{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T04:15:17Z","timestamp":1792642517188,"version":"4.5.0"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2009,2,1]],"date-time":"2009-02-01T00:00:00Z","timestamp":1233446400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Public Health"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>'Sitting month' is the Chinese tradition for postpartum customs. Available studies indicate that some of the traditional postpartum practices are potentially harmful for women's health. However, no intervention study aiming at postpartum practices has been performed. In this paper we evaluated the effect of a health and nutrition education intervention, which focused on improving postpartum dietary quality and optimal health behaviors.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>The study design was a randomized controlled trial conducted in both urban and rural area of Hubei between August 2003 and June 2004. A total of 302 women who attended the antenatal clinic during the third trimester with an uncomplicated pregnancy were recruited. Women randomized to the education intervention group in both urban and rural area received two two-hour prenatal education sessions and four postpartum counseling visits. Control group women received usual health care during pregnancy and postpartum period. Women were followed up until 42 days postpartum. Outcome measures were nutrition and health knowledge, dietary behavior, health behavior and health problems during the postpartum period.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Women in the intervention groups exhibited significantly greater improvement in overall dietary behaviors such as consumption of fruits, vegetables, soybean and soybean products as well as nutrition and health knowledge than those in the control groups. Significantly more women in the intervention groups give up the traditional behavior taboos. The incidence of constipation, leg cramp or joint pain and prolonged lochia rubra was significantly lower in the intervention groups as compared with the control groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>The study shows that health and nutrition education intervention enable the women take away some of the unhealthy traditional postpartum practices and decrease the prevalence of postpartum health problems. The intervention has potential for adaptation and development to large-scale implementation.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Trial registration number<\/jats:title>\n            <jats:p>klACTRN12607000549426<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1471-2458-9-45","type":"journal-article","created":{"date-parts":[[2009,2,3]],"date-time":"2009-02-03T07:13:49Z","timestamp":1233645229000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":60,"title":["The effect of health and nutrition education intervention on women's postpartum beliefs and practices: a randomized controlled trial"],"prefix":"10.1186","volume":"9","author":[{"given":"Nian","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Limei","family":"Mao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiufa","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liegang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Yao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Banghua","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2009,2,1]]},"reference":[{"issue":"2","key":"1448_CR1","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1023\/A:1023873112024","volume":"7","author":"NR Boyd","year":"2003","unstructured":"Boyd NR, Windsor RA: A formative evaluation in maternal and child health practice: the partners for life nutrition education program for pregnant woman. Matern Child Health J. 2003, 7 (2): 137-10.1023\/A:1023873112024.","journal-title":"Matern Child Health J"},{"issue":"1","key":"1448_CR2","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1097\/01.AOG.0000218100.05601.f8","volume":"108","author":"NA Rigotti","year":"2006","unstructured":"Rigotti NA, Park ER, Regan S, Chang Y, Perry K, Loudin B, Quinn V: Efficacy of telephone counseling for pregnant smokers: a randomized controlled trial. Obstet Gynecol. 2006, 108 (1): 83-92.","journal-title":"Obstet Gynecol"},{"issue":"6","key":"1448_CR3","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1186\/1471-2458-6-168","volume":"26","author":"E Althuizen","year":"2006","unstructured":"Althuizen E, van Poppel MN, Seidell JC, Wijden van der C, van Mechelen W: Design of the New Life (style) study: a randomised controlled trial to optimise maternal weight development during pregnancy. BMC Public Health. 2006, 26 (6): 168-10.1186\/1471-2458-6-168.","journal-title":"BMC Public Health"},{"key":"1448_CR4","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1016\/S1526-9523(99)00003-3","volume":"45","author":"LL Albers","year":"2000","unstructured":"Albers LL: Health problems after childbirth. J Midwifery Womens Health. 2000, 45: 55-57. 10.1016\/S1526-9523(99)00003-3.","journal-title":"J Midwifery Womens Health"},{"key":"1448_CR5","volume-title":"Geneva","author":"World Health Organization","year":"1998","unstructured":"World Health Organization: Postpartum care of the mother and newborn: a practical guide. Geneva. 