scores, tables, and bar charts were used to analyse the data collected. The results indicated that the practice of Omugwo remains prevalent among new mothers in Bayelsa State and remains significant to them. The study also revealed that the respondents' use of modern postpartum health care services was comparatively high, including getting postnatal care from the hospital, immunization, guidance for exclusive breastfeeding, and prescribed medications. The study did find, however, that postpartum confinement also has a significant impact on mothers' willingness and willingness to accept and implement modern medical advice, since the decision to provide care for mothers is often a reflection of traditional beliefs and old customs. The study therefore recommended the need for more health education among the mothers, making better access to postnatal care services available to them and the need for more partnership between health providers and traditional caregivers to minimize conflicts between Omugwo practices and modern health care. IJMEPR

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