1998"},{"key":"1448_CR6","first-page":"533","volume-title":"Williams Obstetrics","author":"FG Cunningham","year":"1997","unstructured":"Cunningham FG, MacDonald PC, Gant NF, Leveno KJ, Gilstrap LC, Hankins GVD: Williams Obstetrics. 1997, Stamford (CT), Appleton & Lange, 533-546. 20","edition":"20"},{"key":"1448_CR7","first-page":"442","volume-title":"Traditional Chinese Gynecology","author":"ZL You","year":"2005","unstructured":"You ZL, Yuan JL: Traditional Chinese Gynecology. 2005, Traditional Chinese Medical Publication, Beijing, 442-446."},{"issue":"6","key":"1448_CR8","first-page":"28","volume":"95","author":"HM Morris","year":"1999","unstructured":"Morris HM, Boyd JL, Ogilvie LD, Fung M, Lau A, Ong A: Cultural brokering in community health. Can Nurse. 1999, 95 (6): 28-","journal-title":"Can Nurse"},{"key":"1448_CR9","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1038\/sj.ejcn.1601095","volume":"54","author":"Chan SM","year":"2000","unstructured":"SM Chan, EAS Nelson, SSF Leung, PCK Cheung, CY Li: Special postpartum dietary practices of Hong Kong Chinese women. Eur J Clin Nutr. 2000, 54: 797-802. 10.1038\/sj.ejcn.1601095.","journal-title":"Eur J Clin Nutr"},{"key":"1448_CR10","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1300\/J013v40n03_08","volume":"40","author":"E Holroyd","year":"2004","unstructured":"Holroyd E, Twinn S, Yim IW: Exploring Chinese women's cultural beliefs and behaviors regarding the practice of \"doing the month\". Women Health. 2004, 40: 109-123.","journal-title":"Women Health"},{"issue":"4","key":"1448_CR11","first-page":"89","volume":"3","author":"LM Mao","year":"2004","unstructured":"Mao LM, Sun XF, Liu LG, Cui YJ, Liu CL, Chen BH: The survey and analysis on levels of maternal morbidity during the puerperium and its influencing factors. Chinese Journal of Chronic Diseases. 2004, 3 (4): 89-93.","journal-title":"Chinese Journal of Chronic Diseases"},{"issue":"2","key":"1448_CR12","first-page":"95","volume":"16","author":"SY Yuan","year":"2001","unstructured":"Yuan SY, Chen WQ, Zhang Y: Health survey and requirements of women during the puerperium. Maternal and Child Health Care of China. 2001, 16 (2): 95-96.","journal-title":"Maternal and Child Health Care of China"},{"issue":"41","key":"1448_CR13","first-page":"43","volume":"1","author":"YJ Cui","year":"2006","unstructured":"Cui YJ, Mao LM, Sun XF, Liu LG: The relationship between postpartum food habits and puerperal disorders in rural Hubei. Chinese Journal of Nursing. 2006, 1 (41): 43-44.","journal-title":"Chinese Journal of Nursing"},{"issue":"6","key":"1448_CR14","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1186\/1471-2458-6-274","volume":"7","author":"N Liu","year":"2006","unstructured":"Liu N, Mao LM, Sun XF, Liu LG, Chen BH, Ding Q: Postpartum practices of puerperal women and their influencing factors in three regions of Hubei, China. BMC Public Health. 2006, 7 (6): 274-10.1186\/1471-2458-6-274.","journal-title":"BMC Public Health"},{"key":"1448_CR15","volume-title":"China Food Composition","author":"YX Yang","year":"2002","unstructured":"Yang YX, Wang GY, Pan XC: China Food Composition. 2002, Peking University Medical Press. Beijing"},{"key":"1448_CR16","volume-title":"Chinese DRIs Tables","author":"Chinese Nutrition Society","year":"2001","unstructured":"Chinese Nutrition Society: Chinese DRIs Tables. 2001, Chinese light industry Press. Beijing"},{"issue":"4","key":"1448_CR17","doi-asserted-by":"publisher","first-page":"358","DOI":"10.1046\/j.1365-2648.2003.02534.x","volume":"41","author":"P Kaewsarn","year":"2003","unstructured":"Kaewsarn P, Moyle W, Creedy D: Traditional postpartum practices among Thai women. J Adv Nurs. 2003, 41 (4): 358-366. 10.1046\/j.1365-2648.2003.02534.x.","journal-title":"J Adv Nurs"},{"issue":"2","key":"1448_CR18","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1097\/00005721-200303000-00006","volume":"28","author":"YS Kim-Godwin","year":"2003","unstructured":"Kim-Godwin YS: Postpartum beliefs & practices among non-western cultures. MCN Am J Matern Child Nurs. 2003, 28 (2): 74-78. 10.1097\/00005721-200303000-00006.","journal-title":"MCN Am J Matern Child Nurs"},{"key":"1448_CR19","volume-title":"Health Educ Res","author":"BC Mullany","year":"2006","unstructured":"Mullany BC, Becker S, Hindin MJ: The impact of including husbands in antenatal health education services on maternal health practices in urban Nepal: results from a randomized controlled trial. Health Educ Res. 2006"}],"container-title":["BMC Public Health"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2458-9-45.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1471-2458-9-45\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2458-9-45","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2458-9-45.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T01:23:39Z","timestamp":1630459419000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/1471-2458-9-45"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,2,1]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2009,12]]}},"alternative-id":["1448"],"URL":"https:\/\/doi.org\/10.1186\/1471-2458-9-45","relation":{},"ISSN":["1471-2458"],"issn-type":[{"value":"1471-2458","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,2,1]]},"assertion":[{"value":"30 October 2007","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 February 2009","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 February 2009","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"45"}}